A Study of AST-120 for Evaluating Prevention of Progression In Chronic Kidney Disease (EPPIC-1)

NCT ID: NCT00500682

Last Updated: 2026-01-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1020 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2011-10-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

1\) To evaluate the effectiveness of AST-120 (spherical carbon adsorbent) added to standard-of-care therapy in moderate to severe Chronic Kidney Disease (CKD), on time to first occurrence of any event of the triple composite outcome of initiation of dialysis, kidney transplant or doubling of serum creatinine (sCr) when compared with placebo; 2) To evaluate the safety and tolerability of long-term AST-120 therapy in patients with CKD; 3) To evaluate the effects of AST-120 versus placebo, on other measures of renal function.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Chronic Kidney Disease

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

9g /day (3 times a day)

AST-120

Group Type EXPERIMENTAL

AST-120

Intervention Type DRUG

9g /day (3 times a day)

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Placebo

9g /day (3 times a day)

Intervention Type DRUG

AST-120

9g /day (3 times a day)

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Age 18 years or older
* Moderate to severe CKD, not anticipated to require dialysis or renal transplant within the next 6 months
* Patient survival expected to be no less than one year
* Serum creatinine in men \>= 2.0 mg/dL (\>= 177 µmol/L) and \<= 5.0 mg/dL (\<= 442 µmol/L), and in women \>= 1.5 mg/dL (\>= 133 µmol/L) and \<= 5.0 mg/dL (\<= 442 µmol/L) at Screening
* Urinary total protein to urinary total creatinine ratio must be \>= 0.5 on a spot void at Screening
* Blood pressure \<= 160/90 mmHg at both Screening and Baseline. In addition, blood pressure, if measured, must have been stable in hypertensive patients over the 3 months prior to Screening, with no more than 1 blood pressure reading \> 160/90 mmHg
* In patients being treated for hypertension, they should be on a stable anti-hypertensive regimen

Exclusion Criteria

* Obstructive or reversible cause of kidney disease
* Nephrotic syndrome defined as a ratio of urinary total protein to urinary creatinine of \> 6.0 as measured on a spot void
* Adult polycystic kidney disease
* History of previous kidney transplant
* History of recent (within the past 6 months) accelerated or malignant hypertension
* Uncontrolled arrhythmia or severe cardiac disease within the past 6 months
* History of malabsorption, inflammatory bowel disease, hiatal hernia, active peptic ulcer, or severe GI dysmotility, not attributable to the use of a phosphate binder
* Received any investigational agent or participated in a clinical study within the previous 3 months
* Presence of any significant medical condition that might create an undue risk with study participation, or significantly confound the collection of safety and efficacy data in this study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Kureha Corporation

INDUSTRY

Sponsor Role collaborator

Tanabe Pharma Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Professor

Role: PRINCIPAL_INVESTIGATOR

Information at Mitsubishi Tanabe Pharma Development America, Inc.

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Phoenix, Arizona, United States

Site Status

Little Rock, Arkansas, United States

Site Status

Alhambra, California, United States

Site Status

Covina, California, United States

Site Status

Glendale, California, United States

Site Status

Los Angeles, California, United States

Site Status

Stamford, Connecticut, United States

Site Status

Washington D.C., District of Columbia, United States

Site Status

Hudson, Florida, United States

Site Status

Miami, Florida, United States

Site Status

Ocala, Florida, United States

Site Status

Orlando, Florida, United States

Site Status

Pembroke Pines, Florida, United States

Site Status

Spring Hill, Florida, United States

Site Status

Tampa, Florida, United States

Site Status

Winter Park, Florida, United States

Site Status

Kansas City, Kansas, United States

Site Status

New Orleans, Louisiana, United States

Site Status

Shreveport, Louisiana, United States

Site Status

Ypsilanti, Michigan, United States

Site Status

Kansas City, Missouri, United States

Site Status

St Louis, Missouri, United States

Site Status

Camden, New Jersey, United States

Site Status

Eatontown, New Jersey, United States

Site Status

Port Washington, New York, United States

Site Status

Springfield Gardens, New York, United States

Site Status

Asheville, North Carolina, United States

Site Status

Cincinnati, Ohio, United States

Site Status

Dayton, Ohio, United States

Site Status

Toledo, Ohio, United States

Site Status

Portland, Oregon, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Pittsburgh, Pennsylvania, United States

Site Status

Rock Hill, South Carolina, United States

Site Status

Nashville, Tennessee, United States

Site Status

Arlington, Texas, United States

Site Status

Dallas, Texas, United States

Site Status

Houston, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Appleton, Wisconsin, United States

