A Phase 2 interventional study of MB-102-- single dose of 4 µmol/kg and MB-102-- single dose of 130 mg in Acute Kidney Injury, sponsored by MediBeacon. Completed at 3 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-10-26.
Sponsored by MediBeacon · Phase 2, Interventional, and Basic science
This study was a pilot, safety, and pharmacokinetic study of MB-102 versus iohexol and the use of the non-invasive optical renal function monitor (ORFM) device in normal and compromised renal function participants with different skin color types.
The objectives of this study were to evaluate the safety and tolerability of single and multiple doses of MB-102 in participants with normal and impaired kidney function; to determine plasma pharmacokinetics of MB-102 compared to the pharmacokinetics of iohexol in participants with normal and impaired kidney function; to demonstrate that MB-102-transdermal-fluorescence-measured glomerular filtration rate (GFR) using the optical renal function monitor (ORFM) Brilliance device is aligned with MB-102 plasma GFR; to evaluate the safety and effectiveness of the ORFM investigational medical device prototypes QuantumLeap, Radiance, and Brilliance for the non-invasive transdermal fluorescent detection of MB-102 in participants with a range of skin color types; and to determine the optimal dose of MB-102 for non-invasive measurement.
1,594 studies on the registry are indexed under Acute Kidney Injury; 370 are open to participants now.
This study's enrollment of 234 is above the median of 100 across 763 interventional studies indexed under Acute Kidney Injury.
Browse Acute Kidney Injury studies →MediBeacon is the lead sponsor of 11 studies on the registry; 3 are open to participants now.
Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.
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Main Criteria for Inclusion (Quantum Leap and Radiance device)
Age > 22 years - male or female
Main Criteria for Inclusion (Brilliance device)
Age > 18 years - male or female
Normal-CKD Stage 2/QuantumLeap; Normal-CKD Stage 2/Radiance; Normal-CKD Stage 2/Brilliance algorithm optimization; Normal-CKD Stage 2/Brilliance sensor optimization; Normal-CKD Stage 2/Brilliance sensor optimization; and Normal-CKD Stage 2/Brilliance (1-2 sensors)
CKD Stage 3-4/QuantumLeap
Stable use of immunosuppressant medications (when applicable)
CKD Stage 3-5/Radiance; CKD Stage 3-5/Brilliance algorithm optimization; CKD Stage 3-5/Brilliance sensor validation; and CKD Stage 3-5/Brilliance 1-2 sensors
EXCLUSION CRITERIA
Main Criteria for Exclusion (QuantumLeap device)
Additional Exclusion: Normal-CKD Stage 2/QuantumLeap
Additional Exclusion: CKD Stage 3-4/QuantumLeap
Main Criteria for Exclusion: (Radiance device)
Women who are pregnant, lactating or planning to become pregnant during the study, or women who are of childbearing potential unwilling to use a barrier method of birth control
o Males must be willing to practice abstinence or utilize adequate contraception from dosing day to at least 7 days post dose
Main Criteria for Exclusion: (Brilliance device)
Women who are pregnant, lactating or planning to become pregnant during the study, or women who are of childbearing potential unwilling to use a barrier method of birth control
o Males must be unwilling to practice abstinence or utilize adequate contraception from dosing day to at least 7 days post dose
Additional Exclusion: Normal-CKD Stage 2/Radiance; Normal-CKD Stage 2/Brilliance algorithm optimization; Normal-CKD Stage 2/Brilliance sensor optimization; Normal-CKD Stage 2/Brilliance sensor validation; and Normal-CKD Stage 2/Brilliance (1-2 sensors)
Additional Exclusion: CKD Stage 3-5/Radiance; CKD Stage 3-5/Brilliance algorithm optimization; CKD Stage 3-5/Brilliance sensor validation; and CKD Stage 3-5/Brilliance 1-2 sensors
MB-102 and iohexol administered to participants with normal to chronic kidney disease (CKD) Stage 2 renal function, and fluorescence measured by the QuantumLeap ORFM device. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type. In order to determine the optimal dose of MB-102, participants may have received different doses.
Drug: MB-102-- single dose of 4 µmol/kg · Drug: Iohexol · Device: QuantumLeap
MB-102 and iohexol administered to participants with impaired renal function (chronic kidney disease (CKD) Stage 3-4), and fluorescence measured by the QuantumLeap ORFM device. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type. In order to determine the optimal dose of MB-102, participants may have received different doses.
