Study to Compare Sevelamer Carbonate Powder to Sevelamer Hydrochloride Tablets in Patients With CKD on Hemodialysis

NCT ID: NCT00268957

Last Updated: 2014-03-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

217 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Study Completion Date

2007-05-31

Brief Summary

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Approximately 207 patients with chronic kidney disease (CKD) on hemodialysis will be entered into this study at approximately 26 centers in the United States. This study aims to evaluate the safety and efficacy of sevelamer carbonate powder dosed once-a-day (QD) with the largest meal compared to sevelamer hydrochloride tablets dosed three-times-per-day (TID) with meals. The total length of participation is approximately 24 weeks.

Detailed Description

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Conditions

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Kidney Diseases Chronic Renal Insufficiency End-Stage Renal Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

sevelamer carbonate powder

Group Type EXPERIMENTAL

Sevelamer carbonate (Renvela®)

Intervention Type DRUG

sevelamer carbonate powder dosed once per day with largest meal

2

Sevelamer hydrochloride

Group Type ACTIVE_COMPARATOR

Sevelamer hydrochloride (Renagel®)

Intervention Type DRUG

Sevelamer hydrochloride tablets dosed three times a day with meals

Interventions

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Sevelamer carbonate (Renvela®)

sevelamer carbonate powder dosed once per day with largest meal

Intervention Type DRUG

Sevelamer hydrochloride (Renagel®)

Sevelamer hydrochloride tablets dosed three times a day with meals

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* On three times per week hemodialysis for three months or longer
* Currently on a phosphate binder(s)
* Considered compliant with phosphate binders and hemodialysis therapy
* Willing to avoid any intentional changes in diet such as fasting or dieting
* Have the following documented local laboratory measurements:a.Two most recent consecutive serum phosphorus measurements that are ≥ 3.0 and ≤ 6.5 (6.5) mg/dL within 60 days of screening; b.A most recent intact parathyroid hormone (iPTH) measurement ≤ 800 pg/mL within 90 days of screening
* Have the following central laboratory measurements: a.A serum phosphorus measurement \> 5.5 mg/dL at randomization (Week 0);b.A serum iPTH measurement ≤ 800 pg/mL at screening
* Have not participated in any other investigational drug studies within 30 days prior to enrollment
* Level of understanding and willingness to cooperate with all visits and procedures as described by the study personnel
* Willing and able to take sevelamer alone as a phosphate binder for the duration of the study
* Willing and able to maintain screening doses of lipid medication for the duration of the study, except for safety reasons
* Willing and able to avoid antacids and phosphate binders containing aluminum, magnesium, calcium or lanthanum for the duration of the study unless prescribed as an evening calcium supplement
* If female and of childbearing potential (pre-menopausal and not surgically sterile), willing to use an effective contraceptive method throughout the study, which includes barrier methods, hormones, or intrauterine devices (IUDs)
* Life expectancy of 12 months or greater
* Willing and able to provide informed consent

Exclusion Criteria

* Active bowel obstruction, dysphagia, swallowing disorder, or severe gastrointestinal (GI) motility disorders
* Active ethanol or drug abuse, excluding tobacco use
* In the opinion of the Investigator, subject has poorly controlled diabetes mellitus, poorly controlled hypertension, active vasculitis, HIV infection, or any clinically significant unstable medical condition
* Use of anti-arrhythmic or anti-seizure medications for the use of arrhythmia or seizure disorders
* Known hypersensitivity to sevelamer or any constituents of the study drug
* Pregnant or breast-feeding
* Evidence of active malignancy except for basal cell carcinoma of the skin
* Unable to comply with the requirements of the study
* Any other condition which, in the opinion of the Investigator, will prohibit the subject's inclusion in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genzyme, a Sanofi Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Genzyme Corporation

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Genzyme, a Sanofi Company

Locations

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Clinical Research Center

Birmingham, Alabama, United States

Site Status

Gadsden Dialysis

Gadsden, Alabama, United States

Site Status

Holy Cross Renal Care

Mission Hills, California, United States

Site Status

Nephrology Educational Services and Research

Tarzana, California, United States

Site Status

Crystal Rivers Dialysis Center

Crystal River, Florida, United States

Site Status

Outcomes Research International, Inc.

Hudson, Florida, United States

Site Status

Central Dialysis Center

Atlanta, Georgia, United States

Site Status

Atlanta Nephrology Referral Center

Decatur, Georgia, United States

Site Status

FMC Marietta

Marietta, Georgia, United States

Site Status

Horizon Healthcare Associates

Flossmoor, Illinois, United States

Site Status

Indiana University Hospital

Indianapolis, Indiana, United States

Site Status

Ochsner Clinic Foundation, Nephrology Research

New Orleans, Louisiana, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Southwest Mississippi Nephrology, PLLC

Brookhaven, Mississippi, United States

Site Status

Nephrology Associates, P.C.

Columbus, Mississippi, United States

Site Status

Nephrology & Hypertension Associates, LTD

Tupelo, Mississippi, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Hypertension and Nephrology Associates

Eatontown, New Jersey, United States

Site Status

Winthrop University Dialysis Center

Mineola, New York, United States

Site Status

Davita

The Bronx, New York, United States

Site Status

Kidney and Hypertension Center

Cincinnati, Ohio, United States

Site Status

Renal Care Group

Cleveland, Ohio, United States

Site Status

Lewiston Dialysis Center

Lewistown, Pennsylvania, United States

Site Status

Medical Nephrology Associates

Dyersburg, Tennessee, United States

Site Status

Nephrology Associates, P.C.

Nashville, Tennessee, United States

Site Status

Renal Research Inc. at the Kidney Institute

Houston, Texas, United States

Site Status

Gambro Healthcare - Charlottesville

Charlottesville, Virginia, United States

Site Status

Clinical Research of Tidewater

Norfolk, Virginia, United States

Site Status

Virginia Commonwealth University, Division of Nephrology

Richmond, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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GD3-199-301

Identifier Type: -

Identifier Source: org_study_id

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