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Chronic Kidney DiseasesPhase 2RESCUENCT03926117

Trial to Evaluate Reduction in Inflammation in Patients With Advanced Chronic Renal Disease Utilizing Antibody Mediated IL-6 Inhibition

A Phase 2 study testing Ziltivekimab in people with Chronic Kidney Diseases and Inflammation, run by Novo Nordisk A/S at 49 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

Patients with chronic kidney disease, who have evidence of systemic inflammation with increased cardiovascular risk, will be enrolled into this trial. The purpose of this trial is to determine a dose to select for a potential cardiovascular outcome trial with Ziltivekimab. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Kidney Diseases, Inflammation
What is being tested?
Ziltivekimab
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
264 participants
Where
49 sitesUnited States
Study dates
3 Jun 2019to 26 Jun 2020
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • 18 years of age
  • Stage 3-5 CKD
  • hs-CRP > 2.0 mg/L
  • Comply with contraception

Who cannot join

  • Low neutrophil count
  • Low platelet count
  • Spot urine protein to creatinine ration > 4000 mg/g
  • ALT/AST >2.5x ULN
  • TSAT < 10%
  • Positive TB test
Show all 20Show fewer
  • Evidence of HIV, hepatitis B
  • Blind or illiterate
  • Expected to require blood transfusion
  • Thromboembolic event within 12-weeks
  • Evidence of active infection
  • Peptic ulcer disease, diverticulitis, inflammatory bowel disease
  • Uncontrolled hypertension
  • Planned coronary revascularization
  • Major cardiac surgery, CHF
  • Active malignancy, bone marrow or organ transplant
  • Allergy to study drug
  • Treatment with investigational drug, treatment with HIF stabilizer or ESA
  • Use of immunosuppressive drugs, systemic antibiotics
  • Breastfeeding, any other significant medical history

Trial locations and contacts

49 sites in 1 country.

49 sites in 1 country

United States49 sites
  • Northeast Clinical Research Center

    Allentown, Pennsylvania, 18104

  • Western Nephrology and Metabolic Bone Disease, PC

    Arvada, Colorado, 80002

  • Mountain Kidney and Hypertension Associates

    Asheville, North Carolina, 28801

  • Southeastern Clinical Research Institute, LLC

    Augusta, Georgia, 30901

  • Central Alabama Research

    Birmingham, Alabama, 35205

  • University of Vermont

    Burlington, Vermont, 05401

  • Onyx Clinical Research

    Caro, Michigan, 48723

  • Metrolina Nephrology Associates, PA

    Charlotte, North Carolina, 28207

  • Metrolina Nephrology Associates

    Charlotte, North Carolina, 28277

  • Investigator Research by Design, LLC

    Chicago, Illinois, 60643

  • Columbus Regional Research Institute

    Columbus, Georgia, 31904

  • Renal Disease Research Institute

    Dallas, Texas, 75246

  • Southside Urology and Nephrology

    Danville, Virginia, 25241

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Piedmont Research Partners, LLC

    Fort Mill, South Carolina, 29707

  • Julia and Israel Waldbaum Dialysis Center

    Great Neck, New York, 11021

  • Capital Nephrology

    Greenbelt, Maryland, 20770

  • Mountain View CLinical Research - Greer

    Greer, South Carolina, 29651

  • Vilo Research Group, Inc

    Houston, Texas, 77017

  • Biopharma Informatick Inc. Research Center

    Houston, Texas, 77043

  • Juno Research, LLC - Northwest

    Houston, Texas, 77070

  • University of Iowa

    Iowa City, Iowa, 52242

  • Clinical Investigation Specialist, Inc

    Kenosha, Wisconsin, 53142

  • Knoxville Kidney Center, PLLC

    Knoxville, Tennessee, 37923

  • North America Research Institute

    Lynwood, California, 90262

  • Manassas Clinical Research Center

    Manassas, Virginia, 20110

  • Aventiv Research

    Mesa, Arizona, 85210

  • AMPM Research Clinic

    Miami, Florida, 33169

  • DaVita Clinical Research

    Minneapolis, Minnesota, 55404

  • Clinical Trials of America, LLC - West Monroe

    Monroe, Louisiana, 71201

  • Nephrology Associates, PC

    Nashville, Tennessee, 37205

  • North Hills Medical Research, Inc

    North Richland Hills, Texas, 76180

  • Northport VAMC

    Northport, New York, 11768

  • Ocala Cardiovascular Research

    Ocala, Florida, 34474

  • Arizona Kidney Disease and Hypertension Center

    Phoenix, Arizona, 85016

  • Elite Clinical Studies

    Phoenix, Arizona, 85018

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • North America Research Institute

