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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02610296
Registration number
NCT02610296
Ethics application status
Date submitted
18/11/2015
Date registered
20/11/2015
Date last updated
13/05/2020
Titles & IDs
Public title
QPI-1002 for Prevention of Delayed Graft Function in Recipients of an Older Donor Kidney Transplant
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Scientific title
A Phase 3, Randomized, Double-blind, Placebo Controlled Study to Evaluate the Efficacy and Safety of QPI-1002 for Prevention of Delayed Graft Function in Recipients of a Donation After Brain Death Older Donor Kidney Transplant
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Secondary ID [1]
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QRK306
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Universal Trial Number (UTN)
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Trial acronym
ReGIFT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Delayed Graft Function
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Condition category
Condition code
Renal and Urogenital
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - QPI-1002
Other interventions - Placebo
Active comparator: QPI-1002 - QPI-1002 Injection, single dose
Placebo comparator: Placebo - isotonic saline
Treatment: Drugs: QPI-1002
IV injection
Other interventions: Placebo
isotonic saline
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The number of dialysis sessions through Day 30 for subjects who started dialysis beginning in the first 7 days post-transplant.
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Assessment method [1]
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Timepoint [1]
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Day 0 to Day 30
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Secondary outcome [1]
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The proportion of subjects requiring dialysis for any reason in the first 7 days post-transplant.
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Assessment method [1]
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Timepoint [1]
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Day 0 to Day 7
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Secondary outcome [2]
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The proportion of subjects with a decrease in serum creatinine of = 10% on three consecutive days in the first 7 days post-transplant.
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Assessment method [2]
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Timepoint [2]
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Day 0 to Day 7
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Eligibility
Key inclusion criteria
* Has the ability to understand the requirements of the study, is able to provide written informed consent and is willing and able to comply with the requirements of the study protocol.
* Male or female at least 18 years of age.
* Has dialysis dependent renal failure initiated at least 2 months prior to transplantation.
* Is to be a recipient of a transplant from a deceased donor (brain death criteria) = 45 years of age.
* Based on donor age, the following requirements for the risk of DGF (determined using the Irish DGF risk assessment nomogram) and cold ischemia time (CIT) must be met:
* Donor age 45 - 59 years: estimated DGF risk = 20% and estimated CIT = 10 hour
* Donor age = 60 years: no minimum estimated DGF risk or minimum estimated CIT
* Is able to comply with the requirement of antibody induction therapy with rabbit polyclonal anti-thymocyte globulin or anti-CD25 (anti-IL2R) monoclonal antibodies per center standard of care.
* Must be up-to-date on cancer screening according to site-specific guidelines and past medical history must be negative for biopsy-confirmed malignancy within 5 years of randomization, with the exception of adequately treated basal cell or squamous cell carcinoma in situ or carcinoma of the cervix in situ.
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Recipient of a live donor kidney or a kidney from a donation after cardiac death (DCD) donor.
* Recipient of donor kidney preserved with normothermic machine perfusion.
* Scheduled to undergo multiorgan transplantation.
* Has a planned transplant of kidneys that are implanted en bloc (dual kidney transplant).
* Has planned transplant of dual kidneys (from the same donor) transplanted not en bloc.
* Has lost first kidney transplant due to graft thrombosis.
* Is scheduled for transplantation of a kidney from a donor who is known to have received an investigational therapy under another IND/CTA for ischemic/reperfusion injury immediately prior to organ recovery.
* Is scheduled to receive an ABO-incompatible donor kidney.
* Has a positive T- or B-cell cross-match by NIH anti-globulin lymphocytotoxicity method or CDC crossmatch method, if performed.
* Has a positive T- or B-cell flow cross-match AND donor specific anti-HLA antibody (DSA) detected by flow cytometry, Luminex® based antigen-specific anti-HLA antibody testing, or by similar methodology, if performed.
* Has undergone desensitization to remove donor specific anti-HLA antibodies prior to transplantation.
* Has participated in an investigational study within the last 30 days or received an investigational product within 5 half-lives of the study drug administration, whichever is longest.
* Has known allergy to or has participated in a prior study with siRNA.
* Has a history of HBV (Note: subjects with a serological profile suggestive of clearance, or prior antiviral treatment of a prior HBV infection, may be enrolled with the approval of the Medical Monitor).
* Has a history of HIV.
* Recipient of a known HIV positive donor kidney.
* Is HCV-positive (detectable HCV RNA) (Note: Subjects at least 24 weeks from completion of treatment with an approved antiviral regimen and who remain free of HCV as determined by HCV RNA testing may be enrolled. Subjects who have been cleared of HCV virus after treatment with an unapproved regimen should be approved by the Medical Monitor).
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
8/01/2019
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Sample size
Target
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Accrual to date
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Final
594
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC
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Recruitment hospital [1]
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John Hunter Hospital - New Lambton
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Westmead Hospital - Westmead
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Princess Alexandra Hospital - Woolloongabba
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Royal Adelaide - Adelaide
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Royal Melbourne Hospital - Parkville
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2305 - New Lambton
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2145 - Westmead
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4102 - Woolloongabba
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Recruitment postcode(s) [4]
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5000 - Adelaide
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Recruitment postcode(s) [5]
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3050 - Parkville
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Recruitment outside Australia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Quark Pharmaceuticals
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this trial is to evaluate the reduction in incidence and severity of delayed graft function with kidney allografts from donors \>45 years after brain death (DBD).
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Trial website
https://clinicaltrials.gov/study/NCT02610296
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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John Holman, M.D.,Ph.D.
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Address
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Quark Pharmaceuticals
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02610296
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