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Efficacy and Safety of Deferiprone in Patients With Chronic Kidney Disease Undergoing a Cardiac Catheterization and Receiving Contrast Agent

Primary Purpose

Acute Kidney Injury

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
deferiprone
Placebo
Sponsored by
CorMedix
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Kidney Injury focused on measuring Acute Kidney Injury, Contrast-Induced Nephropathy, Labile Iron, Iron Chelation, Deferiprone

Eligibility Criteria

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

Inclusion Criteria:

  1. Age 18 or older
  2. eGFR between 15 ml/min/1.73 m2 and < 60 ml/min/1.73 m2
  3. Presence of at least one additional risk factor:

    • Diabetes Mellitus type 1 or 2
    • Age ≥ 75 years
    • Left Ventricular Ejection Fraction ≤ 40%

Exclusion Criteria:

  1. End-Stage Renal Disease
  2. Primary PCI for STEMI
  3. Currently receiving mechanical ventilation
  4. Known active liver disease or liver failure
  5. Evidence of hemodynamic instability, such as a requirement for pressor agents
  6. Exposure to contrast media within prior 10 days
  7. Currently receiving fenoldopam, dopamine, theophylline, aminophylline, mannitol, or Ascorbic acid (> 2 g/day)
  8. Absolute neutrophil count < 1500

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    CRMD001-Deferiprone

    Placebo

    Arm Description

    CRMD001 represents unique formulations of Deferiprone. Subjects will be given one (900 mg) immediate release and two (900 mg) extended release tablets 1-3 hours prior to angiography and then every 12 hours for a total of 8 days

    3 placebo tablets matching the appearance of the experimental treatment arm (CRMD001) will be given every 12 hours for a total of 8 days, beginning 1-3 hours prior to angiography

    Outcomes

    Primary Outcome Measures

    A composite of renal and cardiovascular clinical events occurring through Day 90

    Secondary Outcome Measures

    Full Information

    First Posted
    July 7, 2011
    Last Updated
    August 20, 2020
    Sponsor
    CorMedix
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01391520
    Brief Title
    Efficacy and Safety of Deferiprone in Patients With Chronic Kidney Disease Undergoing a Cardiac Catheterization and Receiving Contrast Agent
    Official Title
    A Phase III, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Assess the Efficacy and Safety of Deferiprone in the Reduction of Morbidity and Mortality in Patients With Chronic Kidney Disease Undergoing Diagnostic or Interventional Cardiac Procedures and Receiving an Iodinated Radiocontrast Agent
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2020
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Sponsor encountered funding issues for this study.
    Study Start Date
    January 2012 (Anticipated)
    Primary Completion Date
    March 2013 (Anticipated)
    Study Completion Date
    June 2013 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    CorMedix

    4. Oversight

    5. Study Description

    Brief Summary
    This trial will evaluate whether treatment with CRMD001 (unique formulations of the iron chelator, Deferiprone) will reduce morbidity and mortality in subjects with Chronic Kidney Disease (CKD) and additional risk factors. Adult subjects with moderate to severe CKD who are undergoing diagnostic or interventional coronary angiography will be randomized to either placebo or CRMD001 and followed for 90 days. Subjects will receive 8 days of randomized therapy starting 1-3 hours prior to angiography. The primary endpoint of the trial will be the difference in a composite of specified renal and cardiovascular clinical events occurring through Day 90.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Acute Kidney Injury
    Keywords
    Acute Kidney Injury, Contrast-Induced Nephropathy, Labile Iron, Iron Chelation, Deferiprone

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    CRMD001-Deferiprone
    Arm Type
    Experimental
    Arm Description
    CRMD001 represents unique formulations of Deferiprone. Subjects will be given one (900 mg) immediate release and two (900 mg) extended release tablets 1-3 hours prior to angiography and then every 12 hours for a total of 8 days
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    3 placebo tablets matching the appearance of the experimental treatment arm (CRMD001) will be given every 12 hours for a total of 8 days, beginning 1-3 hours prior to angiography
    Intervention Type
    Drug
    Intervention Name(s)
    deferiprone
    Intervention Description
    3 tablets (treatment arm assigned in double-blind, randomized manner) will be given every 12 hours for a total of 8 days, beginning 1-3 hours prior to angiography
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    3 tablets (treatment arm assigned in double-blind, randomized manner) will be given every 12 hours for a total of 8 days, beginning 1-3 hours prior to angiography
    Primary Outcome Measure Information:
    Title
    A composite of renal and cardiovascular clinical events occurring through Day 90
    Time Frame
    Day 90 following index cardiac catheterization

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Age 18 or older eGFR between 15 ml/min/1.73 m2 and < 60 ml/min/1.73 m2 Presence of at least one additional risk factor: Diabetes Mellitus type 1 or 2 Age ≥ 75 years Left Ventricular Ejection Fraction ≤ 40% Exclusion Criteria: End-Stage Renal Disease Primary PCI for STEMI Currently receiving mechanical ventilation Known active liver disease or liver failure Evidence of hemodynamic instability, such as a requirement for pressor agents Exposure to contrast media within prior 10 days Currently receiving fenoldopam, dopamine, theophylline, aminophylline, mannitol, or Ascorbic acid (> 2 g/day) Absolute neutrophil count < 1500

    12. IPD Sharing Statement

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