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Kidney DiseasesNCT03095391

The Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of FAST PV and mGFR Technology™

An observational study of Kidney Diseases and Renal Insufficiency, Chronic, run by FAST BioMedical at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase 2b, prospective, open-label study designed to evaluate the safety, tolerability, PK, and PD of FAST PV and mGFR Technology in healthy subjects and patients with varying degrees of renal impairment. Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
What is being tested?
VFI and Iohexol
How many people
32 participants
Where
2 sitesUnited States
Study dates
13 Jun 2017to 20 Sep 2017
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Community sample

Who may be able to join

  • All Subjects/Patients:
  • Males or females ≥ 18 and ≤ 75 years of age.
  • Females must be of non-childbearing potential (eg, postmenopausal [defined as cessation of regular menstrual periods for at least 1 year confirmed by follicle-stimulating hormone (FSH) test] or surgically sterile by hysterectomy, bilateral oophorectomy, or tubal ligation [documentation required] or be using a medically acceptable form of birth control [eg, a barrier method, intrauterine device, or hormonal contraception]) from screening until 30 days after last dose.
  • Males who are sexually active and whose partners are females of childbearing potential must agree to practice abstinence or use condoms from screening through 90 days after administration of the last dose of study drug, and their partners must be willing to use a medically acceptable method of contraception (a barrier method, intrauterine device, or hormonal contraception) from screening through 90 days after administration of the last dose of study drug.
  • Males must agree to not donate sperm from screening through 90 days after administration of the last dose of study drug.
  • Subjects must be able to communicate effectively with the study personnel.
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  • Subjects must be informed of the nature and risks of the study and give written informed consent prior to screening.
  • Body mass index ≥ 18.0 and ≤ 40.0 kg/m2, and body weight ≥ 40 kg at screening and CRU admission.
  • BMI = weight (kg)/(height [m])2
  • Subjects with Normal Renal Function (Cohorts 1 and 2):
  • Subjects must have an eGFR (calculated using the CKD-EPI Equation) ≥ 60 mL/min/1.73 m2 consistent with the National Kidney Foundation stages 1 and 2 of CKD.
  • Subjects must be otherwise healthy and without clinically significant abnormalities as assessed by review of medical and surgical history, physical examination, vital signs measurement, pulse oximetry, ECG, and clinical laboratory evaluations conducted at screening and CRU admission. A single repeat measurement/test may be performed, at the discretion of the physician, to confirm vital signs, pulse oximetry, ECG, and clinical laboratory tests abnormalities (ie, to confirm that a subject is eligible).
  • Patients with Renal Impairment (Cohorts 3 and 4):
  • Patients in Cohort 3 must have an eGFR (calculated using the CKD-EPI Equation) ≥ 30 and < 60 mL/min/1.73 m2 consistent with the National Kidney Foundation stages 3a and 3b of CKD.
  • Patients in Cohort 4 must have an eGFR (calculated using the CKD-EPI Equation) ≥ 15 and < 30 mL/min/1.73 m2 consistent with the National Kidney Foundation stage 4 of CKD.
  • Patients may have clinical, ECG, and clinical laboratory findings consistent with their degree of renal dysfunction as assessed by review of medical and surgical history, physical examination, vital signs measurement, pulse oximetry, ECG, and clinical laboratory evaluations conducted at screening and CRU admission. A single repeat measurement/test may be performed, at the discretion of the physician, to confirm vital signs, pulse oximetry, ECG, and clinical laboratory tests abnormalities (ie, to confirm that a subject is eligible).

