ClinicalTrials.gg
RecruitingNCT06830798AWAKEUpdated Jun 18, 2026

Double-blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Ravulizumab Administered Intravenously in Adult Participants at High Risk of Delayed Graft Function After Kidney Transplantation

A Phase 3 interventional study of Ravulizumab and Placebo in Delayed Graft Function, DGF and Kidney Transplant, sponsored by Alexion Pharmaceuticals, Inc.. Recruiting at 130 sites in 18 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-18.

Sponsored by Alexion Pharmaceuticals, Inc. (part of AstraZeneca) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started May 2025; still recruiting 1 year 5 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
450
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary objective of this study is to demonstrate the efficacy of ravulizumab vs placebo in reducing the severity of DGF as measured by time to freedom from dialysis in adult participants who are at high risk of DGF after undergoing transplant of deceased donor kidney.

Read the detailed description

AWAKE is a multicenter, prospective study to evaluate the safety and efficacy of ravulizumab in reducing delayed graft function (DGF) in kidney transplant recipients at high risk for DGF. Eligible participants will be randomized in a 1:1 ratio to receive either ravulizumab or placebo intravenously.

02

Conditions studied

  • Delayed Graft Function
  • DGF
  • Kidney Transplant

Browse trials for

Keywords

  • Delayed Graft Function
  • DGF
  • Kidney Transplant
  • Ravulizumab
03

In context

Delayed Graft Function

83 studies on the registry are indexed under Delayed Graft Function; 15 are open to participants now.

This study's planned enrollment of 450 is above the median of 90 across 62 interventional studies indexed under Delayed Graft Function.

Browse Delayed Graft Function studies →

Lead sponsor

Alexion Pharmaceuticals, Inc. is the lead sponsor of 255 studies on the registry; 23 are open to participants now.

Of its 101 completed or terminated interventional studies of FDA-regulated products, 75 (74%) have results posted.

First submitted after Alexion Pharmaceuticals, Inc. became part of AstraZeneca.

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
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

  • ≥ 18 years of age at the time of signing the
  • Diagnosed with Dialysis-dependent End-Stage Kidney Disease (ESKD)
  • A candidate for kidney transplant from:

    1. Donation after Circulatory Death (DCD) donor
    2. High-risk Donation after Brain Death (DBD) donor

Exclusion criteria

Exclusion Criteria:

  • Is to receive a kidney from a donor with category I,II,IV and V Maastricht Classification
  • Diagnosed with Acute Kidney Injury (AKI) of Stage 3 severity according to the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
450 participants (estimated)

Study arms

  • Experimental
    Ravulizumab

    Participants will receive an IV dose of ravulizumab.

    Drug: Ravulizumab

  • Placebo comparator
    Placebo

    Participants will receive an IV dose of placebo.

    Drug: Placebo

Interventions

  • Participants will receive ravulizumab via intravenous (IV) infusion.

  • DrugPlacebo

    Participants will receive placebo via intravenous (IV) infusion.

