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RecruitingNCT07164833Updated Jul 1, 2026

A Study to Evaluate the Efficacy and Safety of BX-001N in Preventing Cardiac Surgery-Associated Acute Kidney Injury (CSA-AKI) and Major Adverse Kidney Events (MAKE)

A Phase 2 interventional study of BX-001N Experimental group 1 and BX-001N Experimental group 2 in Ischemia Reperfusion Injury and Cardiac Surgery Associated - Acute Kidney Injury, sponsored by Bilix Co.,Ltd.. Recruiting at 8 sites in South Korea. Open to participants aged 19 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-07-01.

Sponsored by Bilix Co.,Ltd. · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 2 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
19 Years to 90 Years
Sex
All
01

Study summary

This is a Randomized, Single-blind, Multi-center, Placebo-controlled, Phase 2a clinical trial of BX-001N to prevent patients from Cardiac Surgery Associated Acute Kidney Injury (CSA-AKI) and subsequent Major Adverse Kidney Events (MAKE) in approximately 50 participants.

Read the detailed description

This study will enroll approximately 50 participants, with 16 participants randomized to Experimental Group 1 and 4 participants to the Placebo Group 1, 15 participants to Experimental Group 2 and 15 participants to the Placebo Group 2.

Randomized participants will be hospitalized from one day prior to surgery (Baseline, Day -1) through Day 7.

Investigational product (IP) (i.e., BX-001N) will be administered intravenously at a weight-based dose as follows: The test drug will be administered three times in total. Participants in the Placebo Group will receive placebo at the same time points and in the same manner.

Follow-up visits will be conducted up to Day 90 at the study site for scheduled efficacy and safety assessments.

02

Conditions studied

  • Ischemia Reperfusion Injury
  • Cardiac Surgery Associated - Acute Kidney Injury

Browse trials for

03

In context

Reperfusion Injury

260 studies on the registry are indexed under Reperfusion Injury; 43 are open to participants now.

This study's planned enrollment of 50 is below the median of 60 across 212 interventional studies indexed under Reperfusion Injury.

Browse Reperfusion Injury studies →

Lead sponsor

Bilix Co.,Ltd. is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
19 Years to 90 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

  1. 19 to 90 years of age
  2. Participants with aortic disease scheduled for cardiac surgery via total circulatory arrest (TCA)
  3. Body weight ≥ 30 kg
  4. Participants with vital signs within the following ranges

    • Temperature : 35.0\~37.5°C
    • Blood pressure : Systolic blood pressure(SBP) 100\~160 mmHg, Diastolic blood pressure(DBP) \< 100 mmHg
    • Pulse : 50\~100 bpm (regardless of drug use)
  5. Willing to comply with the schedule and sign the
  6. Participants with moderate renal impairement

Exclusion criteria

Exclusion Criteria:

  1. Participants scheduled for emergent or salvage cardiac surgery
  2. Use of kidney replacement therapy (KRT) or presence of acute kidney injury (AKI)
  3. Participants at risk of bleeding
  4. Participants who underwent cardiac surgery via mid-sternotomy or thoracotomy, including major congenital heart disease
  5. Participants who received cardiopulmonary resuscitation within 30 days prior to cardiac surgery
  6. Recipient of a solid organ or bone marrow transplantation
  7. Participants with cardiogenic shock or hemodynamics instability, or planned use of intra-aortic balloon pump, extracorporeal membrane oxygenation, or left ventricular assist device
  8. Active systemic bacterial, viral, or fungal infection
  9. History of
  10. Positive serology test for HAV, , or Syphilis
  11. Participants with impaired liver function due to cirrhosis, or those with 2x UNR blood levels of ALP, , or ALT, or with total levels outside the normal range
  12. Uncontrolled hypertension
  13. History of congenital immunodeficiency
  14. Genetic disorder with severe and abnormal bilirubin metabolism
  15. Participants deemed unsuitable for the study in the discretion of the investigator
  16. History of
  17. Planned use of any pharmacologic agent other than the IP assigned in this study for the prevention or treatment of acute kidney injury
  18. History of severe allergic or anaphylactic reactions, or sensitivity to the IP or its constituents
  19. History of participation in other clinical trials within 30 days
  20. Presence of a do-not-resuscitate order or of \< 3 months
  21. Female subjects of
  22. Male subjects and their spouse/partner are not willing to use appropriate , or if their spouse/partner is pregnant, breastfeeding or has a plan
  23. Poorly controlled type 2 diabetes mellitus
  24. (NYHA) Class IV heart failure
Terms in these criteria, in plain language(11)

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.

