Status:

RECRUITING

A Study to Evaluate the Efficacy and Safety of GDC-8264 in Preventing Cardiac Surgery-Associated Acute Kidney Injury (AKI) and Major Adverse Kidney Events (MAKE)

Lead Sponsor:

Genentech, Inc.

Conditions:

Acute Kidney Injury

Eligibility:

All Genders

40+ years

Phase:

PHASE2

Brief Summary

The aim of this study is to evaluate the efficacy and safety of GDC-8264 compared with placebo in participants undergoing cardiac surgery who are determined to be at moderate to high risk of developin...

Eligibility Criteria

Inclusion

  • One of the following non-emergent cardiac surgery types that requires cardiopulmonary bypass (CPB) to be done in one procedure rather than separate procedures: Isolated Coronary Artery Bypass Grafting (CABG); Isolated Surgical Aortic Valve Replacement (AVR), Mitral Valve Replacement (MVR), Mitral Valve repair (MVr); Combined CABG+AVR, CABG+MVR, CABG+MVr, AVR+MVR, AVR+MVr
  • At least one or at least two of the following AKI risk factors, depending on the type of surgery: age \> 70 years, history of CKD with eGFR \< 60 milliliters/ minutes/ 1.73 meter square (ml/min/1.73 m\^2) within the last 6 months, diabetes (type 1 or type 2) requiring at least one oral hypoglycemic agent or insulin, history of chronic obstructive pulmonary disease (COPD) requiring medical therapy, left ventricular ejection fraction (LVEF) \< 40%, preoperative anemia \[hemoglobin \<10 grams/deciliters (g/dL)\]
  • Stable kidney function with no known episodes of AKI within 2 weeks of screening

Exclusion

  • Need for renal replacement therapy (peritoneal dialysis or hemodialysis)
  • Need for intra-aortic balloon pump, temporary mechanical circulatory support, or extracorporeal membrane oxygenation prior to scheduled surgery
  • Presence of a durable left ventricular assist device
  • Need for concurrent aortic surgery that requires circulatory arrest and deep hypothermia or repair of congenital heart defects
  • Heart transplant
  • Transcatheter valve replacements
  • Hypotension or shock requiring hospital admission
  • Cardiopulmonary resuscitation
  • eGFR \< 20 mL/min/1.73 m\^2
  • Heart failure with ejection fraction \< 20%, or episode of decompensated heart failure requiring intervention within 2 weeks prior to screening
  • History of kidney transplant or only one kidney (due to donation)
  • Renal agenesis, total nephrectomy, or partial nephrectomy of \> 50%

Key Trial Info

Start Date :

January 17 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 15 2027

Estimated Enrollment :

404 Patients enrolled

Trial Details

Trial ID

NCT06602453

Start Date

January 17 2025

End Date

November 15 2027

Last Update

January 6 2026

Active Locations (41)

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Page 1 of 11 (41 locations)

1

Ronald Reagan UCLA Medical Center

Los Angeles, California, United States, 90095

2

University of Stanford Medical Center

Stanford, California, United States, 94305-2200

3

Yale School of Medicine Yale New Haven Hospital

New Haven, Connecticut, United States, 06519-1369

4

James A Haley Veteran Affairs Medical Center - NAVREF - PPDS

Tampa, Florida, United States, 33612-4745