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FIH (First in Human) Trial Evaluating Safety of TUM012 to Minimize Ischemic Reperfusion Injury in Kidney Transplantation

Primary Purpose

Ischemia-reperfusion Injury, Kidney Transplant; Complications

Status
Active
Phase
Phase 1
Locations
Sweden
Study Type
Interventional
Intervention
TUM012
Placebo
Sponsored by
iCoat Medical AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Ischemia-reperfusion Injury focused on measuring Ex-vivo kidney allograft treatment, Transplant outcome

Eligibility Criteria

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

Inclusion Criteria:

  • Standard and extended criteria donor ≥18 years of age, suitable for clinical transplantation and preserved by cold storage.
  • Available, personally signed and dated Informed Consent Form (ICF)
  • Male or female Chronic Kidney Disease (CKD) patient ≥18 years of age, with Glomerular Filtration Rate (GFR) ≤15 mL/min, awaiting their first kidney transplantation
  • ABO-compatible, negative pre-transplant CDC class I and II crossmatch with no Donor Specific Antibodies (DSA), defined as ≤1 000 Mean Fluorescent Intensity (MFI).
  • Patient is suitable for surgery, as judged by the investigator
  • Completed vaccination program for pneumococcal disease, varicella zoster, measles, and SARS-CoV-2 virus

Exclusion Criteria:

  • Surgically induced injuries compromising ex-vivo treatment and/or transplant outcome, as judged by the transplantation surgeon
  • Previously undergone any organ and/or cell transplantations
  • Patients with positive CDC class I and/or II crossmatch, or negative CDC class I and II crossmatch with pre-existing DSA > 1,000 MFI
  • ABO-incompatible DD KT
  • Pregnant or breast-feeding woman
  • Woman of child-bearing potential, unwilling to use an adequate contraceptive method
  • Prior participation in clinical trial with (approved or non-approved) IMP within one month prior to screening for this trial.
  • Prior malignancy diagnosis ≤5 years, except for adequately treated basal cell, or squamous cell skin cancer, and cervical carcinoma in situ
  • Positive result for serum Human Immunodeficiency Virus (HIV), active hepatitis B-, or C-infection in pre-transplant evaluation
  • Clinical signs of ongoing infectious disease, defined as C-Reactive Protein (CRP) >10, unless stable since >4 weeks (<50% increase)
  • Concomitant severe conditions requiring treatment and close monitoring, e.g., cardiac failure >grade 3 New York Heart Association (NYHA), unstable coronary disease, or oxygen dependent Chronic Obstructive Pulmonary Disease (COPD)
  • History of any other clinically significant disease or disorder which, in the opinion of the investigator, may either put the patient at increased risk because of participation in the trial, or influence the results or the patient's ability to participate in the trial
  • Patient unlikely to comply with trial procedures, restrictions, and requirements (e.g., caused by substance abuse, concurrent medical condition, etc.), as judged by investigator

Sites / Locations

  • Skane University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

TUM012

Placebo

Arm Description

Ex-vivo infusion

Ex-vivo infusion

Outcomes

Primary Outcome Measures

Adverse Events
Number of patients with confirmed IMP-related events
Laboratory Analyses (Standard of Care Safety)
Assessment: "normal", "abnormal, not clinically significant", or "abnormal, clinically significant", will as appropriate be reported as Adverse Events.
12-lead Electro-Cardiogram (Standard of Care Safety)
Assessment: "normal", "abnormal, not clinically significant", or "abnormal, clinically significant"
Systolic/diastolic BP (Standard of Care Safety)
Assessment: "normal", "abnormal, not clinically significant", or "abnormal clinically significant"
Pulse Rate (Standard of Care Safety)
Assessment: "normal", "abnormal, not clinically significant", or "abnormal clinically significant"
Peripheral blood oxygenation (Standard of Care Safety)
Assessment: "normal", "abnormal, not clinically significant", or "abnormal clinically significant"
Body temperature (Standard of Care Safety)
Assessment: "normal", "abnormal, not clinically significant", or "abnormal clinically significant"

Secondary Outcome Measures

Exploratory histological evaluation of kidney graft
Biopsy
Exploratory kidney graft function
Number
Exploratory Efficacy: Proteomics
Changed levels from baseline.
Exploratory Efficacy: Markers of IR injury and thromboinflammation plasma level
Changed levels from baseline.
Exploratory Efficacy: Cytokine release plasma level
Changed levels from baseline.
Exploratory Efficacy: Immune cell graft recruitment plasma level
Changed levels from baseline.
Exploratory Efficacy: Pharmacokinetics plasma concentration
Changed levels from baseline.

