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Clinical Trials List

Protocol NumberNOX-100-ORIENT201

2011-06-01 - 2014-12-31

Phase II

Terminated5

Study ended1

A Phase IIa study of safety and efficacy of NOX-100 for preventing hypotension in patients during hemodialysis sessions.

  • Trial Applicant

    Orient EuroPharma Co., Ltd. 

  • Sponsor

  • Trial scale

    Taiwan Multiple Center

  • Update

    2025/08/19

Investigators and Locations

Principal Investigator 李建德 Division of Nephrology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 江守山 Division of Nephrology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 李進昌 Division of Nephrology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 彭渝森 Division of Nephrology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 郭克林 Division of Nephrology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Chiu-Ching Huang Division of Nephrology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Study ended

Condition/Disease

hypotension in patients during hemodialysis sessions

Objectives

This study is designed to evaluate the safety, tolerability and efficacy profile of NOX-100 to reduce intradialytic hypotension (IDH) in patients undergoing chronic hemodialysis (HD). Safety objective: ¨ To evaluate the safety profile of NOX-100 IV during study period. Primary efficacy objective: ¨ To evaluate if NOX-100 can decrease the number of symptomatic hypotension* requiring intervention during HD. * Defined as a decrease in systolic blood pressure (SBP) > 20 mmHg associated with the onset of one or more of the following symptoms: headache, cramping, nausea, dizziness, light-headedness or visual changes. Secondary efficacy objectives: 1. To evaluate if NOX-100 can diminish the reduction in SBP during HD. 2. To evaluate if NOX-100 can delay the onset of symptoms of hypotension during HD. 3. To evaluate if NOX-100 can delay the need for treatment intervention to raise BP.

Test Drug

NOX-100

Active Ingredient

Dosage Form

Dosage

2

Endpoints

Safety endpoint:
Safety profile of NOX-100, including the incidence and severity of:
Adverse event
Serious adverse event

Primary efficacy endpoint:
Number of hypotension episode requiring intervention

Secondary efficacy endpoints:
1. Change in SBP during HD
2. Time to onset of symptoms of hypotension during HD
3. Time to conduct a treatment intervention to raise BP

Exploratory endpoint:
Clearance of NOX-100 under 0.4 mg/kg/hr treatment profile
Pre-dialysis blood level of NOX-100 at the 2nd dialysis under 1.2, 2.5, 5 and 10 mg/kg/hr treatment profile

Inclution Criteria

1. Males or non-pregnant, non-lactating females* 20-75 years of age (inclusive)
* Females of childbearing potential may be enrolled in the study but must be willing to use two effective forms of contraception, including at least one barrier method, during and one month after study participation.
2. Patients who are hemodialysis dependent with a history of end-stage renal disease (ESRD) for at least 3 months and needing at least three HD sessions per week
3. History of intradialytic hypotension* defined by at least 4 episodes of symptomatic hypotension requiring intervention in the month prior to enrollment/randomization
* Excluding those caused by a specific reason, such as dehydration, heart failure, medication(s) such as erythropoietin (EPO) or reasons other than dialysis.
4. No change in anti-hypertensive regimen for at least one month prior to enrollment/randomization
5. Be willing to sign the Informed Consent Form

Exclusion Criteria

1. Subjects with any of the following laboratory results at screening:
o Hgb  9 g/dl
o ALT or AST values > 3 x the upper limit of normal (ULN)
o Positive HCG, only in female of childbearing potential
2. Subjects with major psychiatric illness
3. Subjects with history of arrhythmia or severe congestive heart failure (New York
Heart Association (NYHA) Class III and IV), or those with hypoxic myocardium confirmed by EKG
4. Subjects with history of cirrhosis
5. Subjects with active infection disease defined as current treatment with antiinfection
agent(s)
6. Subjects who need to receive nitrate and nitrite medication(s) (such as nitroglycerin, isosorbide mononitrate, and isosorbide dinitrate) during study period.
7. Subjects who need to receive midodrine, etilefrine or amezinium treatment during study period.
8. More than 14 drinks of alcohol per week One drink = one bottle of beer (about 4.5% alcohol) or one glass of wine (about 12.9% alcohol) or one shot glass of distilled spirits (about 40% alcohol)
9. History of illegal drug use within the past 2 years
10. Use of any investigational drug or participation in any drug study within 30 days
prior to enrollment/randomization
11. Inability to understand the informed consent or to follow the protocol procedures
12. Any clinical condition, including the presence of laboratory abnormalities, which
places the subject at unacceptable risk to participate in the study or confounds
the ability to interpret data from the study as judged by the investigator

The Estimated Number of Participants

  • Taiwan

    75 participants

  • Global

    75 participants