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Clinical Trial Details — Status: Withdrawn

Administrative data

NCT number NCT01893658
Other study ID # 12-006797
Secondary ID
Status Withdrawn
Phase Phase 2
First received
Last updated
Start date June 1, 2018
Est. completion date September 28, 2018

Study information

Verified date December 2018
Source Mayo Clinic
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The investigators goal is to evaluate the role of XOLAIR® in treatment of Acute Tubulointerstitial Nephritis (AIN) with the goal of shortening the duration and dose of prednisone for treatment of drug-induced AIN. Currently there is no good treatment for drug-induced AIN. Prednisone is the standard treatment but is associated with many side-effects when used long-term and at high doses.


Recruitment information / eligibility

Status Withdrawn
Enrollment 0
Est. completion date September 28, 2018
Est. primary completion date September 28, 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

1. Adult subjects > 18 years old of both genders

2. Biopsy proven acute interstitial nephritis in the native kidneys without evidence of ischemic or glomerular pathology in the biopsy

3. Normal baseline creatinine defined as estimated GFR = 60 ml/min/SA based on MDRD calculation within 1 year prior to renal biopsy

4. Serum creatinine elevation of > 0.3 mg/dL and/or doubling of serum creatinine compared to most recent documented creatinine available (at least within the last year)

5. No immunosuppressants in the last three months including prednisone

6. Women of childbearing potential not using the contraception method can be included as this is a one time dosing and has no known long-term effects.

Exclusion Criteria:

1. Unwillingness to give consent

2. Patients who are Pregnant (positive serum pregnancy test for females) or breast feeding

3. Documented history of an autoimmune disease

4. Inability or unwillingness to take prednisone for the prescribed duration and/or dose

5. Subjects suspected to have non-drug-induced AIN

6. Subjects not meeting the inclusion criteria

7. Subjects with contraindication to administration of omalizumab

8. Prior use of omalizumab

9. Severe hypersensitivity to omalizumab or any component of the product

10. Known elevated IgE level from other disease processes

11. Subjects taking (nonsteroidal antiinflammatory drug) NSAIDs chronically

12. Use of any other investigational agents in the last 30 days

13. Patients with severe medical condition(s) including metastatic cancer, terminal congestive heart failure, severe ischemic heart disease or any other medical condition in which life expectancy is less than 6 months.

Study Design


Intervention

Drug:
Omalizumab
administration of a single dose together with the standard treatment
Prednisone
standard treatment

Locations

Country Name City State
United States Mayo Clinic Rochester Minnesota

Sponsors (2)

Lead Sponsor Collaborator
Mayo Clinic Genentech, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in serum creatinine Baseline to three months
Secondary Mean individual percentage drop in serum creatinine relative to entry creatinine levels baseline to 3 months
Secondary Percentage of subjects returning to their usual baseline creatinine (+25%) or below baseline to 3 months
Secondary Reduction in Neutrophil gelatinase-associated lipocalcin. 24 hours, 4 hours, and in 3 months after Xolair treatment baseline to 3 months
Secondary Percentage of subjects requiring renal replacement therapy baseline to 3 months
See also
  Status Clinical Trial Phase
Enrolling by invitation NCT04343417 - Biorepository to Support Research in Kidney Diseases
Not yet recruiting NCT05233241 - Identification of the Causative Drug in Drug-induced Acute Interstitial Nephritis N/A