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Conestat alfa

Phase 2

Acute Kidney Injury | Small molecule | Nephrology |Pharming Group N.V.|Last Updated: Aug 8, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment80
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02869347Recombinant Human C1 Esterase Inhibitor in the Prevention of Contrast-induced Nephropathy in High-risk SubjectsPHASE2 COMPLETED 80Jan 1, 2017Jul 1, 2018Aug 8, 20181 Switzerland
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Study Endpoints
Primary Endpoints
Peak change from baseline of urinary Neutrophil gelatinase-associated lipocalin
within 48 hours after contrast exposure

measured at baseline, 4, 24 and 48 hours

Secondary Endpoints
Development of contrast-induced nephropathy
within 48 hours after contrast exposure
Cystatin C increase of at least 10%
within 24 hours after contrast exposure
increase in troponin T
within 24 hours after contrast exposure
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Conestat alfaACTIVE_COMPARATORIntravenous injection of Conestat alfa, for patients less than 84kg at a dose of 50 U/kg, and for patients of 84kg body weight or greater at a dose of 4200 U (2 vials, each diluted in 14ml sterile water).
Sodium chloride 0.9%PLACEBO_COMPARATORIntravenous injection of sodium chloride 0.9%.
Interventions
NameTypeDescription
Conestat alfaDRUGTwo intravenous injections (over 5 minutes) of Conestat alfa immediately pre-procedure (elective coronary angiography) and 4 hours later; for patients less than 84kg at a dose of 50 U/kg, and for patients of 84kg body weight or greater at a dose of 4200 U.
Sodium chloride 0.9%DRUGTwo intravenous injections of sodium chloride 0.9% (maximum 28 ml, matching the respective amount of the Conestat alfa arm) immediately pre-procedure (elective coronary angiography) and 4 hours later.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Estimated glomerular filtration rate (eGFR) of \<50 ml/min/1.73m2 * At least one of the following risk factors: diabetes mellitus, age at least 75 years, anemia (baseline hematocrit value less or equal 39% for men and less or equal 36% for women), congestive heart failure clas...

Countries:Switzerland
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