Drug: MB-102-- single dose of 4 µmol/kg · Drug: Iohexol · Device: QuantumLeap
MB-102 and iohexol administered to participants with normal to chronic kidney disease (CKD) Stage 2 renal function, and fluorescence measured by the Radiance ORFM device. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type.
Drug: MB-102-- single dose of 4 µmol/kg · Drug: Iohexol · Device: Radiance
MB-102 and iohexol administered to participants with impaired renal function (chronic kidney disease (CKD) Stage 3-5), and fluorescence measured by the Radiance ORFM device. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type.
Drug: MB-102-- single dose of 4 µmol/kg · Drug: Iohexol · Device: Radiance
MB-102 administered to participants with normal to chronic kidney disease (CKD) Stage 2 renal function, and fluorescence measured by the Brilliance ORFM device. Algorithm optimization of the Brilliance sensor was conducted. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type.
Drug: MB-102-- single dose of 4 µmol/kg · Device: Brilliance (1 or 2 sensors)
MB-102 administered to participants with impaired renal function (chronic kidney disease (CKD) Stage 3-5), and fluorescence measured by the Brilliance ORFM device. Algorithm optimization of the Brilliance sensor was conducted. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type.
Drug: MB-102-- single dose of 4 µmol/kg · Device: Brilliance (1 or 2 sensors)
MB-102 administered to participants with normal to chronic kidney disease (CKD) Stage 2 renal function, and fluorescence measured by the Brilliance ORFM device. Sensor optimization of the Brilliance device was conducted. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type.
Drug: MB-102-- single dose of 4 µmol/kg · Device: Brilliance (1 or 2 sensors)
MB-102 administered to participants with normal to chronic kidney disease (CKD) Stage 2 renal function, and fluorescence measured by the Brilliance ORFM device. Validation of the Brilliance sensor was conducted. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type.
Drug: MB-102-- single dose of 4 µmol/kg · Device: Brilliance (1 or 2 sensors)
MB-102 administered to participants with impaired renal function (chronic kidney disease (CKD) Stage 3-5), and fluorescence measured by the Brilliance ORFM device. Validation of the Brilliance sensor was conducted. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type.
Drug: MB-102-- single dose of 130 mg · Device: Brilliance (1 or 2 sensors)
MB-102 administered to participants with normal to chronic kidney disease (CKD) Stage 2 renal function, and fluorescence measured by the Brilliance ORFM device (1-2 sensors). The optimized algorithm and final device design of the Brilliance device was tested. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type. A subset of participants in this arm received two doses of MB-102, 12 hours apart.
Drug: MB-102-single dose of 130 mg or 2 doses of 130 mg 12 hours apart · Device: Brilliance (1 or 2 sensors)
MB-102 administered to participants with normal to chronic kidney disease (CKD) Stage 2 renal function, and fluorescence measured by the Brilliance ORFM device (1-2 sensors and 2-part sensor). The optimized algorithm and final device design of the Brilliance device was tested. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type. A subset of participants in this arm received two doses of MB-102, 12 hours apart.
Drug: MB-102-single dose of 130 mg or 2 doses of 130 mg 12 hours apart · Device: Brilliance (1 or 2 sensors) · Device: Brilliance (2-part sensor)
Two doses of MB-102 administered to participants 12 hours apart, with normal to chronic kidney disease (CKD) Stage 2 renal function, and fluorescence measured by the Brilliance ORFM device (1-2 sensors and 2-part sensor). The optimized algorithm and final device design of the Brilliance device was tested. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type.
Drug: MB-102-- two doses of 130 mg 24 hours apart · Device: Brilliance (1 or 2 sensors) · Device: Brilliance (2-part sensor)
MB-102 administered to participants with impaired renal function (chronic kidney disease (CKD) Stage 3-5), and fluorescence measured by the Brilliance ORFM device. The optimized algorithm and final device design of the Brilliance device was tested. Approximately half of the participants were to be enrolled with Fitzpatrick Scale Type I, II or III, and half with Type IV, V and VI skin color type.
Drug: MB-102-- single dose of 130 mg · Device: Brilliance (1 or 2 sensors)
4 µmol/kg administered by intravenous injection over 30 seconds, followed by a 10 mL normal saline flush administered intravenously over 30 seconds.
Also known as: Relmapirazin
130 mg administered by intravenous injection over 30 seconds, followed by a 10 mL normal saline flush administered intravenously over 30 seconds. A subset of participants will receive two doses of MB-102, 12 hours apart.
