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Completed

NCT Number: NCT03926117

Trial to Evaluate Reduction in Inflammation in Patients With Advanced Chronic Renal Disease Utilizing Antibody Mediated IL-6 Inhibition

Patients with chronic kidney disease, who have evidence of systemic inflammation with increased cardiovascular risk, will be enrolled into this trial. The purpose of this trial is to determine a dose to select for a potential cardiovascular outcome trial with Ziltivekimab. Doses to be tested will be 7.5 mg, 15 mg and 30 mg subcutaneous monthly compared to placebo for six months.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Central Alabama Research, Birmingham, Alabama, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18 years of age
  • Stage 3-5 CKD
  • hs-CRP > 2.0 mg/L
  • Comply with contraception

Exclusion criteria

  • Low neutrophil count
  • Low platelet count
  • Spot urine protein to creatinine ration > 4000 mg/g
  • ALT/AST >2.5x ULN
  • TSAT < 10%
  • Positive TB test
  • Evidence of HIV, hepatitis B
  • Blind or illiterate
  • Expected to require blood transfusion
  • Thromboembolic event within 12-weeks
  • Evidence of active infection
  • Peptic ulcer disease, diverticulitis, inflammatory bowel disease
  • Uncontrolled hypertension
  • Planned coronary revascularization
  • Major cardiac surgery, CHF
  • Active malignancy, bone marrow or organ transplant
  • Allergy to study drug
  • Treatment with investigational drug, treatment with HIF stabilizer or ESA
  • Use of immunosuppressive drugs, systemic antibiotics
  • Breastfeeding, any other significant medical history

Treatment and study plan

Ziltivekimab

Biological

human IgG1k anti-human IL-6 monoclonal antibody

Other names: COR-001

Primary outcomes

  1. Percent Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) Levels

    Time frame: Baseline (average of the hs-CRP value prior to randomization and day 1), week 13

    Percent change from baseline in hs-CRP levels at week 13 are presented.

Secondary outcomes

  1. Percent Change From Baseline in Serum Amyloid A (SAA)

    Time frame: Baseline (average of the values at week -1 and day 1), week 13

    Percent change from baseline in SAA at week 13 are presented.

  2. Percent Change From Baseline in Fibrinogen

    Time frame: Baseline (day 1), week 13

    Percent change from baseline in fibrinogen at week 13 are presented.

  3. Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious AEs (TESAEs), Severe Hematologic AEs, Severe Non-hematologic AEs, and AEs Leading to Drug Discontinuation

    Time frame: From week 0 to week 32

    An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. TEAEs are defined as AEs that initiated or worsened on or after the date of first dose of study drug up to the end of safety-follow-up. A SAE was defined as any untoward medical occurrence that at any dose results in death, or is life-threatening, or requires inpatient hospitalization or causes prolongation of existing hospitalization results in persistent or significant disability/incapacity, or may have caused a congenital anomaly/birth defect, or requires intervention to prevent permanent impairment or damage. TEAEs that met any of these criteria were considered severe hematologic AEs: grade 3 neutropenia, grade 3 anemia, grade 3 leukopenia, grade 3 lymphopenia, grade 3 eosinophilia, and grade 3 thrombocytopenia.

  4. Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major Bleeding Events

    Time frame: From week 0 to week 32

    Bleeding events were classified using the TIMI bleeding classification as follows: 1) major: intracranial hemorrhage or a >=5 g/dL decrease in the hemoglobin concentration or a >=15 percent (%) absolute decrease in the hematocrit; 2) minor: (a) observed blood loss: >=3 g/dL decrease in the hemoglobin concentration or >=10% decrease in the hematocrit. (b) no observed blood loss: >=4 g/dL decrease in the hemoglobin concentration or >=12% decrease in the hematocrit; 3) minimal: any clinically overt sign of hemorrhage (including imaging) that was associated with a < 3 g/dL decrease in the hemoglobin concentration or <9% decrease in the hematocrit.

  5. Percentage of Participants With Any Treatment-emergent Adverse Events of Special Interest (AESI)

    Time frame: From week 0 to week 32

    An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. AESI included serious infections, malignancies, anaphylaxis occurring at any time, even if considered unrelated to the study drug, gastrointestinal perforations, hypersensitivity reaction during investigational product (IP) administration, neutrophils per cubic millimeter (500/mm^3) (severe) or neutrophils <1000/mm^3 (severe) with evidence of concurrent infection, severe injection-related reactions, thrombocytopenia (platelet count <50,000/mm^3 (severe)) or platelet count <75,000/mm^3 (moderate) with evidence of concurrent TIMI major bleeding.

  6. Change in Systolic Blood Pressure (SBP)

    Time frame: Baseline (week 1), week 32

    Change from baseline in systolic blood pressure at week 32 are presented.

  7. Change in Diastolic Blood Pressure (DBP)

    Time frame: Baseline (week 1), week 32

    Change from baseline in diastolic blood pressure at week 32 are presented.

  8. Change in Respiratory Rate

    Time frame: Baseline (week 1), week 32

    Change from baseline in respiratory rate at week 32 are presented.

  9. Change in Body Mass Index (BMI)

    Time frame: Baseline (week 1), week 24

    Change from baseline in BMI at week 24 are presented.

  10. Change in Heart Rate

    Time frame: Baseline (week 1), week 32

    Change from baseline in heart rate at Week 32 are presented.

  11. Change in Temperature

    Time frame: Baseline (week 1), week 32

    Change from baseline in temperature at week 32 are presented.

  12. Change in Electrocardiogram (ECG)

    Time frame: Baseline (week -1), Week 24

    The ECG was assessed by the investigator at baseline (week -1) and week 24 and categorised as abnormal clinically significant, abnormal not clinically significant, indeterminate, normal, not evaluable and unknown. Number of participants in each ECG category at baseline and week 24 are presented.

  13. Change in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AAT) Levels

    Time frame: Baseline (week 1), week 32

    Change from baseline in ALP, ALT and AAT levels at week 32 are presented.

  14. Change in Bicarbonate, Chloride, Potassium, Sodium

    Time frame: Baseline (week 1), week 32

    Change from baseline in bicarbonate, chloride, potassium, sodium at week 32 are presented.

  15. Change in Direct Bilirubin, Bilirubin, Calcium, Creatinine, Glucose, Phosphate and Urea Nitrogen

    Time frame: Baseline (week 1), week 32

    Change from baseline in direct bilirubin, bilirubin, calcium, creatinine, glucose, phosphate and urea nitrogen at week 32 are presented.

  16. Follicle Stimulating Hormone (FSH) Levels

    Time frame: Baseline (week -1)

    FSH levels at baseline (week -1) are presented.

  17. Number of Participants With Anti-drug Antibodies (ADAs)

    Time frame: From week 0 to week 32

    Participants who had at least 1 positive sample (treatment-boosted or treatment-induced) at any time after their first Ziltivekimab administration were classified as positive for ADAs. In the instance that a participant had a positive sample at the baseline visit, the participant was considered positive only if the peak titer of the post-treatment sample was at least 2-fold higher (i.e., >=2-fold) than the titer of the baseline sample. Number of participants positive for antibodies to Ziltivekimab are presented.

Sponsors and collaborators

Lead sponsor

Novo Nordisk A/S

Industry

Registry information

Official study title

A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate Reduction in Inflammation in Patients With Advanced Chronic Renal Disease Utilizing Antibody Mediated IL-6 Inhibition

Acronym: RESCUE

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Apr 24, 2019
Registry last updated
Dec 31, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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