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> Web page: https://trialight.com/data/trial/ilofotase-alfa-for-prevention-of-renal-damage-after-cardiac-5b825ad8-b3c9-4210-8dfc-dea7c11e1fc6
> Record changed: 2026-10-13

# Ilofotase Alfa for Prevention of Renal Damage After Cardiac Surgery

NCT06168799

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

Phase

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

Recruitment status

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

Participants

271

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

Lead sponsor

AM-Pharma

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

Start date

2023-12-19

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

Number of sites

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Title and summary

**Summary**

The aim of this clinical trial is to evaluate the efficacy and safety of two intravenous administrations of ilofotase alfa in patients at risk for renal damage following open heart surgery.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Short title**

Ilofotase Alfa for Prevention of Renal Damage After Cardiac Surgery

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Official title**

Double-Blind, Randomized, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of Ilofotase Alfa in Patients at Risk for Renal Damage Following Open Heart Surgery

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Recruitment status**

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Phase**

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Dates

**Completion date**

2025-12-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**First posted**

2023-12-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Registry last updated**

2025-12-15

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Primary completion date**

2025-10-05

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Start date**

2023-12-19

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Size and sites

**Actual participants**

271

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Participants**

271

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Protocol amendments**

5

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Randomisation ratio**

1:1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Number of sites**

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Lead sponsor**

AM-Pharma

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Identifiers

**Registry ID**

NCT06168799

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**ClinicalTrials.gov ID**

NCT06168799

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Triple masking

**Masked roles**

Participants, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Outcomes

### Primary outcomes

1. Assessment of serum creatinine values  
Timeframe: From Baseline to Day 5  
Ratio between the highest value postsurgery (post-surgery Day 1 and Days 2, 3, 4, and 5) and the pre-surgery baseline value for serum creatinine

### Secondary outcomes

1. Assessment of major adverse kidney events (MAKE) 60  
Timeframe: Daily post-surgery through Day 5  
Major adverse kidney events (MAKE) 60, defined as died up to and including Day 61, have received or are receiving new renal replacement therapy (RRT) up to and including Day 61, or have a decrease in estimated glomerular filtration rate (eGFR) ≥25% on Day 61 compared to the pre-surgery baseline eGFR reference value
2. Assessment of adverse event (AE) and serious adverse event (SAE) occurrence  
Timeframe: From Day -1 to Day 28

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

1. Age ≥18 years
2. Planned for one of the following types of open chest cardiovascular surgery with the use of cardiopulmonary bypass pump (CPB):

  1. 1\. combined valve and CABG surgery; 2\. aortic valve plus aortic root and/or ascending aorta (excluding aortic arch)
  2. CABG with 3 or more distal anastomoses
3. Screening eGFR ≥25 mL/min/1.73m2 and ≤65 mL/min/1.73m2
4. Female patients of childbearing potential agreeing to use effective contraception within IP treatment and 14 days thereafter  
Post-menopausal females do not require contraception during the trial.
5. Male patients agreeing to refrain from donating sperm, use a male condom when having sexual intercourse and in case their partner is of childbearing potential they must agree to use adequate and effective contraception method (see inclusion criterion 4) within IP treatment and 14 days thereafter

The five most important Exclusion Criteria:

1. Body weight ≤55 kg
2. Known or suspected glomerulonephritis (other than diabetic kidney disease) or other systemic vasculitis
3. Confirmed or treated endocarditis requiring antimicrobial or antiviral treatment within 30 days prior to surgery or other current active infection requiring antimicrobial or antiviral treatment within 14 days prior to surgery
4. Known chronic liver disorder with Child-Pugh C classification
5. Current planned (or scheduled) surgical intervention under conditions of circulatory arrest, including planned deep hypothermic circulatory arrest

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Sites

- Research siteMunich, Germany

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## References

- PubMed 40152923  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/40152923/)
Related publication

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06168799)

## Related records

### Drugs (1)

- [Ilofotase alfa](https://trialight.com/data/asset/ilofotase-alfa-f570467a-2dbf-451d-8f0c-13a364725a30.md)

### Collaborators (1)

- FGK Clinical Research GmbH

### Lead sponsors (1)

- [AM-Pharma](https://trialight.com/data/company/am-pharma-11d3d527-c3db-4243-a8be-14301cfed4f2.md)

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