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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03236246
Other study ID # KRX-0502-402
Secondary ID
Status Completed
Phase Phase 4
First received
Last updated
Start date August 15, 2017
Est. completion date September 27, 2019

Study information

Verified date March 2021
Source Keryx Biopharmaceuticals
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The objectives of this study are to assess the long-term efficacy and safety of different dose regimens of KRX-0502 in the treatment of iron deficiency anemia (IDA) in adult subjects with non-dialysis dependent chronic kidney disease (CKD).


Description:

This is a Phase 4, 48-week, randomized, open-label, multicenter clinical study comprised of 2 periods: a 24-week Dose Titration Period, followed by a 24-week Dose Maintenance Period. The study will consist of 12 scheduled clinic visits over a period of 48 weeks and additional visits as needed.


Recruitment information / eligibility

Status Completed
Enrollment 206
Est. completion date September 27, 2019
Est. primary completion date August 30, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Estimated glomerular filtration rate =20 mL/min and <60 mL/min - Hgb =8.5 g/dL and =11.5 g/dL - Serum ferritin =500 ng/mL and transferrin saturation (TSAT) =25% - Serum intact parathyroid hormone =600 pg/mL Exclusion Criteria: - Serum phosphate <3.0 mg/dL - Intravenous (IV) iron administered within 4 weeks prior to Screening - Erythropoiesis-stimulating agents (ESA) administered within 4 weeks prior to Screening - Blood transfusion within 4 weeks prior to Screening

Study Design


Intervention

Drug:
KRX-0502
Oral ferric citrate with meals

Locations

Country Name City State
United States Mountain Kidney & Hypertension Associates Asheville North Carolina
United States Southeastern Clinical Research Institute, LLC Augusta Georgia
United States Research Management, Inc. Austin Texas
United States Research Management, Inc. Austin Texas
United States Metrolina Nephrology Associates, PA Charlotte North Carolina
United States Research by Design, LLC Chicago Illinois
United States California Institute of Renal Research Chula Vista California
United States Columbia Nephrology Associates, PA Columbia South Carolina
United States Renal Associates, LLC Columbus Georgia
United States Denver Nephrologists, P.C. Denver Colorado
United States Hypertension and Nephrology Association Eatontown New Jersey
United States California Institute of Renal Research El Centro California
United States Division of Kidney/HTN Research Great Neck New York
United States Eastern Nephrology Associates Greenville North Carolina
United States South Mississippi Medical Research, LLC Gulfport Mississippi
United States Southeastern Nephrology Associates Jacksonville North Carolina
United States Clinical Research Consultants Kansas City Missouri
United States P & I Clinical Research, LLC Lufkin Texas
United States Kidney and Hypertension Specialists of Miami, P.A. Miami Florida
United States Miami Kidney Group Miami Florida
United States Nephrology Associates, P.C. Nashville Tennessee
United States Eastern Nephrology Associates New Bern North Carolina
United States South Carolina Nephrology & Hypertension Center, Inc Orangeburg South Carolina
United States Arizona Kidney Disease and Hypertension center: AKDHC Medical Research Services, LLC Phoenix Arizona
United States California Institute of Renal Research Poway California
United States Sierra Nevada Nephrology Consultants Reno Nevada
United States Clinical Advancement Center, PLLC San Antonio Texas
United States Southeastern Nephrology Wilmington North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Keryx Biopharmaceuticals