Who cannot join

  • All Subjects/Patients:
  • Female subject/patient is pregnant or breastfeeding.
  • History or presence of conditions which, in the judgment of the investigator, are known to interfere with the distribution, metabolism, or excretion of drugs.
  • History or presence of conditions that may place the subject at increased risk as determined by the investigator.
  • History of surgery or major trauma within 12 weeks of screening, or surgery planned during the study.
  • History of alcohol abuse, illicit drug use, significant mental illness, physical dependence to any opioid, or any history of drug abuse or addiction within 6 months of screening.
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  • Systolic blood pressure (BP) < 90 or > 160 mmHg or diastolic BP < 50 or > 100 mmHg measured after the subject has been resting quietly in a supine position or in the most recumbent position possible for at least 5 minutes at screening or CRU admission. A single repeat measurement may be performed to confirm vital signs abnormalities (ie, to confirm that a subject is eligible).
  • Heart rate (HR) < 40 or > 105 beats per minute (bpm) measured on ECG after the subject has been resting quietly in a supine position or in the most recumbent position possible for at least 5 minutes at screening or CRU admission. A single repeat measurement may be performed to confirm ECG abnormalities (ie, to confirm that a subject is eligible).
  • Has taken other investigational drugs or participated in any clinical study within 30 days or 5 half-lives of the investigational drug's PK, PD, or biological activity, whichever is longer, prior to first dose of study drug in this study.
  • Prior exposure to VFI or known allergy to dextrans.
  • History of any clinically significant allergic or negative reactions, side effects, or anaphylaxis to iodine, dyes, shellfish, isotopes, or dextran molecules.
  • Significant blood loss (> 450 mL) or has donated 1 or more units of blood or plasma within 6 weeks prior to study participation.
  • Positive screen for human immunodeficiency virus (HIV)-1 or HIV-2 antibodies, hepatitis B virus surface antigen (HBsAg), or hepatitis C virus (HCV) antibody.
  • Diagnosis of acquired immune deficiency syndrome (AIDS).
  • History of nephrectomy or kidney transplant.
  • History of liver disease or screening liver function tests which exceed 2 × the upper limit of normal (ULN) or an albumin value of < 3 mg/dL.
  • International normalized ratio (INR) > 1.5 × ULN or a platelet count < 50,000.
  • Presence of significant hemodynamic instabilities.
  • Loss of Limb- as this alters the validity of eGFR and estimated PV equations.
  • Any other condition or prior therapy that, in the investigator's opinion, would make the subject unsuitable for the study, or unable or unwilling to comply with the study procedures.
  • Involved in the planning or conduct of this study.
  • Inability to tolerate venipuncture or poor venous access.
  • Unwilling to abstain from alcohol from 24 hours prior to admission until discharge from the CRU.
  • Unwilling to abstain from strenuous activity (as assessed by the investigator) from 72 hours prior to admission until discharge from the CRU.
  • Unwilling or unlikely to comply with the requirements of the study.
  • Subjects with Normal Renal Function (Cohorts 1 and 2):
  • Positive urine drugs of abuse or alcohol screen.
  • Use of prescription medications or any drugs that induce or inhibit study drug specific CYP(s) within 14 days or 5 half-lives, whichever is longer, of administration of the first dose of study drug.
  • Use of over the-counter (OTC) drugs (including herbal preparations) within 7 days or 5 half lives, whichever is longer, prior to administration of the first dose of study drug.
  • Patients with Renal Impairment (Cohorts 3 and 4):
  • Clinically significant ongoing bleeding, changing hemoglobin, or experienced significant blood loss within 2 weeks prior to administration of the first dose of study drug.
  • Positive urine drugs of abuse (except for prescribed medications) or alcohol screen.
  • Use of anticoagulants and nonsteroidal anti-inflammatory drugs within 3 days prior to administration of the first dose of study drug.
  • Use of inotropes or vasopressors.
  • Any other condition or prior therapy that, in the investigator's opinion, is likely to deteriorate.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • University of Alabama Birmingham, Division of Nephrology

    Birmingham, Alabama, 35294

  • ICON Early Phase Services, LLC

    San Antonio, Texas, 78209

Other trials in United States

About this study

Official title: A Phase 2b Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of FAST PV and mGFR Technology™ in Healthy Subjects and Patients With Varying Degrees of Renal Impairment

This is a Phase 2b, prospective, open-label study designed to evaluate the safety, tolerability, PK, and PD of FAST PV and mGFR Technology in healthy subjects and patients with varying degrees of renal impairment.

Read the detailed description

For Cohorts 1 and 2, administration of the study drug will occur within 21 days of screening. Eligible subjects/patients will be admitted to the clinical research unit (CRU) on Day -1, at which time assessments will be performed, and results from both screening and Day -1 (inclusion/exclusion criteria, body weight, height [screening only], body mass index [BMI], medical and surgical history, physical examination, vital signs and pulse oximetry, 12 lead ECG, clinical laboratory tests, renal function assessment, follicle-stimulating hormone [FSH; screening only] and pregnancy test [females only], and urine drugs of abuse and alcohol screen) will be reviewed to confirm eligibility.

For Cohorts 3 and 4, administration of the study drug will occur within 21 days of screening. Eligible subjects/patients will be admitted to the CRU on Day 1, at which time assessments will be performed and results from both screening and predose administration testing (inclusion/exclusion criteria, body weight, height [screening only], BMI, medical and surgical history, physical examination, vital signs and pulse oximetry, 12 lead ECG, clinical laboratory tests, renal function assessment, FSH and pregnancy test [screening only], and urine drugs of abuse and alcohol screen) will be reviewed to confirm eligibility.

Cohort 1:

Eligible subjects will receive a single dose of VFI followed 130 minutes later by a 350 mL infusion of 5% albumin up to maximum volume of 7 mL/kg over 30 minutes on Day 1. Subjects will remain resident in the CRU for at least 24 hours after VFI administration for safety, PK, and PD assessments. Subjects will return to the CRU for an end-of-study (EOS) visit on Day 21 (± 1 day).

Cohort 2:

Eligible subjects will receive a dose of VFI followed 160 minutes later by a single dose of Iohexol on Day 1 and a second dose of VFI 24 hours following the initial dose of VFI. Subjects will remain resident in the CRU for at least 24 hours after the second VFI administration for safety, PK, and PD assessments. Subjects will return to the CRU for follow-up visits on Days 5 (± 1 day), 9 (± 1 day), and 16 (± 1 day) and an EOS visit on Day 22 (± 1 day).

