Patient Palatability and Preference of 3 Potassium Binders in Patients With Chronic Kidney Disease and Hyperkalaemia
NCT ID: NCT04566653
Last Updated: 2023-11-07
Study Results
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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COMPLETED
147 participants
OBSERVATIONAL
2020-10-23
2022-01-12
Brief Summary
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Detailed Description
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Conditions
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Study Design
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OTHER
CROSS_SECTIONAL
Study Groups
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dialysis-dependent
chronic kidney disease patients with hyperkalaemia and dialysis-dependent
Calcium Polystyrene Sulphonate 15g/60 mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Lokelma® 5 g/45mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Veltassa® 8,4 g/80mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Sodium Polystyrene Sulphonate 15g/60 mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
non-dialysis-dependent
chronic kidney disease patients with hyperkalaemia and non-dialysis-dependent
Calcium Polystyrene Sulphonate 15g/60 mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Lokelma® 10 g/45 mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Veltassa® 8,4 g/80mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Sodium Polystyrene Sulphonate 15g/60 mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Interventions
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Calcium Polystyrene Sulphonate 15g/60 mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Lokelma® 5 g/45mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Lokelma® 10 g/45 mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Veltassa® 8,4 g/80mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Sodium Polystyrene Sulphonate 15g/60 mL water
K+ binder, not for treatment but for tasting (sip-and-spit taste test)
Eligibility Criteria
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Inclusion Criteria
2. Participants should have CKD defined by having an estimated glomerular filtration rate (eGFR) \<60 mL/min/1.73 m2 (calculated using CKD-EPI equation) measured twice at least 90 days apart. (The eGFR should be measured when the participant is considered to be in a steady state without recent changes in volume status, medications that could impact the result (eg, nonsteroidal anti-inflammatory drugs, aminoglycosides, co-trimoxazole), or changes in dietary protein intake.)
3. Prevalent HK with serum K+ \>5 mmol/L.
4. Male and/or female
5. Capable of giving signed informed consent as described in Appendix A which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Informed consent must be obtained prior to any study-specific procedures performed.
Exclusion Criteria
2. As judged by the investigator, any evidence of any condition which in the investigator's opinion makes it undesirable for the participant to participate in the study.
3. Known history of drug or alcohol abuse within 6 months of screening.
4. History of QT prolongation associated with other medications that required discontinuation of that medication, including congenital long QT syndrome.
5. Symptomatic or uncontrolled atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia. Participants with atrial fibrillation controlled by medication are permitted.
6. Have a life expectancy of \<6 months.
7. 12-lead ECG with reported QTcF \>550 msec at screening.
8. Are current smoker.
9. Have mouth ulcers/mouth infection, respiratory infection, nasal congestion, or other condition, medication, or procedure which may interfere with sense of smell or taste, in opinion of the investigator.
10. Participants currently prescribed a K+ binder at time of screening/enrolment.
11. Participants unable to hold other oral medications from 3 hours prior to the start of tasting through 3 hours after the end of tasting.
12. Current participation or participation within the previous 28 days in another clinical study with an investigational product administered.
13. Participants with a known hypersensitivity to Lokelma, Veltassa, or S/CPS or any of the excipients of the NIMPs.
14. Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site).
