Ferric Citrate in Managing Serum Phosphorus and Iron Deficiency in Anemic Chronic Kidney Disease (CKD) Subjects Not on Dialysis

NCT ID: NCT01736397

Last Updated: 2017-10-20

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

PHASE2

Total Enrollment

149 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2013-12-31

Brief Summary

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The purpose of this study is to determine if KRX-0502 (ferric citrate) is a safe and effective treatment for the management of serum phosphorus levels and iron deficiency in anemic chronic kidney disease (CKD) stage 3-5 subjects not on dialysis. Total length of treatment is approximately 12 weeks.

Detailed Description

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This is a randomized, double-blind, placebo-controlled, three-period, multi-center clinical trial. Following a Screening and Qualification Period and a two-week Washout Period (for those subjects entering the study on a phosphate binder), eligible subjects will be randomized in a 1:1 ratio to receive either KRX-0502 (ferric citrate) or placebo for up to approximately 12 weeks. The purpose of this study is to determine if KRX-0502 (ferric citrate) is a safe and effective treatment for the management of serum phosphorus levels and iron deficiency in anemic CKD subjects not on dialysis.

Conditions

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Iron Deficiency Iron Deficiency Anemia

Keywords

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CKD Chronic Kidney Disease Phosphorus Iron Deficiency Iron Deficiency Anemia Elevated Phosphorus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Ferric Citrate

Ferric citrate will be taken with or within one hour of meals or snacks. The starting dose of ferric citrate is 3 tablets/day and titrated by the subject's serum phosphorus results at each treatment visit.

Group Type EXPERIMENTAL

Ferric Citrate

Intervention Type DRUG

Dose depends on serum phosphorus levels collected at each study visit.

Placebo

Placebo will be taken with or within one hour of meals or snacks. The starting dose of placebo is 3 tablets per day and titrated by the subject's serum phosphorus results at each treatment visit.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Ferric Citrate

Dose depends on serum phosphorus levels collected at each study visit.

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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KRX-0502

Eligibility Criteria

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Inclusion Criteria

* Stage III to V Chronic Kidney Disease
* Serum Phosphorus 4.0-6.0 mg/dL prior to Randomization
* Ferritin 300 ng/mL or less
* Transferrin Saturation (TSAT) 30% or less
* Hemoglobin \>9.0 and \<12.0 g/dL
* Must consume a minimum of 2 meals per day

Exclusion Criteria

* Parathyroidectomy within 24 weeks of study
* gastrointestinal bleed or inflammatory bowel disease within 12 weeks of study
* Requirement for dialysis or kidney injury within 8 weeks of study
* Absolute requirement for oral iron, intravenous iron, Erythropoiesis-Stimulating Agent, blood transfusions, and Sensipar during the study
* Absolute requirement for calcium-, magnesium-, or aluminum-containing drugs with meals
* Absolute requirement for vitamin C, niacin, or nicotinamide outside of multivitamins
* History of hemochromatosis
* Allergy to iron products
* History of malignancy in last 5 years
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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Geoffrey Block, MD

Role: STUDY_CHAIR

Glenn Chertow, MD

Role: STUDY_CHAIR

Steven Fishbane, MD

Role: STUDY_CHAIR

Locations

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Tempe, Arizona, United States

Site Status

La Mesa, California, United States

Site Status

Sacramento, California, United States

Site Status

Denver, Colorado, United States

Site Status

Edgewater, Florida, United States

Site Status

Miami, Florida, United States

Site Status

Meridian, Idaho, United States

Site Status

Evergreen Park, Illinois, United States

Site Status

Bethesda, Maryland, United States

Site Status

Springfield, Massachusetts, United States

Site Status

Detroit, Michigan, United States

Site Status

Pontiac, Michigan, United States

Site Status

Reno, Nevada, United States

Site Status

Great Neck, New York, United States

Site Status

Mineola, New York, United States

Site Status

Asheville, North Carolina, United States

Site Status

Wilmington, North Carolina, United States

Site Status

Orangeburg, South Carolina, United States

Site Status

Houston, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Countries

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United States

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)

Block GA, Fishbane S, Rodriguez M, Smits G, Shemesh S, Pergola PE, Wolf M, Chertow GM. A 12-week, double-blind, placebo-controlled trial of ferric citrate for the treatment of iron deficiency anemia and reduction of serum phosphate in patients with CKD Stages 3-5. Am J Kidney Dis. 2015 May;65(5):728-36. doi: 10.1053/j.ajkd.2014.10.014. Epub 2014 Nov 4.

Reference Type DERIVED
PMID: 25468387 (View on PubMed)

Other Identifiers

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KRX-0502-204

Identifier Type: -

Identifier Source: org_study_id