Also known as: Relmapirazin
130 mg administered by intravenous injection over 30 seconds, followed by a 10 mL normal saline flush administered intravenously over 30 seconds.
Also known as: Relmapirazin
4 µmol/kg administered by intravenous injection over 30 seconds, followed by a 10 mL normal saline flush administered intravenously over 30 seconds. A subset of participants will receive two doses of MB-102, 12 hours apart.
Also known as: Relmapirazin
5 mL of a 647 mg/mL solution administered by intravenous injection over 30 seconds, followed by a 10 mL normal saline flush administered intravenously over 30 seconds
Also known as: Omnipaque 300
Optical Renal Function Monitor (ORFM)
Optical Renal Function Monitor (ORFM)
Optical Renal Function Monitor (ORFM)
Optical Renal Function Monitor (ORFM)
Number of Participants With Treatment-Emergent Adverse Events
An adverse event is defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, temporally associated with the use of a medicinal product, whether or not related to the investigational medical device or drug.
Time frame: From the time of dosing through the follow-up visit, up to 10 days
Maximum Plasma Concentration (Cmax) of MB-102
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Maximum plasma concentration (Cmax; measured in ng/mL) was directly determined from the concentration-time data.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Maximum Plasma Concentration (Cmax) of Iohexol
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Maximum plasma concentration (Cmax; measured in ng/mL) was directly determined from the concentration-time data.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Time to Maximum Plasma Concentration (Tmax) of MB-102
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The time to maximum plasma concentration (Tmax; measured in minutes) was directly determined from the concentration-time data.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Time to Maximum Plasma Concentration (Tmax) of Iohexol
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The time to maximum plasma concentration (Tmax; measured in minutes) was directly determined from the concentration-time data.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
The Elimination Half-life of MB-102
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The elimination half-life (the time required for the concentration of the drug to reach half of its original value) was calculated as t1/2 λz= ln(2)/ λz.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
The Elimination Half-life of Iohexol
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The elimination half-life (the time required for the concentration of the drug to reach half of its original value) was calculated as t1/2 λz= ln(2)/ λz.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration for MB-102
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) was be estimated from time 0 to the last measurable concentration using noncompartmental analyses.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration for Iohexol
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) was be estimated from time 0 to the last measurable concentration using noncompartmental analyses.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity for MB-102
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) from time 0 to infinity was calculated as: AUC∞ = AUClast + LQC/λz where LQC is the predicted concentration (based on the terminal regression) at the time of the last measurable concentration.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity for Iohexol
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) from time 0 to infinity was calculated as: AUC∞ = AUClast + LQC/λz where LQC is the predicted concentration (based on the terminal regression) at the time of the last measurable concentration.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Total Plasma Clearance of MB-102
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Total plasma clearance (the volume of plasma cleared of the drug over time) was calculated as: Clp = Dose/ AUC∞.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Total Plasma Clearance of Iohexol
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Total plasma clearance (the volume of plasma cleared of the drug over time) was calculated as: Clp = Dose/ AUC∞.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
The Terminal Rate Constant for MB-102
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The terminal rate constant (λz) was determined by linear regression of the terminal linear phase of the log plasma concentration-time profile.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
The Terminal Rate Constant for Iohexol
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The terminal rate constant (λz) was determined by linear regression of the terminal linear phase of the log plasma concentration-time profile.
Time frame: Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.
Renal Clearance of MB-102
Urine samples were collected pre-dose (time 0) and 5 mL urine samples were collected each time the subject voided. The total volume of urine excreted was recorded until 12 hours post-dose, and was analyzed using validated analytical methods. Renal clearance (the volume of plasma cleared of the drug by the kidneys over time) was calculated as: CLr = Ae/ AUClast, where Ae is the cumulative amount of analyte excreted in urine over the sampling interval.
Time frame: Pre-dose and each time the participant voids up to 720 minutes post dose
Renal Clearance of Iohexol
Urine samples were collected pre-dose (time 0) and 5 mL urine samples were collected each time the subject voided. The total volume of urine excreted was recorded until 12 hours post-dose, and was analyzed using validated analytical methods. Renal clearance (the volume of plasma cleared of the drug by the kidneys over time) was calculated as: CLr = Ae/ AUClast, where Ae is the cumulative amount of analyte excreted in urine over the sampling interval.
