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Clinical Trials List

Protocol NumberALXN1210-CSA-AKI-318
NCT Number(ClinicalTrials.gov Identfier)NCT05746559
Active

2023-03-01 - 2025-10-12

Phase III

Not yet recruiting4

Recruiting3

ICD-10N17.0

Acute kidney failure with tubular necrosis

ICD-9584.5

Acute renal failure, with lesion of tubular necrosis

ARTEMIS: RAvulizumab to PRotect PaTients With Chronic Kidney DisEase (CKD) froM Cardiac Surgery Associated Acute Kidney Injury (CSA-AKI) and Subsequent Major Adverse Kidney Events (MAKE): A Phase 3, Randomized, Double-blind, Placebo-controlled, Multicenter Study

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator You-Cian Lin Division of Cardiovascular Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator 施俊哲 Division of Cardiovascular Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator 王志鴻 Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Principal Investigator 邱冠明 Division of Cardiovascular Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Jun-Neng Roan Division of Cardiovascular Surgery

Co-Principal Investigator

  • 蔡孟達 Division of Cardiovascular Surgery
  • 胡祐寧 Division of Cardiovascular Surgery
  • 王怡蓁 Division of Cardiovascular Surgery

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator NAI-HSIN CHI Division of Cardiovascular Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 許俊傑 Division of Cardiovascular Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Not yet recruiting

Condition/Disease

PaTients with Chronic Kidney DisEase (CKD) froM Cardiac Surgery Associated Acute Kidney Injury (CSA-AKI) and Subsequent Major Adverse Kidney Events (MAKE)

Objectives

Evaluating the efficacy of ravulizumab in reducing the risk of MAKE90 after CPB

Test Drug

Ravulizumab

Active Ingredient

Ravulizumab

Dosage Form

IV Infusion

Dosage

10mg/mL

Endpoints

‧ Treatment: ravulizumab or placebo
‧ Ethnic group: Adult participants with CKD as defined by inclusion and exclusion criteria
‧ Indicator/variable: MAKE on day 90 after CPB (MAKE90), defined as meeting at least one of the following conditions:
o Decrease in estimated glomerular filtration rate (eGFR) from baseline (using CKD-EPI formula)
≥ 25% on the 90th day after CPB, or
o From the start of KRT to the 90th day after CPB, or
o Death from any cause up to day 90 after CPB
‧ Concurrent events (IE):
o IE1: Exposure to iodinated contrast media after treatment administration until day 90 post-CPB
o IE2: Surgery without CPB, or surgery with CPB not performed within 15 days of treatment administration
o IE3: Use of interfering intervention before surgery or use of non-permissible intervention after treatment administration until day 90 post-CPB
Treatment Policy Strategy: Collected indicators will be analyzed regardless of IE.
‧ Summary Methods: Differences between treatment groups in the proportion of participants experiencing MAKE at 90 days post-CPB
, regardless of whether any IE occurs.

Inclution Criteria

Inclusion Criteria:

Participant weighs ≥ 30 kg
Planned non-emergent sternotomy with CPB procedure for the following surgeries:
Multi-vessel CABG
Valve replacement or repair; ascending aorta surgery permitted if combined with aortic valve replacement/repair
Combined CABG and valve surgery; inclusion of single-vessel CABG when combined with valve replacement/repair is permitted
Known CKD for at least 90 days (CKD Stage 3A, 3B, or 4)

Exclusion Criteria

Exclusion Criteria:

Emergency or salvage cardiac surgery is expected at screening or randomization, as assessed by the Investigator.
Single-vessel CABG without valve surgery is planned.
Off-pump surgery is planned (eg, surgery without CPB).
Recipient of a solid organ or bone marrow transplantation.
Cardiogenic shock, hemodynamic instability, use of intra-aortic balloon pump, extracorporeal membrane oxygenation, or left ventricular assist device within 72 hours of randomization.
Active systemic bacterial, viral, or fungal infection within 14 days prior to randomization.
History of unexplained, recurrent infection.
Any use of KRT or presence of AKI within 30 days of randomization
Use of any complement inhibitors, or plasmapheresis or plasma exchange within the year prior to Screening, or planned use during the course of the study.
Participant is not willing to be vaccinated against N meningitidis or is unwilling to receive prophylactic treatment with appropriate antibiotics, if needed
History of or unresolved N meningitidis infection.

The Estimated Number of Participants

  • Taiwan

    56 participants

  • Global

    736 participants