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A Study of Patients With Chronic Kidney Disease to Assess the Safety of a Single Dose of COR-001 (COR-001-SC1)

Primary Purpose

Chronic Kidney Diseases

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
COR-001
Placebo
Sponsored by
University of Colorado, Denver
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Kidney Diseases

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. CKD stage III or IV
  2. Serum CRP > 2 mg/L measured twice during the Screening period at least one week apart
  3. Urine protein excretion < 3.5 g/24h estimated by a spot urine protein/creatinine ratio
  4. The patient agrees to comply with the contraception and reproduction restrictions of the study - use 2 forms of acceptable contraception

Exclusion Criteria:

  1. Patients with advanced CKD requiring chronic dialysis
  2. Hospitalization over the period of 6 weeks prior to randomization
  3. Use of systemic immunosuppressive drugs during the Screening Period or anticipated use of such drugs anytime during the study Note: Use of otic, ophthalmic, inhaled, and topical corticosteroids or local corticosteroid injections are not exclusionary.
  4. History of or expected to undergo living related kidney transplant during the study period
  5. Currently receiving or planning to receive live or inactivated vaccines
  6. Clinical evidence or suspicion of active or smoldering infection (e.g., diabetic foot ulcer) or use of antibiotics during the Screening period
  7. History of a positive PPD or prior diagnosis of tuberculosis
  8. Evidence of HIV infection or carrier state by serology at Screening
  9. Hepatitis B or C by serology (i.e. Hepatitis B Surface Antigen or Hepatitis C antibody positive) at Screening
  10. AST or ALT > 2.5x ULN at Screening
  11. History of liver cirrhosis or home oxygen use
  12. History of gastrointestinal ulceration or active diverticulitis in the 1 year prior to Screening
  13. Absolute neutrophil count < 2 x 109/L at Screening
  14. Platelet count < 100 x 109/L at Screening
  15. Participated in an investigational drug study within 30 days of Screening or Screening is within 5 half-lives of the investigational compound.
  16. Known allergy to the study drug or any of its ingredients
  17. Breastfeeding or a positive pregnancy test at Screening or Day -1.
  18. Any condition that could interfere with, or for which the treatment might interfere with, the conduct of the study or interpretation of the study results, or that would in the opinion of the Investigator increase the risk of the subject's participation in the study.

    This would include but is not limited to alcoholism, drug dependency or abuse, psychiatric disease, epilepsy, anemia attributable to a primary hematologic disease (e.g., sickle cell anemia), or any unexplained blackouts.

  19. Actively treated malignancy (other than non-melanoma skin cancers) during the 1 year prior to Screening. Patients receiving hormonal treatment only during this period only may be enrolled with the approval of the medical monitor.
  20. Myocardial infarction during the 3 months prior to Screening or during Screening
  21. Severe arthritis, lupus, inflammatory bowel disease, asthma or other disease(s) or medical condition(s) that, in the opinion of the investigator, could interfere with hs-CRP or immune function
  22. Use of CYP substrates with a narrow therapeutic index (please see detailed table below).

Sites / Locations

  • University of Coloardo Anschutz Medical Campus

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

COR-001

Placebo

Arm Description

COR-001 5, 15, 50, or 100 mg dose (depending on dose cohort assigned to patient) given by subcutaneous injection one time only

Placebo at pH 6.0will be given in a volume to match the volume of COR-001 being given for the dose cohort by subcutaneous injection one time only

Outcomes

Primary Outcome Measures

The safety of a 5 mg dose of COR-001 as measured by the incidence of adverse events
To evaluate the safety of a 5 mg dose of COR-001 delivered subcutaneously
The safety of a 15 mg dose of COR-001 as measured by the incidence of adverse events
To evaluate the safety of a 15 mg dose of COR-001 delivered subcutaneously
The safety of a 50 mg dose of COR-001 as measured by the incidence of adverse events
To evaluate the safety of a 50 mg dose of COR-001 delivered subcutaneously
The safety of a 100 mg dose of COR-001 as measured by the incidence of adverse events
To evaluate the safety of a 100 mg dose of COR-001 delivered subcutaneously

Secondary Outcome Measures

Pharmacokinetic analysis: maximum serum drug concentrations (Cmax)
To evaluate single-dose pharmacokinetics of COR-001 delivered subcutaneously
Pharmacokinetic analysis: area under the serum drug concentration-time curve (AUC)
To evaluate the single-dose pharmacokinetics of COR-001 delivered subcutaneously
Pharmacokinetic analysis: terminal elimination half-life (t1/2)
To evaluate the single-dose pharmacokinetics of COR-001 delivered subcutaneously
The effectiveness of COR-001 as measured by levels of an inflammatory marker
To evaluate the effectiveness of COR-001 as measured by CRP levels.

