A 58-Week Safety and Efficacy Trial of Ferric Citrate in Patients With ESRD on Dialysis

NCT ID: NCT01191255

Last Updated: 2014-12-10

Study Results

Results available

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

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

441 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2013-02-28

Brief Summary

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This is up to a 58 week study comparing ferric citrate to active control for 52 weeks in ESRD dialysis patients, and subsequently comparing ferric citrate to placebo for 4 weeks.

Detailed Description

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This trial is a three-period, multicenter, safety and efficacy clinical trial. The first period is a two-week Washout Period, the second period is a 52-week randomized, open-label, active control Safety Assessment Period, and the third period is a four-week, randomized, open-label, placebo-controlled Efficacy Assessment Period in only the patients who were randomized to treatment with ferric citrate during the Safety Assessment Period. The primary objectives of this trial are to determine the long-term safety over 52 weeks of up to twelve (12) caplets/day of KRX-0502 (ferric citrate) in patients with ESRD undergoing either hemodialysis or peritoneal dialysis and to determine the efficacy of KRX-0502 (ferric citrate) in the four-week, randomized, open-label, placebo-controlled Efficacy Assessment Period.

Conditions

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Hyperphosphatemia Kidney Failure

Keywords

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ESRD end-stage renal disease dialysis hemodialysis peritoneal dialysis hemodialysis (HD) peritoneal dialysis (PD) chronic renal insufficiency phosphate binder kidney failure renal failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Active Control

PhosLo (calcium acetate) Renvela (sevelamer carbonate)

Group Type ACTIVE_COMPARATOR

ferric citrate, ca acetate, sevelamer carbonate, placebo

Intervention Type DRUG

All intervention doses will be based on serum phosphorus levels and/or drug label requirements

Placebo

Placebo

Group Type PLACEBO_COMPARATOR

ferric citrate, ca acetate, sevelamer carbonate, placebo

Intervention Type DRUG

All intervention doses will be based on serum phosphorus levels and/or drug label requirements

KRX-0502 (Ferric Citrate)

ferric citrate

Group Type EXPERIMENTAL

ferric citrate, ca acetate, sevelamer carbonate, placebo

Intervention Type DRUG

All intervention doses will be based on serum phosphorus levels and/or drug label requirements

Interventions

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ferric citrate, ca acetate, sevelamer carbonate, placebo

All intervention doses will be based on serum phosphorus levels and/or drug label requirements

Intervention Type DRUG

Other Intervention Names

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PhosLo Renvela KRX-0502 Zerenex

Eligibility Criteria

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Inclusion Criteria

1. Males or non-pregnant, non-breast-feeding females
2. Age ≥18 years
3. On thrice-weekly hemodialysis or on peritoneal dialysis for at least the previous three months prior to Screening
4. Serum phosphorus ≥6.0 mg/dL for study entry
5. Taking less than 3-18 pills/day of current phosphate binder
6. Willing to be discontinued from current phosphate binder(s) and initiated on ferric citrate
7. Willing and able to give informed consent
8. Life expectancy \>1 year

Exclusion Criteria

1. Parathyroidectomy within six months prior to Screening
2. Actively symptomatic gastrointestinal bleeding or inflammatory bowel disease
3. History of multiple drug allergies or intolerances
4. History of malignancy in the last five years (treated cervical or non-melanomatous skin cancer may be permitted if approved by CCC)
5. Previous intolerance to oral ferric citrate
6. Intolerance to oral iron-containing products
7. Psychiatric disorder that interferes with the patient's ability to comply with the study protocol
8. Inability to tolerate oral drug intake
9. Intolerance to calcium acetate and sevelamer carbonate
10. Any other medical condition that renders the patient unable to or unlikely to complete the trial or that would interfere with optimal participation in the trial or produce significant risk to the patient
11. Receipt of any investigational drug within 30 days of Screening Visit (Visit 0)
12. Inability to cooperate with study personnel or history of noncompliance
13. Unsuitable for this trial per Investigator's clinical judgment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Keryx Biopharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julia B Lewis, MD

Role: STUDY_CHAIR

Collaborative Study Group

Samuel Blumenthal, MD

Role: STUDY_CHAIR

Collaborative Study Group

Locations

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Southwest Clinical Research Institute, LLC

Tempe, Arizona, United States

Site Status

Tower Nephrology Medical Group

Los Angeles, California, United States

Site Status

Veterans Administration Greater Los Angeles Healthcare System, West Los Angeles

Los Angeles, California, United States

Site Status

Apex Research of Riverside

Riverside, California, United States

Site Status

American Institute of Research

Whittier, California, United States

Site Status

University of Colorado Denver

Aurora, Colorado, United States

Site Status

Western Nephrology

Westminster, Colorado, United States

Site Status

PAB Clinical Research

Brandon, Florida, United States

Site Status

Mayo Clinic

Jacksonville, Florida, United States

Site Status

ASA Clinical Research, LLC

Jupiter, Florida, United States

Site Status

Ocala Kidney Group

Ocala, Florida, United States

Site Status

Pines Clinical Research, Inc.

