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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02868229
Other study ID # NN6018-4791
Secondary ID
Status Completed
Phase Phase 1/Phase 2
First received
Last updated
Start date September 12, 2016
Est. completion date December 11, 2018

Study information

Verified date July 2021
Source Novo Nordisk A/S
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a randomized, double-blind, placebo-controlled trial designed to evaluate the safety, pharmacokinetics, and pharmacodynamic effects of multiple doses of COR-001 or placebo


Recruitment information / eligibility

Status Completed
Enrollment 61
Est. completion date December 11, 2018
Est. primary completion date December 11, 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility INCLUSION CRITERIA 1. Age greater than or equal to 18 years at the time of signing of the ICF. 2. The patient agrees to comply with the contraception and reproduction restrictions of the study 3. Receiving intravenous (IV) or subcutaneous (SC) erythropoietin stimulating agents (ESA) drugs continuously prescribed for a minimum of 8 weeks prior to Screening 4. At least 2 ferritin values during Screening > 300 ng/mL 5. At least 2 transferrin saturation (TSAT) values during Screening between 15% and 50% (inclusive) EXCLUSION CRITERIA: 1. Use of systemic immunosuppressive drugs during the Screening Period or anticipated use of such drugs any time during the study 2. Clinical evidence or suspicion of active or smoldering infection by clinical or serologic criteria 3. Actively treated or active malignancy 4. Known or suspected occult or active bleeding 5. Received a red blood cell or whole blood transfusion within 2 months prior to Screening or anticipated to receive a blood transfusion at any time during the study

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
COR-001

Other:
Placebo


Locations

Country Name City State
United States Novo Nordisk Investigational Site Astoria New York
United States Novo Nordisk Investigational Site Augusta Georgia
United States Novo Nordisk Investigational Site Chicago Illinois
United States Novo Nordisk Investigational Site Fresh Meadows New York
United States Novo Nordisk Investigational Site Great Neck New York
United States Novo Nordisk Investigational Site Hollywood Florida
United States Novo Nordisk Investigational Site Houston Texas
United States Novo Nordisk Investigational Site North Brunswick New Jersey
United States Novo Nordisk Investigational Site Northridge California
United States Novo Nordisk Investigational Site Providence Rhode Island
United States Novo Nordisk Investigational Site San Antonio Texas
United States Novo Nordisk Investigational Site Tampa Florida

Sponsors (1)

Lead Sponsor Collaborator
Novo Nordisk A/S

Country where clinical trial is conducted

United States, 

References & Publications (1)