Full Information

First Posted
April 5, 2017
Last Updated
September 8, 2020
Sponsor
University of Colorado, Denver
Collaborators
Corvidia Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT03126318
Brief Title
A Study of Patients With Chronic Kidney Disease to Assess the Safety of a Single Dose of COR-001
Acronym
COR-001-SC1
Official Title
A Phase 1 Randomized, Double-Blind, Placebo-Controlled, Cohort Dose-Escalation Study in Patients With Chronic Kidney Disease to Assess the Safety, Pharmacokinetics, and Pharmacodynamics of a Single Dose of COR-001 (COR-001-SC1)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
May 19, 2017 (Actual)
Primary Completion Date
March 14, 2019 (Actual)
Study Completion Date
December 19, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Colorado, Denver
Collaborators
Corvidia Therapeutics

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a randomized, double-blind, placebo-controlled trial designed to evaluate the safety, pharmacokinetics, and pharmacodynamic effects of a single dose of the study drug or placebo administered subcutaneously to patients with moderate-to-severe chronic kidney disease and persistent inflammation.
Detailed Description
This is a randomized, double-blind, placebo-controlled trial designed to evaluate the safety, pharmacokinetics, and pharmacodynamic effects of a single dose of the study drug or placebo administered subcutaneously to patients with moderate-to-severe chronic kidney disease (CKD) and persistent inflammation (defined as a persistently elevated serum CRP (C-Reactive Protein) level). The primary objective is to evaluate the safety of a single dose of the study drug delivered subcutaneously. Four CKD patients will be randomized to the study drug or placebo within each dosing cohort in a ratio of 3:1. The dosing cohorts are 5 mg, 15 mg, 50 mg, and 100 mg. Each patient will be given 1 dose of the study drug and then be followed for 12 weeks for primary safety, pharmacokinetic and pharmacodynamic assessments. Next, patients will continue to be followed for an additional 20 weeks (32 weeks observation in total) for safety and anti-drug antibody assessments. Prior to dose escalation (i.e., higher total dose than studied in the preceding cohorts), there will be a formal safety review and the data will have been determined to be acceptable by a Data Safety Monitoring Board (DSMB) which will include at least one nephrologist. The safety review required for dose escalation will include at least 21 days of treatment data from the preceding cohort(s). The DSMB will also meet to review data concerning an SAE (Serious Adverse Event) that is suspected to be study drug related The investigative team (other than an un-blinded research pharmacist or equivalent) will be blinded to the treatment assignment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Kidney Diseases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
randomized, double-blind, placebo-controlled - 4 cohorts of 4 patients each with a dosing regimen of 3:1 (active:placebo)
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
double-blind
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
COR-001
Arm Type
Active Comparator
Arm Description
COR-001 5, 15, 50, or 100 mg dose (depending on dose cohort assigned to patient) given by subcutaneous injection one time only
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo at pH 6.0will be given in a volume to match the volume of COR-001 being given for the dose cohort by subcutaneous injection one time only
Intervention Type
Drug
Intervention Name(s)
COR-001
Intervention Description
Anti-inflammatory therapy
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Sterile water with a final buffer of 25 mM Histidine, 8.5% (w/v) trehalose and 0.05% PS80
Primary Outcome Measure Information:
Title
The safety of a 5 mg dose of COR-001 as measured by the incidence of adverse events
Description
To evaluate the safety of a 5 mg dose of COR-001 delivered subcutaneously
Time Frame
1 month after the 4th patient has received study drug
Title
The safety of a 15 mg dose of COR-001 as measured by the incidence of adverse events
Description
To evaluate the safety of a 15 mg dose of COR-001 delivered subcutaneously
Time Frame
1 month after the 4th patient has received study drug
Title
The safety of a 50 mg dose of COR-001 as measured by the incidence of adverse events
Description
To evaluate the safety of a 50 mg dose of COR-001 delivered subcutaneously
Time Frame
1 month after the 4th patient has received study drug
Title
The safety of a 100 mg dose of COR-001 as measured by the incidence of adverse events
Description
To evaluate the safety of a 100 mg dose of COR-001 delivered subcutaneously
Time Frame
1 month after the 4th patient has received study drug
