Cardiac Surgery
Conditions
Keywords
MAKE, AKI
Brief summary
This trial is designed to evaluate QPI-1002 versus placebo for the prevention of Major Adverse Kidney Events (MAKE) in subjects at high risk for acute kidney injury following cardiac surgery. Half of the participants will receive QPI-1002 while the other half will receive placebo.
Detailed description
This is a randomized, double-blind, placebo-controlled, Phase 3 trial to evaluate QPI-1002 versus placebo for the prevention of Major Adverse Kidney Events in subjects at high risk for acute kidney injury following cardiac surgery. Subjects will be dosed with active drug or placebo after the completion of cardiovascular surgery.
Interventions
IV injection
isotonic saline
Sponsors
Study design
Eligibility
Inclusion criteria
Key Inclusion Criteria: * Male or female, age ≥ 18 years old * At risk for AKI following cardiac surgery on the basis of at least one of the following pre-operatively assessed risk factors: * Reduced renal function * Diabetes with ongoing insulin treatment * Albuminuria * Undergoes non-emergent open chest cavity cardiovascular surgeries, with use of cardiopulmonary bypass (CPB), with or without hypothermic circulatory arrest Key
Exclusion criteria
* Emergent surgeries, including aortic dissection, and major congenital heart defects * Undergoes cardiac surgery off CPB for subjects ≥45 years old. (Cardiac surgery off CPB for subjects \<45 years old is allowed.) * Perioperative or post cardiac surgery, an left ventricular assist device (LVAD) is inserted or anticipated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of subjects through day 90 who develop major adverse kidney events | Baseline through day 90 |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of subjects developing AKI overall by modified AKIN criteria within 5 days post-surgery | Baseline through day 5 |
| Renal function as estimated by glomerular filtration rate | Baseline through Day 90 |
| Proportion of subjects who die or initiate dialysis through day 90 | Baseline through day 90 |
Countries
Australia, Austria, Belgium, Canada, Czechia, France, Germany, New Zealand, Spain, United Kingdom, United States