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Clinical Trials List

Protocol NumberALXN1210-DGF-321
Active

2024-12-16 - 2029-12-31

Phase III

Recruiting4

ICD-10D89.810

Acute graft-versus-host disease

ICD-10D89.811

Chronic graft-versus-host disease

ICD-10D89.812

Acute on chronic graft-versus-host disease

ICD-10D89.813

Graft-versus-host disease, unspecified

ICD-10T86.10

Unspecified complication of kidney transplant

ICD-10T86.11

Kidney transplant rejection

ICD-10T86.12

Kidney transplant failure

ICD-10T86.13

Kidney transplant infection

ICD-10T86.19

Other complication of kidney transplant

ICD-9996.81

Complications of transplanted kidney

A Phase 3, Double-blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Ravulizumab Administered Intravenously in Adult Participants at High Risk of Delayed Graft Function after Kidney Transplantation

  • Trial Applicant

    台灣喜帝諮詢顧問有限公司

  • Sponsor

    台灣喜帝諮詢顧問有限公司

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator 王敘涵 Division of Urology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 鄭元佐 Division of Urology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Ping-Chin Lai Division of Nephrology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator YangJen Chiang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Kidney Transplantation

Objectives

Demonstrate the efficacy of ravulizumab vs placebo in reducing the severity of DGF as measured by time to freedom from dialysis in adult participants who are at high risk of DGF after undergoing transplant of deceased donor kidney

Test Drug

injection

Active Ingredient

ravulizumab

Dosage Form

27D

Dosage

100 mg/mL

Endpoints

Time to freedom from dialysis through 90 days
post-transplant as defined in Section 9.3.1.1.

Inclution Criteria

Participants are eligible to participate in the study only if all of the following criteria apply:
Age
1. ≥ 18 years of age at the time of signing the informed consent.
Type of Participant and Disease Characteristics
2. Diagnosed with dialysis-dependent ESKD
3. A candidate for kidney transplant from 1 of the following:
a. DCD donor;
b. DBD donor with KDPI score of ≥ 60%; or
c. DBD donor fulfilling the following criteria:
− 41 to 50 years of age with 2 of the following conditions: history of DM, HTN, or
CVA as cause of death
− 51 to 60 years of age with either history of DM, HTN, or CVA as cause of death
− Any DBD donor > 60 years of age
4. Has undergone at least 1 year of dialysis (hemodialysis or peritoneal) treatment prior to
enrollment.
Weight
5. Body weight of ≥ 30 kg.
Sex and Contraceptive/Barrier Requirements
6. Male or female
7. Agrees to follow protocol-specified contraception guidance as outlined in Section 10.6.
Informed Consent
8. Provides signed informed consent as described in Section 10.1.3, which includes
compliance with the requirements and restrictions listed in the ICF and this protocol.

Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply:
1. Is to receive a kidney from a donor with the following Maastricht classification
(Sánchez-Fructuoso, 2000):
a. Category I: Dead on arrival at hospital.
b. Category II: Unsuccessful resuscitation.
c. Category IV: Unexpected cardiac arrest after brain death.
d. Category V: Unexpected cardiac arrest in intensive care.
2. Is to receive a kidney from a donor known of having had either of the following:
a. AKI KDIGO Stage 3 (defined as creatinine 3.0 times baseline OR increase in sCr to
≥ 4.0 mg/dL [≥ 353.6 μmol/L])
b. Urine output < 0.3 mL/kg/hour for ≥ 24 hours OR anuria for ≥ 12 hours)
3. Recent use of immunosuppressants (eg, calcineurin, CD38 mAb, CD20, IL-6/IL-6R,
mTOR inhibitors) < 3 months prior to Screening Visit.
• Note: immunosuppressants allowed during the study are described in Section 6.9.1.
4. Is to receive a kidney from donors supported by extracorporeal membrane oxygenation.
5. Is to receive a machine-perfused donor kidney.
6. Is to receive a multiorgan transplant.
7. Is to receive kidney(s) from donors < 6 years of age.
8. Is to receive a dual kidney transplant (from same donor, including en bloc).
9. Is to receive a living donor kidney.
10. Is to receive a kidney with estimated (at time of randomization) > 24 hours of cold
ischemia time.
11. Highly sensitized (high risk to develop acute AMR) to the donor, as indicated by PRA
level ≥ 98%.
• Note: median fluorescence intensity threshold and timing will be determined by the
local practice. Testing to determine high risk may include, but is not limited to, flow
cytometric crossmatch.
12. Will be the recipient of an ABO incompatible kidney (A2 donors to B and O recipients
will be allowed if the site has the ability to confirm A2 subtype).
13. Is to receive a kidney from donors with a known history or positive serology of HBV or
HCV infection (including successfully treated participants with positive HCV antibody
and negative HCV RNA test).
14. Known or suspected complement-mediated disease (including, but not limited to, aHUS
or PNH).
15. Active systemic bacterial, viral, or fungal infection within 14 days prior to
randomization.
16. Known history of HIV who are not on anti-retroviral therapy or if on therapy have a
known detectable viral load within 1 year of Screening.
17. Known history or positive serology of HBV or HCV infection within 3 months prior to
study intervention including successfully treated participants with positive HCV antibody
and negative HCV RNA test
18. Congenital immunodeficiency.
19. History of unexplained, recurrent infection.
20. Known medical or psychological condition(s), including substance abuse, or risk factor
that, in the opinion of the Investigator, might interfere with the participant’s full
participation in the study, pose any additional risk for the participant, or confound the
assessment of the participant or outcome of the study.
21. History of, or unresolved, N meningitidis infection.
22. Hypersensitivity to any ingredient contained in the study intervention, including
hypersensitivity to murine proteins.
23. Current malignancy or receiving treatment for malignancy except for non-melanoma skin
cancer.

The Estimated Number of Participants

  • Taiwan

    10 participants

  • Global

    450 participants