Study of Phosphate Levels in Patients With Chronic Kidney Disease

NCT ID: NCT00824460

Last Updated: 2014-04-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

154 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2010-03-31

Brief Summary

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The purpose of this study is to investigate the ability of different doses of PA21 to lower serum phosphate levels, in patients with chronic kidney disease on maintenance hemodialysis.

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

NONE

Study Groups

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1.25 g PA21

Group Type EXPERIMENTAL

1.25 g PA21 (250 mg iron)

Intervention Type DRUG

Daily dose of 1.25 g PA21 (1 tablet/day) for 6 weeks. One PA21 tablet will be taken orally with the largest meal of the day.

5.0 g PA21

Group Type EXPERIMENTAL

5.0 g PA21 (1,000 mg iron)

Intervention Type DRUG

Daily dose of 5.0 g PA21 (4 tablets/day) for 6 weeks. Two PA21 tablets will be taken orally with the largest meal of the day, and one PA21 tablet will be taken orally with each of the two smaller main meals of the day (3 meals per day).

7.5 g PA21

Group Type EXPERIMENTAL

7.5 g PA21 (1,500 mg iron)

Intervention Type DRUG

Daily dose of 7.5 g PA21 (6 tablets/day) for 6 weeks. Two PA21 tablets will be taken orally with each of the three main meals of the day (3 meals per day).

10.0 g PA21

Group Type EXPERIMENTAL

10.0 g PA21 (2,000 mg iron)

Intervention Type DRUG

Daily dose of 10.0 g PA21 (8 tablets/day) for 6 weeks. Four PA21 tablets will be taken orally with the largest meal of the day, and two PA21 tablets will be taken orally with each of the two smaller main meals of the day (3 meals per day).

12.5 g PA21

Group Type EXPERIMENTAL

12.5 g PA21 (2,500 mg iron)

Intervention Type DRUG

Daily dose of 12.5 g PA21 (10 tablets/day) for 6 weeks. Four tablets will be taken orally with the largest meal of the day, and three PA21 tablets will be taken orally with each of the two smaller main meals of the day (3 meals per day).

Sevelamer hydrochloride - active control

Group Type EXPERIMENTAL

Sevelamer hydrochloride

Intervention Type DRUG

Daily dose of 4.8 g Sevelamer hydrochloride (6 tablets/day) for 6 weeks. Two Sevelamer tablets will be taken orally with each of the three main meals of the day (3 meals per day).

Interventions

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1.25 g PA21 (250 mg iron)

Daily dose of 1.25 g PA21 (1 tablet/day) for 6 weeks. One PA21 tablet will be taken orally with the largest meal of the day.

Intervention Type DRUG

5.0 g PA21 (1,000 mg iron)

Daily dose of 5.0 g PA21 (4 tablets/day) for 6 weeks. Two PA21 tablets will be taken orally with the largest meal of the day, and one PA21 tablet will be taken orally with each of the two smaller main meals of the day (3 meals per day).

Intervention Type DRUG

7.5 g PA21 (1,500 mg iron)

Daily dose of 7.5 g PA21 (6 tablets/day) for 6 weeks. Two PA21 tablets will be taken orally with each of the three main meals of the day (3 meals per day).

Intervention Type DRUG

10.0 g PA21 (2,000 mg iron)

Daily dose of 10.0 g PA21 (8 tablets/day) for 6 weeks. Four PA21 tablets will be taken orally with the largest meal of the day, and two PA21 tablets will be taken orally with each of the two smaller main meals of the day (3 meals per day).

Intervention Type DRUG

12.5 g PA21 (2,500 mg iron)

Daily dose of 12.5 g PA21 (10 tablets/day) for 6 weeks. Four tablets will be taken orally with the largest meal of the day, and three PA21 tablets will be taken orally with each of the two smaller main meals of the day (3 meals per day).

Intervention Type DRUG

Sevelamer hydrochloride

Daily dose of 4.8 g Sevelamer hydrochloride (6 tablets/day) for 6 weeks. Two Sevelamer tablets will be taken orally with each of the three main meals of the day (3 meals per day).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ≥ 18 years of age,
* Receiving stable maintenance hemodialysis 3 times a week
* On restricted phosphate diet at screening and throughout study
* Receiving stable dose of phosphate binder for at least 1 month
* Serum phosphate levels \>1.78 mmol/L

Exclusion Criteria

* Uncontrolled hyperphosphatemia
* Hypercalcemia at screening or during washout
* Serum calcium \< 1.9 mmol/L (\<7.6 mg/dL)
* Severe hyperparathyroidism (iPTH levels \>600 ng/L)
* Pregnancy or lactation
* Iron deficiency anemia
* History of hemochromatosis or ferritin \>800 mg/L,
* Hepatitis B, hepatitis C or other significant concurrent liver disorders
* Known positivity to HIV
* Use of oral iron preparations 1 month before screening,
* Serious medical condition or uncontrolled systemic disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vifor Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Prof. Rudolf P Wutrich, MD

Role: PRINCIPAL_INVESTIGATOR

Unafilliated

Locations

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Western Nephrology & Metabolic Disease

