Actively Recruiting

Phase 2
Age: 0Years - 11Years
All Genders
ID05766839

A 2-Part, Open-Label, Phase 2 Study Evaluating the Pharmacodynamic Effects, Safety, and Tolerability of Patiromer in Children Under 12 Years With Hyperkalaemia

Led by Vifor Pharma, Inc. · Updated on 2026-06-01

32

Participants Needed

37

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the pharmacodynamic effects, safety, and tolerability of patiromer in children under 12 years old with hyperkalaemia, a condition involving high potassium levels in the blood. This Phase 2, open-label study aims to better understand how patiromer works in this young population and to monitor any side effects or safety concerns. The study involves a 4-week pharmacodynamic and dose-ranging period divided into three age cohorts: children aged 6 to less than 12 years, 2 to less than 6 years, and 0 to less than 2 years. In the youngest cohort, participants are further grouped into those aged 0 to less than 6 months and 6 to less than 24 months. Patiromer will be given once daily, with dosing adjusted by age, and for the youngest participants, the daily dose might be split. During the study, participants will have regular potassium level assessments and various laboratory tests, including chemistry and hematology evaluations, as well as monitoring of heart rate, blood pressure, body temperature, and ECG readings. Researchers will track any treatment-emergent or serious adverse events up to 54 weeks in an extended part of the study. The primary measurement is the change in potassium levels from baseline to Day 28. Follow-up and safety evaluations continue throughout the study duration, which may last up to 52 weeks for some assessments.

CONDITIONS

Brief Title

Patiromer for Treatment of Hyperkalaemia in Children Under 12 Years of Age

Who Can Participate

Age: 0Years - 11Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Children under 12 years of age with hyperkalaemia at screening
  • Child's age will not reach 12 years during the 28-day dose-ranging period
  • Able to receive regular feeding and medication, including via feeding tubes
  • Two consecutive potassium tests above age-appropriate upper limit at screening
  • Stable doses of RAAS inhibitors, beta blockers, fludrocortisone, or diuretics for at least 14 days before screening if taken
  • Parent or legal representative available to support follow-up and medication administration
  • Females of childbearing potential must be non-lactating, have negative pregnancy test, and use effective contraception before and during study
  • Stable peritoneal dialysis treatment for at least 4 weeks prior to screening or 8 weeks if newly started
Not Eligible

You will not qualify if you...

  • Preterm infants born before 37 weeks gestation excluded from youngest cohort
  • Unsuitable for blood withdrawal due to conditions like anemia or low body weight
  • Renal conditions such as maintenance hemodialysis, renal artery stenosis, acute kidney injury, or recent acute renal insufficiency (within 3 months)
  • Severe gastrointestinal disorders or surgeries affecting drug transit unless feeding tubes present
  • Active cancer, cancer treatment, or history of cancer within past 2 years (except non-melanoma skin cancer)
  • Scheduled kidney transplant within first 28 days after Day 1
  • History of sudden infant death in a sibling for children under 2 years
  • Use of certain medications (e.g., digoxin, bronchodilators, theophylline) without stable doses for 14 days or planned dose changes during the 4-week period
  • Use of investigational products for unapproved indications within 30 days or 5 half-lives before screening
  • Known allergy to patiromer or its components
  • Breastfed children if mother has suspected substance misuse or is taking potassium supplements
  • Other protocol-defined criteria may apply

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 4 weeks

Participants receive Patiromer once daily during a 4-week dose-ranging period to evaluate its effects and safety.

Visits on Day 1, Day 3, Day 7, Day 14, and Day 28

Follow-up

Duration - Up to 52 weeks

Participants are monitored for safety and tolerability for up to 52 weeks after the treatment period.