Full Information

First Posted
November 28, 2021
Last Updated
September 18, 2023
Sponsor
iCoat Medical AB
Collaborators
CTC Clinical Trial Consultants AB, Region Skane
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1. Study Identification

Unique Protocol Identification Number
NCT05246618
Brief Title
FIH (First in Human) Trial Evaluating Safety of TUM012 to Minimize Ischemic Reperfusion Injury in Kidney Transplantation
Official Title
Phase I FIH, Randomized, Placebo-controlled, Double-blind Trial Evaluating Safety and Tolerability of Ex Vivo Deceased-donor Kidney Allograft Treatment With TUM012 to Minimize Ischemic Reperfusion Injury After Kidney Transplantation
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
March 31, 2022 (Actual)
Primary Completion Date
July 31, 2023 (Actual)
Study Completion Date
May 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
iCoat Medical AB
Collaborators
CTC Clinical Trial Consultants AB, Region Skane

4. Oversight

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

5. Study Description

Brief Summary
A first-in-human single center, randomized, double-blind, placebo-controlled trial, with primary objective to evaluate safety and tolerability of ex-vivo kidney allograft treatment with TUM012 to reduce ischemia-reperfusion injury in de novo kidney transplant recipients.
Detailed Description
Graft ischemia and reperfusion related injury is still the leading cause of graft failure in Deceased Donor kidney transplantation. The aim of the trial is to evaluate the safety of ex-vivo treatment of kidney allografts from deceased-donors with TUM012 to diminish ischemia reperfusion related inflammation, and improve overall transplantat outcome.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ischemia-reperfusion Injury, Kidney Transplant; Complications
Keywords
Ex-vivo kidney allograft treatment, Transplant outcome

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
18 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
TUM012
Arm Type
Experimental
Arm Description
Ex-vivo infusion
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Ex-vivo infusion
Intervention Type
Drug
Intervention Name(s)
TUM012
Other Intervention Name(s)
Ex-vivo infusion
Intervention Description
Ex-vivo infusion
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Ex-vivo infusion
Intervention Description
Ex-vivo infusion
Primary Outcome Measure Information:
Title
Adverse Events
Description
Number of patients with confirmed IMP-related events
Time Frame
Three months from randomization
Title
Laboratory Analyses (Standard of Care Safety)
Description
Assessment: "normal", "abnormal, not clinically significant", or "abnormal, clinically significant", will as appropriate be reported as Adverse Events.
Time Frame
Three months from randomization
Title
12-lead Electro-Cardiogram (Standard of Care Safety)
Description
Assessment: "normal", "abnormal, not clinically significant", or "abnormal, clinically significant"
Time Frame
Three months from randomization
Title
Systolic/diastolic BP (Standard of Care Safety)
Description
Assessment: "normal", "abnormal, not clinically significant", or "abnormal clinically significant"
Time Frame
Three months from randomization
Title
Pulse Rate (Standard of Care Safety)
Description
Assessment: "normal", "abnormal, not clinically significant", or "abnormal clinically significant"
Time Frame
Three months from randomization
Title
Peripheral blood oxygenation (Standard of Care Safety)
Description
Assessment: "normal", "abnormal, not clinically significant", or "abnormal clinically significant"
Time Frame
Three months from randomization
Title
Body temperature (Standard of Care Safety)
Description
Assessment: "normal", "abnormal, not clinically significant", or "abnormal clinically significant"
Time Frame
Three months from randomization
Secondary Outcome Measure Information:
Title
Exploratory histological evaluation of kidney graft
Description
Biopsy
Time Frame
Three months from randomization
Title
Exploratory kidney graft function
Description
Number
Time Frame
Three months from randomization
Title
Exploratory Efficacy: Proteomics
Description
Changed levels from baseline.
Time Frame
Three months from randomization
Title
Exploratory Efficacy: Markers of IR injury and thromboinflammation plasma level
Description
Changed levels from baseline.
Time Frame
Three months from randomization
Title
Exploratory Efficacy: Cytokine release plasma level
Description
Changed levels from baseline.
Time Frame
Three months from randomization
Title
Exploratory Efficacy: Immune cell graft recruitment plasma level
Description
Changed levels from baseline.
Time Frame
Three months from randomization
Title
Exploratory Efficacy: Pharmacokinetics plasma concentration
Description
Changed levels from baseline.
Time Frame
Three months from randomization
Other Pre-specified Outcome Measures:
Title
Patient survival
Description
Number
Time Frame
One year from randomization
Title
Incidence of graft rejection
Description
Number
Time Frame
One year from randomization
Title
Graft survival
Description
Number
Time Frame
One year from randomization