    Riverside, California, 92503

  • Apex Research of Riverside

    Riverside, California, 92505

  • St. Clair Nephrology Research

    Roseville, Michigan, 48066

  • Nephrology Research of Michigan

    Saint Clair Shores, Michigan, 48081

  • Clinical Advancement Center, PLLC

    San Antonio, Texas, 78212

  • San Antonio Kidney Disease Center Physicians Group, PLLC

    San Antonio, Texas, 78229

  • North America Research Institute

    San Dimas, California, 91773

  • Summit Research Group, LLC

    Stow, Ohio, 44224

  • DaVita Clinical Research

    The Bronx, New York, 10461

  • Southeastern Nephrology - Whiteville

    Whiteville, North Carolina, 28472

  • Southeastern Nephrology Associates - Wilmington

    Wilmington, North Carolina, 28401

  • Florida Premier Research Institue, LLC

    Winter Park, Florida, 32789

Other trials in United States

About this study

Official title: A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate Reduction in Inflammation in Patients With Advanced Chronic Renal Disease Utilizing Antibody Mediated IL-6 Inhibition

Patients with chronic kidney disease, who have evidence of systemic inflammation with increased cardiovascular risk, will be enrolled into this trial. The purpose of this trial is to determine a dose to select for a potential cardiovascular outcome trial with Ziltivekimab. Doses to be tested will be 7.5 mg, 15 mg and 30 mg subcutaneous monthly compared to placebo for six months.

Being tested
Ziltivekimab
Keywords
IL-6, CRP, Chronic Kidney Disease, Cardiovascular Disease, Inflammation
Medical subject headings
Renal Insufficiency, Chronic, Inflammation, Cardiovascular Diseases

What participants receive

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

  • ZiltivekimabBiological

    Also called COR-001

    human IgG1k anti-human IL-6 monoclonal antibody

Study groups in NCT03926117
Study groupRoleWhat they receive
PlaceboPlacebo comparatorMatching placebo
Receives: Biological: Ziltivekimab
Ziltivekimab 7.5 mgExperimentalNot described
Receives: Biological: Ziltivekimab
Ziltivekimab 15 mgExperimentalNot described
Receives: Biological: Ziltivekimab
Ziltivekimab 30 mgExperimentalNot described
Receives: Biological: Ziltivekimab

What is being measured

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

  1. Percent Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) Levels

    Percent change from baseline in hs-CRP levels at week 13 are presented.

    Measured: Baseline (average of the hs-CRP value prior to randomization and day 1), week 13

Secondary outcomes (17)
  1. Percent Change From Baseline in Serum Amyloid A (SAA)

    Percent change from baseline in SAA at week 13 are presented.

    Measured: Baseline (average of the values at week -1 and day 1), week 13

  2. Percent Change From Baseline in Fibrinogen

    Percent change from baseline in fibrinogen at week 13 are presented.

    Measured: Baseline (day 1), week 13

  3. Percentage of Participants With Treatment Emergent Adverse Events (TEAEs), Treatment Emergent Serious AEs (TESAEs), Severe Hematologic AEs, Severe Non-hematologic AEs, and AEs Leading to Drug Discontinuation

    An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. TEAEs are defined as AEs that initiated or worsened on or after the date of first dose of study drug up to the end of safety-follow-up. A SAE was defined as any untoward medical occurrence that at any dose results in death, or is life-threatening, or requires inpatient hospitalization or causes prolongation of existing hospitalization results in persistent or significant disability/incapacity, or may have caused a congenital anomaly/birth defect, or requires intervention to prevent permanent impairment or damage. TEAEs that met any of these criteria were considered severe hematologic AEs: grade 3 neutropenia, grade 3 anemia, grade 3 leukopenia, grade 3 lymphopenia, grade 3 eosinophilia, and grade 3 thrombocytopenia.

    Measured: From week 0 to week 32

  4. Percentage of Participants With Thrombolysis in Myocardial Infarction (TIMI) Major Bleeding Events

    Bleeding events were classified using the TIMI bleeding classification as follows: 1) major: intracranial hemorrhage or a >=5 g/dL decrease in the hemoglobin concentration or a >=15 percent (%) absolute decrease in the hematocrit; 2) minor: (a) observed blood loss: >=3 g/dL decrease in the hemoglobin concentration or >=10% decrease in the hematocrit. (b) no observed blood loss: >=4 g/dL decrease in the hemoglobin concentration or >=12% decrease in the hematocrit; 3) minimal: any clinically overt sign of hemorrhage (including imaging) that was associated with a < 3 g/dL decrease in the hemoglobin concentration or <9% decrease in the hematocrit.

    Measured: From week 0 to week 32

  5. Percentage of Participants With Any Treatment-emergent Adverse Events of Special Interest (AESI)

    An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. AESI included serious infections, malignancies, anaphylaxis occurring at any time, even if considered unrelated to the study drug, gastrointestinal perforations, hypersensitivity reaction during investigational product (IP) administration, neutrophils per cubic millimeter (500/mm^3) (severe) or neutrophils <1000/mm^3 (severe) with evidence of concurrent infection, severe injection-related reactions, thrombocytopenia (platelet count <50,000/mm^3 (severe)) or platelet count <75,000/mm^3 (moderate) with evidence of concurrent TIMI major bleeding.

    Measured: From week 0 to week 32

  6. Change in Systolic Blood Pressure (SBP)

    Change from baseline in systolic blood pressure at week 32 are presented.

    Measured: Baseline (week 1), week 32

  7. Change in Diastolic Blood Pressure (DBP)

    Change from baseline in diastolic blood pressure at week 32 are presented.