Pergola PE, Devalaraja M, Fishbane S, Chonchol M, Mathur VS, Smith MT, Lo L, Herzog K, Kakkar R, Davidson MH. Ziltivekimab for Treatment of Anemia of Inflammation in Patients on Hemodialysis: Results from a Phase 1/2 Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial. J Am Soc Nephrol. 2021 Jan;32(1):211-222. doi: 10.1681/ASN.2020050595. Epub 2020 Dec 3. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Characterization of Maximum Tolerated Dose (MTD) The MTD assessment was based on safety data. If more than 2 of 8 active participants in a cohort experience a Dose-Limiting Toxicities (DLT), the MTD was considered to have been exceeded. The DLT threshold was defined using a threshold of greater than or equal to (>=) Grade 3 events, which includes severe: infusion-related reactions, cardiopulmonary infusion reactions, anaphylaxis, or hypersensitivity.
DLTs are defined as follows:
Confirmed Grade 3 neutropenia and representing a decline of > 25% from baseline
Serious adverse events (SAEs) of infection in the presence of confirmed Grade 2 or higher new onset lymphopenia or new onset neutropenia.
= Grade 3 ALT (Alanine transaminase) or AST(Aspartate transaminase)
= Grade 4 hematologic toxicity
= Grade 3 non-hematologic toxicity
Weeks 0-24
Primary Change in High-sensitivity C-reactive Protein (hsCRP): Week 4 Change from the baseline in hsCRP values to week 4 are presented. From baseline (mean of screening and day 1) to week 4
Primary Change in Serum Amyloid A (SAA): Week 4 Change from the baseline in serum amyloid A (SAA) values to week 4 are presented. From baseline (mean of screening and day 1) to week 4
Secondary Number of Adverse Events of Special Interest Frequency of events of interest by treatment group and dose from baseline until the end of the safety follow-up period (week 24) were reported. Adverse events of special interest included severe infusion-related reactions, hypersensitivity reaction during study drug infusion, anaphylaxis and neutropenia events of grade 2 or higher (i.e., absolute neutrophil count <1500/mm^3 and decline by at least 25% from baseline). Weeks 0-24
Secondary Number of Treatment Emergent Adverse Events (TEAEs) An AE (adverse event) is any undesirable event or any untoward medical occurrence that occurs to a participant during the course of a study, or the protocol-defined time after study termination, whether or not that event is considered Study Drug-related. A TEAE was defined as an AE that initiated or worsened on or after the date of first dose of study drug up to the end of study. Number of TEAEs from baseline until the end of safety follow up (week 24) were presented. Week 0-24
Secondary Electrocardiogram (ECG) A summary of the overall ECG interpretation and clinical significance from baseline until the end of the safety follow up period (week 24) is presented and categorized as Normal, Abnormal clinically significant (CS), Abnormal non clinically significant (NCS) and Missing. At baseline, week 6, week 12, week 18 and week 24
Secondary Number of Participants Who Developed Anti-drug Antibodies (ADAs) Number of participants who developed ADAs from baseline until the end of the extended follow up period (week 35) were reported. Samples with detectable ADAs were classified as positive for ADAs. Samples without detectable ADAs were classified as negative for ADAs. Weeks 0-35
Secondary Number of Participants With ADA Titers Number of participants with ADA titers for ADA-positive samples from baseline to week 35 is presented. Weeks 0-35
Secondary Number of Participants With Neutralizing ADAs Number of participants with neutralizing ADAs from baseline to week 35 are presented. From baseline (mean of screening and week 1) to week 35
Secondary Change in Transferrin Saturation (TSAT): Week 4 Change from baseline in TSAT to week 4 is presented. From baseline (mean of screening and day 1) to week 4
Secondary Change in TSAT: Mean of Weeks 10-12 Change from baseline in TSAT to the mean of weeks 10-12 is presented. From baseline (mean of screening and day 1), week 10, week 12
Secondary Change in Reticulocyte Hemoglobin (CHr): Week 4 Change from baseline in CHr to week 4 is presented. From baseline (mean of screening and day 1) to week 4