Arvada, Colorado, United States

Site Status

Complete Renal Care

Denver, Colorado, United States

Site Status

Pines Clinical Research

Pembroke Pines, Florida, United States

Site Status

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Nephrology Associates

Fresh Meadows, New York, United States

Site Status

University Hospitals / Case Medical Center

Cleveland, Ohio, United States

Site Status

Southeast Renal Research Institute

Chattanooga, Tennessee, United States

Site Status

Nephrology Associates

Nashville, Tennessee, United States

Site Status

Southwest Houston Research

Houston, Texas, United States

Site Status

MHAT

Gabrovo, , Bulgaria

Site Status

MHAT Plovdiv

Plovdiv, , Bulgaria

Site Status

Department of Haemodialysis at MHAT

Rousse, , Bulgaria

Site Status

5th MHAT Sofia

Sofia, , Bulgaria

Site Status

SHATCVD - National Cardiology Hospital

Sofia, , Bulgaria

Site Status

MHAT "Tokuda Hospital Sofia"

Sofia, , Bulgaria

Site Status

UMHAT "Alexandrovska" Dialysis Clinic

Sofia, , Bulgaria

Site Status

UMHAT "Sveti Ivan Rilski"

Sofia, , Bulgaria

Site Status

UMHAT "Sveta Anna"

Sofia, , Bulgaria

Site Status

MDHAT Department of Haemodialysis and Nephrology

Veliko Tarnovo, , Bulgaria

Site Status

Opca bonica Bjelovar

Bjelovar, , Croatia

Site Status

Opca bolnica Karlovac

Karlovac, , Croatia

Site Status

Opca bolnica

Koprivnica, , Croatia

Site Status

Klinicka bolnica Osijek

Osijek, , Croatia

Site Status

Klinicki bolnicki centar Rijeka

Rijeka, , Croatia

Site Status

Klinicki bolnicki centar Split

Split, , Croatia

Site Status

Opca bolnica Zadar

Zadar, , Croatia

Site Status

Klinicka bolnica

Zagreb, , Croatia

Site Status

Poliklinika Sveti Duh II

Zagreb, , Croatia

Site Status

Klinicka bolnica Dubrava

Zagreb, , Croatia

Site Status

Innef a.s. Hemodialyzancni stredisko

Brno, , Czechia

Site Status

Nemocnice Nove Mesto na Morave

Nove Město Na Morave, , Czechia

Site Status

Nemocnice s poliklinikou v Novem Jicine

Nový Jičín, , Czechia

Site Status

Klinika nefrologie VFN

Prague, , Czechia

Site Status

Nephrologische Gemeinschaftspraxis und Dialysezentrum

Dortmund, , Germany

Site Status

Marienhospital

Herne, , Germany

Site Status

Niepubliczny Zaklad Opieki Zdrowotnej

Golub-Dobrzyń, , Poland

Site Status

Katedra i Klinika Nefrologii

Katowice, , Poland

Site Status

NZOZ Dializa

Olkusz, , Poland

Site Status

Katedra i Klinika Nefrologii

Poznan, , Poland

Site Status

Samodzielny Specjalistyczny

Siedlce, , Poland

Site Status

Niepubliczny Zaklad Opieki Zdrowotnej

Sieradz, , Poland

Site Status

Centrum Dializy i Diagnostyki

Warsaw, , Poland

Site Status

Institutul Clinic Fundeni

Bucharest, , Romania

Site Status

Spitalul Universitar de Urgenta Bucuresti

Bucharest, , Romania

Site Status

Spitalul Clinic

Lasi, , Romania

Site Status

SC Renamed Nefrodial SRL

Oradea, , Romania

Site Status

S.C. Avitum S.R.L

Târgu Mureş, , Romania

Site Status

GOU VPO Kazan

Kazan', , Russia

Site Status

GUZ City Clinical Hospital

Moscow, , Russia

Site Status

MUZ City Clinical Hospital

Novosibirsk, , Russia

Site Status

Saint-Petersburg CUS City Mariinskaya Hospital

Saint Petersburg, , Russia

Site Status

Saint-Petersburg GUZ City Clinical Hospital

Saint Petersburg, , Russia

Site Status

GOU VPO

Saint Petersburg, , Russia

Site Status

Saint-Petersburg GUZ City Hospital

Saint Petersburg, , Russia

Site Status

GOU VPO

Saint Petersburg, , Russia

Site Status

CUS City Hospital

Saint Petersburg, , Russia

Site Status

MLPU Clinical City Hospital

Smolensk, , Russia

Site Status

Kantonspital Aarau

Aarau, , Switzerland

Site Status

Chuv Lausanne

Lausanne, , Switzerland

Site Status

Universitatsspital Zurich

Zurich, , Switzerland

Site Status

Countries

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United States Bulgaria Croatia Czechia Germany Poland Romania Russia Switzerland

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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75610

Identifier Type: -

Identifier Source: secondary_id

PA-CL-03A

Identifier Type: -

Identifier Source: org_study_id

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