A Phase 3 Study to Investigate the Safety and Efficacy of PA21, a Phosphate Binder, in Dialysis Patients

NCT ID: NCT01324128

Last Updated: 2014-04-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1059 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2012-10-31

Brief Summary

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This is a Phase 3, randomised, active controlled, multicentre study to investigate the safety and efficacy of PA21, a phosphate binder, for control of hyperphosphataemia in dialysis patients. The primary objective is to establish the efficacy of PA21 for lowering phosphate levels in these patients.

Detailed Description

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Conditions

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Chronic Kidney Disease Requiring Chronic Dialysis

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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PA21 (2.5 g tablet)

Group Type EXPERIMENTAL

PA21 (2.5 g tablet containing 500 mg iron)

Intervention Type DRUG

Dose range of 5.0 g/day (2 tablets/day) to 15.0 g/day (6 tablets/day).

Sevelamer carbonate

Group Type ACTIVE_COMPARATOR

Sevelamer carbonate

Intervention Type DRUG

Dose range of 2.4 g/day (3 tablets/day) to 14.4 g/day (18 tablets/day)

PA21-1 (1.25 g tablet)

Group Type OTHER

PA21-1 (1.25 g tablet containing 250 mg iron)

Intervention Type DRUG

Low dose comparator (1.25 g/day)

Interventions

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PA21 (2.5 g tablet containing 500 mg iron)

Dose range of 5.0 g/day (2 tablets/day) to 15.0 g/day (6 tablets/day).

Intervention Type DRUG

Sevelamer carbonate

Dose range of 2.4 g/day (3 tablets/day) to 14.4 g/day (18 tablets/day)

Intervention Type DRUG

PA21-1 (1.25 g tablet containing 250 mg iron)

Low dose comparator (1.25 g/day)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Dialysis patients with hyperphosphataemia (≥ 1.94 mmol/L; ≥ 6.0 mg/dL)
* Stable dose of phosphate binder
* Written informed consent

Exclusion Criteria

* Hyper/hypo calcemia; hyper intact parathyroid hormone (iPTH)
* Other significant medical conditions
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fresenius Medical Care North America

INDUSTRY

Sponsor Role collaborator

Vifor Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Juergen Floege, MD

Role: PRINCIPAL_INVESTIGATOR

Medizinische Klinik II

Locations

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San Antonio, Texas, United States

Site Status

LKH St. Polten

Sankt Pölten, , Austria

Site Status

CHU Sart Tilman

Liège, , Belgium

Site Status

Clinical Hospital Center Rijeka

Rijeka, , Croatia

Site Status

Dialysis Centre Fresenius Medical Care

Sokolov, , Czechia

Site Status

KfH Nierenzentrum Berlin-Neukoelln

Berlin, , Germany

Site Status

Vidzemes Hospital

Valmiera, , Latvia

Site Status

Vilnius University Hospital Santariskiu Clinics

Vilnius, , Lithuania

Site Status

Teaching Hospital no.1 of Medical University of Lodz

Lodz, , Poland

Site Status

Dialmed Clinic SRL

Sibiu, , Romania

Site Status

City Mariinsky Hospital

Saint Petersburg, , Russia

Site Status

Zvezdara Clinical Medical Center

Belgrade, , Serbia

Site Status

Lakeview Hospital

Benoni, , South Africa

Site Status

Mykolayiv Regional Hospital

Mykolayiv, , Ukraine

Site Status

Dorset County Hospital NHS Foundation Trust

Dorset, , United Kingdom

Site Status

Countries

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United States Austria Belgium Croatia Czechia Germany Latvia Lithuania Poland Romania Russia Serbia South Africa Ukraine United Kingdom

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)

Sprague SM, Ketteler M, Covic AC, Floege J, Rakov V, Walpen S, Rastogi A. Long-term efficacy and safety of sucroferric oxyhydroxide in African American dialysis patients. Hemodial Int. 2018 Oct;22(4):480-491. doi: 10.1111/hdi.12663. Epub 2018 Apr 15.

Reference Type DERIVED
PMID: 29656600 (View on PubMed)

Other Identifiers

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PA-CL-05A

Identifier Type: -

Identifier Source: org_study_id

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