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A clinical study with patients who have increased acid in their blood because of chronic kidney disease that is testing if the experimental drug TRC101, compared to placebo (a substance that does not contain medicine), is safe and if it slows down worsening of kidney disease.

Phase 1
Conditions
Chronic kidney disease
MedDRA version: 23.1Level: PTClassification code 10064848Term: Chronic kidney diseaseSystem Organ Class: 10038359 - Renal and urinary disorders
Therapeutic area: Not possible to specify
Registration Number
EUCTR2018-001303-36-BG
Lead Sponsor
Tricida Inc.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
3000
Inclusion Criteria

1. Male or female subjects 18 to 85 years of age, inclusive.
2. The mean of two Screening eGFR measurements, drawn at least 2
weeks apart and both within 6 weeks of the first day of Part A, is 20 to
40 mL/min/1.73m2, inclusive.
3. Have stable renal function as defined by eGFR Screening values that
are not different by > 20% (the higher of the two Screening eGFR values
will be used as the denominator to calculate the 20% allowable
difference)
4. Based on onsite measurement using an iSTAT point of care device,
have three serum bicarbonate values, each = 2 weeks apart from each
other and all within 6 weeks of the A1 Visit, in the range from 12 to 20
mEq/L, inclusive.
5. Mean systolic and diastolic blood pressure (determined as the average
of three replicates) must be < 160/92 mmHg at the Screening 2 Visit.
6. Receiving treatment with an ACE inhibitor and/or ARB at the maximum tolerated (for the individual subject) dose within the country - specific labeled dose range, without adjustments, for = 4 weeks prior to the Screening 1 Visit and during the Screening Period.
7. If receiving an oral alkali supplement, the dose must be stable for = 2
weeks prior to Screening 1 Visit and during the Screening Period. If not
receiving alkali treatment, there must be no such treatment within the 2
weeks prior to Screening 1 Visit or during the Screening Period.
8. Have a hemoglobin A1c (HbA1c) value of = 11.0% (0.11 fraction; 97
mmol/mol) at the Screening 1 Visit.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 1500
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 1500

Exclusion Criteria

1. Have any level of low serum bicarbonate at either Screening Visit that,
in the opinion of the Investigator, requires emergency intervention or
evaluation for an acute acidotic process.
2. Have had anuria, dialysis, or acute kidney injury/acute renal failure in
the 3 months prior to the Screening 1 Visit.
3. Had heart failure with maximum New York Heart Association (NYHA)
Class IV symptoms during the 3 months prior to the Screening 1 Visit.
4. Had a heart, liver or kidney transplant.
5. Have a corrected serum calcium < 8.0 mg/dL (80 mg/L; 2 mmol/L) at
the Screening 1 Visit, based on central laboratory measurement.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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