Secondary Outcome Measure Information:
Title
Pharmacokinetic analysis: maximum serum drug concentrations (Cmax)
Description
To evaluate single-dose pharmacokinetics of COR-001 delivered subcutaneously
Time Frame
Pre-dose, 4 hours post-dose, and days 2-7, 11, 15, 22, 29, 57, 85, 141, and 225 post-dose.
Title
Pharmacokinetic analysis: area under the serum drug concentration-time curve (AUC)
Description
To evaluate the single-dose pharmacokinetics of COR-001 delivered subcutaneously
Time Frame
Pre-dose, 4 hours post-dose, and days 2-7, 11, 15, 22, 29, 57, 85, 141, and 225 post-dose.
Title
Pharmacokinetic analysis: terminal elimination half-life (t1/2)
Description
To evaluate the single-dose pharmacokinetics of COR-001 delivered subcutaneously
Time Frame
Pre-dose, 4 hours post-dose, and days 2-7, 11, 15, 22, 29, 57, 85, 141, and 225 post-dose.
Title
The effectiveness of COR-001 as measured by levels of an inflammatory marker
Description
To evaluate the effectiveness of COR-001 as measured by CRP levels.
Time Frame
Screening and at weeks 1 - 5, 8, 12, 20, and 32.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: CKD stage III or IV Serum CRP > 2 mg/L measured twice during the Screening period at least one week apart Urine protein excretion < 3.5 g/24h estimated by a spot urine protein/creatinine ratio The patient agrees to comply with the contraception and reproduction restrictions of the study - use 2 forms of acceptable contraception Exclusion Criteria: Patients with advanced CKD requiring chronic dialysis Hospitalization over the period of 6 weeks prior to randomization Use of systemic immunosuppressive drugs during the Screening Period or anticipated use of such drugs anytime during the study Note: Use of otic, ophthalmic, inhaled, and topical corticosteroids or local corticosteroid injections are not exclusionary. History of or expected to undergo living related kidney transplant during the study period Currently receiving or planning to receive live or inactivated vaccines Clinical evidence or suspicion of active or smoldering infection (e.g., diabetic foot ulcer) or use of antibiotics during the Screening period History of a positive PPD or prior diagnosis of tuberculosis Evidence of HIV infection or carrier state by serology at Screening Hepatitis B or C by serology (i.e. Hepatitis B Surface Antigen or Hepatitis C antibody positive) at Screening AST or ALT > 2.5x ULN at Screening History of liver cirrhosis or home oxygen use History of gastrointestinal ulceration or active diverticulitis in the 1 year prior to Screening Absolute neutrophil count < 2 x 109/L at Screening Platelet count < 100 x 109/L at Screening Participated in an investigational drug study within 30 days of Screening or Screening is within 5 half-lives of the investigational compound. Known allergy to the study drug or any of its ingredients Breastfeeding or a positive pregnancy test at Screening or Day -1. Any condition that could interfere with, or for which the treatment might interfere with, the conduct of the study or interpretation of the study results, or that would in the opinion of the Investigator increase the risk of the subject's participation in the study. This would include but is not limited to alcoholism, drug dependency or abuse, psychiatric disease, epilepsy, anemia attributable to a primary hematologic disease (e.g., sickle cell anemia), or any unexplained blackouts. Actively treated malignancy (other than non-melanoma skin cancers) during the 1 year prior to Screening. Patients receiving hormonal treatment only during this period only may be enrolled with the approval of the medical monitor. Myocardial infarction during the 3 months prior to Screening or during Screening Severe arthritis, lupus, inflammatory bowel disease, asthma or other disease(s) or medical condition(s) that, in the opinion of the investigator, could interfere with hs-CRP or immune function Use of CYP substrates with a narrow therapeutic index (please see detailed table below).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michel Chonchol, MD
Organizational Affiliation
University of Colorado - Anschutz Medical Campus
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Coloardo Anschutz Medical Campus
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35373026
Citation
Nowak KL, Kakkar R, Devalaraja M, Lo L, Park W, Gobburu J, Kling D, Davidson M, Chonchol M. A Phase 1 Randomized Dose-Escalation Study of a Human Monoclonal Antibody to IL-6 in CKD. Kidney360. 2020 Dec 4;2(2):224-235. doi: 10.34067/KID.0005862020. eCollection 2021 Feb 25.
Results Reference
derived

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A Study of Patients With Chronic Kidney Disease to Assess the Safety of a Single Dose of COR-001

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