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Chronic Kidney DiseasesPhase 1COR-001-SC1NCT03126318

A Study of Patients With Chronic Kidney Disease to Assess the Safety of a Single Dose of COR-001

A Phase 1 study testing COR-001 in people with Chronic Kidney Diseases, run by University of Colorado, Denver at 1 site 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 randomized, double-blind, placebo-controlled trial designed to evaluate the safety, pharmacokinetics, and pharmacodynamic effects of a single dose of the study drug or placebo administered subcutaneously to patients with moderate-to-severe chronic kidney disease and persistent inflammation. Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Chronic Kidney Diseases
What is being tested?
COR-001
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
32 participants
Where
1 siteUnited States
Study dates
19 May 2017to 19 Dec 2019
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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • CKD stage III or IV
  • Serum CRP > 2 mg/L measured twice during the Screening period at least one week apart
  • Urine protein excretion < 3.5 g/24h estimated by a spot urine protein/creatinine ratio
  • The patient agrees to comply with the contraception and reproduction restrictions of the study - use 2 forms of acceptable contraception

Who cannot join

  • Patients with advanced CKD requiring chronic dialysis
  • Hospitalization over the period of 6 weeks prior to randomization
  • Use of systemic immunosuppressive drugs during the Screening Period or anticipated use of such drugs anytime during the study Note: Use of otic, ophthalmic, inhaled, and topical corticosteroids or local corticosteroid injections are not exclusionary.
  • History of or expected to undergo living related kidney transplant during the study period
  • Currently receiving or planning to receive live or inactivated vaccines
  • Clinical evidence or suspicion of active or smoldering infection (e.g., diabetic foot ulcer) or use of antibiotics during the Screening period
Show all 23Show fewer
  • History of a positive PPD or prior diagnosis of tuberculosis
  • Evidence of HIV infection or carrier state by serology at Screening
  • Hepatitis B or C by serology (i.e. Hepatitis B Surface Antigen or Hepatitis C antibody positive) at Screening
  • AST or ALT > 2.5x ULN at Screening
  • History of liver cirrhosis or home oxygen use
  • History of gastrointestinal ulceration or active diverticulitis in the 1 year prior to Screening
  • Absolute neutrophil count < 2 x 109/L at Screening
  • Platelet count < 100 x 109/L at Screening
  • Participated in an investigational drug study within 30 days of Screening or Screening is within 5 half-lives of the investigational compound.
  • Known allergy to the study drug or any of its ingredients
  • Breastfeeding or a positive pregnancy test at Screening or Day -1.
  • Any condition that could interfere with, or for which the treatment might interfere with, the conduct of the study or interpretation of the study results, or that would in the opinion of the Investigator increase the risk of the subject's participation in the study.
  • This would include but is not limited to alcoholism, drug dependency or abuse, psychiatric disease, epilepsy, anemia attributable to a primary hematologic disease (e.g., sickle cell anemia), or any unexplained blackouts.
  • Actively treated malignancy (other than non-melanoma skin cancers) during the 1 year prior to Screening. Patients receiving hormonal treatment only during this period only may be enrolled with the approval of the medical monitor.
  • Myocardial infarction during the 3 months prior to Screening or during Screening
  • Severe arthritis, lupus, inflammatory bowel disease, asthma or other disease(s) or medical condition(s) that, in the opinion of the investigator, could interfere with hs-CRP or immune function
  • Use of CYP substrates with a narrow therapeutic index (please see detailed table below).

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Coloardo Anschutz Medical Campus

    Aurora, Colorado, 80045

Other trials in United States

About this study

Official title: A Phase 1 Randomized, Double-Blind, Placebo-Controlled, Cohort Dose-Escalation Study in Patients With Chronic Kidney Disease to Assess the Safety, Pharmacokinetics, and Pharmacodynamics of a Single Dose of COR-001 (COR-001-SC1)

This is a randomized, double-blind, placebo-controlled trial designed to evaluate the safety, pharmacokinetics, and pharmacodynamic effects of a single dose of the study drug or placebo administered subcutaneously to patients with moderate-to-severe chronic kidney disease and persistent inflammation.

Read the detailed description

This is a randomized, double-blind, placebo-controlled trial designed to evaluate the safety, pharmacokinetics, and pharmacodynamic effects of a single dose of the study drug or placebo administered subcutaneously to patients with moderate-to-severe chronic kidney disease (CKD) and persistent inflammation (defined as a persistently elevated serum CRP (C-Reactive Protein) level). The primary objective is to evaluate the safety of a single dose of the study drug delivered subcutaneously. Four CKD patients will be randomized to the study drug or placebo within each dosing cohort in a ratio of 3:1. The dosing cohorts are 5 mg, 15 mg, 50 mg, and 100 mg. Each patient will be given 1 dose of the study drug and then be followed for 12 weeks for primary safety, pharmacokinetic and pharmacodynamic assessments. Next, patients will continue to be followed for an additional 20 weeks (32 weeks observation in total) for safety and anti-drug antibody assessments.

