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Nicotinamide in Hemodialysis Patients With Hyperphosphatemia

Phase 2
Completed
Conditions
Chronic Kidney Disease
Hemodialysis
Hyperphosphatemia
Interventions
Registration Number
NCT01200784
Lead Sponsor
Medice Arzneimittel Pütter GmbH & Co KG
Brief Summary

Study hypothesis: Nicotinamide inhibits gastrointestinal phosphate absorption and serum phosphate levels of dialysis patients in a dose dependent manner.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
252
Inclusion Criteria
  • hemodialysis since 3 months or longer
  • hemodialysis frequency 3 times weekly
  • stable phosphate binder dose since one month at screening
  • serum phosphate level < 2,42 mmol/l at screening
  • serum phosphate level > 1,52 mmol/l after wash out phase
  • stable treatment with vitamin D analogues since one month at screening
Exclusion Criteria
  • congestive heart failure
  • acute bleeding complications
  • acute myocardial infarction
  • peptic ulcers
  • serious liver damage
  • poorly controlled diabetes
  • severe visual impairment
  • uncontrolled high blood pressure
  • thrombocyte count < 120/nl
  • difficulties in swallowing or dysphagia
  • diminished intestinal motility, megacolon, pseudo- or mechanical obstruction
  • gastroparesis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
250 mg/d modified release NicotinamideNicotinamide-
750 mg/d modified release NicotinamideNicotinamide-
500 mg/d modified release NicotinamideNicotinamide-
1000 mg/d immidiate release NicotinamideNicotinamide-
1000 mg/d modified release NicotinamideNicotinamide-
Primary Outcome Measures
NameTimeMethod
serum phosphate4 weeks of active treatment
Secondary Outcome Measures
NameTimeMethod
serum phosphate8 weeks of active treatment
serum calcium4 and 8 weeks of acitve treatment
serum PTH4 and 8 weeks of active treatment
adverse events12 weeks
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