06

What researchers measure

Primary outcomes

  1. Time to Freedom from Dialysis

    Time frame: Through 90 days post-transplant

Secondary outcomes

  1. DGF Incidence

    Time frame: Up to 7 days post-transplant

  2. Number of Dialysis Sessions

    Time frame: Through 90 days post-transplant

  3. Time to Occurrence of eGFR reaching 30 mL/min/1.73 m2

    Time frame: Through 90 days post-transplant

07

Study locations

113 of 130 sites recruiting
  • Research Site
    Phoenix, Arizona 85054, United States
    Recruiting
  • Research Site
    Los Angeles, California 90095, United States
    Recruiting
  • Research Site
    San Francisco, California 94115, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    San Francisco, California 94143, United States
    Recruiting
  • Research Site
    Stanford, California 94305, United States
    Recruiting
  • Research Site
    New Haven, Connecticut 06510, United States
    Recruiting
  • Research Site
    Jacksonville, Florida 32224, United States
    Recruiting
  • Research Site
    Tampa, Florida 33606, United States
    Recruiting
  • Research Site
    Atlanta, Georgia 30322, United States
    Recruiting
  • Research Site
    Chicago, Illinois 60608, United States
    Recruiting
  • Research Site
    Chicago, Illinois 60637, United States
    Recruiting
  • Research Site
    Fairway, Kansas 66205, United States
    Recruiting
  • Research Site
    Lexington, Kentucky 40508, United States
    Recruiting
  • Research Site
    Kenner, Louisiana 70065, United States
    Recruiting
  • Research Site
    Ann Arbor, Michigan 48109, United States
    Recruiting
  • Research Site
    Detroit, Michigan 48202, United States
    Recruiting
  • Research Site
    Minneapolis, Minnesota 55455, United States
    Recruiting
  • Research Site
    St Louis, Missouri 63108, United States
    Recruiting
  • Research Site
    Omaha, Nebraska 68198, United States
    Recruiting
  • Research Site
    Livingston, New Jersey 07039, United States
    Recruiting
  • Research Site
    New York, New York 10016, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    New York, New York 10065, United States
    Recruiting
  • Research Site
    Durham, North Carolina 27705, United States
    Recruiting
  • Research Site
    Philadelphia, Pennsylvania 19140, United States
    Recruiting
  • Research Site
    Greenville, South Carolina 29605, United States
    Recruiting
  • Research Site
    Nashville, Tennessee 37232, United States
    Recruiting
  • Research Site
    Dallas, Texas 75235, United States
    Recruiting
  • Research Site
    Houston, Texas 77030, United States
    Recruiting
  • Research Site
    Charlottesville, Virginia 22908, United States
    Recruiting
  • Research Site
    Richmond, Virginia 23298, United States
    Recruiting
  • Research Site
    Seattle, Washington 98104, United States
    Recruiting
  • Research Site
    Milwaukee, Wisconsin 53226, United States
    Recruiting
  • Research Site
    Buenos Aires, 1425, Argentina
    Recruiting
  • Research Site
    Buenos Aires, B1629AHJ, Argentina
    Recruiting
  • Research Site
    Buenos Aires, C1431FWO, Argentina
    Recruiting
  • Research Site
    Capital Federal, C1155ADP, Argentina
    Not yet recruiting
  • Research Site
    Córdoba, X5016LIG, Argentina
    Recruiting
  • Research Site
    Adelaide, 5000, Australia
    Recruiting
  • Research Site
    Brisbane, 4102, Australia
    Recruiting
  • Research Site
    Camperdown, 2050, Australia
    Recruiting
  • Research Site
    Murdoch, 6150, Australia
    Recruiting
  • Research Site
    Innsbruck, 6020, Austria
    Recruiting
  • Research Site
    Vienna, 1090, Austria
    Recruiting
  • Research Site
    Belo Horizonte, 30130-100, Brazil
    Recruiting
  • Research Site
    Belo Horizonte, 30150-221, Brazil
    Recruiting
  • Research Site
    Botucatu, 18618-970, Brazil
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Botucatu, 18618-970, Brazil
    Recruiting
  • Research Site
    Campinas, 13083, Brazil
    Recruiting
  • Research Site
    Fortaleza, 60175295, Brazil
    Recruiting
  • Research Site
    Porto Alegre, 90035-903, Brazil
    Recruiting
  • Research Site
    Porto Alegre, 90050-170, Brazil
    Recruiting
  • Research Site
    Recife, 50070-550, Brazil
    Recruiting
  • Research Site
    Rio de Janeiro, 1033, Brazil
    Recruiting
  • Research Site
    São José do Rio Preto, 15090-000, Brazil
    Recruiting
  • Research Site
    São Paulo, 04036-002, Brazil
    Recruiting
  • Research Site
    Edmonton, Alberta T6G 2E1, Canada
    Recruiting
  • Research Site
    Vancouver, British Columbia V5Z 1M9, Canada
    Recruiting
  • Research Site
    Toronto, Ontario M5B 1W8, Canada
    Recruiting
  • Research Site
    Toronto, Ontario M5G 2C4, Canada
    Not yet recruiting
  • Research Site
    Montreal, Quebec H3T 1E2, Canada
    Not yet recruiting
  • Research Site
    Guangzhou, 510080, China
    Recruiting
  • Research Site
    Guangzhou, 510260, China
    Recruiting
  • Research Site
    Guangzhou, 510280, China
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  • Research Site
    Hangzhou, 310015, China
    Recruiting
  • Research Site
    Hengyang, 441021, China
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  • Research Site
    Nanning, 530007, China
    Recruiting
  • Research Site
    Shenzhen, 518020, China
    Recruiting
  • Research Site
    Taiyuan, 030032, China
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Taiyuan, 030032, China
    Recruiting
  • Research Site
    Tianjin, 300192, China
    Recruiting
  • Research Site
    Zhengzhou, 450003, China
    Recruiting
  • Research Site
    Hradec Kralova, 50005, Czechia
    Recruiting
  • Research Site
    Ostrava, 708 52, Czechia
    Recruiting
  • Research Site
    Prague, 140 21, Czechia
    Recruiting
  • Research Site
    Créteil, 94000, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    La Rochelle, 17019, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    La Tronche, 38700, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Montpellier, 34295, France
    Not yet recruiting
  • Research Site
    Nantes, 44093, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Paris, 75651, France
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Toulouse, 31059, France
    Not yet recruiting
  • Research Site
    Berlin, 10117, Germany
    Recruiting
  • Research Site
    Erlangen, 91054, Germany
    Recruiting
  • Research Site
    Lübeck, 23538, Germany
    Recruiting
  • Research Site
    Mainz Am Rhein, 55131, Germany
    Recruiting
  • Research Site
    Münster, 48149, Germany
    Recruiting
  • Research Site
    Bologna, 40138, Italy
    Recruiting
  • Research Site
    Milan, 20122, Italy
    Recruiting
  • Research Site
    Milan, 20162, Italy
    Recruiting
  • Research Site
    Padova, 35128, Italy
    Recruiting
  • Research Site
    Parma, 43100, Italy
    Recruiting
  • Research Site
    Torino, 10126, Italy
    Recruiting
  • Research Site
    Kyoto, 602-8566, Japan
    Recruiting
  • Research Site
    Suita-shi, 565-0871, Japan
    Recruiting
  • Research Site
    Bydgoszcz, 85-094, Poland
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Gdansk, 80-214, Poland
    Recruiting
  • Research Site
    Poznan, 60-355, Poland
    Recruiting
  • Research Site
    Warsaw, 02-091, Poland
    Not yet recruiting
  • Research Site
    Lisbon, 1069-166, Portugal
    Recruiting
  • Research Site
    Lisbon, 1499-005, Portugal
    Recruiting

Showing the first 100 of 130 sites across 18 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Alexion has a public commitment to allow requests for access to study data and will be supplying a protocol, CSR, and plain language summaries.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06830798
Responsible party
Sponsor
First posted
Feb 17, 2025
Start date
May 19, 2025
Primary completion
Nov 30, 2027 (estimated)
Completion
Aug 30, 2028 (estimated)
Last update
Jun 18, 2026

Study contacts

Alexion Pharmaceuticals, Inc. (Sponsor)
Contact
clinicaltrials@alexion.com
1-855-752-2356

Oversight

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

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Studies of the drug tested here: Ravulizumab

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