A Study of AST-120 for Evaluating Prevention of Progression In Chronic Kidney Disease Including Assessment of Quality of Life (EPPIC-2)

NCT ID: NCT00501046

Last Updated: 2026-01-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1015 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2011-10-31

Brief Summary

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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 and quality of life.

Detailed Description

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Conditions

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Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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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

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Placebo

9g /day (3 times a day)

Intervention Type DRUG

AST-120

9g /day (3 times a day)

Intervention Type DRUG

Eligibility Criteria

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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 obtained at Screening
* Blood pressure \<= 160/90 mmHg at both Screening and Baseline visits. 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

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Kureha Corporation

INDUSTRY

Sponsor Role collaborator

Tanabe Pharma Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Professor

Role: PRINCIPAL_INVESTIGATOR

Information at Mitsubishi Tanabe Pharma Development America, Inc.

Locations

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Tuscaloosa, Alabama, United States

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Hot Springs, Arkansas, United States

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Bakersfield, California, United States

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Glendale, California, United States

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Los Angeles, California, United States

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Palo Alto, California, United States

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Riverside, California, United States

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Denver, Colorado, United States

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Boynton Beach, Florida, United States

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West Palm Beach, Florida, United States

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Augusta, Georgia, United States

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Macon, Georgia, United States

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Honolulu, Hawaii, United States

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Evergreen Park, Illinois, United States

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Shawnee Mission, Kansas, United States

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Kenner, Louisiana, United States

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Shreveport, Louisiana, United States

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Pontiac, Michigan, United States

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Brooklyn Center, Minnesota, United States

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Flushing, New York, United States

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Great Neck, New York, United States

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New York, New York, United States

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Williamsville, New York, United States

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Elizabeth City, North Carolina, United States

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Cincinnati, Ohio, United States

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Bend, Oregon, United States

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Allentown, Pennsylvania, United States

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Doylestown, Pennsylvania, United States

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Lancaster, Pennsylvania, United States

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Providence, Rhode Island, United States

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Charleston, South Carolina, United States

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Columbia, South Carolina, United States

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Orangeburg, South Carolina, United States

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Sumter, South Carolina, United States

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Knoxville, Tennessee, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Arlington, Virginia, United States

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Fairfax, Virginia, United States

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Norfolk, Virginia, United States

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Richmond, Virginia, United States

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Suffolk, Virginia, United States

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Vancouver, Washington, United States

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Morgantown, West Virginia, United States

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Milwaukee, Wisconsin, United States

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Buenos Aires, , Argentina

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Córdoba, , Argentina

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San Miguel de Tucumán, , Argentina

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Belo Horizonte, , Brazil

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Botucatu, , Brazil

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Campinas, , Brazil

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Curitiba, , Brazil

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Ibirapuera, , Brazil

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Porto Alegre, , Brazil

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Rio de Janeiro, , Brazil

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São Paulo, , Brazil

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Sorocaba, , Brazil

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Greenfield Park, Quebec, Canada

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Montreal, Quebec, Canada

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Hradec Králové, , Czechia

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Liberec, , Czechia

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Prague, , Czechia

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Ústí nad Labem, , Czechia

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Hamburg, , Germany

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Kiel, , Germany

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Mainz, , Germany

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Aguascalientes, , Mexico

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Cuernavaca, , Mexico

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Durango, , Mexico

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Mexico City, , Mexico

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México, , Mexico

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Bialystok, , Poland

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Częstochowa, , Poland

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Lublin, , Poland

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Warsaw, , Poland

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San Juan, , Puerto Rico

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Arkhangelsk, , Russia

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Chelyabinsk, , Russia

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Kemerovo, , Russia

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Moscow, , Russia

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Novosibirsk, , Russia

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Orenburg, , Russia

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Petrozavodsk, , Russia

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Saint Petersburg, , Russia

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Saratov, , Russia

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Tomsk, , Russia

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Yaroslayl, , Russia

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Yekaterinburg, , Russia

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A Coruña, , Spain

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Asturias, , Spain

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Barcelona, , Spain

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Guadalajara, , Spain

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Madrid, , Spain

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Ivano-Frankivsk, , Ukraine

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Kharkiv, , Ukraine

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Kiev, , Ukraine

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Luhansk, , Ukraine

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Lviv, , Ukraine

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Mykolayiv, , Ukraine

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Poltava, , Ukraine

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Ternopil, , Ukraine

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Vinnitsa, , Ukraine

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Zaporizhzhya, , Ukraine

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Countries

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United States Argentina Brazil Canada Czechia Germany Mexico Poland Puerto Rico Russia Spain Ukraine

References

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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

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KRM-307

Identifier Type: -

Identifier Source: org_study_id

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