Study to Assess the Safety and the Phosphate Binding Capacity of Renazorb

NCT ID: NCT01560884

Last Updated: 2013-11-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2012-09-30

Brief Summary

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The purpose of this trial is to study safety, tolerability, and phosphate binding capacity of Renazorb (SPI-014) in healthy volunteers before conducting trials in patients with renal failure. Renal excretion of phosphate is expected to decrease and fecal excretion of phosphate is expected to increase after treatment.

Detailed Description

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This is a double blind, dose-ranging study in healthy volunteers. Four sequential dose cohorts of 8 subjects each are planned. Six subjects will be randomly assigned to receive SPI-014 and 2 subjects to receive placebo within each cohort. The doses of SPI-014 will be 1500 mg/day (Group A), 3000 mg/day (Group B), 4500 mg/day (Group C) and 6000 mg/day (Group D), taken orally 3 times a day within 15 min after meals.

Following a screening period and evaluation of eligibility criteria, subjects will be admitted to the clinical research unit. From Day 1 to Day 10 subjects will be placed on a controlled phosphate diet (approved by a qualified dietician). From Day 1 to Day 5 (each day), 24 hour urine and feces will be collected at each voiding and pooled in separate containers for baseline phosphorus content. On Days 6 to 10, the subjects will receive SPI-014 or placebo within 15 minutes after each of the 3 main meals (see table below). From the morning of Day 8 to the morning of Day 13, 24 hour urine and feces will be collected for each day to determine phosphorus content. Subjects will be discharged on Day 13 and return 7 days later for an End-of-Study Visit on Day 20.

Starting dose will be 1500 mg/day. All safety data, including laboratory tests and adverse events, will be reviewed prior to escalation to the next cohort. After completion of first cohort, if no grades 3 AEs (vomiting and nausea) are observed in the first cohort on Day 20,Confidential 24 treatment of the second cohort begins. Similarly, third and fourth cohort will follow after the completion of the second and third cohort respectively.

Subjects will be admitted to the clinical research unit on Day -1 and remain at the clinical research unit until Day 13. From Day 1 to Day 10, subjects will consume a phosphate-controlled diet designed to provide 37.5 mmol (1200 mg) of elemental phosphorus per day (3 meals and 1 snack). The mean phosphorus contents of the meals are 12.1 mmol (387 mg), 8.6 mmol (275 mg), 12.0 mmol (416 mg), and 2.6 mmol (83 mg) for breakfast, lunch, dinner, and snack, respectively. With breakfast, the majority of the phosphorus is administered in milk. With the other meals phosphorus is primarily administered in solid food. During this 10-day treatment period subjects will be required to ingest all meals in their entirety.

The primary endpoint is phosphate binding capacity of SPI-014 as judged by levels of phosphorus in feces and urine. Phosphate excretion in urine is expected to go down and fecal excretion is expected to go up after treatment with SPI-014. Safety assessments are periodic physical examinations with vital sign measurements, safety laboratory tests, ECGs, AEs, and serious adverse events (SAEs).

Conditions

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Safety Phosphate Binding Capacity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Group B

Six subjects will be randomly assigned to receive SPI-014 3000 mg/day dose and 2 subjects to receive placebo

Group Type ACTIVE_COMPARATOR

Renazorb 3000 mg/day

Intervention Type DRUG

Six subjects will be randomly assigned to receive SPI-014 3000 mg/day dose and 2 subjects to receive placebo

Group C

Six subjects will be randomly assigned to receive SPI-014 4500 mg/day dose and 2 subjects to receive placebo

Group Type ACTIVE_COMPARATOR

Renazorb 4500 mg/day

Intervention Type DRUG

Six subjects will be randomly assigned to receive SPI-014 4500 mg/day dose and 2 subjects to receive placebo

Group D

Six subjects will be randomly assigned to receive SPI-014 6000 mg/day dose and 2 subjects to receive placebo

Group Type ACTIVE_COMPARATOR

Renazorb 6000 mg/day

Intervention Type DRUG

Six subjects will be randomly assigned to receive SPI-014 6000 mg/day dose and 2 subjects to receive placebo

Group A

Six subjects will be randomly assigned to receive SPI-014 1500 mg/day dose and 2 subjects to receive placebo

Group Type ACTIVE_COMPARATOR

Renazorb 1500 mg/day

Intervention Type DRUG

Six subjects will be randomly assigned to receive SPI-014 1500 mg/day dose and 2 subjects to receive placebo

Interventions

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Renazorb 1500 mg/day

Six subjects will be randomly assigned to receive SPI-014 1500 mg/day dose and 2 subjects to receive placebo

Intervention Type DRUG

Renazorb 3000 mg/day

Six subjects will be randomly assigned to receive SPI-014 3000 mg/day dose and 2 subjects to receive placebo

Intervention Type DRUG

Renazorb 4500 mg/day

Six subjects will be randomly assigned to receive SPI-014 4500 mg/day dose and 2 subjects to receive placebo

Intervention Type DRUG

Renazorb 6000 mg/day

Six subjects will be randomly assigned to receive SPI-014 6000 mg/day dose and 2 subjects to receive placebo

Intervention Type DRUG

Other Intervention Names

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Renazorb Renazorb Renazorb Renazorb

Eligibility Criteria

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Inclusion Criteria

* Healthy male and female volunteers ≥ 18 years of age without history of significant medical disease will be enrolled.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Spectrum Pharmaceuticals, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ronald Goldwater

Role: PRINCIPAL_INVESTIGATOR

PAREXEL, Harbor Hospital Center, Baltimore, MD 21225

Locations

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PAREXEL International - Baltimore Early Phase Clinical Unit

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Pergola PE, Joy MS, Garsd A, Hasal SJ, Khare A, Reddy G, Gupta P, Finn WF. Safety and Phosphate-Binding Capacity of Oxylanthanum Carbonate in Healthy Volunteers. Clin Transl Sci. 2025 Jan;18(1):e70116. doi: 10.1111/cts.70116.

Reference Type DERIVED
PMID: 39727283 (View on PubMed)

Other Identifiers

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SPI-RZB-11-101

Identifier Type: -

Identifier Source: org_study_id