A Study of HS219 in Chronic Kidney Disease Patients on Hemodialysis With Hyperphosphatemia

NCT ID: NCT01039428

Last Updated: 2015-09-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2010-06-30

Brief Summary

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This was a study to evaluate the efficacy and safety of HS219, chitosan-loaded chewing gum, when given three times a day for 3 weeks to the hemodialysis (HD) patients with hyperphosphatemia whose serum inorganic phosphorus was not well controlled with calcium carbonate or sevelamer hydrogen chloride.

Detailed Description

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Conditions

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Hyperphosphatemia Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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HS219

Group Type EXPERIMENTAL

HS219

Intervention Type DIETARY_SUPPLEMENT

Chewing for 30 min three time a day far after meal

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Chewing for 30 min three times a day far after meal

Interventions

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HS219

Chewing for 30 min three time a day far after meal

Intervention Type DIETARY_SUPPLEMENT

Placebo

Chewing for 30 min three times a day far after meal

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Written informed consent given
* Able to comply with the study procedures and medication
* On a stable HD regimen (at least 3 x per week) for ≥ 3 months
* Subject receiving calcium carbonate or sevelamer hydrochloride as a phosphate binder at screening, must have been on a stable regimen (dose and medication) for at least 1 month
* A mean serum inorganic phosphorous in the previous 3 tests : \> 5.5 mg/dL and \< 9.0 mg/dL
* Removal rate of blood urea nitrogen (BUN) ≥ 60%
* Rate of salivary flow by Saxon test ≥ 1 g/2 min

Exclusion Criteria

* Blood purification therapy other than HD
* Current clinically significant intestinal motility disorder
* Possible parathyroid intervention during the study period
* History of malignancy and severe cardiovascular disorders such as heart disease, angina, congested heart failure, valve stenosis, atrial fibrillation and arrhythmia
* History of allergy against active ingredient
* Receipt of any investigational drug within 30 days of informed consent
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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KDL Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tadao Akizawa, MD

Role: STUDY_CHAIR

Divison of Nephrology, Department of Medicine, Showa University School of Medicine

Masafumi Fukagawa, MD, PhD

Role: STUDY_DIRECTOR

Divison of Nephrology and Metabolism, Tokai University School of Medicine

Locations

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Meiyo Clinic

Toyohashi, Aichi-ken, Japan

Site Status

Asahi General Hospital

Asahi, Chiba, Japan

Site Status

Japanese Red Cross Koga Hospital

Koga, Ibaragi, Japan

Site Status

Sumiyoshi Clinic Hospital

Mito, Ibaragi, Japan

Site Status

Toride Medical Center

Toride, Ibaragi, Japan

Site Status

Tsuchiura Kyodo General Hospital

Tsuchiura, Ibaragi, Japan

Site Status

Japanese Red Cross Suwa Hospital

Suda, Nagano, Japan

Site Status

Maruko General Hospital

Ueda, Nagano, Japan

Site Status

Komagome Kyouritsu Clinic

Tokyo, Tokyo, Japan

Site Status

Asagaya Suzuki Clinic

Tokyo, Tokyo, Japan

Site Status

Suda Clinic

Tokyo, Tokyo, Japan

Site Status

Countries

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Japan

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)

Akizawa T, Tsuruta Y, Okada Y, Miyauchi Y, Suda A, Kasahara H, Sasaki N, Maeda Y, Suzuki T, Matsui N, Niwayama J, Suzuki T, Hara H, Asano Y, Komemushi S, Fukagawa M. Effect of chitosan chewing gum on reducing serum phosphorus in hemodialysis patients: a multi-center, randomized, double-blind, placebo-controlled trial. BMC Nephrol. 2014 Jun 25;15:98. doi: 10.1186/1471-2369-15-98.

Reference Type DERIVED
PMID: 24968790 (View on PubMed)

Other Identifiers

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HS219CCR-001

Identifier Type: -

Identifier Source: org_study_id

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