ClinicalTrials.gg
CompletedNCT03612856Updated Mar 7, 2024Results posted

Safety and Efficacy Study of AB023 (Xisomab 3G3) in End Stage Renal Disease Patients on Chronic Hemodialysis

A Phase 2 interventional study of AB023- Dose 1 and AB023-Dose 2 in End Stage Renal Disease and Thrombosis, sponsored by Aronora, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-03-07.

Sponsored by Aronora, Inc. · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
27
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This study evaluates the safety and efficacy of AB023 (xisomab 3G3) in patients with end stage renal disease on chronic hemodialysis. Two dose levels will be evaluated in two cohorts. Within each cohort the patients will be randomized to receive either AB023 (xisomab 3G3) or placebo (at a ratio of 2:1 active: placebo).

02

Conditions studied

  • End Stage Renal Disease
  • Thrombosis

Keywords

  • Hemodialysis
03

In context

Kidney Failure, Chronic

2,108 studies on the registry are indexed under Kidney Failure, Chronic; 273 are open to participants now.

This study's enrollment of 27 is below the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

Aronora, Inc. is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Patients must fulfill all of the following inclusion criteria to be eligible for participation in the study:

  1. ESRD maintained on stable outpatient HD regimen, using an established (> 3 months) and normally functioning, regular flow, uninfected first mature AV fistula (or AV graft) and skin consistent with standard chronic HD access injuries, and HD stability defined as Kt/V ≥ 1.2 within 3 months prior to screening at a healthcare center for > 3 months from screening.
  2. On HD regimen at least 3 times per week for a minimum of 3 hours per dialysis session, using a complication-free well maintained AV fistula (or AV graft), expected and plan to continue this throughout and for at least 3 months beyond the study.
  3. Is capable of understanding the written , provides signed and witnessed written informed consent, and agrees to comply with protocol requirements and study related procedures.
  4. Willing to be confined to the CRU for the duration of the study, able to comply with all study-related requirements, and able to adhere to study restrictions and visit schedules.
  5. Male or female, between 18 and 80 years of age (inclusive) at the time of screening.
  6. of ≥ 18 at the time of screening.
  7. Considered by the PI to be clinically stable with respect to underlying ESRD, based on medical evaluation that includes medical and surgical history, and a complete physical examination including vital signs, , and clinical laboratory test results at screening. Repeat assessments are permitted for any laboratory, ECG, or vital sign parameter required for enrollment.
  8. Female patients must be of non- and must have undergone one of the following:

    • sterilization procedures at least 6 months prior to dosing:
    • hysteroscopic sterilization;
    • bilateral tubal ligation or bilateral salpingectomy;
    • hysterectomy;
    • bilateral oophorectomy; or be with amenorrhea for at least 1 year prior to dosing and follicle stimulating hormone (FSH) serum levels consistent with postmenopausal status as per PI or designee judgment.
  9. Male patients must either be sterile (vasectomy with history of a negative sperm count following the procedure); practice total abstinence from sexual intercourse as the preferred lifestyle (periodic abstinence is not acceptable); use a male condom with any sexual activity; or agree to use a method considered to be appropriate by the Investigator (such as one of the methods identified above for female patients) from the time of screening until 90 days after study drug administration. Male patients must agree not to donate sperm for a period of 90 days after study drug administration.

Exclusion criteria

Exclusion Criteria:

Patients must not be enrolled in the study if they meet any of the following criteria:

  1. Documented history of acute vasoocclusive thrombotic event (acute coronary syndrome, stroke or , venous thromboembolic event), or vascular access fistula or AV graft failure in the past 3 months.
  2. With the exception of unfractionated heparin during HD, concomitant or prior use of anticoagulant/antiplatelet agents (e.g., low molecular weight heparins, warfarin, apixaban, bivalirudin, ticagrelor, edoxaban, dabigatran, rivaroxaban, clopidogrel, prasugrel, ticlopidine, eptifibatide, tirofiban, dipyridamole, diclofenac, and all other NSAIDs) that may affect hemostasis for 2 weeks prior to check-in on Day -8 and throughout the study.
  3. Use of unfractionated heparin for HD sessions from check-in on Day -8 and throughout the study.
  4. Any (CS) concomitant disease or condition (including treatment for such conditions) that, in the opinion of the PI, could either interfere with the study drug, compromise interpretation of study data, or pose an unacceptable risk to the patient.
  5. Any other CS abnormalities in laboratory test results at screening that would, in the opinion of the PI, increase the patient's risk of participation, jeopardize complete participation in the study, or compromise interpretation of study data.
  6. Pregnant (positive pregnancy test) at screening or check-in on Day -8. If serum human chorionic gonadotropin (hCG) pregnancy test results are indeterminate, follow-up testing should be performed to determine eligibility.

    All female patients will not be pregnant and will have a negative pregnancy test at screening and check-in on Day -8, with the following exception: females receiving dialysis with an indeterminate pregnancy test result or persistently low hCG resulting in a false positive pregnancy test may be included in the study at the discretion of the PI. patients with a result outside the postmenopausal range or an indeterminate pregnancy test will undergo additional testing with FSH to confirm postmenopausal status prior to study enrollment.

  7. Treatment with another drug or device study within 30 days (or 5 half lives, whichever is longer) prior to check-in on Day -8.
  8. Acute illness that is considered by the PI to be CS within 2 weeks of check-in on Day 8.
  9. Currently have established underlying inherited or acquired symptomatic bleeding disorders and/or are at risk for excessive bleeding per PI judgment or current active bleeding (e.g., gastrointestinal, intracranial), aside from minor bleeding from the puncture site on the AV fistula or AV graft, which would be expected to occur during the dialysis procedure, with the following values:

    • count \< 100,000 cells/mm3 (if \< 100,000 but > 75,000 cells/mm3, with permission of PI and medical monitor) at screening
    • > 1.4 at screening
    • aPTT up to 1.2 x (if >1.2x ULN up to \< 1.5 x ULN, with permission of PI and medical monitor) at screening
    • or AST > 2 x ULN at screening
    • Total > 1.2 ULN at screening
    • concentration \< 10 g/dL at screening
  10. Seated blood pressure \< 90/40 mmHg at screening and check-in on Day -8.
  11. Exclusion criteria for at screening and check-in on Day -8:

    Heart rate \< 45 and > 110 bpm interval > 500 msec (bpm = beats per minute; msec = milliseconds; QTcF = QT interval corrected using Fridericia's formula)

