Status:

COMPLETED

An Open Label Dose Titration of Sevelamer Carbonate Tabs 3 Times a Day in Hyperphosphatemic CKD Patients Not On Dialysis

Lead Sponsor:

Genzyme, a Sanofi Company

Conditions:

Chronic Kidney Disease

Hyperphosphatemia

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Approximately 45 hyperphosphatemic CKD patients not on dialysis will be entered into this study at approximately 20 sites within Europe and 5-10 in Australia. The purpose of this study is to determine...

Eligibility Criteria

Inclusion

  • A minimum of 120 male and female patients with chronic kidney disease not requiring dialysis will be screened for participation in the study.
  • Men or woman 18 years of age or older
  • If currently taking phosphate binder(s), willing to stop this and enter a 2 week washout period
  • Willing to avoid any intentional changes in diet such as fasting or dieting
  • Have the following central laboratory measurements: 1. If not on a phosphate binder, a serum phosphorus measurement ≥ 5.5 mg/dL (1.76 mmol/L) at Screening (Visit1). 2. If taking a phosphate binder(s) at screening, a serum phosphorus measurement ≥ 5.5 mg/dL (1.76 mmol/L) after the two-week washout period at Visit 1a (Day 0).
  • At Screening (Visit 1), have the following central laboratory measurements: 1. 25-hydroxyvitamin D ≥ 10 ng/mL 2. iPTH ≤ 800 pg/mL
  • Willing and able to take sevelamer carbonate alone as a phosphate binder for the duration of the study
  • Willing and able to maintain screening doses of lipid medication, 1,25 dihydroxyvitamin D, and/or cinacalcet for the duration of the study, except for safety reasons
  • Willing and able to avoid antacids and phosphate binders containing aluminum, magnesium, calcium or lanthanum for the duration of the study unless prescribed as an evening calcium supplement
  • If female and of childbearing potential (pre-menopausal and not surgically sterile), willing to use an effective contraceptive method throughout study, which includes barrier methods, hormones, or IUDs
  • Expecting not to initiate dialysis for the duration of this study
  • Considered compliant with phosphate binders (if applicable)
  • Willing and able to provide informed consent
  • Has not participated in any other investigational drug studies within 30 days prior to enrollment,
  • Level of understanding and willingness to cooperate with all visits and procedures as described by the study personnel

Exclusion

  • Active bowel obstruction, dysphagia, swallowing disorder or severe gastrointestinal (GI) motility disorders
  • Active ethanol or drug abuse, excluding tobacco use
  • Use of anti-arrhythmic or anti-seizure medications for arrhythmia or seizure disorders.
  • In the opinion of the investigator, patient has poorly controlled diabetes mellitus, poorly controlled hypertension, active vasculitis, HIV infection, or any clinically significant unstable medical condition
  • Pregnant or breast-feeding
  • Evidence of active malignancy except for basal cell carcinoma of the skin
  • Unable to comply with the requirements of the study
  • Known hypersensitivity to sevelamer or any constituents of the study drug
  • Any other condition, which in the opinion of the investigator will prohibit the patient's inclusion in the study

Key Trial Info

Start Date :

January 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2007

Estimated Enrollment :

49 Patients enrolled

Trial Details

Trial ID

NCT00681941

Start Date

January 1 2006

End Date

March 1 2007

Last Update

March 20 2015

Active Locations (25)

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Page 1 of 7 (25 locations)

1

Nephrology Department, Princess Alexandra Hospital

Wooloongabba, Queensland, Australia, 4102

2

Renal Unit, The Queen Elizabeth Hospital

Woodville, South Australia, Australia, 5011

3

Renal Research Unit, Launceston General Hospital

Launceston, Tasmania, Australia, 7250

4

The Royal Melbourne Hospital, Department of Nephrology

Parkville, Victoria, Australia, 3050