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NCT02772276

Pharmacokinetics of MB-102 and Use of the Non-invasive Optical Renal Function Monitor (ORFM) Device in Subjects With Normal and Impaired Renal Function and a Range of Skin Color Types

Completed Phase 2 Results posted Last updated 26 October 2023
What this trial tests

Phase 2 trial testing MB-102-- single dose of 4 µmol/kg in Acute Kidney Injury in 234 participants. Completed in 4 August 2021.

Timeline
11 May 2016
Primary endpoint
4 August 2021
4 August 2021

Quick facts

Lead sponsorMediBeacon
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposebasic science
Enrollment234
Start date11 May 2016
Primary completion4 August 2021
Estimated completion4 August 2021
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

MediBeacon — full company profile →

Who can join

18 and older, any sex, with Acute Kidney Injury. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment-Emergent Adverse Events Primary · From the time of dosing through the follow-up visit, up to 10 days

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.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap7
CKD Stage 3-4/QuantumLeap7
Normal-CKD Stage 2/Radiance2
CKD Stage 3-5/Radiance1
Normal-CKD Stage 2/Brilliance Algorithm Optimization1
CKD Stage 3-5/Brilliance Algorithm Optimization1
Normal-CKD Stage 2/Brilliance Sensor Optimization2
Normal-CKD Stage 2/Brilliance Sensor Validation0
CKD Stage 3-5/Brilliance Sensor Validation1
Normal-CKD Stage 2/Brilliance (1-2 Sensors)2
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor)1
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-1021
Maximum Plasma Concentration (Cmax) of MB-102 Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Maximum plasma concentration (Cmax; measured in ng/mL) was directly determined from the concentration-time data.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap10751.613± 2279.3699
CKD Stage 3-4/QuantumLeap11625.517± 2491.4304
Normal-CKD Stage 2/Radiance11981.7± 2659.9568
CKD Stage 3-5/Radiance12243.45± 2563.5734
Normal-CKD Stage 2/Brilliance Algorithm Optimization13961.111± 3326.5064
CKD Stage 3-5/Brilliance Algorithm Optimization14440.143± 3049.767
Normal-CKD Stage 2/Brilliance Sensor Optimization13747.739± 2985.4673
Normal-CKD Stage 2/Brilliance Sensor Validation13453.74± 3886.9335
CKD Stage 3-5/Brilliance Sensor Validation13039.944± 3819.8448
Normal-CKD Stage 2/Brilliance (1-2 Sensors)13015.833± 2314.2462
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor)15650± 4023.6799
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-10213125± 2818.2441
Maximum Plasma Concentration (Cmax) of Iohexol Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Maximum plasma concentration (Cmax; measured in ng/mL) was directly determined from the concentration-time data.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap295967.742± 71088.9039
CKD Stage 3-4/QuantumLeap290172.414± 74285.6788
Normal-CKD Stage 2/Radiance333000± 70799.9405
CKD Stage 3-5/Radiance329200± 98658.229
Time to Maximum Plasma Concentration (Tmax) of MB-102 Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The time to maximum plasma concentration (Tmax; measured in minutes) was directly determined from the concentration-time data.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap7.258± 5.2976
CKD Stage 3-4/QuantumLeap5.862± 2.341
Normal-CKD Stage 2/Radiance5.25± 1.118
CKD Stage 3-5/Radiance5.875± 2.2325
Normal-CKD Stage 2/Brilliance Algorithm Optimization5± 0
CKD Stage 3-5/Brilliance Algorithm Optimization6.429± 2.4398
Normal-CKD Stage 2/Brilliance Sensor Optimization6.111± 2.7416
Normal-CKD Stage 2/Brilliance Sensor Validation5.167± 0.9129
CKD Stage 3-5/Brilliance Sensor Validation12.222± 27.0197
Normal-CKD Stage 2/Brilliance (1-2 Sensors)5± 0
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor)5± 0
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-1025± 0
Time to Maximum Plasma Concentration (Tmax) of Iohexol Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The time to maximum plasma concentration (Tmax; measured in minutes) was directly determined from the concentration-time data.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap9.194± 5.338
CKD Stage 3-4/QuantumLeap7.069± 3.1388
Normal-CKD Stage 2/Radiance6.5± 2.3508
CKD Stage 3-5/Radiance6.875± 2.7003
The Elimination Half-life of MB-102 Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The elimination half-life (the time required for the concentration of the drug to reach half of its original value) was calculated as t1/2 λz= ln(2)/ λz.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap130.712± 33.5894
CKD Stage 3-4/QuantumLeap314.267± 151.5375
Normal-CKD Stage 2/Radiance135.821± 26.0772