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change From Baseline in Hemoglobin (Hgb) at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from a mixed model of repeated measures (MMRM), including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 24
Secondary Change From Baseline in Hgb at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 48
Secondary Time From Randomization to the First Increase From Baseline Hgb of at Least 0.5 Grams Per Deciliter (g/dL) During the Dose Titration Period The Kaplan-Meier estimator of the survival function of time from randomization to the first increase from Baseline Hgb of at least 0.5 g/dL for each of the two starting dose treatment groups were obtained. from Randomization to Week 24
Secondary Change From Baseline in Transferrin Saturation (TSAT) at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 24
Secondary Change From Baseline in TSAT at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 48
Secondary Change From Baseline in Ferritin at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 24
Secondary Change From Baseline in Ferritin at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 48
Secondary Change From Baseline in Serum Phosphate at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; up to Week 24
Secondary Change From Baseline in Serum Phosphate at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 48
Secondary Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 24
Secondary Change From Baseline in eGFR at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 48
Secondary Change From Baseline in Bicarbonate at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 24
Secondary Change From Baseline in Bicarbonate at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix. Baseline; Week 48
Secondary Change From Baseline in Intact Parathyroid Hormone (iPTH) at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using a common slope analysis of covariance (ANCOVA) model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, and a random error term. Baseline; Week 24
Secondary Change From Baseline in iPTH at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using an uncommon slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, randomized treatment group by Baseline interaction, and a random error term. Baseline; Week 48
Secondary Change From Baseline in C-terminal Fibroblast Growth Factor 23 (FGF23) at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using an uncommon slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, randomized treatment group by Baseline interaction, and a random error term. Baseline; Week 24
Secondary Change From Baseline in C-terminal FGF23 at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using an uncommon slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, randomized treatment group by Baseline interaction, and a random error term. Baseline; Week 48
Secondary Change From Baseline in Intact Fibroblast Growth Factor 23 at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using a common slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, and a random error term. Baseline; Week 24
Secondary Change From Baseline in Intact Fibroblast Growth Factor 23 at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using an uncommon slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, randomized treatment group by Baseline interaction, and a random error term. Baseline; Week 48
Secondary Change From Baseline Scores for the Work Productivity and Activity Impairment (WPAI) Questionnaire Adapted for Anemia Associated With Chronic Kidney Disease (CKD) at Week 24: Work-associated Measures Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The WPAI is a questionnaire to evaluate the effect of anemia associated with Chronic Kidney Disease on the ability to work and perform regular activities. Scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact and 100% representing complete impact. Baseline; Week 24
Secondary Change From Baseline Scores for the WPAI Questionnaire Adapted for Anemia Associated With CKD at Week 48: Work-associated Measures Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The WPAI is a questionnaire to evaluate the effect of anemia associated with Chronic Kidney Disease on the ability to work and perform regular activities. Scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact and 100% representing complete impact. Baseline; Week 48
Secondary Change From Baseline Scores for the WPAI Questionnaire Adapted for Anemia Associated With CKD at Week 24: Activity Impairment Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The WPAI is a questionnaire to evaluate the effect of anemia associated with Chronic Kidney Disease on the ability to work and perform regular activities. Scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact and 100% representing complete impact. Baseline; Week 24
Secondary Change From Baseline Scores for the WPAI Questionnaire Adapted for Anemia Associated With CKD at Week 48: Activity Impairment Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The WPAI is a questionnaire to evaluate the effect of anemia associated with Chronic Kidney Disease on the ability to work and perform regular activities. Scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact and 100% representing complete impact. Baseline; Week 48
Secondary Change From Baseline in the Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue Scale Score at Week 24 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Participants were asked to respond to 13 statements (as they apply to the last 7 days) that other people with the same illness said are important with one of the following: 0, not at all; 1, a little bit; 2, somewhat; 3, quite a bit; 4, very much. All individual items were summed to create a single fatigue score ranging from 0 to 52. Higher scores indicate greater fatigue. Baseline; Week 24
Secondary Change From Baseline in the Functional Assessment of Chronic Illness Therapy Fatigue Scale Score at Week 48 Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Participants were asked to respond to 13 statements (as they apply to the last 7 days) that other people with the same illness said are important with one of the following: 0, not at all; 1, a little bit; 2, somewhat; 3, quite a bit; 4, very much. All individual items were summed to create a single fatigue score ranging from 0 to 52. Higher scores indicate greater fatigue. Baseline; Week 48
Secondary Number of Hospitalizations for Participants Who Entered the Dose Maintenance Period A hospitalization is defined as admission to the hospital. up to Week 48
Secondary Duration of Hospitalizations for Participants Who Entered the Dose Maintenance Period A hospitalization is defined as admission to the hospital. up to Week 48
Secondary Number of Participants With Any Treatment-emergent Adverse Event (TEAE) for Participants Who Entered the Dose Maintenance Period Treatment-emergent adverse events are defined as adverse events that began after the first administration of study medication or pre-existing conditions that worsened after the first dose of study medication. up to Week 48
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