TIN816 for Acute Kidney Injury

No longer recruiting at 54 trial locations
NP
Overseen ByNovartis Pharmaceuticals
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Novartis Pharmaceuticals
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called TIN816 to determine its safety and effectiveness for people at risk of kidney damage after heart surgery. The study compares TIN816 to a placebo (an inactive substance) to assess its effectiveness. Suitable candidates for this trial have stable vital signs and plan to undergo a specific type of heart surgery with a long operation time. As a Phase 2 trial, this research measures the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to important medical advancements.

Do I need to stop my current medications for the TIN816 trial?

The trial protocol does not specify if you need to stop taking your current medications. However, your pulse rate should be stable with or without medication, and you cannot use other investigational drugs close to the time of enrollment.

Is there any evidence suggesting that TIN816 is likely to be safe for humans?

Research has shown that TIN816 has been tested for safety in patients with sudden kidney problems caused by sepsis. In these studies, TIN816 was generally well-tolerated, with most patients not experiencing serious side effects. Some individuals did encounter mild side effects, but these were not severe. Since this trial is in Phase 2, earlier studies have already demonstrated some level of safety. This suggests that doctors consider it safe enough for more people to try. However, new side effects could still emerge as more people use it.12345

Why do researchers think this study treatment might be promising for acute kidney injury?

Unlike standard treatments for acute kidney injury, which often focus on managing symptoms or supporting kidney function, TIN816 offers a novel approach by potentially targeting the underlying causes of the injury. Researchers are excited about TIN816 because it might work by a new mechanism that directly addresses kidney damage at a cellular level, offering a more direct method of treatment. This could mean improved outcomes and faster recovery times for patients compared to existing therapies.

What evidence suggests that TIN816 might be an effective treatment for acute kidney injury?

Research has shown that TIN816, which participants in this trial may receive, might help treat sudden kidney problems, known as acute kidney injury (AKI). Studies on patients with AKI caused by sepsis, a severe infection, found that TIN816 improved kidney function. These studies tested various treatment doses and observed encouraging results. While the research primarily focused on AKI from sepsis, it also suggests that TIN816 could benefit those at risk of AKI after heart surgery. Overall, these early findings indicate that TIN816 could be a useful treatment for kidney injuries.12567

Who Is on the Research Team?

NP

Novartis Pharmaceuticals

Principal Investigator

Novartis Pharmaceuticasl

Are You a Good Fit for This Trial?

Adults over 45 years old at risk of kidney injury after non-emergency heart surgery can join. They must be able to understand the study, weigh between 50-150 kg with a BMI under 40, and have stable vital signs. They cannot have had a recent significant increase in creatinine levels.

Inclusion Criteria

No known increase in SCr of ≥25% at screening visit compared to a previous value not older than 6 weeks as documented by a local laboratory using standard assay methodology.
I am scheduled for a major heart or lung surgery that will use a heart-lung machine for over an hour.
Signed informed consent must be obtained prior to participation in the study.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

4 weeks

Treatment

Participants receive TIN816 or placebo following cardiac surgery

6 days

Follow-up

Participants are monitored for safety and effectiveness after treatment

90 days

What Are the Treatments Tested in This Trial?

Interventions

  • Placebo
  • TIN816
Trial Overview The trial is testing TIN816 against a placebo to see if it's safe and effective in preventing kidney damage following heart surgery. Participants are randomly assigned to either the drug or placebo without knowing which one they receive.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: TIN816Experimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Novartis Pharmaceuticals

Lead Sponsor

Trials
2,963
Recruited
4,275,000+
Founded
1996
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Gleevec, Cosentyx, Entresto, Kisqali
Dr. Vas Narasimhan profile image

Dr. Vas Narasimhan

Novartis Pharmaceuticals

Chief Executive Officer since 2018

MD from Harvard Medical School

Dr. Shreeram Aradhye profile image

Dr. Shreeram Aradhye

Novartis Pharmaceuticals

Chief Medical Officer since 2021

MD

Published Research Related to This Trial

Chronic exposure to a subtoxic dose of uranyl nitrate in rats led to increased sensitivity to acute kidney injury (AKI) when subsequently treated with gentamicin, indicating that prior mild kidney damage can worsen the effects of nephrotoxic drugs.
Four urinary proteins (albumin, hemopexin, transferrin, and vitamin D binding protein) were identified as potential markers for chronic predisposition to nephrotoxicity, which could help in early detection and risk stratification for individuals at risk of AKI.
Increased urinary excretion of albumin, hemopexin, transferrin and VDBP correlates with chronic sensitization to gentamicin nephrotoxicity in rats.Vicente-Vicente, L., Ferreira, L., González-Buitrago, JM., et al.[2015]
DN T cells help protect renal epithelial cells (HK-2) from cisplatin-induced acute kidney injury (AKI) by enhancing the expression of IL-10, which in turn activates the angiotensin AT2 receptor (AT2R).
The protective effects of DN T cells can be reversed by blocking IL-10 or AT2R, indicating that the IL-10/AT2R pathway is crucial for their protective mechanism against nephrotoxicity caused by cisplatin.
Double-Negative T Cells Attenuate Cisplatin-Induced Acute Kidney Injury via Upregulating IL-10/AT2R Axis.Gong, J., Wu, J., Zhang, M., et al.[2023]
Acute kidney injury (AKI) remains a significant challenge in hospitalized patients, with high mortality rates and little progress in reducing these rates over the past 50 years, despite advances in understanding its pathology.
The chapter provides detailed protocols for using mouse models of AKI, specifically bilateral renal ischemia-reperfusion and cisplatin-induced nephrotoxicity, which are essential for studying the mechanisms of AKI and testing potential therapeutic drugs.
Mouse models and methods for studying human disease, acute kidney injury (AKI).Ramesh, G., Ranganathan, P.[2014]

Citations

A multicenter, randomized, double-blind, placeboinitial efficacy and safety of multiple dose levels of TIN816 in the treatment of SA-AKI. (NCT05996835). Scan to obtain: • Poster https://www.
UCSF Acute Kidney Injury Clinical Trials for 2025TIN816 in Sepsis-associated Acute Kidney Injury (CLEAR-AKI) ... The purpose of this Ph2b study is to characterize the dose-response relationship ...
Study on the Safety and Effectiveness of TIN816 ...The study aims to gather information on the safety and effectiveness of TIN816 in improving kidney function in patients with SA-AKI.
NCT05996835 | Phase 2b Study to Investigate the Safety ...Phase 2b Study to Investigate the Safety and Efficacy of TIN816 in Sepsis-associated Acute Kidney Injury (CLEAR-AKI) (CLEAR-AKI). ClinicalTrials.gov ID ...
Phase 2b Study to Investigate the Safety and Efficacy ...The purpose of this Ph2b study is to characterize the dose-response relationship and to evaluate the safety and efficacy of three different single doses of TIN ...
#1152 Pharmacokinetics, pharmacodynamics and safety of ...#1152 Pharmacokinetics, pharmacodynamics and safety of TIN816 in patients with sepsis-associated acute kidney injury: results from a randomized ...
Pharmacokinetics, Pharmacodynamics, and Safety of TIN816 ...Safety of TIN816 in Patients With Sepsis-Associated. Acute Kidney Injury: Results From a Randomized. Phase 2a Study. Julien Demiselle1,2, Nicolas De Schryver3 ...
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