Exploratory Study of ZG-801 for the Treatment of Hyperkalemia

NCT ID: NCT03799926

Last Updated: 2021-03-25

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

PHASE2

Total Enrollment

184 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-18

Study Completion Date

2021-02-02

Brief Summary

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To investigate the efficacy of each ZG-801 starting dose and the titration algorithm of ZG-801 for the treatment of hyperkalemia in Japanese patients.

To evaluate the safety of ZG-801 for the chronic use (total over 52 weeks). In addition, to confirm the safety after the discontinuation of ZG-801 treatment on 1 week follow-up.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Stratum 1: 8.4 g patiromer

Non-dialysis subjects with serum potassium 5.1 to \< 6.0 mEq/L range at baseline

Group Type EXPERIMENTAL

patiromer

Intervention Type DRUG

Patiromer starting dose: 1 packet/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 1)

Stratum 1: 16.8 g patiromer

Non-dialysis subjects with serum potassium 5.1 to \< 6.0 mEq/L range at baseline

Group Type EXPERIMENTAL

patiromer

Intervention Type DRUG

Patiromer starting dose: 2 packets/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 1)

Stratum 1: placebo of 8.4 g patiromer

Non-dialysis subjects with serum potassium 5.1 to \< 6.0 mEq/L range at baseline

Group Type EXPERIMENTAL

placebo

Intervention Type DRUG

Placebo starting dose: 1 packet/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 1)

Stratum 1: placebo of 16.8 g patiromer

Non-dialysis subjects with serum potassium 5.1 to \< 6.0 mEq/L range at baseline

Group Type EXPERIMENTAL

placebo

Intervention Type DRUG

Placebo starting dose: 2 packets/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 1)

Stratum 2: 8.4 g patiromer

Non-dialysis subjects with serum potassium 6.0 to \< 6.5 mEq/L range at baseline

Group Type EXPERIMENTAL

patiromer

Intervention Type DRUG

Patiromer starting dose: 1 packet/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 2)

Stratum 2: 16.8 g patiromer

Non-dialysis subjects with serum potassium 6.0 to \< 6.5 mEq/L range at baseline

Group Type EXPERIMENTAL

patiromer

Intervention Type DRUG

Patiromer starting dose: 2 packets/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 2)

Stratum 3: 8.4 g patiromer

Dialysis subjects with serum potassium 5.5 to \< 6.5 mEq/L range at baseline

Group Type EXPERIMENTAL

patiromer

Intervention Type DRUG

Patiromer starting dose: 1 packet/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 3)

Stratum 3: 16.8 g patiromer

Dialysis subjects with serum potassium 5.5 to \< 6.5 mEq/L range at baseline

Group Type EXPERIMENTAL

patiromer

Intervention Type DRUG

Patiromer starting dose: 2 packets/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 3)

Interventions

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patiromer

Patiromer starting dose: 1 packet/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 1)

Intervention Type DRUG

patiromer

Patiromer starting dose: 2 packets/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 1)

Intervention Type DRUG

placebo

Placebo starting dose: 1 packet/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 1)

Intervention Type DRUG

placebo

Placebo starting dose: 2 packets/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 1)

Intervention Type DRUG

patiromer

Patiromer starting dose: 1 packet/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 2)

Intervention Type DRUG

patiromer

Patiromer starting dose: 2 packets/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 2)

Intervention Type DRUG

patiromer

Patiromer starting dose: 1 packet/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 3)

Intervention Type DRUG

patiromer

Patiromer starting dose: 2 packets/day, orally, once daily. The dose of patiromer could be titrated based on subject's serum potassium response (stratum 3)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Males and females ages 18 - 80
* Informed consent given
* Serum Potassium measurement at baseline is 5.1 to \< 6.5 mEq/L (Non-dialysis patients or 5.5 to \< 6.5 mEq/L (Dialysis patients)

Exclusion Criteria

* Subjects with hospitalization for hyper- or hypoglycemia with Type 2 diabetes or for acute exacerbations of heart failure within the previous 3 months
* Subjects with severe heart failure, defined as NYHA (New York Heart Association) class IV
* Subjects with uncorrected hemodynamically significant primary vascular disease or uncontrolled or hemodynamically unstable arrhythmia
* Subjects with coronary artery bypass graft, percutaneous intervention, or major surgery including thoracic and cardiac, within the previous 3 months or anticipated need during study participation
* Subjects with heart, liver (only Dialysis patients), or kidney transplant recipient, or anticipated need for transplant during the study period
* Subjects with any of the significant cardiovascular or cerebrovascular events within the previous 2 months
* Subjects with a history of or current diagnosis of a severe swallowing disorder, moderate to severe gastroparesis, or history of bariatric surgery, bowel obstruction or severe gastrointestinal disorders or major gastrointestinal surgery
* Subjects who cannot use the oral concomitant medication to be separate 3 hours from ZG-801 medication
* Subjects suspected of transient high potassium levels, such as those caused only by dietary effects
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zeria Pharmaceutical

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Zeria Investigative Sites

Kanagawa, , Japan

Site Status

Countries

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Japan

Other Identifiers

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ZG-801-01

Identifier Type: -

Identifier Source: org_study_id

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