    • Any significant arrhythmia or conduction abnormality, (including but not specific to atrioventricular block [2nd degree or higher], Wolff Parkinson White syndrome [unless curative radio ablation therapy]), which, in the opinion of the PI and Medical Monitor, could interfere with the safety for the individual patient.
    • Non-sustained or sustained ventricular tachycardia (> 2 consecutive ventricular ectopic beats at a rate of > 1.7/second).
  12. History of a CS allergy to recombinant biologic drug, rodents, or a known sensitivity or idiosyncratic reaction to any compound present in xisomab 3G3, its related compounds, or any compound listed as being present in the study formulation.
  13. Participate in strenuous exercise from 48 hours prior to check-in on Day -8 and throughout the study.
  14. Positive test for drugs of abuse and/or positive alcohol test at screening or check in on Day 8 if not accounted for by a prescription medication. Patients with a positive test based on a prescribed medication may be enrolled.
  15. Positive test at screening for surface antigen (HBsAg) or (HIV). If a patient with ESRD has positive test results for virus (HCV) but liver function tests are otherwise not clinically significant, the patient may be included at the PI's discretion.
  16. Receiving blood purification therapy other than HD.
  17. Any other reason that would render the patient unsuitable for study enrollment at the discretion of the PI.
Terms in these criteria, in plain language(19)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
27 participants (actual)

Study arms

  • Experimental
    AB023 (xisomab 3G3)- Dose 1

    Participants will receive a single dose of 0.25 mg/kg xisomab 3G3.

    Drug: AB023- Dose 1

  • Experimental
    AB023 (xisomab 3G3)- Dose 2

    Participants will receive a single dose of 0.5 mg/kg xisomab 3G3.

    Drug: AB023-Dose 2

  • Placebo comparator
    placebo

    Participants will receive a single dose of placebo.

    Drug: placebo

Interventions

  • Participants will receive a single dose of 0.25 mg/kg AB023.

    Also known as: xisomab 3G3- Dose 1

  • Participants will receive a single dose of 0.5 mg/kg AB023.

    Also known as: xisomab 3G3- Dose 2

  • Drugplacebo

    Participants will receive a single dose of placebo.

06

What researchers measure

Primary outcomes

  1. The Number of Subjects With Treatment-related Adverse Events (TEAEs) and the Number of TEAEs Will be Summarized Using Frequency Counts (Safety and Tolerability)

    TEAEs will be determined by physical examination that will include assessment of skin, head, ears, eyes, nose, throat, respiratory system, cardiovascular system, gastrointestinal system, neurological condition, blood and lymphatic systems, and the musculoskeletal system.

    Time frame: 21 days

  2. Incidence of Bleeding at the HD Vascular Access Site (Safety and Tolerability)

    The number of clinically relevant and non-major bleeding events from the vascular access site. Bleeding from the access site was assessed immediately following decannulation. Pressure was placed on the access site for 10 min. After 10 minutes, the access site was checked for bleeding. If still bleeding, pressure was applied for another 5 minutes and checked again. This was repeated until hemostasis was achieved and the time to hemostasis was recorded. A time greater than 10 min was considered a non-major bleeding event.

    Time frame: Study Days -7, -5, -3 (pre-dose) 1, 3, and 5 (post-dose)

  3. The Number of Subjects With Abnormal Electrocardiogram That is Related to Treatment Will be Summarized Using Frequency Counts (Safety and Tolerability).

    12-lead electrocardiogram measurement. Abnormal electrocardiogram was determined by the study PI. The result was determined to be treatment-related if the abnormal electrocardiogram occurred post-treatment and not pre-treatment. Data from the specified time points (Study Days 6 and 12) were combined by adding the number of participants on each Study Day that showed an abnormal electrocardiogram compared to pre-treatment (Study Day -8 and Study Day 1, pre-dose).

    Time frame: Study Days -8 and 1, pre-dose (pre-treatment) and Study Days 6 and 12 (post-treatment)

  4. The Number of Subjects That Develop Treatment-related Immunogenicity Will be Summarized Using Frequency Counts (Safety and Tolerability).

    Immunogenicity measured by the presence of plasma anti-drug antibodies. Plasma anti-drug antibodies were determined by a validated enzyme-linked immunosorbant assay (ELISA) and the titer of anti-drug antibodies present in patient plasma on Study day 12 was compared to the titer of anti-drug antibodies compared to Study day 1, predose.

    Time frame: Study day 1 (predose) and Study Day 12

  5. The Number of Subjects With Clinically Significant Changes in Body Temperature, Frequency, and Relation to Treatment Will be Assessed.

    Body temperature will be measured in degrees Celsius. Clinically significant changes in body temperature were determined by the study PI. The result was determined to be treatment related if the change in body temperature occurred at any time post-treatment and not pre-treatment.

    Time frame: Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (1h post-dose), 3, 5, 6, 8, 10, and 12 (post-treatment).

  6. The Number of Subjects With Clinically Significant Changes in Respiratory Rate, Frequency, and Relation to Treatment Will be Assessed.

    Respiratory rate will be measured in breaths per minute. Clinically significant changes in respiratory rate were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in respiratory rate occurred post-treatment compared to pre-treatment.

    Time frame: Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (1h post-dose), 3, 5, 6, 8, 10, and 12 (post-treatment).

  7. The Number of Subjects With Clinically Significant Changes in Blood Pressure (Systolic and Diastolic), Frequency, and Relation to Treatment Will be Assessed.

    Systolic and diastolic blood pressure will be measured in mmHg. Clinically significant changes in blood pressure were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in blood pressure occurred post-treatment compared to pre-treatment.

    Time frame: Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (1h post-dose), 3, 5, 6, 8, 10, and 12 (post-treatment).

  8. The Number of Subjects With Clinically Significant Changes in Heart Rate, Frequency, and Relation to Treatment Will be Assessed.

    Heart rate will be measured in beats per minute. Clinically significant changes in heart rate were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in heart rate occurred post-treatment compared to pre-treatment.

    Time frame: Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (1h post-dose), 3, 5, 6, 8, 10, and 12 (post-treatment).

  9. The Number of Subjects With Clinically Significant Changes in Activated Partial Thromboplastin Time (aPTT), Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Coagulation Panel.

    Plasma aPTT will be measured in seconds. Clinically significant changes in aPTT were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in aPTT occurred post-treatment compared to pre-treatment.

