NCT03317444

Brief Summary

This is a multicenter, double-blind, placebo-controlled, parallel-design study. The study will enroll approximately 210 adult male and female subjects with stage 3 or 4 chronic kidney disease and metabolic acidosis. The study dosing (TRC101 or placebo) will continue for 12 weeks once daily. The maximum study duration is anticipated to be up to 16 weeks.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
217

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Sep 2017

Shorter than P25 for phase_3

Geographic Reach
8 countries

44 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

September 26, 2017

Completed
15 days until next milestone

First Submitted

Initial submission to the registry

October 11, 2017

Completed
12 days until next milestone

First Posted

Study publicly available on registry

October 23, 2017

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 4, 2018

Completed
11 days until next milestone

Study Completion

Last participant's last visit for all outcomes

May 15, 2018

Completed
3 years until next milestone

Results Posted

Study results publicly available

April 26, 2021

Completed
Last Updated

April 26, 2021

Status Verified

March 1, 2021

Enrollment Period

7 months

First QC Date

October 11, 2017

Results QC Date

March 4, 2021

Last Update Submit

April 23, 2021

Conditions

Keywords

blood bicarbonate, kidney disease

Outcome Measures

Primary Outcomes (1)

  • Subjects With Change From Baseline in Serum Bicarbonate of ≥ 4 mEq/L or Serum Bicarbonate Within the Normal Range

    Composite endpoint of the percentage of subjects having a change from baseline in serum bicarbonate ≥ 4 mEq/L or having serum bicarbonate in the normal range (22 - 29 mEq/L) at the end of treatment (Week 12 Visit).

    Baseline to Week 12

Secondary Outcomes (1)

  • Change From Baseline to End of Treatment in Serum Bicarbonate

    Baseline to Week 12

Study Arms (2)

TRC101

EXPERIMENTAL

Administered once daily (QD) for 12 weeks

Drug: TRC101

Placebo

PLACEBO COMPARATOR

Administered once daily (QD) for 12 weeks

Drug: Placebo

Interventions

TRC101DRUG

Oral suspension

Also known as: Veverimer
TRC101

Oral suspension

Placebo

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Blood bicarbonate level of 12 to 20 mEq/L.
  • Estimated glomerular filtration rate (eGFR) of 20 to 40 mL/min/1.73m2.
  • Stable kidney function defined as \<=20% variability in eGFR during screening period.

You may not qualify if:

  • Any level of low blood bicarbonate during the screening period that in the opinion of the Investigator, requires emergency intervention or evaluation for an acute acidotic process.
  • Anuria, dialysis, acute kidney injury, or history of acute kidney insufficiency within 3 months prior to screening.
  • Heart failure with maximum New York Heart Association (NYHA) Class IV symptoms or that required hospitalization during the preceding 6 months.
  • Heart or kidney transplant.
  • Chronic obstructive pulmonary disease (COPD) that is treated with chronic oral steroids, that requires the subject to be on oxygen, or that required hospitalization within the previous 6 months.
  • Change in doses to alkali therapy in the 4 weeks prior to screening.
  • History or current diagnosis of diabetic gastroparesis, bowel obstruction, swallowing disorders, inflammatory bowel disease, major gastrointestinal surgery, frequent diarrhea or active gastric/duodenal ulcers.
  • Serum calcium \<= 8.0 mg/dL at screening.
  • Planned initiation of renal replacement therapy within 12 weeks following randomization.
  • Use of polymeric binder drugs within 14 days prior to screening.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (44)

Investigative Site 55

Phoenix, Arizona, 85032, United States

Location

Investigative Site 56

Chula Vista, California, 91910, United States

Location

Investigative Site 91

Los Angeles, California, 90022, United States

Location

Investigative Site 59

Hialeah, Florida, 33015, United States

Location

Investigative Site 54

Hollywood, Florida, 33021, United States

Location

Investigative Site 93

Hollywood, Florida, 33024, United States

Location

Investigative Site 92

Lauderdale Lakes, Florida, 33313, United States

Location

Investigative Site 51

Tampa, Florida, 33614, United States

Location

Investigative Site 57

Winter Park, Florida, 32789, United States

Location

Investigative Site 95

Atlanta, Georgia, 30342, United States

Location

Investigative Site 53

Shreveport, Louisiana, 71101, United States

Location

Investigative Site 58

Flushing, New York, 11355, United States

Location

Investigative Site 52

San Antonio, Texas, 78215, United States

Location

Investigative Site 11

Sofia, Bulgaria

Location

Investigative Site 21

Zagreb, Croatia

Location

Investigative Site 31

Tbilisi, Georgia

Location

Investigative Site 32

Tbilisi, Georgia

Location

Investigative Site 33

Tbilisi, Georgia

Location

Investigative Site 34

Tbilisi, Georgia

Location

Investigative Site 35

Tbilisi, Georgia

Location

Investigative Site 36

Tbilisi, Georgia

Location

Investigative Site 37

Tbilisi, Georgia

Location

Investigative Site 43

Baja, Hungary

Location

Investigative Site 48

Balatonfüred, Hungary

Location

Investigative Site 41

Budapest, Hungary

Location

Investigative Site 46

Budapest, Hungary

Location

Investigative Site 45

Hatvan, Hungary

Location

Investigative Site 49

Hódmezővásárhely, Hungary

Location

Investigative Site 44

Kistarcsa, Hungary

Location

Investigative Site 42

Miskolc, Hungary

Location

Investigative Site 47

Mosonmagyaróvár, Hungary

Location

Investigative Site 64

Belgrade, Serbia

Location

Investigative Site 65

Belgrade, Serbia

Location

Investigative Site 61

Vršac, Serbia

Location

Investigative Site 62

Zrenjanin, Serbia

Location

Investigative Site 72

Jesenice, Slovenia

Location

Investigative Site 71

Maribor, Slovenia

Location

Investigative Site 81

Kharkiv, Ukraine

Location

Investigative Site 83

Kharkiv, Ukraine

Location

Investigative Site 87

Kharkiv, Ukraine

Location

Investigative Site 88

Kharkiv, Ukraine

Location

Investigative Site 84

Kyiv, Ukraine

Location

Investigative Site 85

Kyiv, Ukraine

Location

Investigative Site 86

Kyiv, Ukraine

Location

Related Publications (1)

  • Wesson DE, Mathur V, Tangri N, Stasiv Y, Parsell D, Li E, Klaerner G, Bushinsky DA. Veverimer versus placebo in patients with metabolic acidosis associated with chronic kidney disease: a multicentre, randomised, double-blind, controlled, phase 3 trial. Lancet. 2019 Apr 6;393(10179):1417-1427. doi: 10.1016/S0140-6736(18)32562-5. Epub 2019 Mar 8.

MeSH Terms

Conditions

AcidosisKidney Diseases

Interventions

veverimer

Condition Hierarchy (Ancestors)

Acid-Base ImbalanceMetabolic DiseasesNutritional and Metabolic DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital Diseases

Results Point of Contact

Title
Medical Information
Organization
Tricida, Inc.

Study Officials

  • Clinical Operations

    Tricida, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 11, 2017

First Posted

October 23, 2017

Study Start

September 26, 2017

Primary Completion

May 4, 2018

Study Completion

May 15, 2018

Last Updated

April 26, 2021

Results First Posted

April 26, 2021

Record last verified: 2021-03

Data Sharing

IPD Sharing
Will not share

Locations