Secondary Change in High Sensitivity C-reactive Protein (Hs-CRP): Mean of 10-12 Weeks Change from baseline in hs-CRP to the mean of 10-12 weeks is presented. From baseline (mean of screening and day 1), week 10, week 12
Secondary Change in SAA: Mean of Weeks 10-12 Change from baseline in SAA to the mean of weeks 10-12 is presented. From baseline (mean of screening and day 1), week 10, week 12
Secondary Change in Serum Pre-albumin: Mean of 10-12 Weeks Change from baseline in serum pre-albumin to the mean of 10-12 weeks is presented. From baseline (mean of screening and day 1), week 10, week 12
Secondary Change in Albumin: Week 12 Change from baseline in albumin to week 12 is presented. From baseline (mean of screening and day 1) to week 12
Secondary Change in Erythropoietin Resistance Index (ERI): Week 4 Change from baseline in ERI to week 4 is presented. ERI is defined as the epoetin alfa-equivalent dose (weight-based per week in U/kg) divided by the serum hemoglobin (in g/dL). From baseline (weekly mean of screening) to week 4
Secondary Change in ERI: Mean of Weeks 8-12 Change from baseline in ERI to the mean of weeks 8-12 is presented. ERI is defined as the epoetin alfa-equivalent dose (weight-based per week in U/kg) divided by the serum hemoglobin (in g/dL). From baseline (weekly mean of screening), week 8, week 12
Secondary Change in ERI: Mean of Weeks 10-12 Change from baseline in ERI to the mean of weeks 10-12 is presented. ERI is defined as the epoetin alfa-equivalent dose (weight-based per week in U/kg) divided by the serum hemoglobin (in g/dL). From baseline (weekly mean of screening), week 10, week 12
Secondary Change in CHr: Mean of Weeks 10-12 Change from baseline in CHr to the mean of weeks 10-12 is presented. From baseline (mean of screening and day 1), week 10, week 12
Secondary Change in Hemoglobin: Week 4 Change from baseline in hemoglobin to week 4 is presented. From baseline (mean of screening and day 1) to week 4
Secondary Change in Hemoglobin: Mean of Weeks 10-12 Change from baseline in hemoglobin to weeks 10-12 is presented. From baseline (mean of screening and day 1), week 10, week 12
Secondary Change in Hemoglobin: Mean of Weeks 10-12, Excluding Hemoglobin Values Following a Change in the Total Weekly ESA Dose Change from baseline in hemoglobin to weeks 10-12, excluding hemoglobin values following a change in the total weekly ESA (erythropoiesis stimulating agent) dose is presented. A change is defined as the first time when the ESA weekly dose goes up by >25% or down by >25% relative to the previous week's dose. From baseline (mean of screening and day 1), week 10, week 12
Secondary Change in ERI: Week 12 Change from baseline in ERI to week 12 is presented. ERI is defined as the epoetin alfa-equivalent dose (weight-based per week in U/kg) divided by the serum hemoglobin (in g/dL). From baseline (weekly mean of screening) to week 12
Secondary Change in ERI: Mean of Weeks 9-12 Change from baseline in ERI to the mean of weeks 9-12 is presented. ERI is defined as the epoetin alfa-equivalent dose (weight-based per week in U/kg) divided by the serum hemoglobin (in g/dL). From baseline (weekly mean of screening), week 9, week 12
Secondary Change in Hemoglobin: Week 12 Change from baseline in hemoglobin to week 12 is presented. From baseline (mean of screening and day 1) to week 12
Secondary Change in Hemoglobin: Week 24 Change from baseline in hemoglobin to week 24 is presented. From baseline (mean of screening and day 1) to week 24
Secondary Change in Hemoglobin From Screening to Peak Hemoglobin: Week 4 Change in hemoglobin from screening to peak hemoglobin at week 4 is presented. From screening to week 4
Secondary Basophils: Week 12 The observed values of basophils at week 12 are presented. At week 12
Secondary Basophil: Week 24 The observed values of basophils at week 24 are presented. At week 24
Secondary Basophils to Leukocytes Ratio: Week 12 Basophils to leukocytes ratio at week 12 is presented. At week 12
Secondary Basophils to Leukocytes Ratio: Week 24 Basophils to leukocytes ratio at week 24 is presented. At week 24
Secondary Eosinophils: Week 12 The observed values of eosinophils at week 12 are presented. At week 12
Secondary Eosinophils: Week 24 The observed values of eosinophils at week 24 are presented. At week 24