Periodic visits during follow-up for assessments

Trial Site Locations

Total: 37 locations

1

Children's Hospital Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

2

UF Health Pediatric Multispecialty Center Site

Jacksonville, Florida, United States, 32207

Terminated

3

Miller School of Medicine, University of Miami

Miami, Florida, United States, 33124

Actively Recruiting

4

Arnold Palmer Hospital for Children

Orlando, Florida, United States, 32806

Actively Recruiting

5

Augusta University - Children's Hospital of Georgia

Augusta, Georgia, United States, 30912

Actively Recruiting

6

University of Illinois College of Medicine

Peoria, Illinois, United States, 61605

Actively Recruiting

7

Boston Children's Hospital

Boston, Massachusetts, United States, 02115

Actively Recruiting

8

Children's Mercy Hospitals and Clinics

Kansas City, Missouri, United States, 64108

Actively Recruiting

9

Duke University Hospital & Medical Center

Durham, North Carolina, United States, 27710

Actively Recruiting

10

Duke University Hospital

Durham, North Carolina, United States, 27710

Actively Recruiting

11

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

12

Vanderbilt Children's Hospital Neurology

Nashville, Tennessee, United States, 37232

Actively Recruiting

13

Texas Tech University Health Sciences Center Amarillo

Amarillo, Texas, United States, 79106

Terminated

14

Monash Medical Centre Clayton

Clayton, Australia, 3168

Actively Recruiting

15

The Royal Children's Hospital (RCH)

Parkville, Australia, 3052

Actively Recruiting

16

Children's Hospital Westmead Centre for Kidney Research

Westmead, Australia, 2145

Actively Recruiting

17

Universitair Ziekenhuis Gent

Ghent, Belgium, 9000

Actively Recruiting

18

UZ Leuven

Leuven, Belgium, 3000

Actively Recruiting

19

Helsingin Yliopistollinen Keskussairaala Uusi Lastensairaala

Helsinki, Finland, 00290

Not Yet Recruiting

20

CHRU Montpellier - Arnaud de Villeneuve

Montpellier, France, 34090

Actively Recruiting

21

Assistance Publique-Hopitaux de Paris Robert-Debre

Paris, France, 75019

Actively Recruiting

22

Hôpital des Enfants - Toulouse

Toulouse, France, 31300

Actively Recruiting

23

Ippokratio Thessaloniki General Hospital

Thessaloniki, Thessaloniki, Greece

Actively Recruiting

24

Pan and Aglaia Kyriakou Children's Hospital

Athens, Greece

Actively Recruiting

25

Shaare Zedek Medical Center

Jerusalem, Israel, 9103102

Actively Recruiting

26

Schneider Children's Medical Center of Israel

Petach Tikvah, Israel, 4920235

Actively Recruiting

27

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

Milan, Italy, 20122

Actively Recruiting

28

IRCCS Ospedale Pediatrico Bambino Gesù

Rome, Italy, 00165

Actively Recruiting

29

Helse Bergen HF Haukeland Universitetssjukehus

Bergen, Norway, 5009

Actively Recruiting

30

Uniwersytecki Szpital Kliniczny we Wrocławiu

Wroclaw, Poland, 50-369

Not Yet Recruiting

31

Unidade Local de Saude de Santo Antonio, E.P.E.

Porto, Portugal, 4050-342

Actively Recruiting

32

Sidra Medicine

Doha, Qatar

Not Yet Recruiting

33

Spitalul Clinic de Urgenta pentru Copii Louis Turcanu Timisoara

Timișoara, Romania, 300011

Actively Recruiting

34

King Saud University

Riyadh, Saudi Arabia, 11451

Actively Recruiting

35

King Faisal Specialist Hospital & Research Centre

Riyadh, Saudi Arabia, 12713

Actively Recruiting

36

King Abdulaziz Medical City

Riyadh, Saudi Arabia, 14611

Actively Recruiting

37

Al Jalila Children's Hospital

Dubai, United Arab Emirates

Actively Recruiting

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Research Team

E

EMERALD-2 Clinical Study Team

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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