NCT03140722

Brief Summary

This is a Phase 2, randomized, open-label study to evaluate vadadustat versus epoetin alfa for the treatment of anemia in subjects with Dialysis-dependent Chronic Kidney Disease (DD-CKD) who are hyporesponsive to erythropoiesis stimulating agents (ESAs.)

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
2

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started May 2017

Shorter than P25 for phase_2

Geographic Reach
1 country

18 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 2, 2017

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

May 3, 2017

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 4, 2017

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 21, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 21, 2018

Completed
2.9 years until next milestone

Results Posted

Study results publicly available

February 21, 2021

Completed
Last Updated

February 21, 2021

Status Verified

February 1, 2021

Enrollment Period

11 months

First QC Date

May 3, 2017

Results QC Date

February 2, 2021

Last Update Submit

February 2, 2021

Conditions

Keywords

anemiakidneydialysis-dependent chronic kidney diseaseCKDDD-CKDrenalvadadustatAKB-6548hypoxia-inducible factorHIFhypoxia-inducible factor prolyl-hydroxylase inhibitorHIF-PHIhyporesponderhyporesponsiveepoetin alfahemoglobinerythropoiesis stimulating agentESA

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Hemoglobin (Hb) Over Time During the Treatment Period

    Baseline; up to 20 weeks

Secondary Outcomes (9)

  • Number of Participants Demonstrating Incremental Increases in Hb From Baseline Over Time During the Treatment Period

    Baseline; up to 20 weeks

  • Number of Participants With Hb Values Within the Target Range of 10.0-11.0 Grams Per Deciliter (g/dL) During the Treatment Period

    Baseline; up to 20 weeks

  • Number of Participants Receiving Epoetin Alfa Rescue

    up to 20 weeks

  • Number of Participants Receiving Red Blood Cell Transfusion

    up to 20 weeks

  • Number of Participants With Specified Levels of Various Biomarkers, Including C-reactive Protein, Hepcidin, and Vascular Endothelial Growth Factor

    up to 20 weeks

  • +4 more secondary outcomes

Study Arms (2)

vadadustat

EXPERIMENTAL

Vadadustat daily oral dose, adjustable based on Hb level

Drug: vadadustat

epoetin alfa

ACTIVE COMPARATOR

Epoetin alfa, dose adjustable based on Hb level, as clinically indicated throughout the study

Drug: epoetin alfa

Interventions

vadadustat

Also known as: AKB-6548
vadadustat

epoetin alfa

epoetin alfa

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male and female subjects ≥18 years of age
  • Receiving chronic maintenance hemodialysis for end-stage kidney disease
  • Currently receiving epoetin alfa for anemia
  • Hb between 8.5 and 10.0 g/dL during screening

You may not qualify if:

  • Anemia due to a cause other than CKD or presence of active bleeding or recent blood loss
  • Sickle cell disease, myelodysplastic syndromes, bone marrow fibrosis, hematologic malignancy, myeloma, hemolytic anemia, thalassemia, or pure red cell aplasia
  • Red blood cell transfusion within 4 weeks prior to or during screening
  • Anticipated to recover adequate kidney function to no longer require hemodialysis during study participation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Research Site

Bakersfield, California, 93309, United States

Location

Research Site

Elk Grove, California, 95758, United States

Location

Research Site

Encino, California, 91316, United States

Location

Research Site

Escondido, California, 92025, United States

Location

Research Site

Lynwood, California, 90262, United States

Location

Research Site

San Diego, California, 92115, United States

Location

Research Site

San Luis Obispo, California, 93401, United States

Location

Research Site

Waterbury, Connecticut, 06708, United States

Location

Research Site

Miami, Florida, 33183, United States

Location

Research Site

Orlando, Florida, 32804, United States

Location

Research Site

Statesboro, Georgia, 30458, United States

Location

Research Site

Detroit, Michigan, 48224, United States

Location

Research Site

The Bronx, New York, 10473, United States

Location

Research Site

Philadelphia, Pennsylvania, 19106, United States

Location

Research Site

El Paso, Texas, 79915, United States

Location

Research Site

Houston, Texas, 77070, United States

Location

Research Site

Newport News, Virginia, 23605, United States

Location

Research Site

Norfolk, Virginia, 23502, United States

Location

MeSH Terms

Conditions

Anemia

Interventions

vadadustatEpoetin Alfa

Condition Hierarchy (Ancestors)

Hematologic DiseasesHemic and Lymphatic Diseases

Intervention Hierarchy (Ancestors)

ErythropoietinColony-Stimulating FactorsGlycoproteinsGlycoconjugatesCarbohydratesHematopoietic Cell Growth FactorsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsProteinsBiological Factors

Limitations and Caveats

The Study was closed by the Sponsor as it was determined that it was more appropriate to initiate a new study that would explore the broader population utilizing a modified dosing approach (rather than amending the current protocol design).

Results Point of Contact

Title
Akebia Therapeutics
Organization
Akebia Therapeutics

Study Officials

  • Akebia Therapeutics

    Sponsor GmbH

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 3, 2017

First Posted

May 4, 2017

Study Start

May 2, 2017

Primary Completion

March 21, 2018

Study Completion

March 21, 2018

Last Updated

February 21, 2021

Results First Posted

February 21, 2021

Record last verified: 2021-02

Locations