AzTrials
AzTrials

Acute Kidney InjuryPhase 2NCT07052513

Modified Autologous Leukocyte Cells for the Treatment of Acute Kidney Injury After Cardiac Surgery

A Phase 2 study testing M2RLAB 001 in people with Acute Kidney Injury, run by M2RLAB SL at 1 site in Spain.

Suspended

Paused. Enrolment is on hold for now and may resume.

Official record
Search all trials

Trial summary

The purpose of this clinical trial is to assess the efficacy and safety of cell therapy with modified leukocyte cells from the participant himself/herself versus placebo in participants who develop Acute Kidney Injury (AKI) within the first 48 hours after cardiac surgery. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Acute Kidney Injury
What is being tested?
M2RLAB 001
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
98 participants
Where
1 siteSpain
Study dates
14 Dec 2025to 2 Sep 2028
Phase
Phase 2
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

  • Male or female participants older than 18 years of age, being able to understand and sign the Informed Consent.
  • Participants undergoing elective valvular and/or coronary cardiac surgery performed with extracorporeal circulation.
  • Participants must meet one of the following two criteria:
  • Present pre-operative AKI risk more or equal to 30 percent according to the Leicester Cardiosurgery scale, in case the participants had signed the IC before.
  • Participants that had signed the IC within 12 hours after the AKI diagnosis.
  • Present AKI within the first 48 hours post cardiac surgery in one of the following classifications defined by the AKIN scale (Acute Kidney Injury Network):
Show all 10Show fewer
  • AKIN 1: An increase in serum creatinine by at least 0.3 mg/dL (more or equal to 26.4 micromol/L) from baseline, or an increase to more or equal to 150-200 percent (corresponding to a 1.5- to 2-fold increase) from baseline. In addition, the participant must have a positive acute tubular necrosis score within the first 48 hours post cardiac surgery, defined as the presence of at least 3 of the following 4 scenarios: Sodium excretion fraction more than 2 percent, urinary osmolality lower than 400 mOsm/kg, urine sodium more than 40 mmol/L, presence of shock or nephrotoxic agents.
  • AKIN 2: An increase in serum creatinine to more than 200 percent and up to a maximum of 300 percent (corresponding to an increase of more than 2 and up to 3 times) over baseline.
  • AKIN 3: An increase in serum creatinine to more than 300 percent (corresponding to more than 3-fold increase) over baseline, or an increase in serum creatinine levels to more or equal to 4.0 mg/dl (more or equal to 354 micromol/l) with an acute increase of at least 0.5 mg/dl (44 micromol/l).
  • In the case of women or men of childbearing age, for safety, those who undertake to follow the contraceptive measures required from their discharge from hospital until the end of their participation in the clinical trial.

Who cannot join

  • Chronic Kidney Disease (CKD) in stage IV or V (glomerular filtration rate [GFR] less than 30 ml/min).
  • AKI one month prior to heart surgery.
  • Participants who have previously undergone renal replacement therapy.
  • Participants who, due to their clinical situation (hemodynamic instability, oliguria, current or anticipated volume overload) are scheduled to start renal replacement therapy within the next 48 hours after AKI diagnosis.
  • Interstitial glomerulonephritis or vasculitis.
  • Pregnancy.
Show all 15Show fewer
  • Women in breastfeeding period
  • Renal transplant history.
  • Endocarditis.
  • Participants with mechanical assistance devices: extracorporeal membrane oxygenation (ECMO), left ventricular assist device (LVAD), right ventricular assist device (RVAD), intra-aortic balloon pumps (IABP).
  • Known severe ventricular dysfunction (left ventricular ejection fraction [LVEF] less than 30 percent).
  • Post-surgical septic infectious condition.
  • Clinically significant anemia with hemoglobin values below 100g/l.
  • Positive serology for hepatitis C virus (HCV), hepatitis B virus antigen (HBSAg), human immunodeficiency virus (HIV) or syphilis (by RPR: Rapid Plasma Reagin). This criterion will be assessed once it has been confirmed that the participant has developed AKI.
  • Participants enrolled in another clinical trial testing.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Hospital Clinic of Barcelona

    Barcelona, Catalonia, 08036

Other trials in Spain

About this study

The purpose of this clinical trial is to assess the efficacy and safety of cell therapy with modified leukocyte cells from the participant himself/herself versus placebo in participants who develop Acute Kidney Injury (AKI) within the first 48 hours after cardiac surgery.

