CClinicalTrials.gg
CompletedNCT05777174Updated Mar 28, 2025Results posted

Study of MB-102 (Relmapirazin) and the Use of the MediBeacon® Transdermal GFR Measurement System Using the TGFR Reusable Sensor With Disposable Adhesive Ring

A Phase 3 interventional study of MB-102 and MediBeacon Transdermal Glomerular Filtration Rate Measurement System (TGFR) in Kidney Diseases, Kidney Injury and Kidney Failure, sponsored by MediBeacon. Completed at 5 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-28.

Sponsored by MediBeacon · Phase 3, Interventional, and Basic science

Phase
Phase 3
Study type
Interventional
Enrollment
149
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial was to compare transdermal glomerular filtration rate (tGFR) to plasma-derived indexed GFR (nGFR) using MB-102 (relmapirazin) as the fluorescent compound. Adults with kidney function ranging from estimated glomerular filtration rate (eGFR) \<120 to >15 mL/min/1.73 m2 and spanning the entire range of human skin colors as defined by the Fitzpatrick Skin Scale (FSS) were included in the study.

The main questions that the study aimed to answer were:

  • To establish that the MB-102 transdermal fluorescence assessed GFR using the MediBeacon Transdermal GFR System with the TGFR reusable sensor with disposable adhesive ring was comparable to the measured MB-102 plasma GFR.
  • To evaluate the safety and effectiveness of the MediBeacon Transdermal GFR System and the TGFR reusable sensor with disposable adhesive ring for the non-invasive transdermal fluorescence detection of MB-102 in participants

On dosing day, participants had the TGFR reusable sensor with disposable adhesive ring placed on their chest, and the MediBeacon Transdermal GFR System initiated to collect background fluorescence. When this was completed, participants then received a single dose of MB-102. Blood samples were collected and fluorescent measurements were taken over a 12- or 24-hour (or longer) period, depending upon enrollment group. For those with significant renal compromise, fluorescent measurements were continued until the sensor no longer detected MB-102 in the body. Following completion of the treatment period, participants returned to the study center approximately 1 week later for a safety follow-up visit. Researchers compared the results to see if the transdermal GFR measurements were comparable to the measured plasma GFR.

02

Conditions studied

  • Kidney Diseases
  • Kidney Injury
  • Kidney Failure

Keywords

  • Glomerular Filtration Rate
  • Relmapirazin
  • Iohexol
  • Pharmacokinetics
  • Transdermal fluorescence detection
  • MB-102
03

In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's enrollment of 149 is above the median of 70 across 2,640 interventional studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

MediBeacon is the lead sponsor of 11 studies on the registry; 3 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Eligible female non-pregnant participants who are either not of child-bearing potential or willing to use adequate contraception during the trial
  • Males must be willing to practice abstinence or utilize adequate contraception from dosing day to at least 7 days post-dose
  • For women of childbearing potential, the participant should have a negative serum pregnancy test at screening, and agrees to one of the following acceptable contraceptive methods used consistently and correctly i.e. abstinence, oral contraceptive either combined or progesterone alone; injectable progesterone, implants of levonorgestrel, estrogenic vaginal ring, percutaneous contraceptive patches, IUD device or system or male partner sterilization
  • Men will not donate sperm during the study and for 1 month following the last dose of study drug.
  • Participants who are capable of directly providing informed consent and who can comply with the requirements and restrictions required by the protocol
  • Adequate venous access sufficient to allow blood sampling per protocol requirements

Exclusion criteria

Exclusion Criteria:

  • Participants positive for COVID-19 at the time of dosing
  • Recent donation or loss of blood or plasma: 100 mL to 499 mL within 30 days prior to the initial dose of the study medication; or more than 499 mL within 56 days prior to the initial dose of study medication
  • Non-steroidal anti-inflammatory (NSAID) use within 3 days of MB-102 dosing
  • The participant has participated in a clinical trial and has received an investigational product within the following time ranges: prior to the first dosing day in the current study: either 30 days or 5 half-lives of the investigational product (whichever duration is longer).
  • History of skin sensitivity to adhesives (e.g. Band-Aids, surgical tape)
  • History of severe allergic hypersensitivity reactions (unacceptable adverse events) or anaphylactoid reaction to any allergen including drugs, MB-102 or other related products (intolerance to a drug is not considered a drug allergy).
  • Any characteristics which, in the opinion of the investigator, makes the participant a poor candidate for participation in the clinical trial
  • Significant scaring, tattoos or alterations in pigmentation on the sternum or other sensor location testing areas that would alter sensor readings versus other areas of the skin
  • Use of tanning sprays, tanning products etc. on the upper chest within 2 weeks of dosing day
  • Use make-up, lotions, Vaseline or other products on the area of the upper chest on the day prior to or the day of dosing
  • Any serious or uncontrolled medical disorder, active infection, physical exam finding, laboratory finding, or psychiatric condition that in the opinion of the investigator would limit the participant's ability to complete study requirements or may put the participant at increased risk or compromise the interpretability of study results.
  • Currently receiving dialysis
  • Currently anuric
  • Positive serum pregnancy test
  • Participants with an eGFR > 120 mL/min/1.73m\^2
05

