A Two-Part, Phase 3 Study Evaluating the Efficacy and Safety of WS016 for the Treatment of Hyperkalemia

NCT ID: NCT07251309

Last Updated: 2025-11-26

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-23

Study Completion Date

2026-11-30

Brief Summary

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This clinical trial consists of 2 parts, Part A and Part B. Part A consists of a 2-day randomized, double-blind, placebo-controlled corrective phase (CP) and a 28-day randomized, double-blind, placebo-controlled maintenance phase (MP). Part B (open-label extension, OLE) is an open-label, 11-month extension study carried out in participants who come from Part A and meet certain inclusion criteria.

Detailed Description

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Eligible participants with hyperkalemia will first be randomized in a 5:1 ratio to receive oral WS016 (12g) or placebo three times daily, for a total of six doses over 48 hours.

After the 48-hour corrective treatment, participants whose serum potassium is within the normal range will be re-randomized in a 1:1:1:1 ratio to receive oral WS016 (6g, 12g, or 18g) or placebo once daily for 28 consecutive days.

Participants who complete the 28-day maintenance phase or prematurely discontinue from it due to hyperkalemia or hypokalemia, and who meet the eligibility criteria, will be eligible to enter Part B. In Part B, participants will receive WS016 for 11 months, starting at 12g once daily, with subsequent dose adjustments based on serum potassium levels.

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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WS016 (corrective phase)

Group Type EXPERIMENTAL

WS016

Intervention Type DRUG

WS016 (12g), oral, three times daily for 48 hours, for a total of six doses.

Placebo (corrective phase)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo, oral, three times daily for 48 hours, for a total of six doses.

WS016 (maintenance phase)

Group Type EXPERIMENTAL

WS016

Intervention Type DRUG

WS016 (6g, 12g or 18g), oral, once daily for 28 consecutive days.

Placebo (maintenance phase)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo, oral, once daily for 28 consecutive days.

WS016 (open-label extension phase)

Group Type EXPERIMENTAL

WS016

Intervention Type DRUG

WS016, oral, once daily for 11 months, starting at a dose of 12g with subsequent dose adjustments based on serum potassium levels.

Interventions

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WS016

WS016 (12g), oral, three times daily for 48 hours, for a total of six doses.

Intervention Type DRUG

Placebo

Placebo, oral, three times daily for 48 hours, for a total of six doses.

Intervention Type DRUG

WS016

WS016 (6g, 12g or 18g), oral, once daily for 28 consecutive days.

Intervention Type DRUG

Placebo

Placebo, oral, once daily for 28 consecutive days.

Intervention Type DRUG

WS016

WS016, oral, once daily for 11 months, starting at a dose of 12g with subsequent dose adjustments based on serum potassium levels.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults (male or female) aged 18 years and older;
* Participants with a serum potassium concentration \>5.0 mmol/L and ≤6.5 mmol/L (serum potassium concentration will be measured using the i-STAT portable biochemical analyzer in screening period);
* Participants who have negative pregnancy test result at screening and ensure the use of contraception during the trial;
* Participants who understand and voluntarily sign the Informed Consent Form.

Exclusion Criteria

* Participants who have a history of severe drug allergy, or are definitely allergic to the investigational product or its ingredients;
* Participants who have pseudohyperkalemia, such as serum potassium increasing caused by hemolysis of blood samples due to improper blood collection methods (such as too tight pressure pulse band banding, too heavy local rubbing, repeated fist clenching-loosening hands), hemolysis of blood samples due to difficulty in venipuncture or trauma, and severe leukocytosis (\>50 × 10\^9/L) or thrombocytosis (\>500 × 10\^9/L);
* Participants with acute hyperkalemia caused by conditions such as tumor lysis syndrome or hemolysis and so on;
* Participants suffering from severe cerebrovascular diseases, such as cerebral infarction or cerebral hemorrhagic disease, with language disorder or unresponsiveness, or severely blocked limb movement;
* Participants who have suffered from myocardial infarction, or have undergone interventional cardiac procedures or coronary artery bypass grafting for coronary atherosclerotic heart disease within 3 months prior to screening; or participants who have heart failure and are in cardiac function class IV (New York Heart Association, NYHA classification criteria) at screening;
* Participants with cardiac arrhythmia requiring urgent treatment at screening, such as ventricular tachycardia, ventricular fibrillation, II-III degree atrioventricular block, severe bradycardia (heart rate \<40 bpm), or participants with significant prolongation of PR interval (PR interval prolonged to more than 0.25 seconds in the absence of pre-existing atrioventricular block), decrease or disappearance of P wave amplitude, and widening of QRS wave (widening to more than 0.14 seconds in the absence of pre-existing bundle branch block) indicated by the electrocardiogram at screening;
* Participants who have previously undergone major gastrointestinal surgery such as subtotal gastrectomy, short bowel syndrome and other diseases affecting the normal peristalsis of the gastrointestinal tract; or participants with intractable constipation;
* Participants who have received treatment with polypropylene exchange resin or sodium zirconium cyclosilicate and other similar drugs within 3 days before screening;
* Participants who participated in other clinical trials of drugs or devices not approved for marketing within 3 months prior to the first dose;
* Participants who are receiving dialysis;
* Participants with severe hepatic impairment: serum alanine aminotransferase or aspartate aminotransferase more than 3 times the upper limit of normal;
* Participants who are unable to complete this part of the trial as assessed by the investigator due to any other disease or psychiatric condition; or participants whose participation in the trial is assessed by the investigator as having a risk that far outweighs the benefit.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Waterstone Pharmaceutical (Wuhan) Co., LTD.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Investigator Site 02