Secondary Eosinophils to Leukocytes Ratio: Week 12 Eosinophils to leukocytes ratio at week 12 is presented. At week 12
Secondary Eosinophils to Leukocytes Ratio: Week 24 The eosinophils to leukocytes ratio at week 24 is presented. At week 24
Secondary Erythrocyte Mean Corpuscular Hemoglobin: Week 12 The observed values of erythrocyte mean corpuscular hemoglobin at week 12 are presented. At week 12
Secondary Erythrocyte Mean Corpuscular Hemoglobin: Week 24 The observed values of erythrocyte mean corpuscular hemoglobin at week 24 are presented. At week 24
Secondary Erythrocyte Mean Corpuscular Hemoglobin (HGB) Concentration: Week 12 The observed values of erythrocyte mean corpuscular HGB concentration at week 12 are presented. At week 12
Secondary Erythrocyte Mean Corpuscular HGB Concentration: Week 24 The observed values of erythrocyte mean corpuscular HGB concentration at week 24 are presented. At week 24
Secondary Erythrocyte Mean Corpuscular Volume: Week 12 The observed values of erythrocyte mean corpuscular volume at week 12 are presented. At week 12
Secondary Erythrocyte Mean Corpuscular Volume: Week 24 The observed values of erythrocyte mean corpuscular volume at week 24 are presented. At week 24
Secondary Erythrocytes: Week 12 The observed values of erythrocytes at week 12 are presented. At week 12
Secondary Erythrocytes: Week 24 The observed values of erythrocytes at week 24 are presented. At week 24
Secondary Hematocrit: Week 12 The observed values of hematocrit at week 12 are presented. At week 12
Secondary Hematocrit: Week 24 The observed values of hematocrit at week 24 are presented. At week 24
Secondary Hemoglobin: Week 12 The observed values of hemoglobin at week 12 are presented. At week 12
Secondary Hemoglobin: Week 24 The observed values of hemoglobin at week 24 are presented. At week 24
Secondary Hypochromatic Red Cells Week 12 The observed values of hypochromatic red cells at week 12 are presented. At week 12
Secondary Hypochromatic Red Cells: Week 24 The observed values of hypochromatic red cells at week 24 are presented. At week 24
Secondary Leukocytes: Week 12 The observed values of leukocytes at week 12 are presented. At week 12
Secondary Leukocytes: Week 24 The observed values of leukocytes at week 24 are presented. At week 24
Secondary Lymphocytes: Week 12 The observed values of lymphocytes at week 12 are presented. At week 12
Secondary Lymphocytes: Week 24 The observed values of lymphocytes at week 24 are presented. At week 24
Secondary Lymphocytes to Leukocytes Ratio: Week 12 Lymphocytes to leukocytes ratio at week 12 is presented. At week 12
Secondary Lymphocytes to Leukocytes Ratio at Week 24 Lymphocytes to leukocytes ratio at week 24 is presented. At week 24
Secondary Monocytes: Week 12 The observed values of monocytes at week 12 are presented. At week 12
Secondary Monocytes: Week 24 The observed values of monocytes at week 24 are presented. At week 24
Secondary Monocytes to Leukocytes Ratio: Week 12 Monocytes to leukocytes ratio at week 12 is presented. At week 12
Secondary Monocytes to Leukocytes Ratio: Week 24 Monocytes to leukocytes ratio at week 24 is presented. At week 24
Secondary Neutrophils: Week 12 The observed values of neutrophils at week 12 are presented. At week 12
Secondary Neutrophils: Week 24 The observed values of neutrophils at week 24 are presented. At week 24
Secondary Neutrophils to Leukocytes Ratio: Week 12 Neutrophils to leukocytes ratio at week 12 is presented. At week 12
Secondary Neutrophils to Leukocytes Ratio: Week 24 Neutrophils to leukocytes ratio at week 24 is presented. At week 24
Secondary Platelets: Week 12 The observed values of platelets at week 12 are presented. At week 12
Secondary Platelets: Week 24 The observed values of platelets at week 24 are presented. At week 24
Secondary Reticulocytes to Erythrocytes Ratio: Week 12 Reticulocytes to erythrocytes ratio at week 12 is presented. At week 12
Secondary Reticulocytes to Erythrocytes Ratio: Week 24 Reticulocytes to erythrocytes ratio at week 24 is presented. At week 24
Secondary Alanine Aminotransferase: Week 12 The observed values of alanine aminotransferase at week 12 are presented. At week 12
Secondary Alanine Aminotransferase: Week 24 The observed values of alanine aminotransferase at week 24 are presented. At week 24