Time frame: Pre-dose and each time the participant voids up to 720 minutes post dose
Correlation Between the Transdermal Fluorescence Intensity of MB-102 as Measured by the Quantum Leap Device and Plasma Concentration of MB-102 at Each Time Point in the Renal Excretion Phase
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Transdermal fluorescence intensity at the time of blood sampling as measured by the QuantumLeap device was documented, and the correlation between the transdermal fluorescence intensity of MB-102 as measured by the QuantumLeap device and the plasma concentration of MB-102 at each time point in the renal excretion phase was calculated.
Time frame: Pre-dose (time 0) and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose
Correlation Between the Transdermal Fluorescence Intensity of MB-102 as Measured by the Radiance Device and Plasma Concentration of MB-102 at Each Time Point in the Renal Excretion Phase
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and will be analyzed using validated analytical methods. Transdermal fluorescence intensity at the time of blood sampling as measured by the Radiance device was documented, and the correlation between the transdermal fluorescence intensity of MB-102 as measured by the Radiance device and the plasma concentration of MB-102 at each time point in the renal excretion phase was calculated.
Time frame: Pre-dose (time 0) and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose
Correlation Between the Transdermal Fluorescence Intensity of MB-102 as Measured by the Brilliance Device and Plasma Concentration of MB-102 at Each Time Point in the Renal Excretion Phase in Participants With Normal-CKD Stage 2 Renal Function
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, and 480 minutes post dose, and were analyzed using validated analytical methods. Transdermal fluorescence intensity at the time of blood sampling as measured by the Brilliance device was documented, and the correlation between the transdermal fluorescence intensity of MB-102 as measured by the Brilliance device and the plasma concentration of MB-102 at each time point in the renal excretion phase was calculated.
Time frame: Pre-dose (time 0) and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, and 480 minutes post dose
Correlation Between the Transdermal Fluorescence Intensity of MB-102 as Measured by the Brilliance Device and Plasma Concentration of MB-102 at Each Time Point in the Renal Excretion Phase in Participants With CKD Stage 3-4 Renal Function
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) and 960, 1440, 1920, 2400, and 2880 (±30 min) minutes post dose, and were analyzed using validated analytical methods. Transdermal fluorescence intensity at the time of blood sampling as measured by the Brilliance device was documented, and the correlation between the transdermal fluorescence intensity of MB-102 as measured by the Brilliance device and the plasma concentration of MB-102 at each time point in the renal excretion phase was calculated.
Time frame: Pre-dose (time 0) and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) and 960, 1440, 1920, 2400, and 2880 (±30 min) minutes post dose
Number of Participants With Adverse Events Related to the Use of the QuantumLeap Device
The number of participants with adverse events related to the use of the QuantumLeap device was documented.
Time frame: From the time of dosing through the follow-up visit, up to 10 days
Number of Participants With Adverse Events Related to the Use of the Radiance Device
The number of participants with adverse events related to the use of the Radiance device was documented.
Time frame: From the time of dosing through the follow-up visit, up to 10 days
Number of Participants With Adverse Events Related to the Use of the Brilliance Device
The number of participants with adverse events related to the use of the Brilliance device was documented.
Time frame: From the time of dosing through the follow-up visit, up to 10 days
| Milestone | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 31 | 29 | 20 | 40 | 9 | 7 | 18 | 30 | 18 | 12 | 4 | 4 | 12 |
| Completed | 31 | 29 | 20 | 40 | 9 | 7 | 17 | 29 | 18 | 12 | 4 | 4 | 12 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Withdrew consent | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
An adverse event is defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, temporally associated with the use of a medicinal product, whether or not related to the investigational medical device or drug.
| Participants | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events | 7 | 7 | 2 | 1 | 1 | 1 | 2 | 0 | 1 | 2 | 1 | 1 | 2 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Maximum plasma concentration (Cmax; measured in ng/mL) was directly determined from the concentration-time data.
| ng/mL | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Maximum Plasma Concentration (Cmax) of MB-102 | 10751.613 ± 2279.3699 | 11625.517 ± 2491.4304 | 11981.7 ± 2659.9568 | 12243.45 ± 2563.5734 | 13961.111 ± 3326.5064 | 14440.143 ± 3049.767 | 13747.739 ± 2985.4673 | 13453.74 ± 3886.9335 | 13039.944 ± 3819.8448 | 13015.833 ± 2314.2462 | 15650 ± 4023.6799 | 13125 ± 2818.2441 | 11665 ± 3637.8803 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Maximum plasma concentration (Cmax; measured in ng/mL) was directly determined from the concentration-time data.