Bengbu, Anhui, China

Site Status RECRUITING

Investigator Site 03

Wuhu, Anhui, China

Site Status RECRUITING

Investigator Site 48

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Investigator Site 04

Xiamen, Fujian, China

Site Status RECRUITING

Investigator Site 05

Lanzhou, Gansu, China

Site Status RECRUITING

Investigator Site 07

Guangzhou, Guangdong, China

Site Status RECRUITING

Investigator Site 06

Zhanjiang, Guangdong, China

Site Status RECRUITING

Investigator Site 08

Huizhou, Guangxi, China

Site Status RECRUITING

Investigator Site 09

Nanning, Guangxi, China

Site Status RECRUITING

Investigator Site 10

Nanning, Guangxi, China

Site Status RECRUITING

Investigator Site 11

Guiyang, Guizhou, China

Site Status RECRUITING

Investigator Site 12

Haikou, Hainan, China

Site Status RECRUITING

Investigator Site 13

Shijiazhuang, Hebei, China

Site Status RECRUITING

Investigator Site 18

Daqing, Heilongjiang, China

Site Status RECRUITING

Investigator Site 15

Nanyang, Henan, China

Site Status RECRUITING

Investigator Site 16

Nanyang, Henan, China

Site Status RECRUITING

Investigator Site 14

Puyang, Henan, China

Site Status RECRUITING

Investigator Site 25

Xinxiang, Henan, China

Site Status RECRUITING

Investigator Site 21

Huangshi, Hubei, China

Site Status RECRUITING

Investigator Site 20

Shiyan, Hubei, China

Site Status RECRUITING

Investigator Site 19

Wuhan, Hubei, China

Site Status RECRUITING

Investigator Site 22

Wuhan, Hubei, China

Site Status RECRUITING

Investigator Site 24

Hengyang, Hunan, China

Site Status RECRUITING

Investigator Site 17

Yueyang, Hunan, China

Site Status RECRUITING

Investigator Site 23

Zhuzhou, Hunan, China

Site Status RECRUITING

Investigator Site 37

Chifeng, Inner Mongolia, China

Site Status RECRUITING

Investigator Site 36

Hohhot, Inner Mongolia, China

Site Status RECRUITING

Investigator Site 30

Changzhou, Jiangsu, China

Site Status RECRUITING

Investigator Site 31

Huai'an, Jiangsu, China

Site Status RECRUITING

Investigator Site 01

Nanjing, Jiangsu, China

Site Status RECRUITING

Investigator Site 26

Nantong, Jiangsu, China

Site Status RECRUITING

Investigator Site 27

Suzhou, Jiangsu, China

Site Status RECRUITING

Investigator Site 29

Yangzhou, Jiangsu, China

Site Status RECRUITING

Investigator Site 32

Ganzhou, Jiangxi, China

Site Status RECRUITING

Investigator Site 33

Nanchang, Jiangxi, China

Site Status RECRUITING

Investigator Site 34

Shangrao, Jiangxi, China

Site Status RECRUITING

Investigator Site 35

Shenyang, Liaoning, China

Site Status RECRUITING

Investigator Site 38

Yinchuan, Ningxia, China

Site Status RECRUITING

Investigator Site 42

Xi'an, Shaanxi, China

Site Status RECRUITING

Investigator Site 43

Xi'an, Shaanxi, China

Site Status RECRUITING

Investigator Site 41

Jinan, Shandong, China

Site Status RECRUITING

Investigator Site 40

Qingdao, Shandong, China

Site Status RECRUITING

Investigator Site 39

Tancheng, Shandong, China

Site Status RECRUITING

Investigator Site 44

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Investigator Site 45

Chengdu, Sichuan, China

Site Status RECRUITING

Investigator Site 47

Chengdu, Sichuan, China

Site Status RECRUITING

Investigator Site 46

Deyang, Sichuan, China

Site Status RECRUITING

Investigator Site 49

Zigong, Sichuan, China

Site Status RECRUITING

Investigator Site 28

Jiaxing, Zhejiang, China

Site Status RECRUITING

Investigator Site 50

Wenzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Waterstone Medical Center

Role: CONTACT

+86 27 87531661

Other Identifiers

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WS016CT301

Identifier Type: -

Identifier Source: org_study_id

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