15. Judgment by the investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions and requirements.
16. Previous enrolment or randomisation in the present study.
17. For women only - currently pregnant (confirmed with positive pregnancy test) or breast-feeding.
18. Participants unable to read the local language and therefore unable to complete the questionnaires.
18 Years
130 Years
ALL
No
Sponsors
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Labcorp Corporation of America Holdings, Inc
INDUSTRY
Calyx
UNKNOWN
ERT: Clinical Trial Technology Solutions
OTHER
Medidata Solutions
INDUSTRY
AstraZeneca
INDUSTRY
Responsible Party
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Principal Investigators
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Eric Wittbrodt, PharmD, MPH
Role: STUDY_DIRECTOR
AstraZeneca, Biopharmaceuticals Medical
Locations
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Research Site
Temple Terrace, Florida, United States
Research Site
West Palm Beach, Florida, United States
Research Site
Toronto, Ontario, Canada
Research Site
Greenfield Park, Quebec, Canada
Research Site
Montreal, Quebec, Canada
Research Site
Québec, Quebec, Canada
Research Site
Amiens, , France
Research Site
Boulogne-Billancourt, , France
Research Site
Nice, , France
Research Site
Genova, , Italy
Research Site
Parma, , Italy
Research Site
Pavia, , Italy
Research Site
A Coruña, , Spain
Research Site
Barcelona, , Spain
Research Site
Córdoba, , Spain
Research Site
Madrid, , Spain
Research Site
Eskilstuna, , Sweden
Research Site
Stockholm, , Sweden
Countries
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References
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Thomsen RW, Nicolaisen SK, Hasvold P, Sanchez RG, Pedersen L, Adelborg K, Egstrup K, Egfjord M, Sorensen HT. Elevated potassium levels in patients with chronic kidney disease: occurrence, risk factors and clinical outcomes-a Danish population-based cohort study. Nephrol Dial Transplant. 2018 Sep 1;33(9):1610-1620. doi: 10.1093/ndt/gfx312.
Laureati P, Xu Y, Trevisan M, Schalin L, Mariani I, Bellocco R, Sood MM, Barany P, Sjolander A, Evans M, Carrero JJ. Initiation of sodium polystyrene sulphonate and the risk of gastrointestinal adverse events in advanced chronic kidney disease: a nationwide study. Nephrol Dial Transplant. 2020 Sep 1;35(9):1518-1526. doi: 10.1093/ndt/gfz150.
Noel JA, Bota SE, Petrcich W, Garg AX, Carrero JJ, Harel Z, Tangri N, Clark EG, Komenda P, Sood MM. Risk of Hospitalization for Serious Adverse Gastrointestinal Events Associated With Sodium Polystyrene Sulfonate Use in Patients of Advanced Age. JAMA Intern Med. 2019 Aug 1;179(8):1025-1033. doi: 10.1001/jamainternmed.2019.0631.
Zann V, McDermott J, Jacobs JW, Davidson JP, Lin F, Korner P, Blanks RC, Rosenbaum DP. Palatability and physical properties of potassium-binding resin RDX7675: comparison with sodium polystyrene sulfonate. Drug Des Devel Ther. 2017 Sep 6;11:2663-2673. doi: 10.2147/DDDT.S143461. eCollection 2017.
Sondergaard H. Patient Involvement in the Design of an Innovative Clinical Study to Compare the Palatability of Anti-Hyperkalemia Medications. Patient Prefer Adherence. 2024 May 31;18:1059-1064. doi: 10.2147/PPA.S445399. eCollection 2024.
Wheeler DC, Sondergaard H, Gwynn C, Hedman K, Hedberg J, Allum A, Chung HL, Nagard M, Stjernlof G, Wittbrodt E, Kim J, Morris J. Randomised, blinded, cross-over evaluation of the palatability of and preference for different potassium binders in participants with chronic hyperkalaemia in the USA, Canada and Europe: the APPETIZE study. BMJ Open. 2024 Feb 21;14(2):e074954. doi: 10.1136/bmjopen-2023-074954.
Related Links
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AdSAM Emotional Response Modelling website. AdSAM Measure.
Ingelfinger JR. A new era for the treatment of hyperkalemia? N Engl J Med \[Internet\]. 2015 Jan 15;372(3):275-7.
Packham DK, Rasmussen HS, Lavin PT, El-Shahawy MA, Roger SD, Block G, et al. Sodium Zirconium Cyclosilicate in Hyperkalemia. N Engl J Med \[Internet\]. 2015;372(3):222-31.
Stokes JR, Boehm MW, Baier SK. Oral processing, texture and mouthfeel: From rheology to tribology and beyond. Curr Opin Colloid Interface Sci \[Internet\]. 2013;18(4):349-59.
Guinard JX, Mazzucchelli R. The sensory perception of texture and mouthfeel. Trends Food Sci Technol. 1996;7(7):213-9
Other Identifiers
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D9480C00016
Identifier Type: -
Identifier Source: org_study_id
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