| ng/mL | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|---|---|
| Maximum Plasma Concentration (Cmax) of Iohexol | 295967.742 ± 71088.9039 | 290172.414 ± 74285.6788 | 333000 ± 70799.9405 | 329200 ± 98658.229 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The time to maximum plasma concentration (Tmax; measured in minutes) was directly determined from the concentration-time data.
| minutes | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Time to Maximum Plasma Concentration (Tmax) of MB-102 | 7.258 ± 5.2976 | 5.862 ± 2.341 | 5.25 ± 1.118 | 5.875 ± 2.2325 | 5 ± 0 | 6.429 ± 2.4398 | 6.111 ± 2.7416 | 5.167 ± 0.9129 | 12.222 ± 27.0197 | 5 ± 0 | 5 ± 0 | 5 ± 0 | 25 ± 67.7227 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The time to maximum plasma concentration (Tmax; measured in minutes) was directly determined from the concentration-time data.
| minutes | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|---|---|
| Time to Maximum Plasma Concentration (Tmax) of Iohexol | 9.194 ± 5.338 | 7.069 ± 3.1388 | 6.5 ± 2.3508 | 6.875 ± 2.7003 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The elimination half-life (the time required for the concentration of the drug to reach half of its original value) was calculated as t1/2 λz= ln(2)/ λz.
| minutes | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Elimination Half-life of MB-102 | 130.712 ± 33.5894 | 314.267 ± 151.5375 | 135.821 ± 26.0772 | 301.21 ± 183.0147 | 123.681 ± 25.4325 | 245.7 ± 51.3774 | 140.176 ± 22.2139 | 122.86 ± 14.6245 | 305.944 ± 105.6855 | 126.049 ± 20.65 | 147.117 ± 23.779 | 127.842 ± 22.9881 | 440.488 ± 294.5741 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The elimination half-life (the time required for the concentration of the drug to reach half of its original value) was calculated as t1/2 λz= ln(2)/ λz.
| minutes | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|---|---|
| The Elimination Half-life of Iohexol | 148.056 ± 38.2236 | 366.529 ± 191.4136 | 151.776 ± 31.4044 | 347.574 ± 214.8895 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) was be estimated from time 0 to the last measurable concentration using noncompartmental analyses.
| ng*min/mL | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration for MB-102 | 1131336.448 ± 254801.4255 | 2419911.379 ± 708114.7104 | 1211931.882 ± 296491.1469 | 2467846.174 ± 843410.9665 | 1121973.694 ± 190118.8591 | 2560133.925 ± 519858.5738 | 1235178.035 ± 310587.5336 | 1072786.062 ± 281421.3481 | 2476458.456 ± 543445.259 | 1384887.303 ± 345784.1469 | 1488269.994 ± 108723.6082 | 1316506.556 ± 314196.0436 | 3678411.381 ± 1344727.8138 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) was be estimated from time 0 to the last measurable concentration using noncompartmental analyses.
| ng*min/mL | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|---|---|
| Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration for Iohexol | 33329159.548 ± 7909842.8639 | 58097567.569 ± 15177720.419 | 36677146.278 ± 10789963.956 | 70005450.758 ± 30243153.821 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) from time 0 to infinity was calculated as: AUC∞ = AUClast + LQC/λz where LQC is the predicted concentration (based on the terminal regression) at the time of the last measurable concentration.
| ng*min/mL | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Area Under the Plasma Concentration-time Curve From Time Zero to Infinity for MB-102 | 1166655.776 ± 298807.3587 | 3212036.698 ± 1490329.1808 | 1242760.175 ± 321230.0672 | 3045719.769 ± 1625406.4454 | 1182254.364 ± 208571.1669 | 2914852.088 ± 684490.5106 | 1264462.94 ± 333601.038 | 1086390.141 ± 287588.9895 | 3135394.594 ± 1051071.597 | 1403855.606 ± 355269.4445 | 1518516.431 ± 106177.2201 | 1340051.2 ± 332392.6494 | 3844963.027 ± 1630799.1909 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) from time 0 to infinity was calculated as: AUC∞ = AUClast + LQC/λz where LQC is the predicted concentration (based on the terminal regression) at the time of the last measurable concentration.
| ng*min/mL | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|---|---|
| Area Under the Plasma Concentration-time Curve From Time Zero to Infinity for Iohexol | 34688858.452 ± 9029243.5529 | 81061044.851 ± 37977572.641 | 38032869.839 ± 11788838.136 | 90107803.206 ± 61220389.979 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Total plasma clearance (the volume of plasma cleared of the drug over time) was calculated as: Clp = Dose/ AUC∞.