Secondary Albumin: Week 12 The observed values of albumin at week 12 are presented. At week 12
Secondary Albumin: Week 24 The observed values of albumin at week 24 are presented. At week 24
Secondary Alkaline Phosphatase: Week 12 The observed values of alkaline phosphatase at week 12 are presented. At week 12
Secondary Alkaline Phosphatase: Week 24 The observed values of alkaline phosphatase at week 24 are presented. At week 24
Secondary Aspartate Aminotransferase: Week 12 The observed values of aspartate aminotransferase at week 12 are presented. At week 12
Secondary Aspartate Aminotransferase: Week 24 The observed values of aspartate aminotransferase at week 24 are presented. At week 24
Secondary Bicarbonate: Week 12 The observed values of bicarbonate at week 12 are presented. At week 12
Secondary Bicarbonate: Week 24 The observed values of bicarbonate at week 24 are presented. At week 24
Secondary Bilirubin: Week 12 The observed values of bilirubin at week 12 are presented. At week 12
Secondary Bilirubin: Week 24 The observed values of bilirubin at week 24 are presented. At week 24
Secondary Calcium: Week 12 The observed values of calcium at week 12 are presented. At week 12
Secondary Calcium: Week 24 The observed values of calcium at week 24 are presented. At week 24
Secondary Chloride: Week 12 The observed values of chloride at week 12 are presented. At week 12
Secondary Chloride: Week 24 The observed values of chloride at week 24 are presented. At week 24
Secondary Cholesterol: Week 12 The observed values of cholesterol at week 12 are presented. At week 12
Secondary Cholesterol: Week 24 The observed values of cholesterol at week 24 are presented. At week 24
Secondary Creatinine: Week 12 The observed values of creatinine at week 12 are presented. At week 12
Secondary Creatinine: Week 24 The observed values of creatinine at week 24 are presented. At week 24
Secondary Direct Bilirubin: Week 12 The observed values of direct bilirubin at week 12 are presented. At week 12
Secondary Direct Bilirubin: Week 24 The observed values of direct bilirubin at week 24 are presented. At week 24
Secondary Glucose: Week 12 The observed values of glucose at week 12 are presented. At week 12
Secondary Glucose: Week 24 The observed values of glucose at week 24 are presented. At week 24
Secondary High-density Lipoprotein (HDL) Cholesterol: Week 12 The observed values of HDL cholesterol at week 12 are presented. At week 12
Secondary HDL Cholesterol: Week 24 The observed values of HDL cholesterol at week 24 are presented. At week 24
Secondary Hepcidin-25: Week 12 The observed values of hepcidin-25 at week 12 are presented. At week 12
Secondary Hepcidin-25: Week 24 The observed values of hepcidin-25 at week 24 are presented. At week 24
Secondary Low-density Lipoproteins (LDL) Cholesterol: Week 12 The observed values of LDL cholesterol at week 12 are presented. At week 12
Secondary LDL Cholesterol: Week 24 The observed values of LDL cholesterol at week 24 are presented. At week 24
Secondary Lipoprotein-a: Week 12 The observed values of lipoprotein-a at week 12 are presented. At week 12
Secondary Lipoprotein-a: Week 24 The observed values of lipoprotein-a at week 24 are presented. At week 24
Secondary Phosphate: Week 12 The observed values of phosphate at week 12 are presented. At week 12
Secondary Phosphate: Week 24 The observed values of phosphate at week 24 are presented. At week 24
Secondary Potassium: Week 12 The observed values of potassium at week 12 are presented. At week 12
Secondary Potassium: Week 24 The observed values of potassium at week 24 are presented. At week 24
Secondary Sodium: Week 12 The observed values of sodium at week 12 are presented. At week 12
Secondary Sodium: Week 24 The observed values of sodium at week 24 are presented. At week 24
Secondary Triglycerides: Week 12 The observed values of triglyceride at week 12 are presented. At week 12
Secondary Triglycerides: Week 24 The observed values of triglycerides at week 24 are presented. At week 24
Secondary Urea Nitrogen: Week 12 The observed values of urea nitrogen at week 12 are presented. At week 12
Secondary Urea Nitrogen: Week 24 The observed values of urea nitrogen at week 24 are presented. At week 24
Secondary Pre-dialysis Body Mass Index (BMI): Week 12 Pre-dialysis BMI values at week 12 are presented. At week 12
