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Trial · NCT03158948

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of 3 Doses of MOTREM (Nangibotide) in Patients With Septic Shock

NCT03158948, Phase 2, Completed, Inotrem; results first posted 2024-10-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of 3 Doses of MOTREM (Nangibotide) in Patients With Septic Shock. Trials, record NCT03158948. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03158948

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of 3 Doses of MOTREM (Nangibotide) in Patients With Septic Shock
NCT number
NCT03158948
Status
Completed
Phases
Phase 2
Enrollment
50 participants, actual
Lead sponsor
Inotrem
Conditions
Shock, Septic
Interventions
Nangibotide 0.3 mg/kg, Placebo, Nangibotide 1 mg/kg, Nangibotide 3 mg/kg
First posted
2017-05-18
Last updated
2024-10-08
Results first posted
2024-10-08
Limitations and caveats
None reported.

Source ClinicalTrials.gov

Registered outcomes14

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Patients Experiencing Treatment Emergent Adverse Events From Screening Until Study CompletionAdverse events experienced until D28 (End of study visit)
Analyses were performed in the Safety Set composed of all randomized patients who received at least any dose of the study drug (nangibotide or placebo). Adverse events: Summary statistics of treatment emergent adverse events (TEAEs). Clinical events, including death, related to severe sepsis and sepsis complications were exempt from SAE reporting, unless the investigator deemed the event to be related to the administration of the study drug.
PrimarySystolic Blood Pressure (SBP)Vital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5) and on final study day at day 28 (D28).Systolic blood pressure measured by sphygmomanometer at study site. Median SBP at each visit is summarized by treatment group.
PrimaryDiastolic Blood Pressure (DBP)Vital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5) and on final study day at day 28 (D28).Median DBP at each visit is summarized by treatment group.
PrimaryMedian Arterial Pressure (MAP)Vital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5) and on final study day at day 28 (D28).MAP at each visit is summarized by treatment group.
PrimaryHeart RateVital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5).Median heart rate at each visit is summarized by treatment group.
PrimaryTemperatureVital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5).Median temperature at each visit is summarized by treatment group.
PrimaryElectrocardiogramElectrocardiogram was performed each day from D0 (before IMP initiation) to D5 (EOI) and on D28 (EOS).Abnormal and emergent clinically significant electrocardiogram were summarized for each group.
PrimaryAnti-Drug Antibodies (ADA Dimer)Anti-Drug Antibodies test were done at D0, D10 and D28 in all patients.Anti-Drug Antibodies test was performed for all patients.
PrimaryAnti-Drug Antibodies (ADA Monomer)Anti-Drug Antibodies test were measured at D0, D10 and D28.Anti-Drug Antibodies test was performed for all patients.
SecondaryPharmacokinetic Parameters From the Non-compartmental Analysis: Cmax
Baseline: pre-dose sample at Day 0 (D0) Daily up to Day 5 (D5) (or the last day in the study/EOI) If possible, at D5/EOI: - 15 min before end of infusion (EOI) - 10 min after EOI - 30 min after EOI - 2h after EOI
As no pharmacokinetic sample was planned just after the loading dose, maximum observed nangibotide plasma concentration (Cmax) was in the same magnitude as steady-state concentration during the maintenance infusion, calculated as the median of the observed pre-dose concentration from day2 onwards up to the last pre-dose concentration available in the study (Cavg).

Outcomes14

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Patients Experiencing Treatment Emergent Adverse Events From Screening Until Study CompletionAdverse events experienced until D28 (End of study visit)
Out of 49 patients included in all 4 groups, TEAEs were observed for 45 patients (12 patients experienced TEAEs in MOTREM 1 group, 12 patients experienced TEAEs in MOTREM 2 group, 11 patients experienced TEAEs in MOTREM 3 group and 10 patients experienced TEAEs in placebo group)
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYSystolic Blood Pressure (SBP)Vital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5) and on final study day at day 28 (D28).
The data is not available for all subjects and the data in the tables below refers to only those participants who were measured and analyzed. Systolic Blood Pressure (mmHg), Diastolic Blood Pressure (mmHg), Mean Arterial Pressure (mmHg), heart rate (bpm) and temperature in Celsius degrees were described at each time when it was available: D1, D2, D3, D4, D5 and EOS visit.
mmHgMEDIAN
PRIMARYDiastolic Blood Pressure (DBP)Vital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5) and on final study day at day 28 (D28).
The data is not available for all subjects and the data in the tables below refers to only those participants who were measured and analyzed. Systolic Blood Pressure (mmHg), Diastolic Blood Pressure (mmHg), Mean Arterial Pressure (mmHg), heart rate (bpm) and temperature in Celsius degrees were described at each time when it was available: D1, D2, D3, D4, D5 and EOS visit.
mmHgMEDIAN
PRIMARYMedian Arterial Pressure (MAP)Vital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5) and on final study day at day 28 (D28).
The data is not available for all subjects and the data in the tables below refers to only those participants who were measured and analyzed. Systolic Blood Pressure (mmHg), Diastolic Blood Pressure (mmHg), Mean Arterial Pressure (mmHg), heart rate (bpm) and temperature in Celsius degrees were described at each time when it was available: D1, D2, D3, D4, D5 and EOS visit.
mmHgMEDIAN
PRIMARYHeart RateVital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5).
The data is not available for all subjects and the data in the tables below refers to only those participants who were measured and analyzed. systolic blood pressure (mmHg). Diastolic blood pressure (mmHg), mean arterial pressure (mmHg), heart rate (bpm) and temperature i celcius degrees were described at each time when it was available: D0, D1, D2, D3, D4 and D5/EOI visit.
bpmMEDIAN
PRIMARYTemperatureVital signs were assessed each day from day zero (D0 [before investigational medicinal product initiation]) to end of infusion at day 5 (D5).
The data is not available for all subjects and the data in the tables below refers to only those participants who were measured and analyzed. Systolic Blood Pressure (mmHg), Diastolic Blood Pressure (mmHg), Mean Arterial Pressure (mmHg), heart rate (bpm) and temperature in Celsius degrees were described at each time when it was available: D0, D1, D2, D3, D4, D5/EOI visit.
°CMEDIAN
PRIMARYElectrocardiogramElectrocardiogram was performed each day from D0 (before IMP initiation) to D5 (EOI) and on D28 (EOS).Some patients did not perform ECG at some visitsParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAnti-Drug Antibodies (ADA Dimer)Anti-Drug Antibodies test were done at D0, D10 and D28 in all patients.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAnti-Drug Antibodies (ADA Monomer)Anti-Drug Antibodies test were measured at D0, D10 and D28.The results are presented for the Day 28.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPharmacokinetic Parameters From the Non-compartmental Analysis: Cmax
Baseline: pre-dose sample at Day 0 (D0) Daily up to Day 5 (D5) (or the last day in the study/EOI) If possible, at D5/EOI: - 15 min before end of infusion (EOI) - 10 min after EOI - 30 min after EOI - 2h after EOI
ng/mLMEDIAN