| mL/minute | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Total Plasma Clearance of MB-102 | 110.719 ± 28.2476 | 51.741 ± 21.4424 | 102.361 ± 31.8835 | 51.322 ± 26.2932 | 103.107 ± 17.1532 | 44.677 ± 13.798 | 97.496 ± 18.6913 | 117.913 ± 39.4472 | 42.838 ± 13.1284 | 99.216 ± 33.0196 | 84.29 ± 5.0376 | 97.741 ± 23.5163 | 38.736 ± 13.87 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Total plasma clearance (the volume of plasma cleared of the drug over time) was calculated as: Clp = Dose/ AUC∞.
| mL/minute | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|---|---|
| Total Plasma Clearance of Iohexol | 97.596 ± 22.6026 | 47.418 ± 19.9867 | 90.788 ± 25.7641 | 45.963 ± 19.1755 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The terminal rate constant (λz) was determined by linear regression of the terminal linear phase of the log plasma concentration-time profile.
| 1/minutes | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Terminal Rate Constant for MB-102 | 0.006 ± 0.0012 | 0.003 ± 0.001 | 0.005 ± 0.0009 | 0.003 ± 0.0012 | 0.006 ± 0.001 | 0.003 ± 0.0007 | 0.005 ± 0.0008 | 0.006 ± 0.0006 | 0.003 ± 0.0009 | 0.006 ± 0.0009 | 0.005 ± 0.0008 | 0.006 ± 0.0009 | 0.002 ± 0.0007 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The terminal rate constant (λz) was determined by linear regression of the terminal linear phase of the log plasma concentration-time profile.
| 1/minutes | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|---|---|
| The Terminal Rate Constant for Iohexol | 0.005 ± 0.001 | 0.002 ± 0.0009 | 0.005 ± 0.0009 | 0.002 ± 0.0008 |
Urine samples were collected pre-dose (time 0) and 5 mL urine samples were collected each time the subject voided. The total volume of urine excreted was recorded until 12 hours post-dose, and was analyzed using validated analytical methods. Renal clearance (the volume of plasma cleared of the drug by the kidneys over time) was calculated as: CLr = Ae/ AUClast, where Ae is the cumulative amount of analyte excreted in urine over the sampling interval.
| mL/minute | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Renal Clearance of MB-102 | 111.396 ± 27.9973 | 52.171 ± 21.825 | 104.008 ± 32.3622 | 51.915 ± 26.3905 | 105.144 ± 19.2031 | 45.397 ± 14.1766 | 99.072 ± 19.0079 | 120.452 ± 40.0937 | 42.51 ± 12.9745 | 109.924 ± 35.5733 | 88.795 ± 3.2184 | 103.774 ± 24.9108 | 38.373 ± 13.0747 |
Urine samples were collected pre-dose (time 0) and 5 mL urine samples were collected each time the subject voided. The total volume of urine excreted was recorded until 12 hours post-dose, and was analyzed using validated analytical methods. Renal clearance (the volume of plasma cleared of the drug by the kidneys over time) was calculated as: CLr = Ae/ AUClast, where Ae is the cumulative amount of analyte excreted in urine over the sampling interval.
| mL/minute | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|---|---|
| Renal Clearance of Iohexol | 98.548 ± 22.5239 | 47.909 ± 20.1816 | 92.258 ± 26.5401 | 46.109 ± 19.4391 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Transdermal fluorescence intensity at the time of blood sampling as measured by the QuantumLeap device was documented, and the correlation between the transdermal fluorescence intensity of MB-102 as measured by the QuantumLeap device and the plasma concentration of MB-102 at each time point in the renal excretion phase was calculated.
| Coefficient of determination, r-squared | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap |
|---|---|---|
| Correlation Between the Transdermal Fluorescence Intensity of MB-102 as Measured by the Quantum Leap Device and Plasma Concentration of MB-102 at Each Time Point in the Renal Excretion Phase | -0.999 ± 0.0009 | -0.998 ± 0.0028 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and will be analyzed using validated analytical methods. Transdermal fluorescence intensity at the time of blood sampling as measured by the Radiance device was documented, and the correlation between the transdermal fluorescence intensity of MB-102 as measured by the Radiance device and the plasma concentration of MB-102 at each time point in the renal excretion phase was calculated.