The main questions it aims to answer are:

  • Does cell therapy reduce the recovery time of kidney function?
  • What medical problems do participants have when receiving cell therapy?

Researchers will compare cell therapy with a placebo (a look-alike substance that contains no drug) to see if cell therapy works to treat AKI. The safety of cell therapy with leukocyte cells will also be studied.

Read the detailed description

This is a Phase II, multi-center, randomized, placebo-controlled clinical trial, with 2 treatment arms and single blind. After being informed about the study, participants who meet the eligibility criteria will be randomized in 1:1 ratio to treatment with a single administration of cell therapy with leukocyte cells from the participant himself/herself or placebo (approximately 49 subjects per group).

Acute kidney injury (AKI) is one of the main complications after cardiac surgery. In fact, AKI after cardiac surgery is associated with high morbidity and mortality. Currently, there are no effective therapies for kidney injury after cardiac surgery, but there is evidence that recovery is possible if the injury processes are overcome. Thus, due to the lack of preventive and therapeutic options at present, cell therapy has gained importance in recent years in different clinical trials. Thus, within this context, the use of modified leukocyte cells as cell therapy is also an alternative for the treatment of AKI due to their powerful immunomodulatory effect. On the other hand, the use of placebo is justified because there is currently no other pharmacological treatment available to serve as an active control. A placebo-controlled study is optimal to evaluate the efficacy and safety of an experimental treatment.

Researchers hypothesized that cell therapy with autologous leukocyte cells can be safe, well tolerated and clinically beneficial versus placebo for participants who develop AKI within the first 48 hours after cardiac surgery.

This study consists of 3 phases: the initial phase, the observation phase, and the follow-up phase. The total duration of each participant in the trial will be from 3 to 5 months:

  • Initial phase: It starts when the participant signs the informed consent (IC) and it lasts until he or she receives the investigational drug/placebo. There are two possible scenarios: The participants undergoing cardiac surgery can sign the informed consent (IC) before the surgery (at a scheduled visit prior to his/her hospitalization or at the time of his/her hospitalization and prior to undergoing the procedure) or, alternatively, they can sign the informed consent (IC) after the surgery and the development of AKI within 48 hours. As indicated in the Inclusion criteria, only participants who present AKI within the first 48 hours post cardiac surgery will be included. The participants who meet all the inclusion criteria and none of the exclusion criteria will be randomized in a 1:1 ratio to one of the two study groups. A volume of at least 60 mL of peripheral blood will be extracted from the participant, from which the cell therapy will be prepared (in cases where the participant is included in the experimental group) The investigational product/placebo will be administered to the participant within 48 hours of AKI diagnosis.
  • Observation phase: It includes the period from when the participant receives the investigational drug/placebo until he or she is discharged from the hospital. This period lasts 16 to 20 days, depending on the clinical evolution of the participants. During this phase, participants will be followed and will undergo different tests to evaluate the effectiveness and safety of the investigational treatment vs. placebo.
  • Follow-up phase: It includes the period from when the participant receives hospital discharge and ends 90 days from the date of inclusion of the participant in the study. At this stage, participants will be monitored to evaluate the efficacy and safety of the experimental cell therapy drug vs. placebo.

Besides, if the participants give their consent, blood and urine samples will be collected to perform a metabolomic sub-study. The main objective is to identify biomarkers of efficacy of the treatment with M2RLAB 001.