    Time frame: Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (3h post-dose), 3, 5, 6, and 12 (post-treatment).

  10. The Number of Subjects With Clinically Significant Changes in Prothrombin Time, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Coagulation Panel.

    Prothrombin time will be measured in seconds. Clinically significant changes in prothrombin time were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in prothrombin time occurred post-treatment compared to pre-treatment.

    Time frame: Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (3h post-dose), 3, 5, 6, and 12 (post-treatment).

  11. The Number of Subjects With Clinically Significant Changes in Bilirubin (Total and Direct) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    Bilirubin (total and direct) levels in the blood will be measured in mg/dL. Clinically significant changes in bilirubin were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in bilirubin occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  12. The Number of Subjects With Clinically Significant Changes in Alkaline Phosphatase Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    Alkaline phosphatase levels in the blood will be measured in U/L. Clinically significant changes in alkaline phosphatase were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in alkaline phosphatase occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  13. The Number of Subjects With Clinically Significant Changes in Aspartate Aminotransferase (AST) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    AST levels in the blood will be measured in U/L. Clinically significant changes in aspartate aminotransferase (AST) were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in AST occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  14. The Number of Subjects With Clinically Significant Changes in Alanine Aminotransferase (ALT) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    ALT levels in the blood will be measured in U/L. Clinically significant changes in alanine aminotransferase (ALT) were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in ALT occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  15. The Number of Subjects With Clinically Significant Changes in Lactate Dehydrogenase (LDH) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    LDH levels in the blood will be measured in U/L. Clinically significant changes in lactate dehydrogenase (LDH) were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in LDH occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  16. The Number of Subjects With Clinically Significant Changes in Albumin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    Albumin levels in the blood will be measured in g/dL. Clinically significant changes in albumin were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in albumin occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  17. The Number of Subjects With Clinically Significant Changes in Sodium Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    Sodium levels will be measured in mEq/L. Clinically significant changes in sodium levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in sodium levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  18. The Number of Subjects With Clinically Significant Changes in Potassium Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    Potassium levels will be measured in mEq/L. Clinically significant changes in potassium levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in potassium levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  19. The Number of Subjects With Clinically Significant Changes in Chloride Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    Chloride levels will be measured in mEq/L. Clinically significant changes in chloride levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in chloride levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  20. The Number of Subjects With Clinically Significant Changes in Glucose Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    Blood glucose levels will be measured in mg/dL. Clinically significant changes in glucose levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in glucose occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  21. The Number of Subjects With Clinically Significant Changes in Creatinine Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

    Creatinine levels will be measured in mg/dL. Clinically significant changes in creatinine levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in creatinine levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  22. The Number of Subjects With Clinically Significant Changes in Hemoglobin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

    Hemoglobin levels will be measured in g/dL. Clinically significant changes in hemoglobin were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in hemoglobin occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  23. The Number of Subjects With Clinically Significant Changes in Hematocrit Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

    Hematocrit levels will be measured in %. Clinically significant changes in hematocrit were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in hematocrit occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  24. The Number of Subjects With Clinically Significant Changes in Total Leukocyte Counts, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

    Total leukocyte counts will be measured in 10˄3/uL. Clinically significant changes in total leukocyte count were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in total leukocyte count occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  25. The Number of Subjects With Clinically Significant Changes in Differential Leukocyte Counts, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

    Differential leukocyte counts will be measured in %. Clinically significant changes in differential leukocyte counts were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in differential leukocyte counts occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  26. The Number of Subjects With Clinically Significant Changes in Red Blood Cell Count, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

    Red blood cell count will be measured in 10˄6/uL. Clinically significant changes in red blood cell counts were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in red blood cell counts occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  27. The Number of Subjects With Clinically Significant Changes in Platelet Count, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

    Platelet count will be measured in 10˄3/uL. Clinically significant changes in platelet count were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in platelet count occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  28. The Number of Subjects With Clinically Significant Changes in Urine pH, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    pH of the urine will be measured. Clinically significant changes in urine pH were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine pH occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  29. The Number of Subjects With Clinically Significant Changes in Urine Specific Gravity, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    Specific gravity of the urine will be evaluated. Clinically significant changes in urine specific gravity were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine specific gravity occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  30. The Number of Subjects With Clinically Significant Changes in Urine Protein Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    Protein levels in the urine will be evaluated. Clinically significant changes in urine protein levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine protein levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  31. The Number of Subjects With Clinically Significant Changes in Urine Glucose Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    Glucose levels in the urine will be evaluated. Clinically significant changes in urine glucose levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine glucose levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  32. The Number of Subjects With Clinically Significant Changes in Urine Ketone Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    Ketone levels in the urine will be evaluated. Clinically significant changes in urine ketone levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine ketone levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  33. The Number of Subjects With Clinically Significant Changes in Urine Bilirubin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    Bilirubin levels in the urine will be evaluated. Clinically significant changes in urine bilirubin levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine bilirubin levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  34. The Number of Subjects With Clinically Significant Changes in Urine Blood Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    Blood levels in the urine will be evaluated. Clinically significant changes in urine blood levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine blood levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  35. The Number of Subjects With Clinically Significant Changes in Urine Nitrite Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    Nitrite levels in the urine will be evaluated. Clinically significant changes in urine nitrite levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine nitrite levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  36. The Number of Subjects With Clinically Significant Changes in Urine Urobilinogen Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    Urobilinogen levels in the urine will be evaluated. Clinically significant changes in urine urobilinogen levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine urobilinogen levels occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

  37. The Number of Subjects With Clinically Significant Changes in Urine Leukocyte Esterase Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

    Leukocyte esterase levels in the urine will be evaluated. Clinically significant changes in urine leukocyte esterase were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine leukocyte esterase occurred post-treatment compared to pre-treatment.

    Time frame: Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)

Secondary outcomes

  1. Hemodialysis Efficiency as Measured by Frequency of Clotting on the Dialysis Filters and Circuit (Pharmacodynamic Outcome).

    Assessment of thrombus accumulation in the dialyzer cartridge measured by visual inspection.

    Time frame: At each hemodialysis session (pre-dose days: study day -7, -5, -3, and post-dose dose days: study day 1, 3, and 5)

  2. Hemodialysis Efficiency as Measured by Blood Urea Nitrogen (BUN) Levels (Pharmacodynamic Outcome).

    Assessment of BUN (mg/dL) before and after hemodialysis as urea reduction ratio (URR), %.

