Life sciences · Phase 3 Trial
ClinicalTrials.gov · November 9, 2026
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Phase 3 Trial.
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Registry record from ClinicalTrials.gov (NCT04411472). This is a study registration, not published results. Lead sponsor: AM-Pharma. Recruitment status: TERMINATED. Phase: PHASE3. Study type: INTERVENTIONAL. Enrollment: 676 participants (ACTUAL). Conditions: Acute Kidney Injury Due to Sepsis. Interventions: BIOLOGICAL: Recombinant human alkaline phosphatase; OTHER: Placebo. Primary outcome measures: 28-day All-cause Mortality: Main Trial Population , 28 days; 28-day All-cause Mortality: Moderate Chronic Kidney Disease Population , 28 days; 28-day All-cause Mortality: COVID-19 Population , 28 days. Brief summary: Clinical phase 3 study to investigate the effect of recAP on 28 day mortality in patients admitted to the ICU with acute kidney injury that is caused by sepsis. The study has three distinct SA-AKI trial populations: 1. The main trial population: Patients with a pre-AKI reference eGFR ≥45 mL/min/1.73 m2 and no proven or suspected SARS-CoV-2 at time of randomization. 2. A 'moderate' CKD population: Patients with a pre-AKI reference eGFR ≥25 and \<45 mL/min/1.73 m2 and no proven or suspected SARS-CoV-2 at time of randomization. 3. A Corona Virus Disease 2019 (COVID-19) population: Patients with proven or suspected SARS-CoV-2 at time of randomization with or without 'moderate' CKD. For patients in this population, COVID-19 should be the main cause of SA-AKI. In the main study population approximately 1400 patients will be enrolled and in the two cohorts with moderate CKD and COVID-19 each up to 100 patients. There are two arms in the study, one with active treatment and one with an inactive compound (placebo). Treatment is by 1 hour intravenous infusion, for three days. Patients are followed up for 28 days to see if there is an improvement on mortality, and followed for 90 and 180 days for mortality and other outcomes e.g. long-term kidney function and quality of life.