Evaluation of TRC101 in Subjects With Metabolic Acidosis Associated With Chronic Kidney Disease

NCT ID: NCT03317444

Last Updated: 2021-04-26

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

217 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-26

Study Completion Date

2018-05-15

Brief Summary

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This is a multicenter, double-blind, placebo-controlled, parallel-design study. The study will enroll approximately 210 adult male and female subjects with stage 3 or 4 chronic kidney disease and metabolic acidosis. The study dosing (TRC101 or placebo) will continue for 12 weeks once daily.

The maximum study duration is anticipated to be up to 16 weeks.

Detailed Description

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Conditions

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Metabolic Acidosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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TRC101

Administered once daily (QD) for 12 weeks

Group Type EXPERIMENTAL

TRC101

Intervention Type DRUG

Oral suspension

Placebo

Administered once daily (QD) for 12 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral suspension

Interventions

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TRC101

Oral suspension

Intervention Type DRUG

Placebo

Oral suspension

Intervention Type DRUG

Other Intervention Names

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Veverimer

Eligibility Criteria

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Inclusion Criteria

* Blood bicarbonate level of 12 to 20 mEq/L.
* Estimated glomerular filtration rate (eGFR) of 20 to 40 mL/min/1.73m2.
* Stable kidney function defined as \<=20% variability in eGFR during screening period.

Exclusion Criteria

* Any level of low blood bicarbonate during the screening period that in the opinion of the Investigator, requires emergency intervention or evaluation for an acute acidotic process.
* Anuria, dialysis, acute kidney injury, or history of acute kidney insufficiency within 3 months prior to screening.
* Heart failure with maximum New York Heart Association (NYHA) Class IV symptoms or that required hospitalization during the preceding 6 months.
* Heart or kidney transplant.
* Chronic obstructive pulmonary disease (COPD) that is treated with chronic oral steroids, that requires the subject to be on oxygen, or that required hospitalization within the previous 6 months.
* Change in doses to alkali therapy in the 4 weeks prior to screening.
* History or current diagnosis of diabetic gastroparesis, bowel obstruction, swallowing disorders, inflammatory bowel disease, major gastrointestinal surgery, frequent diarrhea or active gastric/duodenal ulcers.
* Serum calcium \<= 8.0 mg/dL at screening.
* Planned initiation of renal replacement therapy within 12 weeks following randomization.
* Use of polymeric binder drugs within 14 days prior to screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tricida, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Operations

Role: STUDY_DIRECTOR

Tricida, Inc.

Locations

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Investigative Site 55

Phoenix, Arizona, United States

Site Status

Investigative Site 56

Chula Vista, California, United States

Site Status

Investigative Site 91

Los Angeles, California, United States

Site Status

Investigative Site 59

Hialeah, Florida, United States

Site Status

Investigative Site 54

Hollywood, Florida, United States

Site Status

Investigative Site 93

Hollywood, Florida, United States

Site Status

Investigative Site 92

Lauderdale Lakes, Florida, United States

Site Status

Investigative Site 51

Tampa, Florida, United States

Site Status

Investigative Site 57

Winter Park, Florida, United States

Site Status

Investigative Site 95

Atlanta, Georgia, United States

Site Status

Investigative Site 53

Shreveport, Louisiana, United States

Site Status

Investigative Site 58

Flushing, New York, United States

Site Status

Investigative Site 52

San Antonio, Texas, United States

Site Status

Investigative Site 11

Sofia, , Bulgaria

Site Status

Investigative Site 21

Zagreb, , Croatia

Site Status

Investigative Site 31

Tbilisi, , Georgia

Site Status

Investigative Site 32

Tbilisi, , Georgia

Site Status

Investigative Site 33

Tbilisi, , Georgia

Site Status

Investigative Site 34

Tbilisi, , Georgia

Site Status

Investigative Site 35

Tbilisi, , Georgia

Site Status

Investigative Site 36

Tbilisi, , Georgia

Site Status

Investigative Site 37

Tbilisi, , Georgia

Site Status

Investigative Site 43

Baja, , Hungary

Site Status

Investigative Site 48

Balatonfüred, , Hungary

Site Status

Investigative Site 41

Budapest, , Hungary

Site Status

Investigative Site 46

Budapest, , Hungary

Site Status

Investigative Site 45

Hatvan, , Hungary

Site Status

Investigative Site 49

Hódmezővásárhely, , Hungary

Site Status

Investigative Site 44

Kistarcsa, , Hungary

Site Status

Investigative Site 42

Miskolc, , Hungary

Site Status

Investigative Site 47

Mosonmagyaróvár, , Hungary

Site Status

Investigative Site 64

Belgrade, , Serbia

Site Status

Investigative Site 65

Belgrade, , Serbia

Site Status

Investigative Site 61

Vršac, , Serbia

Site Status

Investigative Site 62

Zrenjanin, , Serbia

Site Status

Investigative Site 72

Jesenice, , Slovenia

Site Status

Investigative Site 71

Maribor, , Slovenia

Site Status

Investigative Site 81

Kharkiv, , Ukraine

Site Status

Investigative Site 83

Kharkiv, , Ukraine

Site Status

Investigative Site 87

Kharkiv, , Ukraine

Site Status

Investigative Site 88

Kharkiv, , Ukraine

Site Status

Investigative Site 84

Kyiv, , Ukraine

Site Status

Investigative Site 85

Kyiv, , Ukraine

Site Status

Investigative Site 86

Kyiv, , Ukraine

Site Status

Countries

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United States Bulgaria Croatia Georgia Hungary Serbia Slovenia Ukraine

References

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Wesson DE, Mathur V, Tangri N, Stasiv Y, Parsell D, Li E, Klaerner G, Bushinsky DA. Veverimer versus placebo in patients with metabolic acidosis associated with chronic kidney disease: a multicentre, randomised, double-blind, controlled, phase 3 trial. Lancet. 2019 Apr 6;393(10179):1417-1427. doi: 10.1016/S0140-6736(18)32562-5. Epub 2019 Mar 8.

Reference Type RESULT
PMID: 30857647 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-003825-41

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

TRCA-301

Identifier Type: -

Identifier Source: org_study_id

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