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 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.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    BX-001N Experimental group 1

    Three low doses of BX-001N once a day on the scheduled date

    Drug: BX-001N Experimental group 1

  • Experimental
    BX-001N Experimental group 2

    Three high doses of BX-001N once a day on the scheduled date

    Drug: BX-001N Experimental group 2

  • Placebo comparator
    Placebo group 1

    Three low doses of placebo once a day on the scheduled date

    Drug: Placebo group 1

  • Placebo comparator
    Placebo group 2

    Three high doses of placebo once a day on the scheduled date

    Drug: Placebo group 2

Interventions

  • DrugBX-001N Experimental group 1

    Each participant will receive BX-001N at a weight-based low dose via IV injection once daily for a total of three administrations.

  • DrugBX-001N Experimental group 2

    Each participant will receive BX-001N at a weight-based high dose via IV injection once daily at the same time during hospitalization, for a total of three administrations.

  • DrugPlacebo group 1

    Each participant will receive Placebo at a weight-based dose via IV injection once daily at the same time during hospitalization, for a total of three administrations.

  • DrugPlacebo group 2

    Each participant will receive Placebo at a weight-based dose via IV injection once daily at the same time during hospitalization, for a total of three administrations.

06

What researchers measure

Primary outcomes

  1. Change from baseline in NGAL levels

    Time frame: Baseline(Day -1) to Day 7

  2. Change from baseline in sCr levels

    Time frame: Baseline(Day -1) to Day 7

  3. Change from baseline in eGFR

    Time frame: Baseline(Day -1) to Day 30

Secondary outcomes

  1. Change from baseline in CysC

    Time frame: Baseline(Day -1) to Day 7

  2. Change from baseline in TIMP-2

    Time frame: Baseline(Day -1) to Day 7

  3. Change from baseline in IGFBP7

    Time frame: Baseline(Day -1) to Day 7

  4. Collection of Major Adverse Renal Events [MAKE]

    Time frame: Up to Day 90

  5. Change from baseline in Incidence of AKI based on Kidney Disease: Improving Global Outcomes [KDIGO] criteria

    \[Staging of AKI\] Stage 1 : 1.5-1.9 times baseline or ≥0.3mg/dL increase Stage 2 : 2.0-2.9 times baseline Stage 3 : 3.0 times baseline or increase in serum creatinine to ≥4.0mg/dL or Initiation of renal replacement therapy

    Time frame: Baseline(Day -1) to Day 7

  6. Change from baseline in BUN

    Time frame: Baseline(Day -1) to Day 30

07

Study locations

5 of 8 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2025 (actual). Primary completion is estimated for Sep 2027, 25 months after the start.

Of 18 phase 2 interventional studies under Reperfusion Injury, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 45. This study's planned 25 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 27, 2025
First posted
Sep 10, 2025
StartActual
Aug 26, 2025
Primary completionEst.
Sep 2027
CompletionEst.
Apr 2028
Last update
Jul 1, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07164833
Lead sponsor
Bilix Co.,Ltd.
Responsible party
Sponsor
First posted
Sep 10, 2025
Start date
Aug 26, 2025
Primary completion
Sep 2027 (estimated)
Completion
Apr 2028 (estimated)
Last update
Jul 1, 2026

Study contacts

Choonmo Kang
Contact
choonmo.kang@bilix.com
+82-70-7791-5721
Soobin Son
Contact
Soobin.Son@bilix.com
+82-31-212-0961
Myung Lip Kim, Chief Executive Officer
study chair · Bilix Co.,Ltd.

Oversight

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

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