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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