Actively Recruiting
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
Eligibility Criteria
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
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
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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
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
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