A Phase 2 Study to Evaluate the Safety and Efficacy of VS-505(AP301) to Treat Hyperphosphatemia in Hemodialysis Patients

NCT ID: NCT04551300

Last Updated: 2022-10-18

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

158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-13

Study Completion Date

2022-10-15

Brief Summary

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A multi-center, open-label, parallel-design, active-controlled phase 2 study to evaluate the tolerability, safety and efficacy of various dosages of VS-505 compared with Sevelamer Carbonate when given orally with meal for 6 weeks to treat hyperphosphatemia in chronic kidney disease subjects receiving maintenance hemodialysis.

Detailed Description

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The main body of this study has 5 intervention arms, 4 VS-505 treatment arms of various dosage plus 1 active control arm of Sevelamer Carbonate, each consists 25 subjects. Prior to this main part, a dose escalating cohort of 25 subjects is added to evaluate the tolerability of VS-505 in Chinese patient population.

Conditions

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Hyperphosphatemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

4 different dosages of VS-505 in Comparison with Sevelamer Carbonate
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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VS-505 500mg

VS-505 500mg (two 250 mg capsules) oral administration three times a day with meal, daily total dosage 1500mg.

Group Type EXPERIMENTAL

VS-505

Intervention Type DRUG

4 dosages of experimental drug

VS-505 750mg

VS-505 750mg (one 750 mg capsule) oral administration three times a day with meal, daily total dosage 2250mg.

Group Type EXPERIMENTAL

VS-505

Intervention Type DRUG

4 dosages of experimental drug

VS-505 1500mg

VS-505 1500mg (two 750 mg capsules) oral administration three times a day with meal, daily total dosage 4500mg.

Group Type EXPERIMENTAL

VS-505

Intervention Type DRUG

4 dosages of experimental drug

VS-505 2250mg

VS-505 2250mg (three 750 mg capsules) oral administration three times a day with meal, daily total dosage 6750mg.

Group Type EXPERIMENTAL

VS-505

Intervention Type DRUG

4 dosages of experimental drug

Sevelamer Carbonate 1600mg

Sevelamer Carbonate 1600mg (two 800mg pills) oral administration three times a day with meal, daily total dosage 4800mg.

Group Type ACTIVE_COMPARATOR

Sevelamer Carbonate

Intervention Type DRUG

Active Comparator

Interventions

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VS-505

4 dosages of experimental drug

Intervention Type DRUG

Sevelamer Carbonate

Active Comparator

Intervention Type DRUG

Other Intervention Names

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Renvela

Eligibility Criteria

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Inclusion Criteria

* Adults with end stage renal disease who are receiving a stable hemodialysis regimen (3 times per week) with sufficient dialysis adequacy;
* Serum phosphorus level range from \>1.94 mmol/L (6.0 mg/dL) to ≤3.23 mmol/L (10.0 mg/dL) at the end of washout phase.

Exclusion Criteria

* Kidney transplant patient or scheduled kidney transplant, or change to peritoneal dialysis, home hemodialysis or plan to relocate to another dialysis center during the study period;
* Serum phosphorus level is \<1.29 mmol/L(4.0 mg/dL) or \>2.42 mmol/L(7.5 mg/dL) at screening, or documented to be \>3.23 mmol/L(10 mg/dL) within the latest three month prior to screening (screening included);
* Serum calcium level is \<8 mg/dL or \>11 mg/dL at the screening;
* Serum immunoreactive parathyroid hormone (iPTH)\>1000 pg/mL at the screening;
* History of hemochromatosis or serum ferritin value ≥1000 μg/L at screening;
* Current clinically significant gastrointestinal (GI) disorder, or history of intestine obstruction, gastrectomy or duodenectomy, or GI tract surgery within 12 weeks prior to screening;
* Poorly controlled hypertension, cardiovascular disorders, and history of cerebrovascular disease or cardiovascular disease event within 24 weeks (6 months) prior to screening.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Alebund Pharmaceuticals Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Peking University People's Hospital

Beijing, Beijing Municipality, China

Site Status

Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status

Zhongshan Hospital Xiamen University

Xiamen, Fujian, China

Site Status

Affiliated Hospital of Guilin Medical University

Guilin, Guangxi, China

Site Status

The Third Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

The Second Affiliated Hospital of Xingtai Medical College

Xingtai, Hebei, China

Site Status

Renmin Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

The Second People's Hospital of Changzhou

Changzhou, Jiangsu, China

Site Status

The Second Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status

Affiliated Hospital of Nantong University

Nantong, Jiangsu, China

Site Status

Wuxi People's Hospital

Wuxi, Jiangsu, China

Site Status

Northern Jiangsu People's Hospital

Yangzhou, Jiangsu, China

Site Status

Jilin Province People's Hospital

Changchun, Jilin, China

Site Status

The Second Hospital of Jilin University

Changchun, Jilin, China

Site Status

Dalina Municipal Central Hospital

Dalian, Liaoning, China

Site Status

The First Hospital of Dalian Medical University

Dalian, Liaoning, China

Site Status

The Second Hospital of Dalian Medical University

Dalian, Liaoning, China

Site Status

Shanghai General Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Tenth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status

Xinhua Hospital Affiliated to Shanghai Jiao Tong Universiity School of Medcine

Shanghai, Shanghai Municipality, China

Site Status

The Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

Tianjin People's Hospital

Tianjin, Tianjin Municipality, China

Site Status

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

Site Status

Countries

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China

References

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Zhuang B, Gan L, Liu B, Yuan W, Shi M, Peng A, Wang L, Chen X, Liu T, Zhang S, Wang S, Gao Q, Wang B, Zheng H, Liu C, Luo Y, Ye H, Lin H, Li Y, He Q, Zheng F, Luo P, Long G, Lu W, Li K, Yang J, Liu YC, Zhang Z, Li X, Zhang W, Zuo L. Tolerability, safety and efficacy of a novel phosphate binder VS-505 (AP301): a Phase 2 dose-escalation and dose-ranging study in patients undergoing maintenance hemodialysis. Nephrol Dial Transplant. 2024 Sep 27;39(10):1649-1661. doi: 10.1093/ndt/gfae053.

Reference Type DERIVED
PMID: 38453435 (View on PubMed)

Other Identifiers

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APCKD001

Identifier Type: -

Identifier Source: org_study_id

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