SP16

Clinical trials are investigating SP16-3M in people with chronic kidney disease who are having planned cardiac surgery with a heart-lung machine. These studies are looking at safety and whether SP16-3M can help prevent acute kidney injury during the hospital stay.

Table of Contents

Trial overview

The available trial is called EASE-AKI and is studying SP16-3M in people with chronic kidney disease who are having elective cardiac surgery with a heart-lung machine.[1] The study is Phase 2, which means it is looking more closely at whether the treatment may help and whether it appears safe in this group.[1]

This is an interventional study, so participants receive a study treatment and the researchers compare outcomes between groups.[1] The trial status is Authorised, and the planned enrollment is 120 participants.[1]

Who can join the study

The trial is designed for at-risk subjects with chronic kidney disease who are going to planned heart surgery using a heart-lung machine.[1] The brief summary says the target group includes participants with CKD 2-3b, which means a moderate range of long-term kidney disease.[1]

The listed conditions for the study are Chronic Kidney Disease, Valvular Disease, and Cardiovascular Disease.[1] In simple terms, this means the trial is focused on people having heart surgery who already have kidney problems and related heart or blood vessel disease.[1]

Study design and treatment groups

The trial is described as prospective, randomized, double-blind, and placebo-controlled.[1] Prospective means the study follows people forward in time, randomized means participants are assigned by chance, double-blind means neither the participants nor the study team know who gets which treatment, and placebo-controlled means one group receives a comparison treatment that does not contain the active study drug.[1]

The intervention list shows a comparison between a subcutaneous injection of a placebo-like drug entry and SP16-3M given by subcutaneous injection at 12 mg.[1] The study title also states that the trial is testing efficacy and safety for preventing acute kidney injury after surgery.[1]

What the study is measuring

The main safety endpoint is the frequency of adverse events and serious adverse events within 72 hours after the index surgery.[1] This means the researchers are watching for any medical problems after the operation, especially in the first three days.[1]

The main efficacy endpoint is the number of participants who develop CSA-AKI during the hospital stay, defined as KDIGO stage 1 or higher.[1] CSA-AKI means kidney injury linked to cardiac surgery, and KDIGO is the rule set used to grade how serious the kidney injury is.[1]

The brief summary also says the goal is to see whether SP16-3M can prevent CSA-AKI as defined by KDIGO criteria in participants with CKD 2-3b undergoing planned cardiac surgery.[1]

What this trial means for patients

For patients, this study is mainly about finding out whether SP16-3M can lower the risk of kidney injury around the time of heart surgery.[1] The study is focused on a specific high-risk group, so the results may be most useful for people with chronic kidney disease who need elective cardiac surgery.[1]

Because the trial is still in Phase 2, it is not a final proof of benefit, but an important step to learn more about safety and possible effect in the target population.[1]

Trial ID Phase Condition studied Status Enrollment
2025-522491-89-00 Phase 2 Chronic Kidney Disease; Valvular Disease; Cardiovascular Disease Authorised 120

Ongoing Clinical Trials on SP16

  • Study of SP16 to Prevent Acute Kidney Injury in Patients with Chronic Kidney Disease Undergoing Heart Surgery with Heart-Lung Machine

    Not yet recruiting

    1 1
    Investigated drugs:
    Germany

Glossary

  • Acute kidney injury (AKI): A sudden drop in kidney function. In this trial, researchers are checking if SP16-3M can help prevent this problem after surgery.
  • Cardiac surgery: An operation on the heart. In this study, it is planned surgery done with a heart-lung machine.
  • Heart-lung machine: A machine used during some heart surgeries to help move blood and oxygen around the body while the heart is being operated on.
  • Chronic kidney disease (CKD): Long-term kidney disease. The trial includes people with CKD who are at higher risk of kidney injury.
  • CKD 2-3b: A range of chronic kidney disease stages. The brief summary says the study is in participants with CKD 2-3b.
  • CSA-AKI: Short for cardiac surgery-associated acute kidney injury. This is kidney injury that happens during or after heart surgery.
  • KDIGO criteria: A standard set of rules used to define and grade kidney injury. The trial uses these criteria to identify AKI.
  • Primary safety endpoint: The main safety result the researchers want to measure. Here, it is the number of adverse events and serious adverse events within 72 hours after surgery.
  • Primary efficacy endpoint: The main result used to see if the treatment works. Here, it is how many participants develop CSA-AKI during the hospital stay.
  • Adverse events (AEs): Medical problems that happen during a study, whether or not they are caused by the study treatment.
  • Serious adverse events (SAEs): More severe medical problems that happen during a study and may need urgent care or longer treatment.

References

  1. https://clinicaltrials.gov/study/2025-522491-89-00