Study design

Phase
Phase 3
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
149 participants (actual)

Study arms

  • Experimental
    Participants with eGFR ≥ 70 mL/min/1.73 m^2

    A TGFR Reusable Sensor with Disposable Adhesive Ring was placed on participants' chests at least 15 minutes prior to dosing on treatment day, and the MediBeacon Transdermal GFR System was initiated to collect background fluorescence. After the collection of background fluorescence, a single dose of MB-102 (130 mg) was administered intravenously to participants with estimated glomerular filtration rate (eGFR) eGFR ≥ 70 mL/min/1.73 m\^2. Approximately half of the participants had Fitzpatrick Scale Type I, II or III, and half had Type IV, V and VI skin color type. Blood samples and fluorescent measurements were collected over 12 hours.

    Drug: MB-102 · Device: MediBeacon Transdermal Glomerular Filtration Rate Measurement System (TGFR)

  • Experimental
    Participants with eGFR < 70 mL/min/1.73 m^2

    A TGFR Reusable Sensor with Disposable Adhesive Ring was placed on participants' chests at least 15 minutes prior to dosing on treatment day, and the MediBeacon Transdermal GFR System was initiated to collect background fluorescence. After the collection of background fluorescence, a single dose of MB-102 (130 mg) was administered intravenously to participants with estimated glomerular filtration rate eGFR \< 70 mL/min/1.73 m\^2. Approximately half of the participants had Fitzpatrick Scale Type I, II or III, and half had Type IV, V and VI skin color type. Blood samples and fluorescent measurements were collected over 24 hours.

    Drug: MB-102 · Device: MediBeacon Transdermal Glomerular Filtration Rate Measurement System (TGFR)

Interventions

  • DrugMB-102

    18.6 mg/mL in a 7.0 mL volume administered by intravenous injection over 30 - 60 seconds, followed by a 10 mL normal saline flush administered intravenously over 30 - 60 seconds

    Also known as: Relmapirazin

  • DeviceMediBeacon Transdermal Glomerular Filtration Rate Measurement System (TGFR)

    On treatment day, participants had the TGFR reusable sensor with disposable adhesive ring placed on their chest, and the MediBeacon® Transdermal GFR Measurement System was initiated to collect background fluorescence. When this was completed, participants received a single dose of MB-102. Fluorescent measurements were collected for 12-24 hours. For those with significant renal compromise, fluorescent measurements were continued until the sensor no longer detected MB-102 in the body.

06

What researchers measure

Primary outcomes

  1. Correlation of Transdermal Derived Glomerular Filtration Rate (tGFR) to the Plasma-derived Indexed Glomerular Filtration Rate (nGFR)

    The performance measure of P30 is defined as the proportion of transdermal derived GFR values that are within 30% of the measured plasma-derived GFR across all participants. The comparison of transdermal derived glomerular filtration rate (tGFR) with respect to the plasma-derived indexed glomerular filtration rate (nGFR) was calculated with a double-sided 97% confidence interval (CI). The performance goal was 0.85, and success for the study was defined as a lower limit of the 97% CI greater than 0.85.

    Time frame: Up to 24 hours following the study dose

Secondary outcomes

  1. Number of Participants With Treatment-emergent Adverse Events Associated With MB-102 Administration

    An adverse event is defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, temporally associated with the use of a medicinal product, whether or not related to the investigational medical device or drug.

    Time frame: From the time of dosing through the follow-up visit, up to 10 days

  2. Number of Participants With Treatment-emergent Adverse Events Associated With the MediBeacon Transdermal GFR Measurement System Device

    An adverse event is defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, temporally associated with the use of a medicinal product, whether or not related to the investigational medical device or drug.

    Time frame: From the time of dosing through the follow-up visit, up to 10 days

07

Results

Posted Mar 28, 2025

Participant flow

Participant flow — Overall Study
MilestoneParticipants With eGFR ≥ 70 mL/Min/1.73 m^2Participants With eGFR < 70 mL/Min/1.73 m^2
Started8465
Completed8465
Not completed00

Outcome measures

PrimaryCorrelation of Transdermal Derived Glomerular Filtration Rate (tGFR) to the Plasma-derived Indexed Glomerular Filtration Rate (nGFR)

The performance measure of P30 is defined as the proportion of transdermal derived GFR values that are within 30% of the measured plasma-derived GFR across all participants. The comparison of transdermal derived glomerular filtration rate (tGFR) with respect to the plasma-derived indexed glomerular filtration rate (nGFR) was calculated with a double-sided 97% confidence interval (CI). The performance goal was 0.85, and success for the study was defined as a lower limit of the 97% CI greater than 0.85.