Results by group319

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Patients Experiencing Treatment Emergent Adverse Events From Screening Until Study CompletionNangibotide 0.3 mg/kg/h12Participants
Number of Patients Experiencing Treatment Emergent Adverse Events From Screening Until Study CompletionNangibotide 1.0 mg/kg/h12Participants
Number of Patients Experiencing Treatment Emergent Adverse Events From Screening Until Study CompletionNangibotide 3.0 mg/kg/h11Participants
Number of Patients Experiencing Treatment Emergent Adverse Events From Screening Until Study CompletionPlacebo10Participants
Systolic Blood Pressure (SBP)PlaceboD0121.5Full Range 87 to 149mmHg
Systolic Blood Pressure (SBP)Nangibotide 0.3 mg/kg/hD0110.0Full Range 90 to 133mmHg
Systolic Blood Pressure (SBP)Nangibotide 1.0 mg/kg/hD0121.0Full Range 96 to 131mmHg
Systolic Blood Pressure (SBP)Nangibotide 3.0 mg/kg/hD0111.0Full Range 87 to 160mmHg
Systolic Blood Pressure (SBP)PlaceboD1114.5Full Range 82 to 131mmHg
Systolic Blood Pressure (SBP)Nangibotide 0.3 mg/kg/hD1117.0Full Range 96 to 159mmHg

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDNangibotide 0.3 mg/kg/h13
Overall StudySTARTEDNangibotide 1.0 mg/kg/h12
Overall StudySTARTEDNangibotide 3.0 mg/kg/h12
Overall StudySTARTEDPlacebo12
Overall StudyCOMPLETEDNangibotide 0.3 mg/kg/h12
Overall StudyCOMPLETEDNangibotide 1.0 mg/kg/h11
Overall StudyCOMPLETEDNangibotide 3.0 mg/kg/h9
Overall StudyCOMPLETEDPlacebo9
Overall StudyNOT COMPLETEDNangibotide 0.3 mg/kg/h1
Overall StudyNOT COMPLETEDNangibotide 1.0 mg/kg/h1

Adverse events148

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersPlacebo3123
otherAnaemiaBlood and lymphatic system disordersNangibotide 0.3 mg/kg/h3133
otherAnaemiaBlood and lymphatic system disordersNangibotide 1.0 mg/kg/h2122
otherAnaemiaBlood and lymphatic system disordersNangibotide 3.0 mg/kg/h3123
otherAtrial fibrillationCardiac disordersPlacebo1121
otherAtrial fibrillationCardiac disordersNangibotide 0.3 mg/kg/h5135
otherAtrial fibrillationCardiac disordersNangibotide 1.0 mg/kg/h2122
otherAtrial fibrillationCardiac disordersNangibotide 3.0 mg/kg/h3123
otherPleural effusionRespiratory, thoracic and mediastinal disordersPlacebo2122
otherPleural effusionRespiratory, thoracic and mediastinal disordersNangibotide 0.3 mg/kg/h1131

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo312
Total, all-cause mortalityNangibotide 0.3 mg/kg/h413
Total, all-cause mortalityNangibotide 1.0 mg/kg/h212
Total, all-cause mortalityNangibotide 3.0 mg/kg/h412
Total, other adverse eventsPlacebo1012
Total, other adverse eventsNangibotide 0.3 mg/kg/h1213
Total, other adverse eventsNangibotide 1.0 mg/kg/h1212
Total, other adverse eventsNangibotide 3.0 mg/kg/h1112
Total, serious adverse eventsPlacebo712
Total, serious adverse eventsNangibotide 0.3 mg/kg/h413

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03158948

GET https://conductscience.org/api/trials/v1/NCT03158948/results?page=2