    Time frame: 21 days

  3. Hemodialysis Efficiency as Measured by Blood Urea Nitrogen (BUN) Levels (Pharmacodynamic Outcome), KtV.

    Assessment of BUN (mg/dL) before and after hemodialysis as KtV (mL/min).

    Time frame: 21 days

  4. Hemodialysis Efficiency as Measured by Blood Potassium Levels (Pharmacodynamic Outcome).

    Assessment of plasma potassium (mEq/L) before and after hemodialysis. The reduction of plasma potassium (before hemodialysis minus after hemodialysis) is reported in mEq/L).

    Time frame: 21 days

  5. Hemodialysis Efficiency as Measured by Length of the Hemodialysis Session (Pharmacodynamic Outcome).

    The length of each hemodialysis session will be recorded.

    Time frame: 21 days

  6. The Effect of a Single Intravenous Dose of Xisomab 3G3 on the Activated Partial Thromboplastin Time (aPTT) (Pharmacodynamic Outcome).

    Activated partial thromboplastin time (aPTT) will be measured as a pharmacodynamic marker and the change from baseline will be summarized using descriptive statistics. aPTT is a clotting assay that measures how long it takes for blood to clot after clotting is activated by an intrinsic coagulation pathway activator such as kaolin.

    Time frame: Study day 1 predose and 0.167, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 96, 120, 168, 216, and 264 hours after dosing

  7. The Maximum Plasma Concentration (Cmax) of Xisomab 3G3 After a Single Injection Will be Measured in Each Patient (Pharmacokinetic Outcome).

    Maximum plasma concentration of xisomab 3G3

    Time frame: 14 days

  8. The Time to Reach Maximum Plasma Concentrations of Xisomab 3G3 (Tmax) After a Single Injection Will be Measured in Each Patient (Pharmacokinetic Outcome).

    The time to reach maximum plasma concentrations of xisomab 3G3 after a single injection.

    Time frame: 14 days

  9. The Area Under the Plasma Concentration-time Curve From Time 0 to the Last Measurable Non-zero Concentration (AUC0-t) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome)

    The area under the plasma concentration-time curve from time 0 to the last measurable non-zero concentration.

    Time frame: 14 days

  10. The Area Under the Plasma Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome).

    The area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC0-inf) is calculated as the sum of AUC0-t plus the ratio of the last measurable plasma concentration to the elimination rate constant.

    Time frame: 14 days

  11. The Percent of AUC0-inf Extrapolated (AUC%Extrap) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome).

    The percent of AUC0-inf extrapolated (AUC%extrap) is calculated by (1-AUC0-t/AUC0-inf)\*100. AUC%extrap represents the fraction of the calculated total area under the curve that was extrapolated after the last measured time point.

    Time frame: 14 days

  12. The Apparent First Order Terminal Elimination Rate Constant (Kel) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Subject (Pharmacokinetic Outcome).

    The apparent first order terminal elimination rate constant will be calculated from a semi-log plot of the plasma concentration versus time curve. The parameter will be calculated by linear least squares regression analysis using the maximum number of points in the terminal log linear phase (e.g., three or more non zero plasma concentrations).

    Time frame: 14 days

  13. The Apparent First Order Terminal Elimination Half-life (T1/2) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).

    The apparent first order terminal elimination half-life will be calculated as 0.693/Kel.

    Time frame: 14 days

  14. The Apparent Total Plasma Clearance (CL) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).

    The apparent total plasma clearance will be calculated as \[Dose/AUC0-inf\].

    Time frame: 14 days

  15. The Total Apparent Volume of Distribution (Vss) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).

    The total apparent volume of distribution (Vss) will be calculated as the mean residence time x clearance.

    Time frame: 14 days

07

Results

Posted Jul 22, 2020

Participant flow

Pre-dose Period
Participant flow — Pre-dose Period
MilestoneAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
Started8109
Completed888
Not completed021
Withdrew: Physician decision011
Withdrew: Withdrawal by subject010
Post-dose Period
Participant flow — Post-dose Period
MilestoneAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
Started888
Completed888
Not completed000

Outcome measures

PrimaryThe Number of Subjects With Treatment-related Adverse Events (TEAEs) and the Number of TEAEs Will be Summarized Using Frequency Counts (Safety and Tolerability)

TEAEs will be determined by physical examination that will include assessment of skin, head, ears, eyes, nose, throat, respiratory system, cardiovascular system, gastrointestinal system, neurological condition, blood and lymphatic systems, and the musculoskeletal system.

Time frame:
21 days
Reported as:
Count of participants · Participants
The Number of Subjects With Treatment-related Adverse Events (TEAEs) and the Number of TEAEs Will be Summarized Using Frequency Counts (Safety and Tolerability)
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Treatment-related Adverse Events (TEAEs) and the Number of TEAEs Will be Summarized Using Frequency Counts (Safety and Tolerability)000
PrimaryIncidence of Bleeding at the HD Vascular Access Site (Safety and Tolerability)

The number of clinically relevant and non-major bleeding events from the vascular access site. Bleeding from the access site was assessed immediately following decannulation. Pressure was placed on the access site for 10 min. After 10 minutes, the access site was checked for bleeding. If still bleeding, pressure was applied for another 5 minutes and checked again. This was repeated until hemostasis was achieved and the time to hemostasis was recorded. A time greater than 10 min was considered a non-major bleeding event.

Time frame:
Study Days -7, -5, -3 (pre-dose) 1, 3, and 5 (post-dose)
Reported as:
Number · events
Incidence of Bleeding at the HD Vascular Access Site (Safety and Tolerability)
eventsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
Pre-dose hemodialysis days (days -7, -5, -3)052
Post-dose hemodialysis days (days 1, 3, 5)053
PrimaryThe Number of Subjects With Abnormal Electrocardiogram That is Related to Treatment Will be Summarized Using Frequency Counts (Safety and Tolerability).

12-lead electrocardiogram measurement. Abnormal electrocardiogram was determined by the study PI. The result was determined to be treatment-related if the abnormal electrocardiogram occurred post-treatment and not pre-treatment. Data from the specified time points (Study Days 6 and 12) were combined by adding the number of participants on each Study Day that showed an abnormal electrocardiogram compared to pre-treatment (Study Day -8 and Study Day 1, pre-dose).