Time frame:
Up to 24 hours following the study dose
Reported as:
Number · Proportion of tGFR within 30% of nGFR
Correlation of Transdermal Derived Glomerular Filtration Rate (tGFR) to the Plasma-derived Indexed Glomerular Filtration Rate (nGFR)
Proportion of tGFR within 30% of nGFRParticipants With eGFR ≥ 70 mL/Min/1.73 m^2Participants With eGFR < 70 mL/Min/1.73 m^2
Correlation of Transdermal Derived Glomerular Filtration Rate (tGFR) to the Plasma-derived Indexed Glomerular Filtration Rate (nGFR)0.950 (0.817 to 0.995)0.971 (0.836 to 1.00)
SecondaryNumber of Participants With Treatment-emergent Adverse Events Associated With MB-102 Administration

An adverse event is defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, temporally associated with the use of a medicinal product, whether or not related to the investigational medical device or drug.

Time frame:
From the time of dosing through the follow-up visit, up to 10 days
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events Associated With MB-102 Administration
ParticipantsParticipants With eGFR ≥ 70 mL/Min/1.73 m^2Participants With eGFR < 70 mL/Min/1.73 m^2
Number of Participants With Treatment-emergent Adverse Events Associated With MB-102 Administration11
SecondaryNumber of Participants With Treatment-emergent Adverse Events Associated With the MediBeacon Transdermal GFR Measurement System Device

An adverse event is defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in subjects, temporally associated with the use of a medicinal product, whether or not related to the investigational medical device or drug.

Time frame:
From the time of dosing through the follow-up visit, up to 10 days
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events Associated With the MediBeacon Transdermal GFR Measurement System Device
ParticipantsParticipants With eGFR ≥ 70 mL/Min/1.73 m^2Participants With eGFR < 70 mL/Min/1.73 m^2
Number of Participants With Treatment-emergent Adverse Events Associated With the MediBeacon Transdermal GFR Measurement System Device00

Adverse events

Collected over Treatment-emergent adverse events were collected from the time of dosing through the follow-up visit, up to 10 days. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Participants With eGFR ≥ 70 mL/Min/1.73 m^20/84 (0%)0/84 (0%)2/84 (2.4%)
Participants With eGFR < 70 mL/Min/1.73 m^20/65 (0%)0/65 (0%)5/65 (7.7%)
Most frequent other events
Most frequent other events
EventParticipants With eGFR ≥ 70 mL/Min/1.73 m^2Participants With eGFR < 70 mL/Min/1.73 m^2
HYPERTENSIONVascular disorders0/843/65
INJECTION SITE EXTRAVASATIONGeneral disorders0/842/65
HEADACHENervous system disorders2/840/65

Baseline characteristics

Safety Population: all participants who enrolled in the study and were dosed with MB-102

Age, Continuous
Age, Continuous(years)Participants With eGFR ≥ 70 mL/Min/1.73 m^2Participants With eGFR < 70 mL/Min/1.73 m^2Total
Mean51.5 ± 12.966.0 ± 8.6257.8 ± 13.3
Sex: Female, Male
Sex: Female, Male(Participants)Participants With eGFR ≥ 70 mL/Min/1.73 m^2Participants With eGFR < 70 mL/Min/1.73 m^2Total
Female373370
Male473279
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Participants With eGFR ≥ 70 mL/Min/1.73 m^2Participants With eGFR < 70 mL/Min/1.73 m^2Total
Hispanic or Latino342660
Not Hispanic or Latino503989
Unknown or Not Reported000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Participants With eGFR ≥ 70 mL/Min/1.73 m^2Participants With eGFR < 70 mL/Min/1.73 m^2Total
American Indian or Alaska Native202
Asian213
Black or African American263157
Native Hawaiian or Other Pacific Islander000
White523082
Other224
Unknown or not reported011
08

Study locations

5 sites
  • Research by Design, LLC
    Chicago, Illinois 60643, United States
  • Centricity Research
    Columbus, Ohio 43213, United States
  • PPD
    Austin, Texas 78744, United States
  • Clinical Advancement Center, PLLC
    San Antonio, Texas 78212, United States
  • Endeavor Clinical Trials, LLC
    San Antonio, Texas 78240, United States
09

References and documents

Study documents

  • Study protocol · Apr 2, 2024
  • Statistical analysis plan · Sep 18, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05777174
Lead sponsor
MediBeacon
Responsible party
Sponsor
First posted
Mar 21, 2023
Start date
Mar 20, 2023
Primary completion
Apr 15, 2024
Completion
Apr 15, 2024
Results posted
Mar 28, 2025
Last update
Mar 28, 2025

Oversight

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

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