Cohorts 3 and 4:

Eligible patients will receive a single dose of VFI followed 160 minutes later by a single dose of Iohexol on Day 1. Patients will remain in the CRU through the 12-hour sample collection after VFI administration for safety, PK, and PD assessments. . Patients will stay at a local hotel near the CRU and will return to the CRU on Day 2 for the 24-hour sample collection. Patients will return to the CRU for follow-up visits on Days 4 (± 1 day), 8 (± 1 day), and 15 (± 1 day) and an EOS visit on Day 21 (± 1 day).

Being tested
VFI, Iohexol
Medical subject headings
Kidney Diseases, Renal Insufficiency, Chronic, Acute Kidney Injury, Urologic Diseases, Renal Insufficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VFIDevice

    The IV administered visible fluorescent injectate (VFI)™ agent is comprised of a mixture of 2 different molecular weight carboxymethyl dextran molecules (5 kD and 150 kD) with different fluorescent dye molecules attached.

  • IohexolDevice

    Iohexol is a contrast enhancement agent which, following intravascular injection, is distributed in the extracellular fluid compartment and is excreted unchanged by glomerular filtration.

Study groups in NCT03095391
Study groupRoleWhat they receive
Cohort 1GFR: ≥ 60 mL/min/1.73 m2 VFI dose: 47 mg/3 mL Number of doses: 1 Comparator: none Comparator dose: none
Receives: Device: VFI
Cohort 2GFR: ≥ 60 mL/min/1.73 m2 VFI dose: 47 mg/3 mL Number of doses: 2 Comparator: Iohexol 5 mL Comparator dose: 1
Receives: Device: VFI; Device: Iohexol
Cohort 3GFR: ≥ 30 and < 60 mL/min/1.73 m2 VFI dose: 47 mg/3 mL Number of doses: 1 Comparator: Iohexol 5 mL Comparator dose: 1
Receives: Device: VFI; Device: Iohexol
Cohort 4GFR: ≥ 15 and < 30 mL/min/1.73 m2 VFI dose: 47 mg/3 mL Number of doses: 1 Comparator: Iohexol 5 mL Comparator dose: 1
Receives: Device: VFI; Device: Iohexol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of serious adverse events (SAEs) and treatment-emergent adverse events (TEAEs)

    • Subjects will be monitored for AEs from administration of the first dose of study drug through the end of study visit
    • Abnormal clinical laboratory tests, physical examination findings, 12-lead electrocardiograms (ECGs), and vital signs including pulse oximetry that (1) are considered clinically significant initially and on confirmation, (2) require a subject to be discontinued from the study, (3) require a subject to receive treatment, or (4) require a change or discontinuation from the study drug (if applicable) will be recorded as AEs

    Measured: 21 ± 1 days

  2. Maximum observed plasma concentration (Cmax)

    Measured: 21 ± 1 days

  3. Time that Cmax was observed (tmax)

    Measured: 21 ± 1 days

  4. Area under the plasma concentration-time curve (AUC) from time 0 to 12 hours (AUC0 12: FD001 only)

    Measured: 21 ± 1 days

  5. AUC from time 0 to the time of the last quantifiable concentration (AUClast)

    Measured: 21 ± 1 days

  6. AUC from time 0 extrapolated to infinity (AUCinf)

    Measured: 21 ± 1 days

  7. Terminal elimination half-life (t½)

    Measured: 21 ± 1 days

  8. Terminal elimination rate constant (λz)

    Measured: 21 ± 1 days

  9. Total body clearance (CL)

    Measured: 21 ± 1 days

  10. Renal clearance (CLr; FD001 only)

    Measured: 21 ± 1 days

  11. Volume of distribution during the terminal phase (Vz)

    Measured: 21 ± 1 days

  12. Volume of distribution at steady state (Vss)

    Measured: 21 ± 1 days

  13. Fraction of dose excreted unchanged in the urine (Ae0-12)

    Measured: 21 ± 1 days

Secondary outcomes (6)
  1. PV as assessed by FAST PV and mGFR Technology

    Measured: 21 ± 1 days

  2. PV as assessed by Nadler's formula

    Measured: 21 ± 1 days

  3. Changes in PV after fluid challenge

    Measured: 21 ± 1 days

  4. Repeatability of GFR measurements over 24 hours

    Measured: 21 ± 1 days

  5. mGFR as assessed by FAST VFI and Iohexol clearance methods

    Measured: 21 ± 1 days

  6. Estimated GFR (eGFR) (calculated by the Modification of Diet in Renal Disease [MDRD], Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] Creatinine and Cockcroft-Gault equations)

    Measured: 21 ± 1 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Mar 2017
  2. Study start13 Jun 2017
  3. Primary completion20 Sep 2017
  4. Study completion20 Sep 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03095391
Sponsor's protocol ID
36770001
Status last verified
Oct 2017
First submitted
20 Mar 2017
Last updated
26 Dec 2018
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Kidney Diseases and Renal Insufficiency, Chronic, run by FAST BioMedical at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 35 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of serious adverse events (SAEs) and treatment-emergent adverse events (TEAEs) (time frame: 21 ± 1 days). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Dec 2018.

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