CKD Stage 3-5/Radiance301.21± 183.0147
Normal-CKD Stage 2/Brilliance Algorithm Optimization123.681± 25.4325
CKD Stage 3-5/Brilliance Algorithm Optimization245.7± 51.3774
Normal-CKD Stage 2/Brilliance Sensor Optimization140.176± 22.2139
Normal-CKD Stage 2/Brilliance Sensor Validation122.86± 14.6245
CKD Stage 3-5/Brilliance Sensor Validation305.944± 105.6855
Normal-CKD Stage 2/Brilliance (1-2 Sensors)126.049± 20.65
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor)147.117± 23.779
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102127.842± 22.9881
The Elimination Half-life of Iohexol Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The elimination half-life (the time required for the concentration of the drug to reach half of its original value) was calculated as t1/2 λz= ln(2)/ λz.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap148.056± 38.2236
CKD Stage 3-4/QuantumLeap366.529± 191.4136
Normal-CKD Stage 2/Radiance151.776± 31.4044
CKD Stage 3-5/Radiance347.574± 214.8895
Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration for MB-102 Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) was be estimated from time 0 to the last measurable concentration using noncompartmental analyses.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap1131336.448± 254801.4255
CKD Stage 3-4/QuantumLeap2419911.379± 708114.7104
Normal-CKD Stage 2/Radiance1211931.882± 296491.1469
CKD Stage 3-5/Radiance2467846.174± 843410.9665
Normal-CKD Stage 2/Brilliance Algorithm Optimization1121973.694± 190118.8591
CKD Stage 3-5/Brilliance Algorithm Optimization2560133.925± 519858.5738
Normal-CKD Stage 2/Brilliance Sensor Optimization1235178.035± 310587.5336
Normal-CKD Stage 2/Brilliance Sensor Validation1072786.062± 281421.3481
CKD Stage 3-5/Brilliance Sensor Validation2476458.456± 543445.259
Normal-CKD Stage 2/Brilliance (1-2 Sensors)1384887.303± 345784.1469
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor)1488269.994± 108723.6082
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-1021316506.556± 314196.0436
Area Under the Plasma Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration for Iohexol Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) was be estimated from time 0 to the last measurable concentration using noncompartmental analyses.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap33329159.548± 7909842.8639
CKD Stage 3-4/QuantumLeap58097567.569± 15177720.419
Normal-CKD Stage 2/Radiance36677146.278± 10789963.956
CKD Stage 3-5/Radiance70005450.758± 30243153.821
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity for MB-102 Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) from time 0 to infinity was calculated as: AUC∞ = AUClast + LQC/λz where LQC is the predicted concentration (based on the terminal regression) at the time of the last measurable concentration.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap1166655.776± 298807.3587
CKD Stage 3-4/QuantumLeap3212036.698± 1490329.1808
Normal-CKD Stage 2/Radiance1242760.175± 321230.0672
CKD Stage 3-5/Radiance3045719.769± 1625406.4454
Normal-CKD Stage 2/Brilliance Algorithm Optimization1182254.364± 208571.1669
CKD Stage 3-5/Brilliance Algorithm Optimization2914852.088± 684490.5106
Normal-CKD Stage 2/Brilliance Sensor Optimization1264462.94± 333601.038
Normal-CKD Stage 2/Brilliance Sensor Validation1086390.141± 287588.9895
CKD Stage 3-5/Brilliance Sensor Validation3135394.594± 1051071.597
Normal-CKD Stage 2/Brilliance (1-2 Sensors)1403855.606± 355269.4445
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor)1518516.431± 106177.2201
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-1021340051.2± 332392.6494
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity for Iohexol Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. The area under the plasma concentration-time curve (ng\*min/mL) from time 0 to infinity was calculated as: AUC∞ = AUClast + LQC/λz where LQC is the predicted concentration (based on the terminal regression) at the time of the last measurable concentration.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap34688858.452± 9029243.5529
CKD Stage 3-4/QuantumLeap81061044.851± 37977572.641
Normal-CKD Stage 2/Radiance38032869.839± 11788838.136
CKD Stage 3-5/Radiance90107803.206± 61220389.979
Total Plasma Clearance of MB-102 Secondary · Pre-dose and 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose.

Blood samples were collected pre-dose (time 0) and at 5, 10, 15; (± 1 or 2 min), 30, 60, 90, 120, 180, 240, 300 (±5 min), 360, 480, 600 and 720 (±10 min) minutes post dose, and were analyzed using validated analytical methods. Total plasma clearance (the volume of plasma cleared of the drug over time) was calculated as: Clp = Dose/ AUC∞.