Being tested
Placebo, M2RLAB 001
Keywords
Cardiac Surgery, Thoracic Surgery, Acute Renal Insufficiency, Acute Renal Injury, Major Adverse Kidney Event, Autologous Leukocyte Cells, Leukocyte Cells, Autologous Mononuclear Cells, Mononuclear Cells, Acute Kidney Disease
Medical subject headings
Acute Kidney Injury

What participants receive

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

  • PlaceboDrug

    Also called Saline Solution

    Intravenous infusion of normal saline.

  • M2RLAB 001Drug

    Also called Autologous Leukocyte Cells

    Intravenous infusion of M2RLAB 001

Study groups in NCT07052513
Study groupRoleWhat they receive
Saline Solution for injectionPlacebo comparatorParticipants randomized to placebo will receive a single 10 mL dose Intravenous (IV) infusion of normal saline (0.9 percent) no later than 48 hours after the participant's diagnosis of AKI.
Receives: Drug: Placebo
Cell therapy with leukocyte cells from the participant himself/herselfExperimentalParticipants randomized to experimental group will receive a single 10 mL dose IV of leukocyte cells concentration of 6-15.4 x10^6 cells/mL no later than 48 hours after the participant's diagnosis of AKI.
Receives: Drug: M2RLAB 001

What is being measured

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

  1. Recovery time of kidney function

    Time (in days) to recovery of the creatinine to baseline values (in the range of more or less than 30 percent from baseline).

    Measured: Baseline Phase (Day 0), Observation Phase: From Visit 1 (1 day after treatment) to Visit 7 (7 days after treatment)

  2. Proportion of participants with persistently altered creatinine values (more than 31 percent from baseline values) 7 days after AKI episode

    Measured as the incidence of Acute Kidney Disease (AKD): persistence of altered creatinine values 7 days after the AKI episode.

    Measured: Baseline Phase (Day 0), Observation Phase: From Visit 1 (1 day after treatment) to Visit 7 (7 days after treatment

  3. Occurrence of adverse events (AEs)

    Number of AEs reported.

    Measured: Up to Day 90

  4. Occurrence of serious AEs (SAEs)

    Number of SAEs reported

    Measured: Up to Day 90

  5. Occurrence of AEs resulting in discontinuation of study treatment

    Number of AEs resulting in discontinuation of study treatment reported

    Measured: Up to Day 90

  6. Occurrence of AEs of special interest (AESIs)

    Number of AESIs reported.

    Measured: Up to Day 90

Secondary outcomes (18)
  1. Major Adverse Kidney Events (MAKE) incidence reduction

    Proportion of participants with MAKE incidence reduction. MAKE is considered as the development of events related to disease progression, which is defined as death related to renal failure, need for dialysis or permanent reduction of estimated Glomerular Filtration Rate more than 30 percent since baseline

    Measured: Baseline Phase: Day 0, Observation Phase: From Visit 1 (1 day after treatment) to Visit 7 (7 days after treatment) and Follow-up phase: Day 30 and 90

  2. Time to appear of Major Adverse Kidney Events (MAKE)

    Time to appear of MAKE. MAKE is considered as the development of events related to disease progression, which is defined as death related to renal failure, need for dialysis or permanent reduction of estimated Glomerular Filtration Rate more than 30 percent since baseline

    Measured: Up to Day 90

  3. Number of participants on renal replacement therapy

    Number of participants requiring dialysis

    Measured: Up to Day 90

  4. Renal replacement therapy duration.

    Time (in days) of the required dialysis.

    Measured: Up to Day 90

  5. Duration of admission to Intensive Care Unit (ICU)

    Time (in days) of ICU stay of participants.

    Measured: Up to Day 90

  6. Duration of hospital stay

    Time (in days) of hospital stay of participants.

    Measured: Up to Day 90

  7. Patient survival after 30 days

    Proportion of participants who survived after 30 days.

    Measured: Up to Day 30

  8. Patient survival after 90 days

    Proportion of participants who survived after 90 days.

    Measured: Up to Day 90

  9. Participants requiring dialysis versus participants who survived without requiring dialysis after 30 days

    Proportion of participants who survived requiring dialysis versus participants who survived without requiring dialysis after 30 days post cardiac surgery.