Pembroke Pines, Florida, United States

Site Status

Kidney Care Associates, LLC

Augusta, Georgia, United States

Site Status

Atlanta Nephrology Referral Center

Decatur, Georgia, United States

Site Status

Circle Medical Management

Chicago, Illinois, United States

Site Status

Nephrology Specialists, PC

Michigan City, Indiana, United States

Site Status

LSU Health Sciences Center Section of Nephrology and Hypertension Department of Internal Medicine

New Orleans, Louisiana, United States

Site Status

Rockville Dialysis Center

Rockville, Maryland, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Pioneer Valley Nephrology

Holyoke, Massachusetts, United States

Site Status

Western New England Renal & Transplant Associates

Springfield, Massachusetts, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Michigan Kidney Consultants, PC

Pontiac, Michigan, United States

Site Status

Nephrology Hypertension Clinic

Southgate, Michigan, United States

Site Status

Kansas City VA Medical Center

Kansas City, Missouri, United States

Site Status

Brookdale Physician's Dialysis Associates

Brooklyn, New York, United States

Site Status

Mountain Kidney and Hypertension Associates, PA

Asheville, North Carolina, United States

Site Status

Metrolina Nephrology Associates, PA

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center Division of Nephrology

Durham, North Carolina, United States

Site Status

Trial Management Associates

Wilmington, North Carolina, United States

Site Status

Wake Forest University School of Medicine

Winston-Salem, North Carolina, United States

Site Status

Clinical Research Limited

Canton, Ohio, United States

Site Status

Division of Nephrology and Hypertension Department of Internal Medicine University of Cincinnati College of Medicine

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Foundation Q7-150 Nephrology

Cleveland, Ohio, United States

Site Status

The Ohio State University Division of Nephrology

Columbus, Ohio, United States

Site Status

DaVita

Oklahoma City, Oklahoma, United States

Site Status

University of Pennsylvania Health System

Philadelphia, Pennsylvania, United States

Site Status

Southeast Renal Research Institute Nephrology Associates

Chattanooga, Tennessee, United States

Site Status

Nephrology Associates, PC

Nashville, Tennessee, United States

Site Status

Vanderbilt University Medical Center Clinical Trials Center

Nashville, Tennessee, United States

Site Status

UT Southwestern Medical Center at Dallas

Dallas, Texas, United States

Site Status

Kidney Associates

Houston, Texas, United States

Site Status

Nephrology, PA

Houston, Texas, United States

Site Status

Kidney Specialists of North Houston, PLLC

The Woodlands, Texas, United States

Site Status

University of Utah Health Sciences Center

Salt Lake City, Utah, United States

Site Status

University of Vermont/ Fletcher Allen Health Care; Renal Services

Burlington, Vermont, United States

Site Status

Nephrology Clinical Research Center

Charlottesville, Virginia, United States

Site Status

Clinical Research & Consulting Center, LLC

Fairfax, Virginia, United States

Site Status

Nephrology Associates of Northern Virginia, Inc.

Fairfax, Virginia, United States

Site Status

Peninsula Kidney Associates

Hampton, Virginia, United States

Site Status

McGuire VA Medical Center

Richmond, Virginia, United States

Site Status

Medical College of Wisconsin Froedert Memorial Lutheran Hospital Division of Nephrology

Milwaukee, Wisconsin, United States

Site Status

Department of Nephrology and Hypertension Brazilai Medical Center

Ashkelon, , Israel

Site Status

Tel Aviv Sourasky Medical Center Nephrology Department

Tel Aviv, , Israel

Site Status

RCMI-Clinical Research Center Medical Sciences Campus University of Puerto Rico

Rio Piedras, PR, Puerto Rico

Site Status

Puerto Rico Renal Health & Research Center, Inc/ Atlantic Healthcare Group, Inc

Trujillo Alto, PR, Puerto Rico

Site Status

Countries

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United States Israel Puerto Rico

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)

Rodby RA, Umanath K, Niecestro R, Bond TC, Sika M, Lewis J, Dwyer JP; Collaborative Study Group. Ferric Citrate, an Iron-Based Phosphate Binder, Reduces Health Care Costs in Patients on Dialysis Based on Randomized Clinical Trial Data. Drugs R D. 2015 Sep;15(3):271-9. doi: 10.1007/s40268-015-0103-y.

Reference Type DERIVED
PMID: 26239948 (View on PubMed)

Related Links

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http://www.keryx.com

Sponsor Website

Other Identifiers

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KRX-0502-304

Identifier Type: -

Identifier Source: org_study_id

NCT01510106

Identifier Type: -

Identifier Source: nct_alias