    Measured: Baseline (week 1), week 32

  8. Change in Respiratory Rate

    Change from baseline in respiratory rate at week 32 are presented.

    Measured: Baseline (week 1), week 32

  9. Change in Body Mass Index (BMI)

    Change from baseline in BMI at week 24 are presented.

    Measured: Baseline (week 1), week 24

  10. Change in Heart Rate

    Change from baseline in heart rate at Week 32 are presented.

    Measured: Baseline (week 1), week 32

  11. Change in Temperature

    Change from baseline in temperature at week 32 are presented.

    Measured: Baseline (week 1), week 32

  12. Change in Electrocardiogram (ECG)

    The ECG was assessed by the investigator at baseline (week -1) and week 24 and categorised as abnormal clinically significant, abnormal not clinically significant, indeterminate, normal, not evaluable and unknown. Number of participants in each ECG category at baseline and week 24 are presented.

    Measured: Baseline (week -1), Week 24

  13. Change in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AAT) Levels

    Change from baseline in ALP, ALT and AAT levels at week 32 are presented.

    Measured: Baseline (week 1), week 32

  14. Change in Bicarbonate, Chloride, Potassium, Sodium

    Change from baseline in bicarbonate, chloride, potassium, sodium at week 32 are presented.

    Measured: Baseline (week 1), week 32

  15. Change in Direct Bilirubin, Bilirubin, Calcium, Creatinine, Glucose, Phosphate and Urea Nitrogen

    Change from baseline in direct bilirubin, bilirubin, calcium, creatinine, glucose, phosphate and urea nitrogen at week 32 are presented.

    Measured: Baseline (week 1), week 32

  16. Follicle Stimulating Hormone (FSH) Levels

    FSH levels at baseline (week -1) are presented.

    Measured: Baseline (week -1)

  17. Number of Participants With Anti-drug Antibodies (ADAs)

    Participants who had at least 1 positive sample (treatment-boosted or treatment-induced) at any time after their first Ziltivekimab administration were classified as positive for ADAs. In the instance that a participant had a positive sample at the baseline visit, the participant was considered positive only if the peak titer of the post-treatment sample was at least 2-fold higher (i.e., >=2-fold) than the titer of the baseline sample. Number of participants positive for antibodies to Ziltivekimab are presented.

    Measured: From week 0 to week 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 2019
  2. Study start3 Jun 2019
  3. Primary completion26 Jun 2020
  4. Study completion26 Jun 2020

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
264 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03926117
Sponsor's protocol ID
NN6018-4779
Acronym
RESCUE
Status last verified
Dec 2025
First submitted
19 Apr 2019
Last updated
31 Dec 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Publications

  • Kreiner FF, Kraaijenhof JM, von Herrath M, Hovingh GKK, von Scholten BJ. Interleukin 6 in diabetes, chronic kidney disease, and cardiovascular disease: mechanisms and therapeutic perspectives. Expert Rev Clin Immunol. 2022 Apr;18(4):377-389. doi: 10.1080/1744666X.2022.2045952. Epub 2022 Mar 1.

    PubMed 35212585
  • Hu S, Lee K, He JC, Fan Y. Current Landscape and Emerging Therapeutic Targets in Diabetic Kidney Disease. Clin J Am Soc Nephrol. 2026 Mar 10. doi: 10.2215/CJN.0000001053. Online ahead of print.

    PubMed 41805697
  • Aherrahrou R, Reinberger T, Hashmi S, Erdmann J. GWAS breakthroughs: mapping the journey from one locus to 393 significant coronary artery disease associations. Cardiovasc Res. 2024 Nov 5;120(13):1508-1530. doi: 10.1093/cvr/cvae161.

    PubMed 39073758
  • Pergola PE, Davidson M, Jensen C, Mohseni Zonoozi AA, Raj DS, Andreas Schytz P, Tuttle KR, Perkovic V. Effect of Ziltivekimab on Determinants of Hemoglobin in Patients with CKD Stage 3-5: An Analysis of a Randomized Trial (RESCUE). J Am Soc Nephrol. 2024 Jan 1;35(1):74-84. doi: 10.1681/ASN.0000000000000245. Epub 2023 Dec 13.

    PubMed 38088558
  • Ridker PM, Devalaraja M, Baeres FMM, Engelmann MDM, Hovingh GK, Ivkovic M, Lo L, Kling D, Pergola P, Raj D, Libby P, Davidson M; RESCUE Investigators. IL-6 inhibition with ziltivekimab in patients at high atherosclerotic risk (RESCUE): a double-blind, randomised, placebo-controlled, phase 2 trial. Lancet. 2021 May 29;397(10289):2060-2069. doi: 10.1016/S0140-6736(21)00520-1. Epub 2021 May 17.

    PubMed 34015342

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Ziltivekimab in people with Chronic Kidney Diseases and Inflammation, run by Novo Nordisk A/S at 49 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 4 inclusion and 20 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 31 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Aug 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percent Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) Levels (time frame: Baseline (average of the hs-CRP value prior to randomization and day 1), week 13). 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 NCT03926117, which also lists 5 linked publications.

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 31 Dec 2025.

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