    Measured: Up to Day 30

  10. Participants requiring dialysis versus participants who survived without requiring dialysis after 90 days

    Proportion of participants who survived requiring dialysis versus participants who survived without requiring dialysis after 90 days post cardiac surgery.

    Measured: Up to Day 90

  11. Maximum creatinine values (peak creatinine) recorded during participants' hospitalization

    Maximum creatinine value (peak creatinine) recorded. Creatinine levels will be measured in serum.

    Measured: Baseline Phase: Day 0 and Observation Phase: From Visit 1 (1 day after treatment) to Visit 7 (7 days after treatment)

  12. Time (day) of maximum creatinine values (peak creatinine) recorded during participants' hospitalization

    Day of maximum creatinine values (peak creatinine) recorded. Creatinine levels will be measured in serum.

    Measured: Baseline Phase: Day 0 and Observation Phase: From Visit 1 (1 day after treatment) to Visit 7 (7 days after treatment)

  13. Improvement in levels of injury biomarkers in urine

    Proportion of participants with variations of more than 30 percent in the values of injury biomarkers in urine [Albumin and Neutrophil gelatinase-associated lipocalin (NGAL)]

    Measured: Baseline Phase: Day 0 and Observation Phase: Visit 7 (7 days after treatment)

  14. Participants presenting surgical wound infections

    Proportion of participants with surgical wound infections.

    Measured: Up to Day 90

  15. Participants presenting respiratory infections during ICU stay

    Proportion of participants with respiratory infections during ICU stay.

    Measured: Up to Day 90

  16. Participants who present complications related to surgery

    Proportion of participants with any complication related to surgery (Sternotomy, Reintervention, Circulatory support).

    Measured: Up to Day 90

  17. Number of complications related to surgery

    Absolute number of any complication related to surgery (Sternotomy, Reintervention, Circulatory support).

    Measured: Up to Day 90

  18. Unexplained haemodynamic worsening

    Unexplained haemodynamic worsening measured as: drop in cardiac index to less than 2.5 L/min/m^2 (if it was previously higher), drop in systemic systolic blood pressure more than 30 percent or to less than 90 mmgHg, and/or more than 30 increase in vasoactive drugs dose.

    Measured: Observational Phase: Day 1 and Day 7

Timeline

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

  1. First posted4 Jul 2025
  2. Study start14 Dec 2025
  3. Primary completion17 Jun 2028 (estimated)
  4. Study completion2 Sep 2028 (estimated)

Why it stopped: Insufficient resources to continue the study at this time (including financial and operational constraints).

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
Single blind
Who is masked
Participant
Enrolment
98 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07052513
Sponsor's protocol ID
M2R.AKI.2021
Other IDs
2023-504610-30-01, 2023
Status last verified
Sep 2026
First submitted
26 Jun 2025
Last updated
21 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Jativa S, Torrico S, Calle P, Munoz A, Garcia M, Larque AB, Poch E, Hotter G. NGAL release from peripheral blood mononuclear cells protects against acute kidney injury and prevents AKI induced fibrosis. Biomed Pharmacother. 2022 Sep;153:113415. doi: 10.1016/j.biopha.2022.113415. Epub 2022 Jul 18.

    PubMed 36076483
  • Mehta RL, Kellum JA, Shah SV, Molitoris BA, Ronco C, Warnock DG, Levin A; Acute Kidney Injury Network. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care. 2007;11(2):R31. doi: 10.1186/cc5713.

    PubMed 17331245

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing M2RLAB 001 in people with Acute Kidney Injury, run by M2RLAB SL at 1 site in Spain.

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 10 inclusion and 15 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: paused, as of the sponsor's last update on 21 Sep 2026. 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 Spain. 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?

Results are not available in the source record.

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?

Recovery time of kidney function (time frame: Baseline Phase (Day 0), Observation Phase: From Visit 1 (1 day after treatment) to Visit 7 (7 days after treatment)). The study lists 6 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 NCT07052513, which also lists 2 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 21 Sep 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in