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临床试验/EUCTR2017-003029-14-GB
EUCTR2017-003029-14-GB进行中(未招募)1 期

A phase 3b, multicenter, prospective, randomized, double blind, placebocontrolled study to reduce incidence of pre-dialysis hyperkalemia with Sodium Zirconium Cyclosilicate (DIALIZE) - DIALIZE

AstraZeneca AB0 个研究点目标入组 180 人开始时间: 2017年11月9日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
180

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • 1. Provision of informed consent prior to any study specific procedures
  • 2. Female or male aged = 18 years at screening Visit 1. For patients aged <20 years and enrolled in Japan, a written informed consent should be obtained from the patient and his or her legally acceptable representative.
  • 3. Receiving hemodialysis (or hemodiafiltration) 3 times a week for treatment of end-stage renal disease (ESRD) for at least 3 months before randomization.
  • 4. Patients must have hemodialysis access consisting of an arteriovenous fistula, AV graft, or tunneled (permanent) catheter which is expected to remain in place for the entire duration of the study.
  • 5. Pre-dialysis serum K >5.4 mmol/L after long inter-dialytic interval and >5.0 mmol/L after one short inter-dialytic interval during screening (as assessed by central lab).
  • 6. Prescribed dialysate K concentration = 3 mmol/L during screening
  • 7. Sustained Qb =200 ml/min and spKt/V =1.2 (or URR = 63) on stable hemodialysis/hemodiafltration prescription during screening with prescription (time, dialyzer, blood flow [Qb], dialysis flow rate [Qd] and bicarbonate concentration) expected to remain unchanged during study
  • 8. Heparin dose (if used) must be stable during screening and expected to be stable during the study.
  • 9. Subjects must be receiving dietary counselling appropriate for ESRD patients treated with hemodialysis/ hemodiafiltration as per local guidelines, which includes dietary potassium restriction.
  • 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 120
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 60

排除标准

  • 1. Involvement in the planning and/or conduct of the study (applies to both AstraZeneca, including ZS Pharma staff and/or staff at the study site)
  • 2. Hemoglobin <9 g/dL on screening (as assessed on Visit 1)
  • 3. Lack of compliance with hemodialysis prescription (both number and duration of treatments) during the two-week period preceding screening (100% compliance required)
  • 4. Patients treated with sodium polystyrene sulfonate (SPS, Kayexalate, Resonium), calcium polystyrene sulfonate (CPS, Resonium calcium) or patiromer (Veltassa) within 7 days before screening or anticipated in requiring any of these agents during the study
  • 5. Myocardial infarction, acute coronary syndrome, stroke, seizure or a thrombotic/thromboembolic event (e.g., deep vein thrombosis or pulmonary embolism, but excluding vascular access thrombosis) within 12 weeks prior to randomization
  • 6. Laboratory diagnosis of hypokalemia (K < 3.5 mmol/L), hypocalcemia (Ca < 8.2 mg/dL; for Japan hypocalcaemia is defined as albumin - corrected Ca < 8.0 mg/dL), hypomagnesemia (Mg < 1.7 mg/dL) or severe acidosis (serum bicarbonate 16 mEq/L or less) in the 4 weeks preceding randomization
  • 7. Pseudohyperkalemia secondary to hemolyzed blood specimen (this situation is not considered screening failure, sampling or full screening can be postponed to a later time as applicable).
  • 8. Severe leukocytosis (>20× 10^9/L) or thrombocytosis (=450 × 10^9/L) during screening
  • 9. Polycythemia (Hb >14 g/dL) during screening
  • 10. Diagnosis of rhabdomyolysis during the 4 weeks preceding randomization
  • 11. Patients treated with lactulose, xifaxan (rifaximin) or other non-absorbed antibiotics for hyperammonemia within 7 days prior to the first dose of study drug
  • 12. Patients unable to take oral ZS drug mix
  • 13. Scheduled date for living donor kidney transplant
  • 14. Patients with a life expectancy of less than 6 months
  • 15. Female patients who are pregnant or breastfeeding
  • 16. Females of childbearing potential, unless using contraception as detailed in the protocol or sexual abstinence
  • 17. Known hypersensitivity or previous anaphylaxis to ZS or to components thereof
  • 18. Participation in another clinical study with an investigational product during the last 1 month before screening
  • 19. Any medical condition, including active, clinically significant infection, that in the opinion of the investigator or Sponsor may pose a safety risk to a patient in this study, which may confound safety or efficacy assessment and jeopardize the quality of the data, or may interfere with study participation
  • 20. Presence of cardiac arrhythmias or conduction defects that require immediate treatment
  • 21. History of alcohol or drug abuse within 2 years prior to randomization
  • 22. Previous randomization in the present study

研究者

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