Dose Ranging Study of Magnesium Iron Hydroxycarbonate in Haemodialysis Subjects With Hyperphosphataemia

NCT ID: NCT00436683

Last Updated: 2009-08-10

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

PHASE2

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-02-28

Study Completion Date

2008-04-30

Brief Summary

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Magnesium iron hydroxycarbonate is a phosphate binder that absorbs phosphate from food, reducing the amount that the body can absorb.

The purpose of this study is to determine how well a range of different doses of fermagate are tolerated by the subjects in the trial.

Detailed Description

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High levels of phosphate in the blood are linked with serious effects, due to calcium imbalances (high levels of parathyroid hormone (PTH), bone disease, formation of calcium deposits in the body, and blood-vessel disease.

Current guidelines indicate that blood phosphorus levels should be maintained between 1.13 to 1.78 mmol/L in patients who receive hemodialysis.

The purpose of this study is to determine the range of dosages which are tolerated by patients with hyperphosphatemia, undergoing haemodialysis.

Conditions

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Chronic Kidney Failure

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

Dose titration on active

Group Type EXPERIMENTAL

Fermagate

Intervention Type DRUG

Film coated tablet 500mg

2

Dose titration

Group Type ACTIVE_COMPARATOR

Sevelamer HCl

Intervention Type DRUG

tablet 800mg

Interventions

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Fermagate

Film coated tablet 500mg

Intervention Type DRUG

Sevelamer HCl

tablet 800mg

Intervention Type DRUG

Other Intervention Names

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Alpharen RenaGel

Eligibility Criteria

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Inclusion Criteria

* Male or female subjects on active haemodialysis, aged 18 years or over who are able to comply with study procedures
* Written informed consent given
* On a stable haemodialysis regimen (three times per week) for at least 3 months and be unlikely to change their dialysis prescription during the study period
* On a stable dose of phosphate binder for at least 1 month prior to screening
* Willing to abstain from taking any phosphate binder or oral magnesium-, aluminium- or iron-containing products and preparations, other than the study medication
* Willing to avoid any intentional changes in diet such as fasting, dieting or overeating
* On a dialysate magnesium ion concentration of ≤1.0 mmol/L for at least 1 month prior to screening

Exclusion Criteria

* Received a cardiac transplant
* Heart failure according to New York Heart Association (NYHA) Functional IV Classification
* Participation in any other clinical trial using an investigational product or device within the previous 4 weeks
* A significant history of alcohol, drug or solvent abuse in the opinion of the investigator
* Any disease or condition, physical or psychological, which in the opinion of the investigator would compromise the safety of the subject or increase the likelihood of the subject being withdrawn
* Clinically significant laboratory findings (at screening for this subject population) in the opinion of the investigator
* Any history of recent clinically significant malignancy
* A significant illness (excluding renal disease) in the 4 weeks before screening
* A history of poorly controlled epilepsy
* Female subjects who are lactating or pregnant. Women of childbearing potential (pre-menopausal and not surgically sterilised) unless they are using a reliable contraceptive method, that is, barrier methods, hormones or intrauterine device
* Allergy to magnesium iron hydroxycarbonate or sevelamer or any component of the formulations
* Any condition that affects the reliability of measuring QT interval, for example, an irregular heart rhythm such as atrial fibrillation or frequent ectopic activity
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ineos Healthcare Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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INEOS Healthcare Limited

Principal Investigators

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Maarten Taal, MBChB MD FRCP

Role: PRINCIPAL_INVESTIGATOR

Derby City Hospital

Locations

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Department of Renal Medicine, Derby City General Hospital, Uttoxeter Road

Derby, Derbyshire, United Kingdom

Site Status

Queens Dialysis Unit, Rom Valley Way

Romford, Essex, United Kingdom

Site Status

Renal Unit, Queen Elizabeth Hospital, Edgbaston

Birmingham, , United Kingdom

Site Status

Ash Haemodialysis Unit, Hospital of St Cross, University Hospital of Coventry & Warwickshire NHS Trust, Clifford Bridge Road

Coventry, , United Kingdom

Site Status

Haemodyialysis unit, Department of Nephrology, Walsgrave Hospital, University of Coventry & Warwickshire NHS Trust, Clifford Bridge Road

Coventry, , United Kingdom

Site Status

Renal Dialysis Unit, Western Infirmary, Dumbarton Road

Glasgow, , United Kingdom

Site Status

Renal Dialysis Unit, Gartnavel General Hospital

Glasgow, , United Kingdom

Site Status

Renal Unit, The Royal London Hospital, Whitechapel

London, , United Kingdom

Site Status

Whipps Cross Renal Unit, Whipps Cross University Hospital, Whipps Cross Road, Leytonstone

London, , United Kingdom

Site Status

Wanstead Renal Unit, 29 Cambridge Park, Wanstead

London, , United Kingdom

Site Status

Renal Unit, St Bartholomew's Hospital, West Smithfield

London, , United Kingdom

Site Status

Central Manchester & Manchester Childrens Hospital NHS Trust, Renal Dialysis Unit, Manchester Royal Infirmary, Oxford Rd

Manchester, , United Kingdom

Site Status

Central Manchester & Manchester Childrens Hospital NHS Trust, Renal Dialysis Unit, Wythenshawe Hospital, Southmoor Rd

Manchester, , United Kingdom

Site Status

Haemodialysis Unit, Royal Berkshire Hospital, Royal Berkshire Hospital, Royal Berkshire NHS Foundation Trust, London Rd

Reading, , United Kingdom

Site Status

Renal Services, Hope Hospital

Salford, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Natale P, Green SC, Ruospo M, Craig JC, Vecchio M, Elder GJ, Strippoli GF. Phosphate binders for preventing and treating chronic kidney disease-mineral and bone disorder (CKD-MBD). Cochrane Database Syst Rev. 2025 Jun 27;6(6):CD006023. doi: 10.1002/14651858.CD006023.pub4.

Reference Type DERIVED
PMID: 40576086 (View on PubMed)

Other Identifiers

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IH 003 (ACT3)

Identifier Type: -

Identifier Source: org_study_id

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