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Standard and extended criteria donor ≥18 years of age, suitable for clinical transplantation and preserved by cold storage. Available, personally signed and dated Informed Consent Form (ICF) Male or female Chronic Kidney Disease (CKD) patient ≥18 years of age, with Glomerular Filtration Rate (GFR) ≤15 mL/min, awaiting their first kidney transplantation ABO-compatible, negative pre-transplant CDC class I and II crossmatch with no Donor Specific Antibodies (DSA), defined as ≤1 000 Mean Fluorescent Intensity (MFI). Patient is suitable for surgery, as judged by the investigator Completed vaccination program for pneumococcal disease, varicella zoster, measles, and SARS-CoV-2 virus Exclusion Criteria: Surgically induced injuries compromising ex-vivo treatment and/or transplant outcome, as judged by the transplantation surgeon Previously undergone any organ and/or cell transplantations Patients with positive CDC class I and/or II crossmatch, or negative CDC class I and II crossmatch with pre-existing DSA > 1,000 MFI ABO-incompatible DD KT Pregnant or breast-feeding woman Woman of child-bearing potential, unwilling to use an adequate contraceptive method Prior participation in clinical trial with (approved or non-approved) IMP within one month prior to screening for this trial. Prior malignancy diagnosis ≤5 years, except for adequately treated basal cell, or squamous cell skin cancer, and cervical carcinoma in situ Positive result for serum Human Immunodeficiency Virus (HIV), active hepatitis B-, or C-infection in pre-transplant evaluation Clinical signs of ongoing infectious disease, defined as C-Reactive Protein (CRP) >10, unless stable since >4 weeks (<50% increase) Concomitant severe conditions requiring treatment and close monitoring, e.g., cardiac failure >grade 3 New York Heart Association (NYHA), unstable coronary disease, or oxygen dependent Chronic Obstructive Pulmonary Disease (COPD) History of any other clinically significant disease or disorder which, in the opinion of the investigator, may either put the patient at increased risk because of participation in the trial, or influence the results or the patient's ability to participate in the trial Patient unlikely to comply with trial procedures, restrictions, and requirements (e.g., caused by substance abuse, concurrent medical condition, etc.), as judged by investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ingegerd Dalfelt
Organizational Affiliation
iCoat Medical AB
Official's Role
Study Director
Facility Information:
Facility Name
Skane University Hospital
City
Malmö
ZIP/Postal Code
SE-205 02
Country
Sweden

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Individual participant data (IPD) collected in this study will be made available to participating trial patients through the investigational site and to the public through publications.
IPD Sharing Time Frame
After End of Trial
IPD Sharing Access Criteria
Individual participant data (IPD) collected in this study will be made available to participating trial patients through the investigational site and to the public through publications, as well as on the company website.
IPD Sharing URL
http://www.icoatmedical.com/

Learn more about this trial

FIH (First in Human) Trial Evaluating Safety of TUM012 to Minimize Ischemic Reperfusion Injury in Kidney Transplantation

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