Clinical trial • Phase III • Other
ALANINE, ARGININE, DEFEROXAMINE, HISTIDINE, ASPARTIC ACID, GLYCINE, TRYPTOPHAN, SUCROSE, CALCIUM, MAGNESIUM, POTASSIUM, SODIUM, N-HYDROXY-3,4-DIMETHOXY-N-METHYL-BENZAMIDE, N-ACETYLHISTIDINE, CHLORIDE ION, OXOGLURIC ACID for Kidney transplantation | Liver transplantation | Kidney–pancreas transplantation
Phase III trial of ALANINE, ARGININE, DEFEROXAMINE, HISTIDINE, ASPARTIC ACID, GLYCINE, TRYPTOPHAN, SUCROSE, CALCIUM, MAGNESIUM, POTASSIUM, SODIUM, N-HYDRO…
Overview
- Trial Therapeutic Area
- Other
- Trial Disease
- Kidney transplantation | Liver transplantation | Kidney–pancreas transplantation
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 24-09-2024
- First CTIS Authorization Date
- 22-10-2024
Trial design
Randomised, comparator: custodiol® - perfusionslösung (productname: custodiol® - perfusionslösung). pharmaceutical form: solution for cardioplegia. route: infiltration. maximum total amount reported: 3 l. marketing authorisation info present: authorisationcountrycode at, marketingauthnumber 1-20642.-controlled Phase III trial across 4 sites in Austria.
- Randomised
- Yes
- Comparator
- Comparator: CUSTODIOL® - Perfusionslösung (productName: CUSTODIOL® - Perfusionslösung). Pharmaceutical form: SOLUTION FOR CARDIOPLEGIA. Route: INFILTRATION. Maximum total amount reported: 3 l. Marketing authorisation info present: authorisationCountryCode AT, marketingAuthNumber 1-20642.
- Target Sample Size
- 362
Eligibility
Recruits 362 Vulnerable population not selected. Informed consent required from recipients: 'recipients' signed informed consent before the transplantation'. Separate subject information and informed consent forms exist for recipients and living donors (documents listed in CTIS)..
- Pregnancy Exclusion
- - pregnant or lactating patients
- Vulnerable Population
- Vulnerable population not selected. Informed consent required from recipients: 'recipients' signed informed consent before the transplantation'. Separate subject information and informed consent forms exist for recipients and living donors (documents listed in CTIS).
Inclusion criteria
- {"criterion_text":"- Donor criteria - For All patients undergoing deceased donation: - deceased adult (≥18 years) donors fulfilling the criteria for organ donation\n- donor criteria - For All patients undergoing living kidney donation: - adult (≥18 years) living kidney donors fulfilling the criteria for organ donation\n- recipients awaiting their transplant\n- recipients ≥18 years\n- recipients' signed informed consent before the transplantation\n- Liver recipient - full organ transplantation"}
Exclusion criteria
- {"criterion_text":"- All organs (kidney, combined kidney – pancreas and liver) Donor criteria ( not applicable for living kidney donors ) - donors whose organs are all allocated out of retrieving study center\n- According to the KDIGO-Guidelines (2009) all patients with PRA >0% are only included in the living donation setting.\n- Liver recipient - re-transplantation\n- - general refusal of organ donation\n- - donation after cardiac death (DCD)\n- - pregnant or lactating patients\n- recipients participating in any interventional study (e.g. another study involv-ing compound/interventions aimed at the reduction of preservation and/or is-chemia/reperfusion injury)\n- - all combined allocations other than pancreas and kidney\n- double kidney transplantation\n- - pancreas re-transplantation\n- - machine perfusion"}
Endpoints
Primary endpoints
- {"endpoint_text":"- kidney: delayed graft function has been picked as the main endpoint","definition_or_measurement_approach":""}
- {"endpoint_text":"- liver: The success of liver transplantation is determined by the area under the curve of GPT (ALT) measurements over the first 7 days after implantation (AUC)","definition_or_measurement_approach":"Area under the curve of GPT (ALT) measurements over the first 7 days after implantation (AUC)"}
Secondary endpoints
- {"endpoint_text":"- Kidney 1. Incidence of primary poor function (creatinine at 3 month: >250 mol/l)","definition_or_measurement_approach":"Creatinine at 3 months: >250 µmol/l (defines primary poor function)"}
- {"endpoint_text":"- Kidney 2. Serum creatinine, creatinine MDRD clearance, urea, and hemoglobin after 3 months","definition_or_measurement_approach":"Laboratory measures at 3 months: serum creatinine, creatinine MDRD clearance, urea, hemoglobin"}
- {"endpoint_text":"- kidney 3. Requirement of dialysis until 3 month after transplantation","definition_or_measurement_approach":"Requirement of dialysis up to 3 months post-transplant"}
- {"endpoint_text":"- kidney 4. Biopsy proven rejections","definition_or_measurement_approach":"Biopsy-proven rejection episodes"}
