Clinical trial • Phase III • Other
LEVOCARNITINE, MAGNESIUM CHLORIDE HEXAHYDRATE, SODIUM CHLORIDE, CALCIUM CHLORIDE DIHYDRATE, GLUCOSE MONOHYDRATE, SODIUM LACTATE for End-stage kidney disease
Phase III trial of LEVOCARNITINE, MAGNESIUM CHLORIDE HEXAHYDRATE, SODIUM CHLORIDE, CALCIUM CHLORIDE DIHYDRATE, GLUCOSE MONOHYDRATE, SODIUM LACTATE for End…
Overview
- Trial Therapeutic Area
- Other
- Trial Disease
- End-stage kidney disease
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 19-03-2024
- First CTIS Authorization Date
- 08-04-2024
Trial design
open-label Phase III trial across 1 site in Italy.
- Open Label
- Yes
- Target Sample Size
- 20
- Trial Duration For Participant
- 84
Eligibility
Recruits 20 paediatric patients.
- Pregnancy Exclusion
- Female patients who are pregnant or breast-feeding or women of childbearing potential* not receiving adequate contraceptive methods
- Vulnerable Population
- Pediatric population selected (isVulnerablePopulationSelected = true). Inclusion requires "Provided written informed consent to participate in the study". No further details on assent, parental consent procedures, age-specific consent documents or available languages are provided in the record.
Inclusion criteria
- {"criterion_text":"- Male and female patients younger than 18 years old\n- Diagnosed with ESRD and in treatment with CAPD or APD for the last 6 months\n- L-carnitine plasma level ≤30 nmol/ml\n- Dwell volume from 800 ml/m2 to 1200 ml/m2 body surface\n- Have not experienced peritonitis episodes in the last 3 months\n- Provided written informed consent to participate in the study"}
Exclusion criteria
- {"criterion_text":"- Male and female patients ≥ 18 years old\n- Impeding/major abdominal surgery\n- Enrolment in another clinical trial involving medical or device based interventions during a) the 30 days before the screening or b) 5-times the halflife of the used investigational product (the longest period should be considered).\n- Ipersensibility to Glucose, L-Carnitine and other Glucothera Plus components\n- Evidence of any condition that, according to the investigators’ judgment, could expose the subject to undue risk and/or prevent the subject from participating in the study procedures and/or potentially affecting the study quality data.\n- Female patients who are pregnant or breast-feeding or women of childbearing potential* not receiving adequate contraceptive methods\n- Subjects with reduced efficiency of peritoneal dialysis due to anatomic anomalies or intraperitoneal adesions\n- Uncontrolled hyperphosphatemia\n- Participation in a clinical trial with an investigational drug within one month prior start of study. Prior participation in this trial\n- Suspicion of drug abuse\n- Severe pulmonary, cardiac or hepatic disease/insufficiency\n- Clinically significant abnormal liver function test (Gamma-GT > 4 times the upper normal limit and/or transaminases (AST and/or ALT) > 3 upper normal limits)\n- Any kind of malignancy\n- Lack of appropriate caregiver support"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Safety assesses on the basis of continuous Adverse Events reporting, including evaluation of blood pressure and weight","definition_or_measurement_approach":"Continuous adverse events reporting with monitoring/evaluation of blood pressure and weight"}
Secondary endpoints
- {"endpoint_text":"- Kt/V urea (V2 and V3)","definition_or_measurement_approach":"Kt/V urea measured at visits V2 and V3"}
- {"endpoint_text":"- 24h Peritoneal ultrafiltration (V2 and V3)","definition_or_measurement_approach":"24-hour peritoneal ultrafiltration measured at visits V2 and V3"}
- {"endpoint_text":"- 24h urinary volume (V2 and V3)","definition_or_measurement_approach":"24-hour urinary volume measured at visits V2 and V3"}
- {"endpoint_text":"- Peritoneal Equilibration Test (V2 and V3)","definition_or_measurement_approach":"Peritoneal Equilibration Test performed at visits V2 and V3"}
- {"endpoint_text":"- Residual Kidney Function (V2 and V3)","definition_or_measurement_approach":"Residual kidney function assessed at visits V2 and V3"}
- {"endpoint_text":"- Plasma L-carnitine (V1, V2 and V3)","definition_or_measurement_approach":"Plasma L-carnitine levels measured at visits V1, V2 and V3"}
- {"endpoint_text":"- Tolerability assessment - blood chemistry and hematology (V2, V3, V4)","definition_or_measurement_approach":"Tolerability assessed by blood chemistry and hematology panels at visits V2, V3 and V4"}
Recruitment
- Planned Sample Size
- 20
- Recruitment Window Months
- 9
- Consent Approach
- Written informed consent is required ('Provided written informed consent to participate in the study' is an inclusion criterion). No further details on assent, parental consent, age-specific consent documents or languages are provided in the record (Italian translations of some study texts are present).
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 20
Italy
- Earliest CTIS Part Ii Submission Date
- 23-02-2024
- Latest Decision Or Authorization Date
- 08-04-2024
- Processing Time Days
- 45
- Number Of Sites
- 1
- Number Of Participants
- 20
Sites
- Site Name
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
- Department Name
- UOC Nefrologia, Dialisi e Trapianto Pediatrico
- Contact Person Name
- Giovanni Montini
- Contact Person Email
- giovanni.montini@unimi.it
- Number Of Participants
- 20
Sponsor
Primary sponsor
- Full Name
- Iperboreal Pharma S.r.l.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Italy
Third parties
- {"country":"Italy","full_name":"Clinpharma S.r.l.","duties_or_roles":"code 8","organisation_type":"Pharmaceutical company"}
- {"country":"Italy","full_name":"Industria Farmaceutica Galenica Senese S.r.l.","duties_or_roles":"code 14","organisation_type":"Pharmaceutical company"}
- {"country":"Italy","full_name":"Fondazione Policlinico Universitario Agostino Gemelli IRCCS","duties_or_roles":"code 4","organisation_type":"Hospital/Clinic/Other health care facility"}
Investigational products
- Investigational Product Name
- GLUCOTHERA PLUS
- Active Substance
- LEVOCARNITINE, MAGNESIUM CHLORIDE HEXAHYDRATE, SODIUM CHLORIDE, CALCIUM CHLORIDE DIHYDRATE, GLUCOSE MONOHYDRATE, SODIUM LACTATE
- Modality
- Small molecule
- Routes Of Administration
- Intraperitoneal
- Route
- Intraperitoneal
- Authorisation Status
- prodAuthStatus 1
- Maximum Dose
- 25 % (V/V) percent volume/volume
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