Secondary Pre-infusion BMI: Week 11 Pre-infusion BMI values at week 11 are presented. At week 11
Secondary Pre-dialysis Diastolic Blood Pressure: Week 12 Pre-dialysis diastolic blood pressure values at week 12 are presented. At week 12
Secondary Pre-dialysis Diastolic Blood Pressure: Week 24 Pre-dialysis diastolic blood pressure values at week 24 are presented. At week 24
Secondary Pre-infusion Diastolic Blood Pressure: Week 11 Pre-infusion diastolic blood pressure values at week 11 are presented. At week 11
Secondary Pre-dialysis Heart Rate: Week 12 Pre-dialysis heart rate values at week 12 are presented. At week 12
Secondary Pre-dialysis Heart Rate: Week 24 Pre-dialysis heart rate values at week 24 are presented. At week 24
Secondary Pre-infusion Heart Rate: Week 11 Pre-infusion heart rate values at week 11 are presented. At week 11
Secondary Pre-dialysis Respiration Rate: Week 12 Pre-dialysis respiration rate values at week 12 are presented. At week 12
Secondary Pre-dialysis Respiration Rate: Week 24 Pre-dialysis respiration rate values at week 24 are presented. At week 24
Secondary Pre-infusion Respiration Rate: Week 11 Pre-infusion respiration rate values at week 11 are presented. At week 11
Secondary Pre-dialysis Systolic Blood Pressure: Week 12 Pre-dialysis values of systolic blood pressure at week 12 are presented. At week 12
Secondary Pre-dialysis Systolic Blood Pressure: Week 24 Pre-dialysis values of systolic blood pressure at week 24 are presented. At week 24
Secondary Pre-infusion Systolic Blood Pressure: Week 11 Pre-infusion systolic blood pressure values at week 11 are presented. At week 11
Secondary Pre-dialysis Weight: Week 12 Pre-dialysis weight values at week 12 are presented. At week 12
Secondary Pre-infusion Weight: Week 11 Pre-infusion weight values at week 11 are presented. At week 11
Secondary Pre-dialysis Temperature: Week 12 Pre-dialysis temperature values at week 12 are presented. At week 12
Secondary Pre-dialysis Temperature: Week 24 Pre-dialysis temperature values at week 24 are presented. At week 24
Secondary Pre-infusion Temperature: Week 11 Pre-infusion temperature values at week 11 are presented. At week 11
Secondary Area Under the Serum Concentration Time Curve From Time 0 to Infinity (AUC 0-a) of COR-001 Area under the serum concentration time curve from time 0 to infinity (AUC 0-a) of COR-001 is presented. Week 1 (day 1, 3, and 5), Week 2 (day 8), Week 3 (day 15), Week 5 (day 29), Week 7 (day 43), Week 8 (day 50), Week 9 (day 57), Week 11 (day 71 and 75), Week 14 (day 92), Week 18 (day 120) and Week 35 (day 239).
Secondary Elimination Half-life in the Initial Phase (t 1/2,a) Elimination half-life in the initial phase (t 1/2,a) is presented from week 0 to week 35. Week 1 (day 1, 3, and 5), Week 2 (day 8), Week 3 (day 15), Week 5 (day 29), Week 7 (day 43), Week 8 (day 50), Week 9 (day 57), Week 11 (day 71 and 75), Week 14 (day 92), Week 18 (day 120) and Week 35 (day 239).
Secondary Elimination Half-life in the Terminal Phase (t 1/2, z) Elimination half-life in the terminal phase(t 1/2, z) is presented from week 0 to week 35. Week 1 (day 1, 3, and 5), Week 2 (day 8), Week 3 (day 15), Week 5 (day 29), Week 7 (day 43), Week 8 (day 50), Week 9 (day 57), Week 11 (day 71 and 75), Week 14 (day 92), Week 18 (day 120) and Week 35 (day 239).
Secondary Maximum Serum Concentration (Cmax) Maximum serum concentration (Cmax) of COR-001 from week 0 to week 35 is presented. Week 1 (day 1, 3, and 5), Week 2 (day 8), Week 3 (day 15), Week 5 (day 29), Week 7 (day 43), Week 8 (day 50), Week 9 (day 57), Week 11 (day 71 and 75), Week 14 (day 92), Week 18 (day 120) and Week 35 (day 239).
Secondary Impact of ADAs on Pharmacokinetics Presence of ADA was a covariate for pharmacokinetics (PK) affecting V1 (volume of distribution for the central compartment). Impact of ADAs on V1 from baseline to week 35 is presented. In the below table, result presented is the bootstrap parameter estimate of the effect of ADA on V1 for a PK model that includes data for all arms combined. Week 1 (day 1, 3, and 5), Week 2 (day 8), Week 3 (day 15), Week 5 (day 29), Week 7 (day 43), Week 8 (day 50), Week 9 (day 57), Week 11 (day 71 and 75), Week 14 (day 92), Week 18 (day 120) and Week 35 (day 239).
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