- {"endpoint_text":"- 1. Absolute peak LDH within 7 days after transplantation","definition_or_measurement_approach":"Measure peak LDH within first 7 days post-transplant"}
- {"endpoint_text":"- liver 2. Moment (day) of peak GPT and peak LDH","definition_or_measurement_approach":"Day of peak GPT (ALT) and LDH after transplantation"}
- {"endpoint_text":"- liver 3. Serum bilirubin, GOT, GPT, LDH, total albumin and PT at 3 months","definition_or_measurement_approach":"Laboratory panel at 3 months: bilirubin, GOT, GPT, LDH, albumin, PT"}
- {"endpoint_text":"- liver 4. Biliary complications: number of episodes of cholestasis, therapy for chol-angitis, episodes of biliary leakage and intrahepatic and/or extrahepatic bil-iary strictures","definition_or_measurement_approach":"Count of biliary complication events (cholestasis, cholangitis therapy, leakage, strictures)"}
- {"endpoint_text":"- Pancreas 1. Insulin requirements on days 3 and 30 and after 3 months","definition_or_measurement_approach":"Insulin dose requirements measured on day 3, day 30 and at 3 months"}
- {"endpoint_text":"- pancreas 2. α-amylase, lipase, C-reactive protein (CRP) at 1 und 3 days","definition_or_measurement_approach":"Laboratory measures on day 1 and day 3: α-amylase, lipase, CRP"}
- {"endpoint_text":"- pancreas 3. C-peptide and HBA1c at day 30 and 3 months","definition_or_measurement_approach":"C-peptide and HbA1c measured at day 30 and at 3 months"}
- {"endpoint_text":"- pancreas 4. Pancreatic complications: graft pancreatitis, anastomotic leak, vascular complications (thrombosis, stenosis, bleeding)","definition_or_measurement_approach":"Count and classification of pancreatic graft complications"}
- {"endpoint_text":"- pancreas 5. Fasting glucose at 3 months","definition_or_measurement_approach":"Fasting glucose measurement at 3 months"}
Recruitment
- Planned Sample Size
- 362
- Recruitment Window Months
- 83
- Consent Approach
- Informed consent required: 'recipients' signed informed consent before the transplantation'. Subject information and informed consent forms available for publication (e.g. L1_SIS and ICF Master_public; L1_SIS and ICF Living Donor Master_public). Vulnerable population not selected. No details on assent, specific age-stratified documents or languages are provided in the available CTIS metadata.
Geography
- Total Number Of Sites
- 4
- Total Number Of Participants
- 362
Austria
- Latest Decision Or Authorization Date
- 09-12-2025
- Number Of Sites
- 4
- Number Of Participants
- 362
Sites
- Site Name
- Medical University Of Vienna
- Department Name
- Department of Surgery
- Principal Investigator Name
- Georg Györi
- Principal Investigator Email
- georg.gyoeri@meduniwien.ac.at
- Contact Person Name
- Georg Györi
- Contact Person Email
- georg.gyoeri@meduniwien.ac.at
- Site Name
- Medical University Of Graz
- Department Name
- Department of Surgery
- Principal Investigator Name
- Philipp Stiegler
- Principal Investigator Email
- philipp.stiegler@medunigraz.at
- Contact Person Name
- Philipp Stiegler
- Contact Person Email
- philipp.stiegler@medunigraz.at
- Site Name
- Ordensklinikum Linz GmbH
- Department Name
- Department of Surgery
- Principal Investigator Name
- Matthias Biebl
- Principal Investigator Email
- matthias.biebl@ordensklinikum.at
- Contact Person Name
- Matthias Biebl
- Contact Person Email
- matthias.biebl@ordensklinikum.at
- Site Name
- Medizinische Universitaet Innsbruck
- Department Name
- Department of Surgery
- Principal Investigator Name
- Stefan Schneeberger
- Principal Investigator Email
- stefan.schneeberger@i-med.ac.at
- Contact Person Name
- Stefan Schneeberger
- Contact Person Email
- stefan.schneeberger@i-med.ac.at
Sponsor
Primary sponsor
- Full Name
- Dr. Franz Koehler Chemie GmbH
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Germany
Investigational products
- Investigational Product Name
- Custodiol-N
- Active Substance
- ALANINE, ARGININE, DEFEROXAMINE, HISTIDINE, ASPARTIC ACID, GLYCINE, TRYPTOPHAN, SUCROSE, CALCIUM, MAGNESIUM, POTASSIUM, SODIUM, N-HYDROXY-3,4-DIMETHOXY-N-METHYL-BENZAMIDE, N-ACETYLHISTIDINE, CHLORIDE ION, OXOGLURIC ACID
- Modality
- Small molecule
- Routes Of Administration
- INFILTRATION
- Route
- INFILTRATION
- Maximum Dose
- 3 l
- Investigational Product Name
- CUSTODIOL® - Perfusionslösung
- Active Substance
- MANNITOL, TRYPTOPHAN, MAGNESIUM CHLORIDE HEXAHYDRATE, POTASSIUM CHLORIDE, SODIUM CHLORIDE, CALCIUM CHLORIDE DIHYDRATE, L-HISTIDINE, L-HISTIDINE HYDROCHLORIDE, OXOGLURIC ACID
- Modality
- Small molecule
- Routes Of Administration
- INFILTRATION
- Route
- INFILTRATION
- Authorisation Status
- Marketing authorisation (AT) number 1-20642
- Maximum Dose
- 3 l
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