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Albutein 5%

Phase 4

Decompensated Cirrhosis and Ascites | Small molecule | Gastrointestinal |Grifols, S.A.|Trials Updated: Jun 6, 2025

Albutein 5% development status

Highest phase Phase 4 (NCT00968695)
Phase scored for GRFSPhase 3
Registered trials 10 across 8 sponsors since Aug 2008

Albutein 5% target and mechanism

ModalitySmall molecule

Also known as Albutein 20%, Albutein 5% solution for perfusion, Albumin, Human Albumin 5%

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials3
Total Enrollment464

FDA Designations

No designations recorded

Albutein 5% clinical trials

Albutein 5% · 3 trials · 3 indications

Phase 3 1Phase 2 2
NCT03451292Effects of Long-Term Administration of Human Albumin in Participants With Decompensated Cirrhosis and AscitesDecompensated Cirrhosis and Ascites
COMPLETED410 Analytics
PHASE3COMPLETED
Effects of Long-Term Administration of Human Albumin in Participants With Decompensated Cirrhosis and Ascites
Decompensated Cirrhosis and AscitesUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to Liver Transplantation or Death Through 1 Year After Randomization: Percentage of Participants With an Event
Up to Day 361

Time to one-year transplant-free survival was calculated as earlier of \[(date of liver transplantation or date of death) - randomization date + 1\] for participants who died or had liver transplant within the analysis period of 361 days. Participants who neither died nor had liver transplant within analysis period had their time to event censored at earlier of date of last contact or cut-off date. Participants who terminated early for reasons other than death were followed up at months 3, 6, and 12 to collect information on liver transplantation and death, these events if reported by cut-off Day 361, were considered for the endpoint. The percentage of participants with events are presented. The percentage of participants was calculated as \[(participants with an event up to the analysis cut-off Day 361) / (number of participants in the ITT group)\].

Change From Baseline in the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) Score
Baseline (Week 0), Weeks 4, 12, 25, 36, and 48

The ALSFRS-R includes 12 questions to assess the self-sufficiency of participants in 3 sub-domains: bulbar function (questions 1-3), fine and gross motor function (questions 4-9), and respiratory function (question 10-12). Aspects of nourishment, personal care, personal autonomy, and communication were also evaluated. Each task was graded on a five-point scale from 0 (incapable) to 4 (normal ability), with total score range from 0 (worst) to 48 (best). A positive change from Baseline indicates improvement.

Change From Baseline in Percent Predicted Forced Vital Capacity (FVC)
Baseline (Week 0), Weeks 4, 12, 25, 36, and 48

The FVC measured the volume of air that can forcibly be exhaled through a spirometer after a full inspiration. It was expressed in a percentage of actual FVC over the expected FVC result in the general population, calculated as: Percent predicted FVC (in %) = \[(observed FVC in liters)/(predicted FVC in liters)\]\*100.

Change From Baseline in Aβ1-42 Cerebrospinal Fluid (CSF) Levels.
Baseline and up to week 44

Change in levels of Aβ1-42 in CSF in the period between baseline lumbar puncture (before the start of treatment) and lumbar puncture immediately after the end of the last plasma exchange (whenever this may be). Separate assays of Aβ1-42 were performed with Innotest and The Genetics Company commercial kits.

Secondary Endpoints

Time to Liver Transplantation or Death Through 3 Months After Randomization: Percentage of Participants With an Event
Up to Day 91
Time to Liver Transplantation or Death Through 6 Months After Randomization: Percentage of Participants With an Event
Up to Day 181
Time to Death Through 3 Months After Randomization: Percentage of Participants With an Event
Up to Day 91
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SMT + Albutein 20%EXPERIMENTALParticipants received Albutein 20%, at a dose of 1.5 grams/kilograms (g/kg), based on their body weight (maximum 100 grams per participant), as an intravenous (IV) infusion on Day 1, followed by the same dose of Albutein 20% every 10±2 days along with standard medical treatment (SMT) administered as per institution standards for the management of decompensated cirrhosis up to 12 months.
SMTACTIVE_COMPARATORParticipants received SMT up to 12 months as per institution standards for the management of decompensated cirrhosis.
Albutein 5%EXPERIMENTALPlasma exchanges (PEs) with albutein 5% as a replacement solution during an intensive treatment phase of two PEs per week over 3 weeks followed by maintenance treatment phase of weekly PE for 21 weeks. The dose of albutein 5% for replacement following plasma removal was calculated based on gender, weight, and the hematocrit of the participant.
ControlSHAM_COMPARATOR -

Interventions

NameTypeDescription
Albutein 20%DRUGInjectable solution
SMTOTHERParticipants received SMT according to institution standards for the management of decompensated cirrhosis.
Albutein 5%BIOLOGICALAlbutein is manufactured from human plasma. The dose of Albutein 5% for replacement following plasma removal will be calculated based on gender, weight, and the hematocrit of the participant.
Plasma ExchangePROCEDUREPlasma Exchange will be performed using albutein 5% as the replacement solution.
ControlOTHERControl group followed the same schedule; however, they did not undergo plasma replacement (it was subjected to simulated plasma replacements)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites66

Inclusion Criteria: * Male or female participants ≥18 years of age. * Participants with diagnosis of liver cirrhosis (based on clinical, laboratory, endoscopic, and ultrasonographic features or on histology). * Participants who have been hospitalized for acute decompensation of liver cirrhosis with...

Countries:United StatesBelgiumBosnia and HerzegovinaBulgariaCanadaDenmarkFranceGermanyHungaryItalyPolandSerbiaSpainUnited Kingdom
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Frequently asked questions about Albutein 5%

What is Albutein 5%?

Albutein 5% is a human albumin product developed by Grifols, S.A. (ticker GRFS). It is being studied in clinical trials for Alzheimer's disease, amyotrophic lateral sclerosis, and decompensated cirrhosis with ascites. The product is also known as Albutein 20%.

What is Albutein 5% used for in Alzheimer's disease?

Albutein 5% is used in a Phase 2 clinical trial to evaluate plasma exchange with 5% albumin for beta-amyloid peptide clearance in cerebrospinal fluid in participants with Alzheimer's disease. The trial, NCT00742417, enrolled 42 participants in the United States and Spain.

Who makes Albutein 5%?

Albutein 5% is made by Grifols, S.A., a company traded under the ticker GRFS. Grifols is developing the product for multiple indications, including Alzheimer's disease, amyotrophic lateral sclerosis, and decompensated cirrhosis with ascites.

What phase is Albutein 5% in?

Albutein 5% is in Phase 2 clinical development. It has been tested in completed Phase 2 trials for Alzheimer's disease and amyotrophic lateral sclerosis, and in a completed Phase 3 trial for decompensated cirrhosis and ascites. It is investigational and has not been approved by the FDA for these indications.

What clinical trials is Albutein 5% in?

Albutein 5% has been studied in three completed clinical trials: NCT03451292, a Phase 3 trial in decompensated cirrhosis and ascites with 410 participants; NCT02872142, a Phase 2 trial in amyotrophic lateral sclerosis with 12 participants; and NCT00742417, a Phase 2 trial in Alzheimer's disease with 42 participants.

Is Albutein 5% the same as Albutein 20%?

Albutein 5% is also known as Albutein 20%. Both names refer to the same human albumin product developed by Grifols, S.A. (ticker GRFS). The percentage likely denotes different concentrations of the albumin solution.