| Coefficient of determination, r-squared | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|
| Correlation Between the Transdermal Fluorescence Intensity of MB-102 as Measured by the Radiance Device and Plasma Concentration of MB-102 at Each Time Point in the Renal Excretion Phase | -0.999 ± 0.001 | -0.998 ± 0.0033 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, and 480 minutes post dose, and were analyzed using validated analytical methods. Transdermal fluorescence intensity at the time of blood sampling as measured by the Brilliance device was documented, and the correlation between the transdermal fluorescence intensity of MB-102 as measured by the Brilliance device and the plasma concentration of MB-102 at each time point in the renal excretion phase was calculated.
| Coefficient of determination, r-squared | Normal-CKD Stage 2/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 |
|---|---|---|---|---|---|---|
| Correlation Between the Transdermal Fluorescence Intensity of MB-102 as Measured by the Brilliance Device and Plasma Concentration of MB-102 at Each Time Point in the Renal Excretion Phase in Participants With Normal-CKD Stage 2 Renal Function | -0.994 ± 0.0092 | -0.998 ± 0.0026 | -0.999 ± 0.0015 | -0.997 ± 0.0037 | -0.999 ± 0.0015 | -1 ± 0.0001 |
Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) and 960, 1440, 1920, 2400, and 2880 (±30 min) minutes post dose, and were analyzed using validated analytical methods. Transdermal fluorescence intensity at the time of blood sampling as measured by the Brilliance device was documented, and the correlation between the transdermal fluorescence intensity of MB-102 as measured by the Brilliance device and the plasma concentration of MB-102 at each time point in the renal excretion phase was calculated.
| Coefficient of determination, r-squared | CKD Stage 3-5/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|
| Correlation Between the Transdermal Fluorescence Intensity of MB-102 as Measured by the Brilliance Device and Plasma Concentration of MB-102 at Each Time Point in the Renal Excretion Phase in Participants With CKD Stage 3-4 Renal Function | -0.999 ± 0.0015 | -0.998 ± 0.0018 | -0.993 ± 0.0193 |
The number of participants with adverse events related to the use of the QuantumLeap device was documented.
| Participants | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap |
|---|---|---|
| Number of Participants With Adverse Events Related to the Use of the QuantumLeap Device | 4 | 0 |
The number of participants with adverse events related to the use of the Radiance device was documented.
| Participants | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance |
|---|---|---|
| Number of Participants With Adverse Events Related to the Use of the Radiance Device | 1 | 0 |
The number of participants with adverse events related to the use of the Brilliance device was documented.
| Participants | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|
| Number of Participants With Adverse Events Related to the Use of the Brilliance Device | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
Collected over Treatment-emergent adverse events were collected from the time of dosing through the follow-up visit, up to 10 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Normal-CKD Stage 2/QuantumLeap | 0/31 (0%) | 0/31 (0%) | 7/31 (22.6%) |
| CKD Stage 3-4/QuantumLeap | 0/29 (0%) | 0/29 (0%) | 5/29 (17.2%) |
| Normal-CKD Stage 2/Radiance | 0/20 (0%) | 0/20 (0%) | 2/20 (10%) |
| CKD Stage 3-5/Radiance | 0/40 (0%) | 0/40 (0%) | 0/40 (0%) |
| Normal-CKD Stage 2/Brilliance Algorithm Optimization | 0/9 (0%) | 0/9 (0%) | 1/9 (11.1%) |
| CKD Stage 3-5/Brilliance Algorithm Optimization | 0/7 (0%) | 0/7 (0%) | 1/7 (14.3%) |