Time frame:
Study Days -8 and 1, pre-dose (pre-treatment) and Study Days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Abnormal Electrocardiogram That is Related to Treatment Will be Summarized Using Frequency Counts (Safety and Tolerability).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Abnormal Electrocardiogram That is Related to Treatment Will be Summarized Using Frequency Counts (Safety and Tolerability).000
PrimaryThe Number of Subjects That Develop Treatment-related Immunogenicity Will be Summarized Using Frequency Counts (Safety and Tolerability).

Immunogenicity measured by the presence of plasma anti-drug antibodies. Plasma anti-drug antibodies were determined by a validated enzyme-linked immunosorbant assay (ELISA) and the titer of anti-drug antibodies present in patient plasma on Study day 12 was compared to the titer of anti-drug antibodies compared to Study day 1, predose.

Time frame:
Study day 1 (predose) and Study Day 12
Reported as:
Count of participants · Participants
The Number of Subjects That Develop Treatment-related Immunogenicity Will be Summarized Using Frequency Counts (Safety and Tolerability).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects That Develop Treatment-related Immunogenicity Will be Summarized Using Frequency Counts (Safety and Tolerability).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Body Temperature, Frequency, and Relation to Treatment Will be Assessed.

Body temperature will be measured in degrees Celsius. Clinically significant changes in body temperature were determined by the study PI. The result was determined to be treatment related if the change in body temperature occurred at any time post-treatment and not pre-treatment.

Time frame:
Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (1h post-dose), 3, 5, 6, 8, 10, and 12 (post-treatment).
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Body Temperature, Frequency, and Relation to Treatment Will be Assessed.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Body Temperature, Frequency, and Relation to Treatment Will be Assessed.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Respiratory Rate, Frequency, and Relation to Treatment Will be Assessed.

Respiratory rate will be measured in breaths per minute. Clinically significant changes in respiratory rate were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in respiratory rate occurred post-treatment compared to pre-treatment.

Time frame:
Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (1h post-dose), 3, 5, 6, 8, 10, and 12 (post-treatment).
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Respiratory Rate, Frequency, and Relation to Treatment Will be Assessed.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Respiratory Rate, Frequency, and Relation to Treatment Will be Assessed.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Blood Pressure (Systolic and Diastolic), Frequency, and Relation to Treatment Will be Assessed.

Systolic and diastolic blood pressure will be measured in mmHg. Clinically significant changes in blood pressure were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in blood pressure occurred post-treatment compared to pre-treatment.

Time frame:
Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (1h post-dose), 3, 5, 6, 8, 10, and 12 (post-treatment).
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Blood Pressure (Systolic and Diastolic), Frequency, and Relation to Treatment Will be Assessed.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Blood Pressure (Systolic and Diastolic), Frequency, and Relation to Treatment Will be Assessed.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Heart Rate, Frequency, and Relation to Treatment Will be Assessed.

Heart rate will be measured in beats per minute. Clinically significant changes in heart rate were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in heart rate occurred post-treatment compared to pre-treatment.

Time frame:
Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (1h post-dose), 3, 5, 6, 8, 10, and 12 (post-treatment).
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Heart Rate, Frequency, and Relation to Treatment Will be Assessed.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Heart Rate, Frequency, and Relation to Treatment Will be Assessed.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Activated Partial Thromboplastin Time (aPTT), Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Coagulation Panel.

Plasma aPTT will be measured in seconds. Clinically significant changes in aPTT were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in aPTT occurred post-treatment compared to pre-treatment.

Time frame:
Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (3h post-dose), 3, 5, 6, and 12 (post-treatment).
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Activated Partial Thromboplastin Time (aPTT), Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Coagulation Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Activated Partial Thromboplastin Time (aPTT), Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Coagulation Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Prothrombin Time, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Coagulation Panel.

Prothrombin time will be measured in seconds. Clinically significant changes in prothrombin time were determined by the study PI. The result was determined to be treatment related if the clinically significant changes in prothrombin time occurred post-treatment compared to pre-treatment.

Time frame:
Study days -7, -5, -3, and 1 (pre-treatment) and study days 1 (3h post-dose), 3, 5, 6, and 12 (post-treatment).
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Prothrombin Time, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Coagulation Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Prothrombin Time, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Coagulation Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Bilirubin (Total and Direct) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

Bilirubin (total and direct) levels in the blood will be measured in mg/dL. Clinically significant changes in bilirubin were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in bilirubin occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Bilirubin (Total and Direct) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Bilirubin (Total and Direct) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Alkaline Phosphatase Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

Alkaline phosphatase levels in the blood will be measured in U/L. Clinically significant changes in alkaline phosphatase were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in alkaline phosphatase occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Alkaline Phosphatase Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Alkaline Phosphatase Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Aspartate Aminotransferase (AST) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

AST levels in the blood will be measured in U/L. Clinically significant changes in aspartate aminotransferase (AST) were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in AST occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Aspartate Aminotransferase (AST) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Aspartate Aminotransferase (AST) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Alanine Aminotransferase (ALT) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

ALT levels in the blood will be measured in U/L. Clinically significant changes in alanine aminotransferase (ALT) were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in ALT occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Alanine Aminotransferase (ALT) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Alanine Aminotransferase (ALT) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Lactate Dehydrogenase (LDH) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

LDH levels in the blood will be measured in U/L. Clinically significant changes in lactate dehydrogenase (LDH) were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in LDH occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Lactate Dehydrogenase (LDH) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Lactate Dehydrogenase (LDH) Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Albumin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

Albumin levels in the blood will be measured in g/dL. Clinically significant changes in albumin were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in albumin occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Albumin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Albumin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Sodium Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

Sodium levels will be measured in mEq/L. Clinically significant changes in sodium levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in sodium levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Sodium Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Sodium Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Potassium Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

Potassium levels will be measured in mEq/L. Clinically significant changes in potassium levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in potassium levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Potassium Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Potassium Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Chloride Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

Chloride levels will be measured in mEq/L. Clinically significant changes in chloride levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in chloride levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Chloride Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Chloride Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Glucose Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

Blood glucose levels will be measured in mg/dL. Clinically significant changes in glucose levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in glucose occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Glucose Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Glucose Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Creatinine Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.

