Safety Study of Soluble Ferric Pyrophosphate (SFP) in Dialysate in CKD Patients Receiving Chronic Hemodialysis

NCT ID: NCT01503021

Last Updated: 2016-10-25

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

718 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2014-01-31

Brief Summary

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The purpose of the parent study is to assess the short-term safety and tolerability of soluble ferric pyrophosphate (SFP) in dialysate administered to a large number of representative adult chronic kidney disease patients on hemodialysis (CKD-HD).

The purpose of the extension study is to assess the long-term safety and tolerability of SFP.

Detailed Description

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Parent Study: randomized, double-blinded, crossover, up to 6 weeks, 700 patients. Patients were randomized to receive SFP 2 µmoles (110 µg) iron/L of dialysate in liquid bicarbonate concentrate or placebo (standard liquid bicarbonate concentrate) x 2 weeks, then a 1 week washout, then crossed over to the alternate treatment x 2 weeks.

Extension Study: open-label, single active arm, uncontrolled study, up to 53 weeks, 300 patients. Following completion of the RMTI-SFP-6 parent study, patients could enter the extension study, where they received SFP 2 µmoles (110 µg) iron/L of dialysate in liquid bicarbonate concentrate for up to 52 weeks.

Conditions

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End Stage Renal Disease Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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SFP/Placebo

Soluble ferric pyrophosphate (SFP) 2 µmoles (110 µg) iron/L of dialysate in liquid bicarbonate concentrate x 2 weeks, then 1 week washout, then standard liquid bicarbonate concentrate without SFP x 2 weeks

Group Type OTHER

SFP

Intervention Type DRUG

Dialysis with SFP administered via the liquid bicarbonate concentrate at a concentration of 2 µmoles (110 µg) iron/L of dialysate

Placebo

Intervention Type OTHER

Dialysis with standard liquid bicarbonate concentrate without iron

Placebo/SFP

Standard liquid bicarbonate concentrate without SFP x 2 weeks, then 1 week washout, then soluble ferric pyrophosphate (SFP) 2 µmoles (110 µg) iron/L of dialysate in liquid bicarbonate concentrate x 2 weeks.

Group Type OTHER

SFP

Intervention Type DRUG

Dialysis with SFP administered via the liquid bicarbonate concentrate at a concentration of 2 µmoles (110 µg) iron/L of dialysate

Placebo

Intervention Type OTHER

Dialysis with standard liquid bicarbonate concentrate without iron

Interventions

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SFP

Dialysis with SFP administered via the liquid bicarbonate concentrate at a concentration of 2 µmoles (110 µg) iron/L of dialysate

Intervention Type DRUG

Placebo

Dialysis with standard liquid bicarbonate concentrate without iron

Intervention Type OTHER

Other Intervention Names

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Soluble ferric pyrophosphate Standard liquid bicarbonate concentrate

Eligibility Criteria

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Inclusion Criteria

1. Adult ≥ 18 years of age.
2. Has chronic kidney disease (CKD) receiving maintenance hemodialysis (HD) (CKD-HD subjects) and regularly undergoing 2 or more dialysis sessions per week.
3. Stable pre-dialysis Hgb ≥ 9.0 to ≤ 12.5 g/dL.
4. Stable pre-dialysis TSAT ≥ 15% to ≤ 45%.
5. Stable pre-dialysis ferritin ≥ 100 to ≤ 1200 µg/L (1200 ng/mL).


1. Participated in Parent Study RMTI-SFP-6 and completed the follow-up/early term visit.
2. Hemoglobin ≤12.0 g/dL at screening.

Exclusion Criteria

1. Any previous exposure to SFP.
2. Therapy with intravenous, intramuscular or oral iron at any time between the first/screening visit and the randomization visit, or anticipated requirement for iron supplementation during the study period.
3. Non-tunneled vascular catheter for dialysis.
4. Scheduled for kidney transplant within the next 8 weeks.
5. Active infection requiring systemic antimicrobial or antifungal therapy within 2 weeks prior to screening, or during screening period prior to randomization.
6. Hospitalization within 1 month prior to screening (except for vascular access surgery).

Extension Study, Open Label, Single Active Arm:



1. Had a serious adverse event attributable (i.e., probably, possibly, or definitely related) to study drug or had an adverse event attributable to study drug that necessitated premature withdrawal from the double-blind, placebo-controlled crossover phase of the parent study RMTI-SFP-6.
2. Non-tunneled vascular catheter for dialysis.
3. Scheduled for kidney transplant within 12 weeks after entry into extension phase.
4. Active infection requiring systemic antimicrobial or antifungal therapy within 2 weeks prior to dosing.
5. Pregnancy or intention to become pregnant during the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rockwell Medical Technologies, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ray Pratt, MD

Role: STUDY_DIRECTOR

Rockwell Medical, Inc

Locations

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Mobile, Alabama, United States

Site Status

Northridge, California, United States

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Arvada, Colorado, United States

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Westminster, Colorado, United States

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Lauderhill, Florida, United States

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Marietta, Georgia, United States

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Chicago, Illinois, United States

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Peoria, Illinois, United States

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Columbus, Indiana, United States

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Wichita, Kansas, United States

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Baton Rouge, Louisiana, United States

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Shreveport, Louisiana, United States

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Camp Springs, Maryland, United States

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Gulfport, Mississippi, United States

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McComb, Mississippi, United States

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Tupelo, Mississippi, United States

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City of Saint Peters, Missouri, United States

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Lincoln, Nebraska, United States

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Reno, Nevada, United States

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Rocky Mount, North Carolina, United States

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Dayton, Ohio, United States

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Columbia, South Carolina, United States

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Research Across America

Houston, Texas, United States

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Houston, Texas, United States

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Irving, Texas, United States

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Mission, Texas, United States

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Temple, Texas, United States

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Tyler, Texas, United States

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Courtice, Ontario, Canada

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Montreal, Quebec, Canada

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Regina, Saskatchewan, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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RMTI-SFP-6

Identifier Type: -

Identifier Source: org_study_id

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