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Cardiac Surgery Associated - Acute Kidney InjuryPhase 2NCT06632613

Efficacy and Safety of ENN0403 in Patients At High Risk for Acute Kidney Injury Following Elective Cardiac Surgery

A Phase 2 study testing ENN0403 capsules, low dose and ENN0403 capsules, high dose in people with Cardiac Surgery Associated - Acute Kidney Injury, run by EnnovaBio at 1 site in China.

Recruiting

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Sites and contacts
Official record

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Trial summary

The is a two-stage study. Stage 1 is to evaluate the safety, tolerability, PK and PD of ENN0403 in patients at high risk of AKI following elective cardiac surgery requring cardiopulmonary bypass. Read more about this study

Who is it for?
Ages 18 to 85 years
What is being tested?
ENN0403 capsules, low dose and ENN0403 capsules, high dose
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
1 siteChina
Study dates
5 Nov 2024to Mar 2026
Phase
Phase 2

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 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ability to understand and comply with the study requirements and able to provide written informed consent;
  • Age ≥18 and ≤85 years;
  • Male subjects (and their fertile female spouses/partners) do not have pregnancy plans during the screening period and within 3 months after the last dose, voluntarily take highly effective contraception, and must not donate sperm or ova. Only non-fertile women will be enrolled, and female subjects who meet the following criteria are not considered fertile: Postmenopausal status has been achieved, normal menstruation has stopped for at least 12 consecutive months with an FSH >30 IU/L in the absence of other pathophysiological causes, or there is a medical record showing hysterectomy \ bilateral tubal resection and/or bilateral ovariectomy.
  • Subjects must be scheduled for cardiac surgery requring cardiopulmonary bypass: Coronary artery bypass grafting (CABG) and/or heart valve surgery and/or aortic root, ascending aorta and aortic arch surgery;
  • Subjects have the risk of developing AKI with at least one of the following criteria: coronary artery bypass grafting combined with one or more heart valves surgery plus at least one risk factor for AKI; Multiple heart valves surgery plus at least one AKI risk factor; Coronary artery bypass grafting or aortic valve surgery combined with aortic root, ascending aorta, and aortic arch surgery (non-aortic dissection) plus at least one risk factor for AKI; Coronary artery bypass grafting alone or single heart valve surgery plus at least 2 risk factors for AKI.

Who cannot join

  • Receive ICD or permanent pacemaker implantation, mechanical ventilation, IABP, LVAD or other mechanical circulatory AIDS within 1 week before surgery;
  • Cardiopulmonary resuscitation is performed within 14 days prior to screening;
  • Abnormal renal function with eGFR<20 mL/min/1.73 m2 within 30 days before screening;
  • Receive renal replacement therapy or the presence of AKI within 30 days before surgery, except for transient (≤5 days) stage 1 AKI after iodized contrast agent exposure;
  • Participate in other clinical trials within the past 1 month;
  • Have a known allergy to investigational drug or any of its constituents, or allery to any constituents used during the study;
  • Subjects with intractable hypotension, severe hypoxemia or other emergency during surgery.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Zhongshan Hospital, Fudan University

    Shanghai

    Recruiting

Other trials in China

About this study

Official title: A Phase 2 Clinical Study Evaluating the Efficacy and Safety of ENN0403 in Patients At High Risk for Acute Kidney Injury Following Elective Cardiac Surgery Requiring Cardiopulmonary Bypass

The is a two-stage study. Stage 1 is to evaluate the safety, tolerability, PK and PD of ENN0403 in patients at high risk of AKI following elective cardiac surgery requring cardiopulmonary bypass. Stage 2 is to evaluate the efficacy, safety, PK and PD of ENN0403 to prevent and treat AKI after multiple administraions in patients at high risk of AKI following elective cardiac surgery requring cardiopulmonary bypass.

Being tested
ENN0403 capsules, low dose, ENN0403 capsules, high dose, Placebo

What participants receive

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

  • ENN0403 capsules, low doseDrug

    ENN0403 capsules will be orally administered once a day for 5 consecutive days at low dose based on the standard treatment after cardiac surgery. If the subject is unable to swallow the investigational product autonomously, the capsules will be administrated through a nasogastric tube/oral gastric tube.

  • ENN0403 capsules, high doseDrug

    ENN0403 capsules will be orally administered once a day for 5 consecutive days at high dose based on the standard treatment after cardiac surgery. If the subject is unable to swallow the investigational product autonomously, the placebo capsules will be administrated through a nasogastric tube/oral gastric tube.

  • PlaceboDrug

    Placebo capsules will be orally administered once a day for 5 consecutive days based on the standard treatment after cardiac surgery. If the subject is unable to swallow the investigational product autonomously, the capsules will be administrated through a nasogastric tube/oral gastric tube.

Study groups in NCT06632613
Study groupRoleWhat they receive
ENN0403 capsules, low doseExperimentalNot described
Receives: Drug: ENN0403 capsules, low dose
ENN0403 capsules, high doseExperimentalNot described
Receives: Drug: ENN0403 capsules, high dose
PlaceboExperimentalNot described
Receives: Drug: Placebo

What is being measured

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

  1. Incidence of adverse events (AE) and serious adverse events (SAE)

    Measured: 30 days

  2. Percentage of subjects developing AKI in different AKI stages based on Serum Creatinine and/or Urine Output per KDIGO definition

    Measured: 5 days

Secondary outcomes (4)
  1. Percentage of subjects developing AKI in different AKI stages based on Serum Creatinine per KDIGO definition

    Measured: 5 days

  2. Percentage of subjects developing AKI in different AKI stages based on Serum Creatinine and/or Urine Output per KDIGO definition

    Measured: 3 days, 7 days

  3. Major Adverse Kidney Event (MAKE) at Day 30

    major adverse kidney events at 30 day (MAKE30) defined as the proportion of patients developing at least one of the following: death, need for renal replacement therapy, or ≥25% reduction in eGFR from baseline

    Measured: Day 30

  4. Length of stay in the intensive care unit (ICU) and hospital

    Measured: 30 days

Timeline

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

  1. First posted9 Oct 2024
  2. Study start5 Nov 2024
  3. Primary completionFeb 2026 (estimated)
  4. Study completionMar 2026 (estimated)

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06632613
Sponsor's protocol ID
ENN0403-P2-CN-02
Status last verified
Oct 2024
First submitted
29 Sep 2024
Last updated
13 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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