Creatinine levels will be measured in mg/dL. Clinically significant changes in creatinine levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in creatinine levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Creatinine Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Creatinine Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Serum Chemistry Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Hemoglobin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

Hemoglobin levels will be measured in g/dL. Clinically significant changes in hemoglobin were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in hemoglobin occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Hemoglobin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Hemoglobin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Hematocrit Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

Hematocrit levels will be measured in %. Clinically significant changes in hematocrit were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in hematocrit occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Hematocrit Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Hematocrit Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Total Leukocyte Counts, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

Total leukocyte counts will be measured in 10˄3/uL. Clinically significant changes in total leukocyte count were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in total leukocyte count occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Total Leukocyte Counts, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Total Leukocyte Counts, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Differential Leukocyte Counts, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

Differential leukocyte counts will be measured in %. Clinically significant changes in differential leukocyte counts were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in differential leukocyte counts occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Differential Leukocyte Counts, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Differential Leukocyte Counts, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Red Blood Cell Count, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

Red blood cell count will be measured in 10˄6/uL. Clinically significant changes in red blood cell counts were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in red blood cell counts occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Red Blood Cell Count, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Red Blood Cell Count, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Platelet Count, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.

Platelet count will be measured in 10˄3/uL. Clinically significant changes in platelet count were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in platelet count occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Platelet Count, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Platelet Count, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Hematology Panel.000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine pH, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

pH of the urine will be measured. Clinically significant changes in urine pH were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine pH occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine pH, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine pH, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine Specific Gravity, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

Specific gravity of the urine will be evaluated. Clinically significant changes in urine specific gravity were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine specific gravity occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine Specific Gravity, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine Specific Gravity, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine Protein Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

Protein levels in the urine will be evaluated. Clinically significant changes in urine protein levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine protein levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine Protein Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine Protein Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine Glucose Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

Glucose levels in the urine will be evaluated. Clinically significant changes in urine glucose levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine glucose levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine Glucose Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine Glucose Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine Ketone Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

Ketone levels in the urine will be evaluated. Clinically significant changes in urine ketone levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine ketone levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine Ketone Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine Ketone Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine Bilirubin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

Bilirubin levels in the urine will be evaluated. Clinically significant changes in urine bilirubin levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine bilirubin levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine Bilirubin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine Bilirubin Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine Blood Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

Blood levels in the urine will be evaluated. Clinically significant changes in urine blood levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine blood levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine Blood Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine Blood Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine Nitrite Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

Nitrite levels in the urine will be evaluated. Clinically significant changes in urine nitrite levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine nitrite levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine Nitrite Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine Nitrite Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine Urobilinogen Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

Urobilinogen levels in the urine will be evaluated. Clinically significant changes in urine urobilinogen levels were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine urobilinogen levels occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine Urobilinogen Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine Urobilinogen Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
PrimaryThe Number of Subjects With Clinically Significant Changes in Urine Leukocyte Esterase Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).

Leukocyte esterase levels in the urine will be evaluated. Clinically significant changes in urine leukocyte esterase were determined by the study PI. The result was determined to be treatment-related if the clinically significant changes in urine leukocyte esterase occurred post-treatment compared to pre-treatment.

Time frame:
Study day 1 (pre-treatment), and study days 6 and 12 (post-treatment)
Reported as:
Count of participants · Participants
The Number of Subjects With Clinically Significant Changes in Urine Leukocyte Esterase Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).
ParticipantsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
The Number of Subjects With Clinically Significant Changes in Urine Leukocyte Esterase Levels, Frequency, and Relation to Treatment Will be Assessed as Part of a Standard Urinalysis Panel (Unless Patient is Anuric).000
SecondaryHemodialysis Efficiency as Measured by Frequency of Clotting on the Dialysis Filters and Circuit (Pharmacodynamic Outcome).

Assessment of thrombus accumulation in the dialyzer cartridge measured by visual inspection.

Time frame:
At each hemodialysis session (pre-dose days: study day -7, -5, -3, and post-dose dose days: study day 1, 3, and 5)
Reported as:
Number · Complete occlusions of filter
Hemodialysis Efficiency as Measured by Frequency of Clotting on the Dialysis Filters and Circuit (Pharmacodynamic Outcome).
Complete occlusions of filterAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
Pre-dose hemodialysis (days -7, -5, -3)241
Post-dose hemodialysis (days 1, 3, 5)000
SecondaryHemodialysis Efficiency as Measured by Blood Urea Nitrogen (BUN) Levels (Pharmacodynamic Outcome).

Assessment of BUN (mg/dL) before and after hemodialysis as urea reduction ratio (URR), %.

Time frame:
21 days
Reported as:
Mean · URR (%)
Hemodialysis Efficiency as Measured by Blood Urea Nitrogen (BUN) Levels (Pharmacodynamic Outcome).
URR (%)AB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
Pre-dose Day -766.53 ± 4.73470.59 ± 7.36169.61 ± 6.452
Pre-dose Day -564.98 ± 4.92770.36 ± 5.75970.37 ± 6.015
Pre-dose Day -366.67 ± 6.62467.04 ± 10.57668.73 ± 6.378
Post-dose Day 167.82 ± 6.20169.37 ± 10.44071.36 ± 6.098
Post-dose Day 367.47 ± 5.49672.14 ± 5.61370.33 ± 6.877
Post-dose Day 569.63 ± 5.97271.42 ± 6.94471.86 ± 5.864
Post-dose Day 1265.66 ± 8.03972.34 ± 6.74970.98 ± 6.315
SecondaryHemodialysis Efficiency as Measured by Blood Urea Nitrogen (BUN) Levels (Pharmacodynamic Outcome), KtV.

Assessment of BUN (mg/dL) before and after hemodialysis as KtV (mL/min).

Time frame:
21 days
Reported as:
Mean · mL/min
Hemodialysis Efficiency as Measured by Blood Urea Nitrogen (BUN) Levels (Pharmacodynamic Outcome), KtV.
mL/minAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
Pre-dose Day -71.312 ± 0.15371.449 ± 0.30511.413 ± 0.2359
Pre-dose Day -51.250 ± 0.16151.402 ± 0.24671.432 ± 0.2253
Pre-dose Day -31.330 ± 0.20781.337 ± 0.38871.347 ± 0.2239
Post-dose Day 11.386 ± 0.23111.438 ± 0.40051.492 ± 0.2424
Post-dose Day 31.399 ± 0.18941.509 ± 0.25051.431 ± 0.2482
Post-dose Day 51.393 ± 0.18411.494 ± 0.32091.451 ± 0.2383
Post-dose Day 121.253 ± 0.22671.527 ± 0.31071.478 ± 0.2480
SecondaryHemodialysis Efficiency as Measured by Blood Potassium Levels (Pharmacodynamic Outcome).

