Combined Dose-Finding and CV Outcomes Study With CSL300 (Clazakizumab) in Adult Subjects With ESKD Undergoing Dialysis (POSIBIL6ESKD)
This research trial, called POSIBIL6ESKD, is looking for adult volunteers in the UK with advanced kidney disease (End-Stage Kidney Disease or ESKD) who are currently on dialysis. The study is twofold: first, to find the best dose of a new medication called CSL300, and second, to see if this medicine can help improve heart health and reduce heart-related problems. We are particularly interested in people who also have heart and blood vessel disease (atherosclerotic cardiovascular disease) or diabetes, as well as signs of inflammation in their body. Participants will either receive the new medicine or a dummy treatment (placebo) to compare their effects. The main goals are to check how well CSL300 works and how safe it is.
At a glance
What is this study about?
This study is called POSIBIL6ESKD and it's looking into a new treatment for people with advanced kidney disease who are having regular dialysis. This condition, known as End-Stage Kidney Disease (ESKD), can unfortunately increase the risk of heart and blood vessel problems. Many people with ESKD also have ongoing inflammation in their body, which can contribute to these heart issues.
The new medicine being tested is called CSL300. Researchers want to understand if CSL300 can help to reduce some of these heart-related risks and improve overall heart health for individuals living with ESKD. To do this fairly, some participants will receive CSL300, while others will receive a 'placebo' – a dummy treatment that looks just like the real medicine but contains no active drug. This allows the researchers to accurately compare the effects of the new medicine.
Initially, the study will help identify the right dose of CSL300. After that, the main part of the study will focus on how effective CSL300 is at improving heart outcomes and ensuring it's safe for people with ESKD, especially those who also have heart conditions or diabetes.
Key takeaways
- This study is for adults with advanced kidney disease on dialysis.
- It tests a new medicine (CSL300) for heart health.
- Participants will receive either the new medicine or a dummy treatment.
- The study aims to find the right dose, check effectiveness, and ensure safety.
- It's particularly for those with existing heart conditions or diabetes and inflammation.
Who may be eligible?
To be considered for this study, you need to be an adult, aged 18 or over. You must have advanced kidney disease (End-Stage Kidney Disease or ESKD) and have been receiving dialysis regularly for at least 12 weeks. We are specifically looking for people who show signs of inflammation in their body and who also have either a known heart and blood vessel disease or diabetes.
There are some reasons why you might not be able to join. For example, if you've already taken part in the earlier dose-finding stage of this study, you won't be able to join the later part. We also can't include people who are taking certain medications that suppress the immune system, or if you have certain liver problems. If you have a life-threatening illness expected to shorten your life significantly within the next year, you won't be eligible.
Other reasons for not being able to participate include a history of certain bowel conditions like a tear in the gut, inflammatory bowel disease (unless it was fully removed), or stomach ulcers. You also can't have an active serious infection, or a history of specific serious fungal infections.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years old or older?
- Have you been on dialysis for advanced kidney disease for at least 12 weeks?
- Do you have a diagnosis of diabetes OR a heart and blood vessel condition?
- Do you have signs of ongoing inflammation in your body (will be checked by study team)?
- Are you NOT currently taking immune-suppressing medicines?
What does participation involve?
If you decide to take part in this study, you will be in it for a while, as it involves several visits over an extended period. You will have regular appointments at the study clinic where you'll have various health checks, blood tests, and other assessments. You'll be given either the study medicine, CSL300, or a placebo, which you'll take as instructed. The study team will carefully monitor your health and any effects of the medicine throughout this time. After the main treatment period, there will be a follow-up phase to continue monitoring your health and gather all necessary information. The exact number of visits and their frequency will be explained in detail by the study team.
Potential risks and benefits
Locations (542)
- Nephrology of North AlabamaVerified postcodeDecatur, United States· Recruiting
- Nephrology Consultants, LLCVerified postcodeHuntsville, United States· Recruiting
- DaVita Clinical Research MontgomeryVerified postcodeMontgomery, United States· Recruiting
- AKDHC MedicalVerified postcodeGlendale, United States· Recruiting
- Kidney Disease Medical GroupVerified postcodeGlendale, United States· Recruiting
- AKDHC MedicalVerified postcodePhoenix, United States· Recruiting
- AKDHC MedicalVerified postcodeTucson, United States· Recruiting
- Southern Arizona VA Health Care SystemVerified postcodeTucson, United States· Recruiting
- National Institute of Clinical ResearchVerified postcodeBakersfield, United States· Recruiting
- Amicis Research CenterVerified postcodeBeverly Hills, United States· Recruiting
- California Institute of Renal ResearchVerified postcodeChula Vista, United States· Recruiting
- The Medical Research Group, Inc.Verified postcodeFresno, United States· Recruiting
Common questions
What is ESKD?
ESKD stands for End-Stage Kidney Disease, which means your kidneys have failed and you need dialysis or a kidney transplant to live.
What is a placebo?
A placebo is a 'dummy' treatment that looks just like the study medicine but contains no active drug. It helps researchers compare the real medicine's effects.
What is 'double-blind'?
Double-blind means neither you, nor your study doctor, will know if you are receiving the active medicine or the placebo. This helps ensure fair results.
What are 'CV outcomes'?
CV outcomes refer to important events related to your heart and blood vessels, such as heart attacks, strokes, or hospital stays for heart problems.
Will I have to pay to join the study?
No, you will not have to pay to participate in the study. All study-related care and medication will be provided free of charge.
How to find out more
Trial Registration Coordinator
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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