NCT03256838

Brief Summary

To assess the long-term safety and effectiveness of Nephoxil® for the treatment of hyperphosphatemia in patients with ESRD undergoing dialysis.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
202

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Apr 2017

Typical duration for phase_4

Geographic Reach
1 country

9 active sites

Status
completed

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

April 12, 2017

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

July 24, 2017

Completed
29 days until next milestone

First Posted

Study publicly available on registry

August 22, 2017

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2018

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2019

Completed
Last Updated

January 13, 2020

Status Verified

January 1, 2020

Enrollment Period

1.7 years

First QC Date

July 24, 2017

Last Update Submit

January 9, 2020

Conditions

Keywords

Citric AcidFerric CompoundsRenal InsufficiencyAnticoagulantsCalcium Chelating AgentsChelating AgentsSequestering AgentsHemodialysisDialysisRenal FailureKidney FailureUrologic DiseasesMetabolic DiseaseKidney DiseasesRenal Insufficiency, Chronic

Outcome Measures

Primary Outcomes (2)

  • Number of subjects with treatment-emergent adverse events (TEAEs)

    Number of subjects with treatment-emergent adverse events (TEAEs)

    13 months

  • Percentage of subjects with treatment-emergent adverse events (TEAEs)

    Percentage of subjects with treatment-emergent adverse events (TEAEs)

    13 months

Secondary Outcomes (1)

  • Serum Phosphorus

    13 months

Other Outcomes (10)

  • Serum calcium

    13 months

  • Intact plasma parathyroid hormone (iPTH)

    13 months

  • Ferritin

    13 months

  • +7 more other outcomes

Study Arms (1)

Ferric citrate

EXPERIMENTAL

Ferric Citrate (Nephoxil® Capsules) will be dosed three times a day (with meals).

Drug: Ferric Citrate

Interventions

Ferric citrate will be provided as a 500mg capsule. All intervention doses will be based on serum phosphorus levels.

Also known as: Nephoxil® Capsules
Ferric citrate

Eligibility Criteria

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

You may qualify if:

  • Is ≧ 18 years of age on the day of signing informed consent or other age required by local regulation
  • Willing and able to provide written informed consent
  • ESRD patients who is undergoing hemodialysis 3 times per week and is considered necessary to receive medication for hyperphosphatemia by his/her treating physician
  • Serum ferritin \<1000 ng/mL and transferrin saturation (TSAT) \< 50% at the Enrollment Visit
  • Women of child-bearing potential (WOCBP \[defined as women ≤ 50 years of age with a history of amenorrhea for \< 12 months prior to study entry\]) who is willing to use an effective form of contraception during study participation

You may not qualify if:

  • Has any known contraindication to ferric citrate according to locally approved prescribing information, include but not limited to the following criteria:
  • i. Is allergic to ferric citrate ii. Has hypophosphatemia iii. Has hemochromatosis or iron overload syndromes iv. Has active severe GI disorders
  • Has parathyroidectomy (PTx) or percutaneous ethanol injection therapy (PEIT) within 3 months prior to Enrollment Visit or serum calcium \< 7 mg/dL at the Enrollment Visit
  • Has participated in another interventional study for any investigational agent or device within 30 days prior to enrollment
  • Is currently pregnant or breastfeeding
  • Other unstable medical condition or psychiatric conditions that is considered unsuitable for this study per Investigator's clinical judgment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, 80756, Taiwan

Location

Division of Nephrology, Department of Internal Medicine, Kaohsiung Chang-Gung Memorial Hospital

Kaohsiung City, 83301, Taiwan

Location

Division of Nephrology, Department of Internal Medicine, Keelung Chang Gung Memorial Hospital

Keelung, 20401, Taiwan

Location

Division of Nephrology, Department of Internal Medicine, Far East Memorial Hospital

New Taipei City, 22060, Taiwan

Location

Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital

Taichung, 40705, Taiwan

Location

Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital

Taipei, 10002, Taiwan

Location

Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital

Taipei, 11042, Taiwan

Location

Division of Nephrology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital

Taipei, 11101, Taiwan

Location

Division of Nephrology, Department of Internal Medicine, Taipei Veterans General Hospital

Taipei, 11217, Taiwan

Location

Related Publications (1)

  • Lee CT, Lee CC, Wu MJ, Chiu YW, Leu JG, Wu MS, Peng YS, Wu MS, Tarng DC. Long-term safety and efficacy of ferric citrate in phosphate-lowering and iron-repletion effects among patients with on hemodialysis: A multicenter, open-label, Phase IV trial. PLoS One. 2022 Mar 3;17(3):e0264727. doi: 10.1371/journal.pone.0264727. eCollection 2022.

MeSH Terms

Conditions

Kidney Failure, ChronicPhosphorus Metabolism DisordersHyperphosphatemiaRenal InsufficiencyUrologic DiseasesMetabolic DiseasesKidney DiseasesRenal Insufficiency, Chronic

Interventions

ferric citrate

Condition Hierarchy (Ancestors)

Female Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsNutritional and Metabolic Diseases

Study Officials

  • Mai-Szu Wu, M.D.

    Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 24, 2017

First Posted

August 22, 2017

Study Start

April 12, 2017

Primary Completion

December 31, 2018

Study Completion

May 31, 2019

Last Updated

January 13, 2020

Record last verified: 2020-01

Data Sharing

IPD Sharing
Will not share

Locations