Assessment of plasma potassium (mEq/L) before and after hemodialysis. The reduction of plasma potassium (before hemodialysis minus after hemodialysis) is reported in mEq/L).

Time frame:
21 days
Reported as:
Mean · mEq/mL
Hemodialysis Efficiency as Measured by Blood Potassium Levels (Pharmacodynamic Outcome).
mEq/mLAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
Pre-dose Day -71.68 ± 0.6481.60 ± 0.5951.69 ± 0.722
Pre-dose Day -51.57 ± 0.7691.44 ± 0.8021.71 ± 0.770
Pre-dose Day -31.44 ± 0.6681.41 ± 0.3081.63 ± 0.590
Post-dose Day 12.11 ± 0.4051.66 ± 0.8622.05 ± 1.207
Post-dose Day 32.11 ± 0.6031.81 ± 0.5211.58 ± 0.861
Post-dose Day 52.00 ± 0.5041.70 ± 0.7511.99 ± 0.734
Post-dose Day 121.24 ± 0.5661.45 ± 0.3891.39 ± 0.813
SecondaryHemodialysis Efficiency as Measured by Length of the Hemodialysis Session (Pharmacodynamic Outcome).

The length of each hemodialysis session will be recorded.

Time frame:
21 days
Reported as:
Mean · minutes
Hemodialysis Efficiency as Measured by Length of the Hemodialysis Session (Pharmacodynamic Outcome).
minutesAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
Pre-dose Day -7235 ± 8.44237 ± 4.84240 ± 0.00
Pre-dose Day -5240 ± 7.75234 ± 8.89240 ± 0.00
Pre-dose Day -3242 ± 4.60239 ± 3.54240 ± 0.00
Post-dose Day 1233 ± 15.9232 ± 15.6240 ± 0.00
Post-dose Day 3240 ± 0.00235 ± 12.6240 ± 0.00
Post-dose Day 5240 ± 0.00239 ± 1.77240 ± 0.00
Post-dose Day 12232 ± 14.1239 ± 3.18240 ± 0.00
SecondaryThe Effect of a Single Intravenous Dose of Xisomab 3G3 on the Activated Partial Thromboplastin Time (aPTT) (Pharmacodynamic Outcome).

Activated partial thromboplastin time (aPTT) will be measured as a pharmacodynamic marker and the change from baseline will be summarized using descriptive statistics. aPTT is a clotting assay that measures how long it takes for blood to clot after clotting is activated by an intrinsic coagulation pathway activator such as kaolin.

Time frame:
Study day 1 predose and 0.167, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 96, 120, 168, 216, and 264 hours after dosing
Reported as:
Mean · seconds
The Effect of a Single Intravenous Dose of Xisomab 3G3 on the Activated Partial Thromboplastin Time (aPTT) (Pharmacodynamic Outcome).
secondsAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
0h39.1 ± 7.9042.2 ± 4.8439.1 ± 4.29
0.167h82.2 ± 19.792.3 ± 11.842.5 ± 9.00
0.5h80.6 ± 18.891.9 ± 12.838.2 ± 5.16
1h77.9 ± 22.391.4 ± 12.538.2 ± 6.08
2h83.5 ± 23.389.9 ± 11.438.5 ± 5.87
3h90.9 ± 21.593.7 ± 4.539.3 ± 6.54
4h88.9 ± 21.596.0 ± 11.741.5 ± 9.15
6h87.6 ± 19.992.5 ± 10.139.4 ± 6.97
8h75.8 ± 19.49083.9 ± 5.238.1 ± 4.40
12h72.2 ± 17.786.1 ± 8.241.4 ± 15.7
16h68.0 ± 17.984.1 ± 9.1040.7 ± 5.76
24h69.8 ± 21.789.6 ± 10.136.9 ± 5.56
48h60.9 ± 20.985.3 ± 7.3037.0 ± 5.01
96h54.3 ± 10.883.5 ± 27.240.1 ± 8.25
120h55.4 ± 16.366.3 ± 16.946.1 ± 9.03
168h41.0 ± 5.459.4 ± 23.339.8 ± 9.03
216h41.8 ± 5.552.6 ± 17.239.0 ± 8.19
264h44.2 ± 8.01946.6 ± 9.9439.6 ± 5.87
SecondaryThe Maximum Plasma Concentration (Cmax) of Xisomab 3G3 After a Single Injection Will be Measured in Each Patient (Pharmacokinetic Outcome).

Maximum plasma concentration of xisomab 3G3

Time frame:
14 days
Reported as:
Geometric mean · ng/mL
The Maximum Plasma Concentration (Cmax) of Xisomab 3G3 After a Single Injection Will be Measured in Each Patient (Pharmacokinetic Outcome).
ng/mLAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2
The Maximum Plasma Concentration (Cmax) of Xisomab 3G3 After a Single Injection Will be Measured in Each Patient (Pharmacokinetic Outcome).1918 ± 120.67557 ± 33.5
SecondaryThe Time to Reach Maximum Plasma Concentrations of Xisomab 3G3 (Tmax) After a Single Injection Will be Measured in Each Patient (Pharmacokinetic Outcome).

The time to reach maximum plasma concentrations of xisomab 3G3 after a single injection.

Time frame:
14 days
Reported as:
Median · hours
The Time to Reach Maximum Plasma Concentrations of Xisomab 3G3 (Tmax) After a Single Injection Will be Measured in Each Patient (Pharmacokinetic Outcome).
hoursAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2
The Time to Reach Maximum Plasma Concentrations of Xisomab 3G3 (Tmax) After a Single Injection Will be Measured in Each Patient (Pharmacokinetic Outcome).0.167 (0.167 to 3.00)0.750 (0.167 to 2.00)
SecondaryThe Area Under the Plasma Concentration-time Curve From Time 0 to the Last Measurable Non-zero Concentration (AUC0-t) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome)

The area under the plasma concentration-time curve from time 0 to the last measurable non-zero concentration.

Time frame:
14 days
Reported as:
Geometric mean · ng*hr/mL
The Area Under the Plasma Concentration-time Curve From Time 0 to the Last Measurable Non-zero Concentration (AUC0-t) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome)
ng*hr/mLAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2
The Area Under the Plasma Concentration-time Curve From Time 0 to the Last Measurable Non-zero Concentration (AUC0-t) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome)22330 ± 214.7256300 ± 46.9
SecondaryThe Area Under the Plasma Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome).