GroupValue95% CI
Normal-CKD Stage 2/QuantumLeap110.719± 28.2476
CKD Stage 3-4/QuantumLeap51.741± 21.4424
Normal-CKD Stage 2/Radiance102.361± 31.8835
CKD Stage 3-5/Radiance51.322± 26.2932
Normal-CKD Stage 2/Brilliance Algorithm Optimization103.107± 17.1532
CKD Stage 3-5/Brilliance Algorithm Optimization44.677± 13.798
Normal-CKD Stage 2/Brilliance Sensor Optimization97.496± 18.6913
Normal-CKD Stage 2/Brilliance Sensor Validation117.913± 39.4472
CKD Stage 3-5/Brilliance Sensor Validation42.838± 13.1284
Normal-CKD Stage 2/Brilliance (1-2 Sensors)99.216± 33.0196
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor)84.29± 5.0376
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-10297.741± 23.5163

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events were collected from the time of dosing through the follow-up visit, up to 10 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Normal-CKD Stage 2/QuantumLeap
Serious: 0/31 (0%)
Deaths: 0/31
CKD Stage 3-4/QuantumLeap
Serious: 0/29 (0%)
Deaths: 0/29
Normal-CKD Stage 2/Radiance
Serious: 0/20 (0%)
Deaths: 0/20
CKD Stage 3-5/Radiance
Serious: 0/40 (0%)
Deaths: 0/40
Normal-CKD Stage 2/Brilliance Algorithm Optimization
Serious: 0/9 (0%)
Deaths: 0/9
CKD Stage 3-5/Brilliance Algorithm Optimization
Serious: 0/7 (0%)
Deaths: 0/7
Normal-CKD Stage 2/Brilliance Sensor Optimization
Serious: 0/18 (0%)
Deaths: 0/18
Normal-CKD Stage 2/Brilliance Sensor Validation
Serious: 0/30 (0%)
Deaths: 0/30
CKD Stage 3-5/Brilliance Sensor Validation
Serious: 0/18 (0%)
Deaths: 0/18
Normal-CKD Stage 2/Brilliance (1-2 Sensors)
Serious: 0/12 (0%)
Deaths: 0/12
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor)
Serious: 0/4 (0%)
Deaths: 0/4
Normal-CKD Stage 2/Brilliance (1-2 Sensors and Brilliance 2-part Sensor) and 2 Doses MB-102
Serious: 0/4 (0%)
Deaths: 0/4
CKD Stage 3-5/Brilliance 1-2 Sensors
Serious: 0/12 (0%)
Deaths: 0/12
Other adverse events (11 terms — click to expand)

ReactionSystemNormal-CKD Stage 2/Quantum…CKD Stage 3-4/QuantumLeapNormal-CKD Stage 2/RadianceCKD Stage 3-5/RadianceNormal-CKD Stage 2/Brillia…CKD Stage 3-5/Brilliance A…Normal-CKD Stage 2/Brillia…Normal-CKD Stage 2/Brillia…CKD Stage 3-5/Brilliance S…Normal-CKD Stage 2/Brillia…Normal-CKD Stage 2/Brillia…Normal-CKD Stage 2/Brillia…CKD Stage 3-5/Brilliance 1…
NauseaGastrointestinal disorders
Application site discolorationGeneral disorders
Application site erythemaGeneral disorders
Injection site bruisingGeneral disorders
Injection site extravasationGeneral disorders
Oedema peripheralGeneral disorders
ConjunctivitisInfections and infestations
HeadacheNervous system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
Hot flushVascular disorders

Data from ClinicalTrials.gov NCT02772276 adverse events section.

Sponsor's own description

This study was a pilot, safety, and pharmacokinetic study of MB-102 versus iohexol and the use of the non-invasive optical renal function monitor (ORFM) device in normal and compromised renal function participants with different skin color types.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Fluorescence Image-Guided Surgery - a Perspective on Contrast Agent Development.
    Barth CW, Gibbs SL. · · 2020 · cited 79× · PMID 32255887 · DOI 10.1117/12.2545292
  2. Measurement of gut permeability using fluorescent tracer agent technology.
    Dorshow RB, Hall-Moore C, Shaikh N, Talcott MR, et al · · 2017 · cited 14× · PMID 28883476 · DOI 10.1038/s41598-017-09971-y
  3. First-in-Human Assessment of Gut Permeability in Crohn's Disease Patients Using Fluorophore Technology.
    Holtz LR, Nix BD, Akuse SE, Hall-Moore C, et al · · 2024 · cited 4× · PMID 38813093 · DOI 10.1016/j.gastha.2024.02.003

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