A Study to Investigate the Safety and Efficacy of ZS in Patients With Hyperkalemia

NCT ID: NCT02875834

Last Updated: 2020-08-19

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

267 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-03

Study Completion Date

2018-02-14

Brief Summary

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To evaluate the efficacy of two different doses (5 and 10 g) of ZS orally administered once daily (qd) vs placebo in maintaining normokalemia in initially hyperkalemic patients having achieved normokalemia following two days of initial ZS therapy (10g TID).

Detailed Description

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Conditions

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Hyperkalemia

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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Sodium Zirconium Cyclosilicate (ZS) 5g

Suspension administered 5g orally once daily for 28 days after the first 48-hour open label initial phase.

Group Type EXPERIMENTAL

Sodium Zirconium Cyclosilicate (ZS) 5g

Intervention Type DRUG

Suspension administered 5g orally once daily for 28 days after the first 48-hour open label initial phase.

Sodium Zirconium Cyclosilicate (ZS) 10g

Suspension administered 10g orally once daily for 28 days after the first 48-hour open label initial phase.

Group Type EXPERIMENTAL

Sodium Zirconium Cyclosilicate (ZS) 10g

Intervention Type DRUG

Suspension administered 10g orally three times per day, in the first 48-hour of the study for all patients (48-hour open label initial phase)

Sodium Zirconium Cyclosilicate (ZS) 10g

Intervention Type DRUG

Suspension administered 10g orally once daily for 28 days after the first 48-hour open label initial phase.

Placebo

Suspension administered orally placebo once daily for 28 days after the first 48-hour open label initial phase.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Suspension administered orally placebo once daily for 28 days after the first 48-hour open label initial phase.

Interventions

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Sodium Zirconium Cyclosilicate (ZS) 10g

Suspension administered 10g orally three times per day, in the first 48-hour of the study for all patients (48-hour open label initial phase)

Intervention Type DRUG

Sodium Zirconium Cyclosilicate (ZS) 5g

Suspension administered 5g orally once daily for 28 days after the first 48-hour open label initial phase.

Intervention Type DRUG

Sodium Zirconium Cyclosilicate (ZS) 10g

Suspension administered 10g orally once daily for 28 days after the first 48-hour open label initial phase.

Intervention Type DRUG

Placebo

Suspension administered orally placebo once daily for 28 days after the first 48-hour open label initial phase.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Provision of informed consent prior to any study specific procedures
* Female and male patients aged ≥18 and ≤ 90 years
* Two consecutive i-STAT potassium values, measured 60-minutes (± 10 minutes) apart, both ≥ 5.1 mmol/l and measured within 1 day of the first ZS dose on 48-hour open-label initial phase Day 1
* Ability to have repeated blood draws or effective venous catheterization
* Female patients must be 1 year post-menopausal, surgically sterile, or using an acceptable method of contraception for the duration of the study and for 3 months after the last dose of ZS/matching placebo to prevent pregnancy.

Exclusion Criteria

* Involvement in the planning and/or conduct of the study
* Participation in another clinical study with an investigational product during the last 3 months
* Pseudohyperkalemia signs and symptoms
* Patients treated with lactulose, xifaxan (rifaximin) or other non-absorbed antibiotics for hyperammonemia within 7 days prior to the first dose of study drug
* Patients treated with resins,calcium acetate,calcium carbonate, or lanthanum carbonate,within 7 days prior to the first dose of study drug
* Patients with a life expectancy of less than 3 months
* Patients who are severely physically or mentally incapacitated and who in the opinion of investigator are unable to perform the subjects' tasks associated with the protocol
* Female patients who are pregnant, lactating, or planning to become pregnant
* Patients with diabetic ketoacidosis
* Presence of any condition which, in the opinion of the investigator, places the patient at undue risk or potentially jeopardizes the quality of the data to be generated
* Known hypersensitivity or previous anaphylaxis to ZS or to components thereof
* Patients with cardiac arrhythmias that require immediate treatment
* Patients on dialysis
* Patients who are blood donors should not donate blood during the study and for 3 months following their last dose of ZS
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Chiba, , Japan

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Hanyu-shi, , Japan

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Hitachi-Naka, , Japan

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Ina-shi, , Japan

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Kanazawa, , Japan

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Koga-shi, , Japan

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Matsudo-shi, , Japan

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Nagoya, , Japan

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Nagoya, , Japan

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Shimajiri-gun, , Japan

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Shizuoka, , Japan

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Toride-shi, , Japan

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Toyohashi, , Japan

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Yakushi, , Japan

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Krasnoyarsk, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Yaroslavl, , Russia

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Yekaterinburg, , Russia

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Anyang-si, , South Korea

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Bucheon-si, , South Korea

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Bucheon-si, , South Korea

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Busan, , South Korea

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Cheongju-si, , South Korea

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Goyang-si, , South Korea

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Goyang-si, , South Korea

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Gwangju, , South Korea

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Hwaseong-si, , South Korea

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Incheon, , South Korea

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Incheon, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Suwon, , South Korea

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Uijeongbu-si, , South Korea

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Wŏnju, , South Korea

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Hualien City, , Taiwan

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New Taipei City, , Taiwan

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Taichung, , Taiwan

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Taichung, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Countries

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Japan Russia South Korea Taiwan

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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D9480C00002

Identifier Type: -

Identifier Source: org_study_id

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