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
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

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

Related trials

Other published trials that may interest you.