| Normal-CKD Stage 2/Brilliance Sensor Optimization | 0/18 (0%) | 0/18 (0%) | 2/18 (11.1%) |
| Normal-CKD Stage 2/Brilliance Sensor Validation | 0/30 (0%) | 0/30 (0%) | 0/30 (0%) |
| CKD Stage 3-5/Brilliance Sensor Validation | 0/18 (0%) | 0/18 (0%) | 1/18 (5.6%) |
| Normal-CKD Stage 2/Brilliance (1-2 Sensors) | 0/12 (0%) | 0/12 (0%) | 2/12 (16.7%) |
| Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | 0/4 (0%) | 0/4 (0%) | 1/4 (25%) |
| Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | 0/4 (0%) | 0/4 (0%) | 1/4 (25%) |
| CKD Stage 3-5/Brilliance 1-2 Sensors | 0/12 (0%) | 0/12 (0%) | 2/12 (16.7%) |
| Event | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Injection site extravasationGeneral disorders | 0/31 | 0/29 | 0/20 | 0/40 | 0/9 | 0/7 | 0/18 | 0/30 | 1/18 | 2/12 | 1/4 | 1/4 | 1/12 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | 0/31 | 0/29 | 0/20 | 0/40 | 0/9 | 0/7 | 0/18 | 0/30 | 0/18 | 0/12 | 0/4 | 1/4 | 0/12 |
| RashSkin and subcutaneous tissue disorders | 0/31 | 1/29 | 0/20 | 0/40 | 0/9 | 1/7 | 0/18 | 0/30 | 0/18 | 0/12 | 0/4 | 0/4 | 0/12 |
| Application site discolorationGeneral disorders | 0/31 | 0/29 | 0/20 | 0/40 | 0/9 | 0/7 | 2/18 | 0/30 | 0/18 | 0/12 | 0/4 | 0/4 | 0/12 |
| Hot flushVascular disorders | 0/31 | 0/29 | 0/20 | 0/40 | 1/9 | 0/7 | 0/18 | 0/30 | 0/18 | 0/12 | 0/4 | 0/4 | 0/12 |
| HeadacheNervous system disorders | 1/31 | 1/29 | 0/20 | 0/40 | 0/9 | 0/7 | 0/18 | 0/30 | 0/18 | 0/12 | 0/4 | 0/4 | 1/12 |
| Oedema peripheralGeneral disorders | 1/31 | 2/29 | 0/20 | 0/40 | 0/9 | 0/7 | 0/18 | 0/30 | 0/18 | 0/12 | 0/4 | 0/4 | 0/12 |
| NauseaGastrointestinal disorders | 2/31 | 0/29 | 0/20 | 0/40 | 0/9 | 0/7 | 0/18 | 0/30 | 0/18 | 0/12 | 0/4 | 0/4 | 0/12 |
| Application site erythemaGeneral disorders | 2/31 | 0/29 | 1/20 | 0/40 | 0/9 | 0/7 | 0/18 | 0/30 | 0/18 | 0/12 | 0/4 | 0/4 | 0/12 |
| Injection site bruisingGeneral disorders | 2/31 | 1/29 | 0/20 | 0/40 | 0/9 | 0/7 | 0/18 | 0/30 | 0/18 | 0/12 | 0/4 | 0/4 | 0/12 |
Safety Analysis Set: all participants who signed the informed consent form and received study drug
| Age, Continuous(years) | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 40.3 ± 11.78 | 58.2 ± 11.76 | 54.7 ± 13.57 | 61.1 ± 12.93 | 46.9 ± 13.40 | 66.9 ± 6.67 | 41.6 ± 15.42 | 39.1 ± 15.38 | 70.9 ± 8.09 | 47.9 ± 17.70 | 52.3 ± 14.27 | 42.5 ± 13.72 | 70.3 ± 9.46 | 53 ± 16.7 |
| Sex: Female, Male(Participants) | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Female | 19 | 14 | 10 | 21 | 2 | 6 | 8 | 16 | 6 | 6 | 1 | 2 | 4 | 115 |
| Male | 12 | 15 | 10 | 19 | 7 | 1 | 10 | 14 | 12 | 6 | 3 | 2 | 8 | 119 |
| Race (NIH/OMB)(Participants) | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
| Asian | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 15 | 11 | 7 | 15 | 4 | 2 | 7 | 11 | 1 | 6 | 2 | 2 | 4 | 87 |
| White | 15 | 18 | 11 | 25 | 5 | 5 | 11 | 19 | 17 | 6 | 2 | 2 | 8 | 144 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(Participants) | Normal-CKD Stage 2/QuantumLeap | CKD Stage 3-4/QuantumLeap | Normal-CKD Stage 2/Radiance | CKD Stage 3-5/Radiance | Normal-CKD Stage 2/Brilliance Algorithm Optimization | CKD Stage 3-5/Brilliance Algorithm Optimization | Normal-CKD Stage 2/Brilliance Sensor Optimization | Normal-CKD Stage 2/Brilliance Sensor Validation | CKD Stage 3-5/Brilliance Sensor Validation | Normal-CKD Stage 2/Brilliance (1-2 Sensors) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) | Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102 | CKD Stage 3-5/Brilliance 1-2 Sensors | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| United States | 31 | 29 | 20 | 40 | 9 | 7 | 18 | 30 | 18 | 12 | 4 | 4 | 12 | 234 |
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