Site Status

Oshkosh, Wisconsin, United States

Site Status

Buenos Aires, , Argentina

Site Status

Córdoba, , Argentina

Site Status

San Luis, , Argentina

Site Status

San Miguel de Tucumán, , Argentina

Site Status

San Pedro, , Argentina

Site Status

Barao Geraldo-Campinas, , Brazil

Site Status

Belo Horizonte Minas Gerais, , Brazil

Site Status

Juiz de Fora, , Brazil

Site Status

Porto Alegre, , Brazil

Site Status

Rio de Janeiro, , Brazil

Site Status

São Paulo, , Brazil

Site Status

Taubaté, , Brazil

Site Status

Winnipeg, Manitoba, Canada

Site Status

Brampton, Ontario, Canada

Site Status

Kitzhener, Ontario, Canada

Site Status

Oakville, Ontario, Canada

Site Status

Scarborough Village, Ontario, Canada

Site Status

Toronto, Ontario, Canada

Site Status

Montreal, Quebec, Canada

Site Status

České Budějovice, , Czechia

Site Status

Jihlava, , Czechia

Site Status

Ostrava - Poruba, , Czechia

Site Status

Prague, , Czechia

Site Status

Tábor, , Czechia

Site Status

Grenoble, , France

Site Status

Lyon, , France

Site Status

Nantes, , France

Site Status

Saint-Lô, , France

Site Status

Bologna, , Italy

Site Status

Brescia, , Italy

Site Status

Como, , Italy

Site Status

Pavia, , Italy

Site Status

Aguascalientes, , Mexico

Site Status

Mexico City, , Mexico

Site Status

Tijuana, , Mexico

Site Status

Gdansk, , Poland

Site Status

Szczecin, , Poland

Site Status

Torun, , Poland

Site Status

Warsaw, , Poland

Site Status

Caguas, , Puerto Rico

Site Status

Bamaul, , Russia

Site Status

Kazan', , Russia

Site Status

Krasnodar, , Russia

Site Status

Moscow, , Russia

Site Status

Nizhny Novgorod, , Russia

Site Status

Novosibirsk, , Russia

Site Status

Pyatigorsk, , Russia

Site Status

Ryazan, , Russia

Site Status

Saint Petersburg, , Russia

Site Status

Saratov, , Russia

Site Status

Smolensk, , Russia

Site Status

Sochi, , Russia

Site Status

Stavropol, , Russia

Site Status

Yekaterinburg, , Russia

Site Status

Chernivtsi, , Ukraine

Site Status

Dnipropetrovsk, , Ukraine

Site Status

Donetsk, , Ukraine

Site Status

Ivano-Frankivsk, , Ukraine

Site Status

Kharkiv, , Ukraine

Site Status

Kiev, , Ukraine

Site Status

Odesa, , Ukraine

Site Status

Uzhhorod, , Ukraine

Site Status

Vinnitsa, , Ukraine

Site Status

Zhytomyr, , Ukraine

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Argentina Brazil Canada Czechia France Italy Mexico Poland Puerto Rico Russia Ukraine

References

Explore related publications, articles, or registry entries linked to this study.

Schulman G, Berl T, Beck GJ, Remuzzi G, Ritz E, Arita K, Kato A, Shimizu M. Randomized Placebo-Controlled EPPIC Trials of AST-120 in CKD. J Am Soc Nephrol. 2015 Jul;26(7):1732-46. doi: 10.1681/ASN.2014010042. Epub 2014 Oct 27.

Reference Type RESULT
PMID: 25349205 (View on PubMed)

Schulman G, Berl T, Beck GJ, Remuzzi G, Ritz E, Shimizu M, Kikuchi M, Shobu Y. Risk factors for progression of chronic kidney disease in the EPPIC trials and the effect of AST-120. Clin Exp Nephrol. 2018 Apr;22(2):299-308. doi: 10.1007/s10157-017-1447-0. Epub 2017 Jul 24.

Reference Type DERIVED
PMID: 28741050 (View on PubMed)

Schulman G, Berl T, Beck GJ, Remuzzi G, Ritz E, Shimizu M, Shobu Y, Kikuchi M. The effects of AST-120 on chronic kidney disease progression in the United States of America: a post hoc subgroup analysis of randomized controlled trials. BMC Nephrol. 2016 Sep 30;17(1):141. doi: 10.1186/s12882-016-0357-9.

Reference Type DERIVED
PMID: 27716149 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

KRM-306

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.