A Phase III, Randomised, Double-blind, Multi-centre, Withdrawal Study comparing MCI-196 versus Placebo in Chronic Kidney Disease Stage V Subjects on dialysis with Hyperphosphataemia Incorporating a Randomised 12 week open-label dose titration Period with MCI-196 or Sevelamer - ND

• Conditions: Stage V Chronic Kidney Disease with hyperphosphataemia on dialysis.; MedDRA version: 9.1Level: LLTClassification code 10038444Term: Renal failure chronic

• Registration Number: EUCTR2006-003323-37-IT
• Lead Sponsor: MITSUBISHI PHARMA CORPORATIO

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2007-07-04
• Last Update Posted: 1 May 2012

Recruitment & Eligibility

• Status: ot Recruiting
• Sex: All
• Target Recruitment: 320

Inclusion Criteria

Criteria for Inclusion 1. The subject is capable of reading and comprehending the informed consent and complying with study procedures and provides written informed consent. 2. The subject is male or female, 18 to 80 years of age. 3. The subject has a diagnosis of CKD Stage V as defined by the K/DOQI Guidelines i.e. GFR 15 mL/min/1.73m2 or dialysis Error Bookmark not defined.. 4. The subject is clinically stable on haemodialysis or peritoneal dialysis for at least 3 months, as judged by the Investigator. 5. The subject has stable phosphate control as judged by the investigator using phosphate-binding medication for at least 3 months prior to the screening visit. 6. The subject is on a stabilised phosphorus diet, as considered appropriate by the physician. 7. The subject is undergoing regular dialysis treatment o If the subject is on haemodialysis, this is scheduled 3 times per week in a hospital or centre setting. The duration must be between 3 to 5 hours or if high-flux dialysis a minimum of 2.5 hours, depending on the standard of care in each centre. o If the subject is on peritoneal dialysis, this is either daily APD Automated Peritoneal Dialysis or CAPD Continuous Ambulatory Peritoneal Dialysis , the latter employing at least 3 bag changes per day. 8. The subject has serum phosphorus level, as measured by the Central Laboratory, less than 2.10 mmol/L 6.5 mg/dL at screening. 9. The subject has calcium dialysate content between 1 to 1.75 mmol/L 2 to 3.5 mEq/L , depending on the standard of care in each centre. Calcium dialysate content should remain constant for the duration of the study. 10. The subject has baseline Kt/V single pool of at least 1.2 for haemodialysis subjects, and a weekly Kt/V value of at least 1.8 for peritoneal dialysis subjects. 11. The subject, if female and of child-bearing potential, has a negative serum pregnancy test. Sexually active females must agree to take appropriate steps not to become pregnant during the course of the clinical study. Specifically, to participate in this study, sexually active females must be 2 or more years post-menopausal, surgically sterilized, or using an accepted form of contraception oral contraceptives for at least 3 months or an intrauterine device for at least 2 months prior to the start of the screening visit or various barrier methods, e.g., diaphragm or combination condom and spermicide . 12. Male subjects must agree to use appropriate contraception during the course of the clinical study.Additional Criteria for Randomisation at Visit 5 Baseline Visit 13. The subject has serum phosphorus level, as measured by the Central Laboratory, of greater than or equal to 2.10 mmol/L 6.5 mg/dL , and at least 15 greater than at screening after completion of the four week washout period. or The serum phosphorus level, as measured by the Central Laboratory, reaches 2.58 mmol/L 8.0 mg/dL or greater at any time during the washout period
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
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Criteria for Exclusion 1. The subject has current clinically significant medical comorbidities, which may substantially compromise subject safety, or expose them to undue risk, or interfere significantly with study procedures and which, in the opinion of the Investigator, makes the subject unsuitable for inclusion in the study. 2. The subject has a serum albumin level 30.0 g/L. 3. The subject has a PTH level 1000 pg/dL. 4. The subject has a body mass index BMI 61603;16.0 kg/m2 or 40.0 kg/m2. 5. The subject has currently or has a history of significant gastrointestinal GI motility problems, including dysphagia or swallowing difficulty, or GI abnormalities such as chronic or severe constipation, sigmoid colitis, ulcers, or major GI surgery. 6. The subject has biliary obstruction or proven liver dysfunction, i.e., hepatitis, cirrhosis, hepatorenal syndrome, or has liver function tests 3 times the normal values for at least 2 of the measurements ALT, AST, alkaline phosphatase, and gamma-glutamyl-transferase at screening and baseline. 7. The subject is known to have a positive test for hepatitis B surface antigen, hepatitis C antibody or HIV 1 and 2 antibodies. 8. The subject has a history of clinically significant severe lactose intolerance or sensitivity the placebo tablets have a high lactose content , as judged by the investigator. 9. The subject has a history of substance or alcohol abuse within the last year. 10. The subject has seizure disorders. 11. The subject has a history of drug or other allergy that contraindicates their participation. 12. The subject is using any of the following drugs o over-the-counter products containing calcium, magnesium and aluminium, and/or nutritional supplements which can not be stopped during the study period o colestyramine, colestipol or colesevelam 13. The subject has a temporary catheter as a vascular access. 14. The subject has participated in a clinical study with any experimental medication in the last 30 days or an experimental biological product within the last 90 days, prior to signing of the informed consent. 15. The subject has had prior to exposure to MCI-196 in the past 12 months. 16. If on peritoneal dialysis, the subject has a recent history of peritonitis within the previous 3 months .

Study & Design

• Study Type: Interventional clinical trial of medicinal product
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Main Objective: To demonstrate the superiority of MCI-196 over placebo in the control of serum phosphorus in subjects with Stage V Chronic Kidney Disease on dialysis;Secondary Objective: o To demonstrate superiority of MCI-196 over placebo in the control of other efficacy parameters e.g. LDL-cholesterol, other lipid parameters, PTH, calcium, Ca x P ion product in subjects with Stage V Chronic Kidney Disease on dialysis. o To assess the safety tolerability of flexible-dose MCI-196. o To assess the mean daily dose of MCI-196 and sevelamer;Primary end point(s): The primary efficacy parameter will be serum phosphorus. The primary efficacy analyses will evaluate the change in serum phosphorus value from central laboratory from Week 12 to week 16 or last observation for MCI-196 compared to placebo..