Status:

COMPLETED

Kremezin Study Against Renal Disease Progression in Korea

Lead Sponsor:

Seoul National University Hospital

Collaborating Sponsors:

HK inno.N Corporation

Kureha Corporation

Conditions:

Chronic Kidney Disease

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

1. To evaluate the effectiveness of AST-120 (spherical carbon adsorbent) added to standard-of-care therapy in moderate to severe Chronic Kidney Disease (CKD III-IV), on time to first occurrence of any...

Eligibility Criteria

Inclusion

  • Informed consent
  • Age 18 years or older
  • CKD stage 3,4 (estimated GFR by Cockcroft-Gault equation 15-59 mL/min/1.73m\^2)
  • Followed up by responsible nephrologists more than 6 months
  • eGFR checked 2 times or more during screening period
  • eGFR declined or expected to decline \>= 5mL/min/year or \>=2.5mL/min/6 months
  • Blood pressure \<= 160/100 mmHg
  • Blood pressure checked 3 times or more during screening period
  • No significant change of medication for CKD

Exclusion

  • Patients who took medicine AST-120 or ketosteril within 2 months
  • Received any investigational agent or participated in a clinical study within the previous 2 months
  • History of gastrointestinal disease (active gastric ulcer, inflammatory bowel disease, hiatal hernia, or severe GI dysmotility)
  • obstructive urologic disease and other reversible kidney diseases
  • chronic kidney disease due to autosomal dominant polycystic kidney disease, ADPKD
  • severe nephrotic syndrome, 10g or more/day(or random urine pCR \>= 10.0)
  • History of previous kidney transplant
  • Heart failure (NYHA III-IV), uncontrolled arrhythmia, unstable angina
  • Liver cirrhosis (Child-Pugh B,C)
  • active infection, uncontrolled inflammatory disease
  • progressive malignant disease
  • cerebral infarction and intracranial hemorrhage within 6 months,except transient ischemic attack (TIA)
  • uncontrolled blood sugar (HbA1c \>10%)
  • severe anemia, Hb \<7g/dL
  • Life expectancy less than 12 months at the point of randomization
  • Pregnant and willing to bear child during study
  • patients, inappropriate to study (researchers decided)

Key Trial Info

Start Date :

March 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2013

Estimated Enrollment :

578 Patients enrolled

Trial Details

Trial ID

NCT00860431

Start Date

March 1 2009

End Date

September 1 2013

Last Update

March 19 2014

Active Locations (1)

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Seoul National University Hospital

Seoul, South Korea, 110-744