Prior to dose escalation (i.e., higher total dose than studied in the preceding cohorts), there will be a formal safety review and the data will have been determined to be acceptable by a Data Safety Monitoring Board (DSMB) which will include at least one nephrologist. The safety review required for dose escalation will include at least 21 days of treatment data from the preceding cohort(s). The DSMB will also meet to review data concerning an SAE (Serious Adverse Event) that is suspected to be study drug related

The investigative team (other than an un-blinded research pharmacist or equivalent) will be blinded to the treatment assignment.

Being tested
COR-001, Placebo
Medical subject headings
Renal Insufficiency, Chronic

What participants receive

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

  • COR-001Drug

    Anti-inflammatory therapy

  • PlaceboDrug

    Sterile water with a final buffer of 25 mM Histidine, 8.5% (w/v) trehalose and 0.05% PS80

Study groups in NCT03126318
Study groupRoleWhat they receive
COR-001Active comparatorCOR-001 5, 15, 50, or 100 mg dose (depending on dose cohort assigned to patient) given by subcutaneous injection one time only
Receives: Drug: COR-001
PlaceboPlacebo comparatorPlacebo at pH 6.0will be given in a volume to match the volume of COR-001 being given for the dose cohort by subcutaneous injection one time only
Receives: Drug: Placebo

What is being measured

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

  1. The safety of a 5 mg dose of COR-001 as measured by the incidence of adverse events

    To evaluate the safety of a 5 mg dose of COR-001 delivered subcutaneously

    Measured: 1 month after the 4th patient has received study drug

  2. The safety of a 15 mg dose of COR-001 as measured by the incidence of adverse events

    To evaluate the safety of a 15 mg dose of COR-001 delivered subcutaneously

    Measured: 1 month after the 4th patient has received study drug

  3. The safety of a 50 mg dose of COR-001 as measured by the incidence of adverse events

    To evaluate the safety of a 50 mg dose of COR-001 delivered subcutaneously

    Measured: 1 month after the 4th patient has received study drug

  4. The safety of a 100 mg dose of COR-001 as measured by the incidence of adverse events

    To evaluate the safety of a 100 mg dose of COR-001 delivered subcutaneously

    Measured: 1 month after the 4th patient has received study drug

Secondary outcomes (4)
  1. Pharmacokinetic analysis: maximum serum drug concentrations (Cmax)

    To evaluate single-dose pharmacokinetics of COR-001 delivered subcutaneously

    Measured: Pre-dose, 4 hours post-dose, and days 2-7, 11, 15, 22, 29, 57, 85, 141, and 225 post-dose.

  2. Pharmacokinetic analysis: area under the serum drug concentration-time curve (AUC)

    To evaluate the single-dose pharmacokinetics of COR-001 delivered subcutaneously

    Measured: Pre-dose, 4 hours post-dose, and days 2-7, 11, 15, 22, 29, 57, 85, 141, and 225 post-dose.

  3. Pharmacokinetic analysis: terminal elimination half-life (t1/2)

    To evaluate the single-dose pharmacokinetics of COR-001 delivered subcutaneously

    Measured: Pre-dose, 4 hours post-dose, and days 2-7, 11, 15, 22, 29, 57, 85, 141, and 225 post-dose.

  4. The effectiveness of COR-001 as measured by levels of an inflammatory marker

    To evaluate the effectiveness of COR-001 as measured by CRP levels.

    Measured: Screening and at weeks 1 - 5, 8, 12, 20, and 32.

Timeline

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

  1. First posted24 Apr 2017
  2. Study start19 May 2017
  3. Primary completion14 Mar 2019
  4. Study completion19 Dec 2019

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
randomized, double-blind, placebo-controlled - 4 cohorts of 4 patients each with a dosing regimen of 3:1 (active:placebo)
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03126318
Sponsor's protocol ID
16-2272
Acronym
COR-001-SC1
Status last verified
Sep 2020
First submitted
5 Apr 2017
Last updated
9 Sep 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Nowak KL, Kakkar R, Devalaraja M, Lo L, Park W, Gobburu J, Kling D, Davidson M, Chonchol M. A Phase 1 Randomized Dose-Escalation Study of a Human Monoclonal Antibody to IL-6 in CKD. Kidney360. 2020 Dec 4;2(2):224-235. doi: 10.34067/KID.0005862020. eCollection 2021 Feb 25.

    PubMed 35373026

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing COR-001 in people with Chronic Kidney Diseases, run by University of Colorado, Denver at 1 site 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 4 inclusion and 23 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 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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. Some participants in this study may receive a placebo. 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?

The safety of a 5 mg dose of COR-001 as measured by the incidence of adverse events (time frame: 1 month after the 4th patient has received study drug). The study lists 4 primary outcomes in all. 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 NCT03126318, 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 Sep 2020; AzTrials last refreshed its copy on 7 Nov 2026.

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