An Open Label Dose Titration of Sevelamer Carbonate Tabs 3 Times a Day in Hyperphosphatemic CKD Patients Not On Dialysis
- Conditions
- Chronic Kidney DiseaseHyperphosphatemia
- Interventions
- Registration Number
- NCT00681941
- Lead Sponsor
- Genzyme, a Sanofi Company
- Brief Summary
Approximately 45 hyperphosphatemic CKD patients not on dialysis will be entered into this study at approximately 20 sites within Europe and 5-10 in Australia. The purpose of this study is to determine if sevelamer carbonate tablets dosed three times a day (TID) is an effective treatment for the control of serum phosphorous levels in hyperphosphatemic CKD patients not on dialysis. Total length of participation is approximately 14 weeks.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 49
- A minimum of 120 male and female patients with chronic kidney disease not requiring dialysis will be screened for participation in the study.
- Men or woman 18 years of age or older
- If currently taking phosphate binder(s), willing to stop this and enter a 2 week washout period
- Willing to avoid any intentional changes in diet such as fasting or dieting
- Have the following central laboratory measurements: 1. If not on a phosphate binder, a serum phosphorus measurement ≥ 5.5 mg/dL (1.76 mmol/L) at Screening (Visit1). 2. If taking a phosphate binder(s) at screening, a serum phosphorus measurement ≥ 5.5 mg/dL (1.76 mmol/L) after the two-week washout period at Visit 1a (Day 0).
- At Screening (Visit 1), have the following central laboratory measurements: 1. 25-hydroxyvitamin D ≥ 10 ng/mL 2. iPTH ≤ 800 pg/mL
- Willing and able to take sevelamer carbonate alone as a phosphate binder for the duration of the study
- Willing and able to maintain screening doses of lipid medication, 1,25 dihydroxyvitamin D, and/or cinacalcet for the duration of the study, except for safety reasons
- Willing and able to avoid antacids and phosphate binders containing aluminum, magnesium, calcium or lanthanum for the duration of the study unless prescribed as an evening calcium supplement
- If female and of childbearing potential (pre-menopausal and not surgically sterile), willing to use an effective contraceptive method throughout study, which includes barrier methods, hormones, or IUDs
- Expecting not to initiate dialysis for the duration of this study
- Considered compliant with phosphate binders (if applicable)
- Willing and able to provide informed consent
- Has not participated in any other investigational drug studies within 30 days prior to enrollment,
- Level of understanding and willingness to cooperate with all visits and procedures as described by the study personnel
- Active bowel obstruction, dysphagia, swallowing disorder or severe gastrointestinal (GI) motility disorders
- Active ethanol or drug abuse, excluding tobacco use
- Use of anti-arrhythmic or anti-seizure medications for arrhythmia or seizure disorders.
- In the opinion of the investigator, patient has poorly controlled diabetes mellitus, poorly controlled hypertension, active vasculitis, HIV infection, or any clinically significant unstable medical condition
- Pregnant or breast-feeding
- Evidence of active malignancy except for basal cell carcinoma of the skin
- Unable to comply with the requirements of the study
- Known hypersensitivity to sevelamer or any constituents of the study drug
- Any other condition, which in the opinion of the investigator will prohibit the patient's inclusion in the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description 1 Sevelamer carbonate (Renvela®) Sevelamer Carbonate Tablets Dosed Three Times A Day
- Primary Outcome Measures
Name Time Method Evaluate the efficacy of sevelamer carbonate tablets dosed three times per day (TID) with meals on control of serum phosphorus levels Up to day 70 Evaluate the safety and tolerability of sevelamer carbonate tablets dosed TID with meals. Up to day 70
- Secondary Outcome Measures
Name Time Method Serum calcium-phosphorus product Up to day 70 Serum lipid profile [total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol] Up to day 70 Percent responders [serum phosphorus between 2.7 and 4.6 mg/dL (0.87 and 1.49 mmol/L) inclusive] at Day 56/ET Up to day 70
Trial Locations
- Locations (25)
Nephrology Department, Princess Alexandra Hospital
🇦🇺Wooloongabba, Queensland, Australia
Renal Unit, The Queen Elizabeth Hospital
🇦🇺Woodville, South Australia, Australia
The Royal Melbourne Hospital, Department of Nephrology
🇦🇺Parkville, Victoria, Australia
Universitätsklinikum Hamburg Eppendorf
🇩🇪Hamburg, Germany
Universitätsklinikum Aachen, Medizinsche Klinik II
🇩🇪Aachen, Germany
George Pompidou, European Hospital
🇫🇷Paris, France
Stadt Klinken Solingen, Klinik für Nephrologie und Allgemeine Innere Medizin
🇩🇪Solingen, Germany
Renal Research Unit, Launceston General Hospital
🇦🇺Launceston, Tasmania, Australia
Renal Dialysis Unit, Manchester Royal Infirmary
🇬🇧Manchester, England, United Kingdom
Renal Unit, Queen Alexandra Hospital
🇬🇧Portsmouth, England, United Kingdom
Medicinsk Afdeling
🇩🇰København, Denmark
Medicinsk Afdeling, nefrologisk, Roskilde Sygehus
🇩🇰Roskilde, Denmark
Melbourne Renal Research Group, Epworth Medical Centre
🇦🇺Richmond, Victoria, Australia
Nyremedicinsk Afdeling, Medicinerhuset
🇩🇰Aalborg, Denmark
Nefrologisk Afdeling, Hilleroed Sygehus
🇩🇰Hilleroed, Denmark
Southmead Hospital
🇬🇧Bristol, England, United Kingdom
Renal & Urology SDU Offices
🇬🇧London, England, United Kingdom
Addenbrooke's Dialysis Centre
🇬🇧Cambridge, England, United Kingdom
Leicester General Hospital
🇬🇧Leicester, England, United Kingdom
Renal Department, The Royal London Hospital
🇬🇧London, England, United Kingdom
Department of Renal Medicine, Hope Hospital
🇬🇧Manchester, England, United Kingdom
Nephrologisches Zentrum
🇩🇪Villingen-Schwenningen, Germany
Heimdialysezentrum
🇩🇪Heidelberg, Germany
KfH Nierenzentrum
🇩🇪Nürnberg, Germany
Birmingham Hospital, Queen Elizabeth Medical Centre
🇬🇧Birmingham, England, United Kingdom