The area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC0-inf) is calculated as the sum of AUC0-t plus the ratio of the last measurable plasma concentration to the elimination rate constant.

Time frame:
14 days
Reported as:
Geometric mean · ng*hr/mL
The Area Under the Plasma Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome).
ng*hr/mLAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2
The Area Under the Plasma Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome).39010 ± 101.5273200 ± 54.6
SecondaryThe Percent of AUC0-inf Extrapolated (AUC%Extrap) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome).

The percent of AUC0-inf extrapolated (AUC%extrap) is calculated by (1-AUC0-t/AUC0-inf)\*100. AUC%extrap represents the fraction of the calculated total area under the curve that was extrapolated after the last measured time point.

Time frame:
14 days
Reported as:
Mean · percent of AUC that was extrapolated
The Percent of AUC0-inf Extrapolated (AUC%Extrap) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome).
percent of AUC that was extrapolatedAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2
The Percent of AUC0-inf Extrapolated (AUC%Extrap) After a Single Injection of Xisomab 3G3 Will be Calculated for Each Patient (Pharmacokinetic Outcome).13.55 ± 11.6195.846 ± 8.0195
SecondaryThe Apparent First Order Terminal Elimination Rate Constant (Kel) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Subject (Pharmacokinetic Outcome).

The apparent first order terminal elimination rate constant will be calculated from a semi-log plot of the plasma concentration versus time curve. The parameter will be calculated by linear least squares regression analysis using the maximum number of points in the terminal log linear phase (e.g., three or more non zero plasma concentrations).

Time frame:
14 days
Reported as:
Mean · 1/hr
The Apparent First Order Terminal Elimination Rate Constant (Kel) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Subject (Pharmacokinetic Outcome).
1/hrAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2
The Apparent First Order Terminal Elimination Rate Constant (Kel) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Subject (Pharmacokinetic Outcome).0.08800 ± 0.0732600.03027 ± 0.010510
SecondaryThe Apparent First Order Terminal Elimination Half-life (T1/2) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).

The apparent first order terminal elimination half-life will be calculated as 0.693/Kel.

Time frame:
14 days
Reported as:
Mean · hours
The Apparent First Order Terminal Elimination Half-life (T1/2) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).
hoursAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2
The Apparent First Order Terminal Elimination Half-life (T1/2) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).11.125 ± 5.396127.082 ± 15.1722
SecondaryThe Apparent Total Plasma Clearance (CL) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).

The apparent total plasma clearance will be calculated as \[Dose/AUC0-inf\].

Time frame:
14 days
Reported as:
Mean · mL/hr
The Apparent Total Plasma Clearance (CL) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).
mL/hrAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2
The Apparent Total Plasma Clearance (CL) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).773.6 ± 612.47155.0 ± 42.374
SecondaryThe Total Apparent Volume of Distribution (Vss) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).

The total apparent volume of distribution (Vss) will be calculated as the mean residence time x clearance.

Time frame:
14 days
Reported as:
Mean · mL
The Total Apparent Volume of Distribution (Vss) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).
mLAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2
The Total Apparent Volume of Distribution (Vss) of Xisomab 3G3 After a Single Intravenous Injection Will be Calculated for Each Patient (Pharmacokinetic Outcome).9945 ± 5014.85498 ± 793.78

Adverse events

Collected over Adverse event data was collected from study check in (Day -8) through the final follow up (Day 12) for a total of 21 days.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
AB023 (Xisomab 3G3)- Dose 10/8 (0%)0/8 (0%)2/8 (25%)
AB023 (Xisomab 3G3)- Dose 20/8 (0%)0/8 (0%)0/8 (0%)
Placebo0/8 (0%)0/8 (0%)1/8 (12.5%)
Most frequent other events
Most frequent other events
EventAB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2Placebo
Viral gastroenteritisInfections and infestations2/80/81/8

Baseline characteristics

Age, Continuous
Age, Continuous(years)AB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2PlaceboTotal
Mean55.8 ± 7.5953.1 ± 5.3052.6 ± 9.2153.8 ± 7.34
Sex: Female, Male
Sex: Female, Male(Participants)AB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2PlaceboTotal
Female1315
Male75719
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)AB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2PlaceboTotal
Hispanic or Latino0022
Not Hispanic or Latino88622
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)AB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2PlaceboTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American87621
White0123
More than one race0000
Unknown or Not Reported0000
Region of Enrollment
Region of Enrollment(participants)AB023 (Xisomab 3G3)- Dose 1AB023 (Xisomab 3G3)- Dose 2PlaceboTotal
United States8888
08

Study locations

1 site
  • Orlando Clinical Research Center
    Orlando, Florida 32809, United States
09

References and documents

Publications

  • Lorentz CU, Tucker EI, Verbout NG, Shatzel JJ, Olson SR, Markway BD, Wallisch M, Ralle M, Hinds MT, McCarty OJT, Gailani D, Weitz JI, Gruber A. The contact activation inhibitor AB023 in heparin-free hemodialysis: results of a randomized phase 2 clinical trial. Blood. 2021 Dec 2;138(22):2173-2184. doi: 10.1182/blood.2021011725. PubMed 34086880 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — All subject-level clinical, laboratory, samples and imaging data as well as protocols, informed consent forms to participate in the trial, data dictionary, and code book will be preserved for data sharing. Shared data will be deidentifed and all raw data generated in connection with this study will be retained by the Investigator's institution. All data will be shared with controlled access. Prior to granting access outside of the Sponsor's archive, data will be deidentified by removing all 18 direct identifiers according to HIPAA Privacy Rule's Safe Harbor.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data underlying the reported results will be made available 3 months after publication in a peer-reviewed journal for a period of 5 years.

Access criteria: Potential parties from other organizations can learn about study data and identify whether it could be suitable for their research purposes though summary information (ClinicalTrials.gov, Pubmed) that will be readily available on our website. Requests for data can be made directly to Aronora, Inc.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03612856
Lead sponsor
Aronora, Inc.
Responsible party
Sponsor
First posted
Aug 2, 2018
Start date
Oct 29, 2018
Primary completion
Jul 6, 2019
Completion
Jul 6, 2019
Results posted
Jul 22, 2020
Last update
Mar 7, 2024

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: AB023

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