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End-Stage Renal DiseasePhase 1NCT00490737

Safety Study to Evaluate Daptomycin in Non-infected Adults Who Are Either on Hemodialysis or Continuous Ambulatory Peritoneal Dialysis (MK-3009-021)

A Phase 1 study testing daptomycin in people with End-Stage Renal Disease, run by Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA).

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 study is to examine the safety of daptomycin in patients with End Stage Renal Disease. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
End-Stage Renal Disease
What is being tested?
daptomycin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
No sites listed yet
Study dates
12 Aug 2007to 12 May 2008
Phase
Phase 1
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent prior to any study-related procedure not part of normal medical care;
  • Considered to be in appropriate health for study entry by the Investigator (e.g., no acute, debilitating medical problems) and appropriate candidate for completing study treatment;
  • Male or female >18 years of age;
  • If female of childbearing potential; willing to practice reliable birth control measures during study treatment, not lactating/pregnant, has a documented negative pregnancy test result within 24 hours prior to study medication administration, and willing to practice effective means of birth control for >28 days after study completion;
  • If taking concomitant medications, subject must be on a relatively stable dose for at least two weeks prior to study medication administration;
  • Functioning dialysis access (e.g. graft or fistula) for subjects undergoing HD and functioning dialysis access (e.g. peritoneal catheter) for subjects undergoing CAPD;
  • ESRD on stable HD regimen of thrice weekly sessions with high-flux membranes or stable CAPD regimen.

Who cannot join

  • If female, pregnant or lactating;
  • Received an investigational drug (including experimental biologic agents) within 30 days of study entry;
  • Evidence of active ongoing infection;
  • Unable to discontinue use of HMG-CoA reductase inhibitor therapy for duration of study;
  • Has received any dose(s) of daptomycin within 5 days prior to receiving the first dose of study drug;
  • Known to be allergic or intolerant to daptomycin;
Show all 22Show fewer
  • Body Mass Index (BMI) < 18.5 or > 40 kg/m2 [BMI = weight (kg)/height (m2)];
  • WBC >12, 000 cells/mm3 or <2500 cells/ mm3;
  • Baseline creatinine phosphokinase (CPK) values >3X ULN (upper limit of normal);
  • Alanine aminotransferase (ALT) >5X ULN;
  • Aspartate aminotransferase (AST) >5X ULN;
  • Known HIV-infected subjects with CD4 count ≤200 cells/mm3;
  • Hemoglobin < 9 gm/dL;
  • Active illicit drug and/or alcohol abuse;
  • Myocardial infarction within last 6 months;
  • Hospitalized for non-vascular or peritoneal dialysis (PD) access issues within 30 days;
  • Subjects with a history of muscular disease (e.g., polymyositis, muscular dystrophy);
  • Subjects with a history of neurological disease (e.g., Guillain Barré, multiple sclerosis), except stroke >6 months prior to study entry;
  • Intramuscular injection within 7 days of study drug administration;
  • Has a moribund clinical condition (i.e., high likelihood of death during the next 3 days);
  • Is considered unlikely to comply with study procedures or to return for scheduled post-treatment evaluations;
  • Neutropenic subjects with absolute neutrophil count ≤500 cells/mm3 History of rhabdomyolysis.

About this study

Official title: An Evaluation of the Pharmacokinetic Profile and Safety and Tolerability of Multiple Doses of 6mg/kg Intravenous Daptomycin in Non-Infected Adult Subjects With End Stage Renal Disease on Hemodialysis or Continuous Ambulatory Peritoneal Dialysis

This study is to examine the safety of daptomycin in patients with End Stage Renal Disease.

Read the detailed description

This is an open label, non-randomized, non-comparative Phase 1 study designed to evaluate the PK profile, safety and tolerability of intravenous ( i.v.) daptomycin. Non-infected subjects with end stage renal disease undergoing hemodialysis (HD) or continuous ambulatory peritoneal dialysis (CAPD) will be enrolled in this in-patient study.

Being tested
daptomycin
Keywords
ESRD, dialysis, hemodialysis, continuous ambulatory peritoneal dialysis
Medical subject headings
Kidney Failure, Chronic

What participants receive

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

  • daptomycinDrug

    Also called Cubicin

    6mg/kg, i.v. infusion over 30 minutes; every 48 hours for a total of 3 doses

Study groups in NCT00490737
Study groupRoleWhat they receive
Hemodialysis (HD) ParticipantsExperimentalParticipants will receive daptomycin 6 mg/kg by intravenous infusion (i.v.) at 48-hours intervals (with dialysis) for a total of 3 doses.
Receives: Drug: daptomycin
Continuous Ambulatory Peritoneal Dialysis (CAPD) ParticipantsExperimentalParticipants will receive daptomycin 6 mg/kg, i.v., at 48-hours intervals for a total of 3 doses.
Receives: Drug: daptomycin

What is being measured

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

  1. Pharmacokinetics

    Measured: Study Day 1, 3, 5 and 7 or 8

Secondary outcomes (1)
  1. Safety and Tolerability

    Measured: Study Days 1 through 16 or 17

Timeline

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

  1. First posted25 Jun 2007 (estimated)
  2. Study start12 Aug 2007
  3. Primary completion12 May 2008
  4. Study completion12 May 2008

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00490737
Sponsor's protocol ID
3009-021
Other IDs
DAP-REN-07-01
Status last verified
Jan 2018
First submitted
22 Jun 2007
Last updated
9 Jan 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final\_Updated%20July\_9\_2014.pdf http://engagezone.msd.com/ds\_documentation.php

Publications

  • Benziger DP, Pertel PE, Donovan J, Yankelev S, Schwab RJ, Swan SK, Cannon C. Pharmacokinetics and safety of multiple doses of daptomycin 6 mg/kg in noninfected adults undergoing hemodialysis or continuous ambulatory peritoneal dialysis. Clin Nephrol. 2011 Jan;75(1):63-9.

    PubMed 21176752

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing daptomycin in people with End-Stage Renal Disease, run by Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA).

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 7 inclusion and 22 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 9 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

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.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Pharmacokinetics (time frame: Study Day 1, 3, 5 and 7 or 8). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00490737, which also lists 1 linked publication.

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 9 Jan 2018.

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