Status:

COMPLETED

Study to Evaluate the Efficacy of Tenapanor as Adjunctive Therapy to Phosphate Binder Therapy

Lead Sponsor:

Ardelyx

Conditions:

Hyperphosphatemia

Eligibility:

All Genders

18-80 years

Phase:

PHASE2

PHASE3

Brief Summary

This is a randomized, double-blind, placebo-controlled study to evaluate the effect of tenapanor on change in s-P levels when tenapanor is administered orally, twice daily for 28 days as adjunctive th...

Detailed Description

The study consists of a Screening visit; a Run-in Period of at least 2 weeks and up to 4 weeks, where existing phosphate binder treatment is maintained; and a 4-week Double-Blind Treatment Period. At...

Eligibility Criteria

Inclusion

  • Signed and dated informed consent prior to any study specific procedures.
  • Males or females aged 18 to 80 years, inclusive, at Screening
  • Females must be non-pregnant, non-lactating and either be post-menopausal for at least -2 months, have documentation of irreversible surgical sterilization, use of acceptable -contraceptive method, or sexual abstinence, or a sterile sexual partner from Screening -until 30 days after the last subject visit.
  • Males must agree to avoid fathering a child (or donating sperm), and therefore be either sterile (documented) or agree to use approved methods of contraception, from the time of enrollment until 30 days after end of study.
  • Chronic maintenance hemodialysis (HD) 3x/week for at least 3 months or chronic maintenance peritoneal dialysis (PD) for a minimum of 6 months.
  • If receiving active vitamin D or calcimimetics, the dose should have been unchanged for the last 4 weeks prior to Screening.
  • Kt/V ≥1.2 at most recent measurement prior to Screening.
  • Prescribed and taking phosphate binder medication at least 3 times per day, and the prescribed dose should have been unchanged during the last 4 weeks prior to Screening.
  • Serum phosphorus levels must be ≥5.5 and ≤10.0 mg/dL at Screening and the end of the run-in period, analyzed at the central laboratory used in the study.

Exclusion

  • Severe hyperphosphatemia defined as having an s-P level \>10.0 mg/dL on phosphate-binders at any time point during routine clinical monitoring for the 3 preceding months before Screening.
  • Serum/plasma parathyroid hormone \>1200 pg/mL.
  • Clinical signs of hypovolemia at Screening as judged by the Investigator.
  • History of inflammatory bowel disease (IBD) or irritable bowel syndrome with diarrhea (IBS-D).
  • Scheduled for living donor kidney transplant or plans to relocate to another center during the study period.
  • Use of an investigational agent within 30 days prior to Screening.
  • Involvement in the planning and/or conduct of the study (applies to both Ardelyx/Contract Research Organization (CRO) staff and/or staff at the study site).
  • If, in the opinion of the Investigator, the subject is unable or unwilling to fulfill the requirements of the protocol or has a condition which would render the results uninterpretable.

Key Trial Info

Start Date :

February 28 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 17 2019

Estimated Enrollment :

236 Patients enrolled

Trial Details

Trial ID

NCT03824587

Start Date

February 28 2019

End Date

July 17 2019

Last Update

March 6 2023

Active Locations (48)

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Page 1 of 12 (48 locations)

1

Nephrology Consultants, LLC

Huntsville, Alabama, United States, 35805

2

US Renal Care Pine Bluff

Pine Bluff, Arkansas, United States, 71603

3

Southeast Renal Research

Beverly Hills, California, United States, 90211

4

California Institute of Renal Research - Chula Vista

Chula Vista, California, United States, 91910

Study to Evaluate the Efficacy of Tenapanor as Adjunctive Therapy to Phosphate Binder Therapy | DecenTrialz