Status:

COMPLETED

KRX-0502 (Ferric Citrate) for the Treatment of IDA in Adult Subjects With NDD-CKD

Lead Sponsor:

Keryx Biopharmaceuticals

Conditions:

Anemia of Chronic Kidney Disease

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

a 24-week phase 3, multi-center clinical trial, comprised of a 16-week, randomized, double-blind, placebo-controlled period ("Randomized Period"), followed by an 8-week open-label safety extension per...

Detailed Description

a 24-week phase 3, multi-center clinical trial, comprised of a 16-week, randomized, double-blind, placebo-controlled period ("Randomized Period"), followed by an 8-week open-label safety extension per...

Eligibility Criteria

Inclusion

  • Men and non-lactating women with negative serum pregnancy test (for women of child-bearing potential) at Screening
  • Age ≥18 years
  • CKD with Estimated Glomerular Filtration Rate (eGFR) \<60 mL/min at Screening using the 4-variable Modification of Diet in Renal Disease (MDRD) equation (with a limit of up to 20% of the target randomization of 230 subjects with eGFR \<15 mL/min)
  • Patients who were intolerant of or have had an inadequate therapeutic response to oral iron supplements (in the opinion of the investigator)
  • Hgb ≥ 9.0 g/dL and ≤11.5 g/dL at Screening
  • Serum ferritin ≤200 ng/mL and Transferrin Saturation (TSAT) ≤25% at Screening
  • Serum Intact Parathyroid Hormone (iPTH) ≤600 pg/mL at Screening
  • Must consume a minimum of 2 meals per day
  • Willing and able to give written informed consent

Exclusion

  • Serum phosphate \<3.5 mg/dL at Screening
  • Liver enzymes (ALT/AST) \>X3 times upper limit of normal at Screening
  • Symptomatic gastrointestinal bleeding or inflammatory bowel disease within 12 weeks prior to Screening
  • Evidence of acute kidney injury or requirement for dialysis within 12 weeks prior to Screening
  • Scheduled kidney transplant or initiation of dialysis planned within 24 weeks of Screening
  • IV iron administered within 4 weeks prior to Screening
  • Erythropoiesis-stimulating agent (ESA) administered within 4 weeks prior to Screening
  • Blood transfusion within 4 weeks prior to Screening
  • Receipt of any investigational drug within 4 weeks prior to Screening
  • Cause of anemia other than iron deficiency or chronic kidney disease
  • Malignancy (except non-melanoma skin cancer or disease-free for ≥2 years after curative therapy)
  • History of hemochromatosis
  • Active drug or alcohol dependence or abuse (excluding tobacco use or medicinal marijuana) within the 12 months prior to Screening or evidence of such abuse (in the opinion of the PI)
  • Subjects with known allergic reaction to previous oral iron therapy
  • Previous intolerance to oral ferric citrate
  • Psychiatric disorder that interferes with the subject's ability to comply with the study protocol
  • Planned surgery or hospitalization (anticipated to last \>72 hours) during the randomized period of the trial other than dialysis access related surgery.
  • Any other medical condition that, in the opinion of the PI, renders the subject unable to or unlikely to complete the trial or that would interfere with optimal participation in the trial or produce significant risk to the subject
  • Inability to cooperate with study personnel

Key Trial Info

Start Date :

October 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2016

Estimated Enrollment :

234 Patients enrolled

Trial Details

Trial ID

NCT02268994

Start Date

October 1 2014

End Date

January 1 2016

Last Update

March 22 2018

Active Locations (36)

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Page 1 of 9 (36 locations)

1

AKDHC Medical Research Services, LLC

Phoenix, Arizona, United States, 85027

2

Southwest Kidney Institute

Tempe, Arizona, United States, 85284

3

California Renal Research

Glendale, California, United States, 91204

4

Southern California Medical Research Center

La Palma, California, United States, 90623