A Phase 3 interventional study of MCI-196 and Placebo in Chronic Kidney Disease, Dialysis and Hyperphosphatemia, sponsored by Tanabe Pharma Corporation. Completed at 73 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-08.
Sponsored by Tanabe Pharma Corporation · Phase 3, Interventional, and Treatment
This is a phase III multi-centre study in two periods: the first period is a phosphate binder and lipid lowering drugs washout for 8 weeks, the second period is a double-blind, randomised, parallel group, fixed dose, for 12 weeks.
3,090 studies on the registry are indexed under Renal Insufficiency, Chronic; 698 are open to participants now.
This study's enrollment of 642 is above the median of 73 across 2,157 interventional studies indexed under Renal Insufficiency, Chronic.
Browse Renal Insufficiency, Chronic studies →Tanabe Pharma Corporation is the lead sponsor of 92 studies on the registry; 1 is open to participants now.
Of its 8 completed or terminated interventional studies of FDA-regulated products, 6 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Childbearing potential
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Clinically significant
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
BMI (body mass index)
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
HIV
The human immunodeficiency virus, which weakens the immune system.
Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Drug: MCI-196
Drug: Placebo
3g to 15g/day (3 times a day), Tablet, 12 weeks of fixed dose of study
Also known as: Colestilan(INN),, Colestimide(JAN), CHOLEBINE®, BindRen®
3g to 15g/day (3 times a day), Tablet, 12 weeks of fixed dose of study
The Change in Serum Phosphorus
The change from baseline to week 12
Time frame: 12 weeks
The Change in LDL-cholesterol
The percentage change from baseline to week 12
Time frame: 12 weeks
The Change in Total-cholesterol
Time frame: 12 weeks
The Change in HDL-cholesterol
Time frame: 12 weeks
The Change in Triglycerides
Time frame: 12 weeks
The Change in PTH
Time frame: 12 weeks
The Change in Ca
Time frame: 12 weeks
The Change in Ca x P Ion Product
Time frame: 12 weeks
The Incidence of Adverse Events
Time frame: 12 weeks
| Milestone | MCI-196: 3 g | MCI-196: 6 g | MCI-196: 9 g | MCI-196: 12 g | MCI-196: 15 g | Pooled Placebo |
|---|---|---|---|---|---|---|
| Started | 104 | 102 | 99 | 103 | 102 | 132 |
| Completed | 61 | 74 | 66 | 65 | 62 | 82 |
| Not completed | 43 | 28 | 33 | 38 | 40 | 50 |
| Withdrew: Adverse event | 1 | 7 | 7 | 8 | 13 | 4 |
| Withdrew: Death | 0 | 0 | 1 | 2 | 1 | 2 |
| Withdrew: Lack of efficacy | 32 | 12 | 10 | 13 | 7 | 31 |
| Withdrew: Physician decision | 1 | 0 | 0 | 1 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 0 | 1 | 0 | 0 | 4 |
| Withdrew: Withdrawal by subject | 5 | 8 | 10 | 11 | 15 | 7 |
| Withdrew: Other reasons | 4 | 1 | 4 | 3 | 4 | 2 |
The change from baseline to week 12
| mg/dL | MCI-196: 3 g | MCI-196: 6 g | MCI-196: 9 g | MCI-196: 12 g | MCI-196: 15 g | Pooled Placebo |
|---|---|---|---|---|---|---|
| The Change in Serum Phosphorus | -0.23 ± 1.62 | -0.77 ± 1.97 | -0.97 ± 1.68 | -0.71 ± 1.84 | -1.41 ± 1.43 | -0.12 ± 1.70 |
The percentage change from baseline to week 12
| Percent change | MCI-196: 3 g | MCI-196: 6 g | MCI-196: 9 g | MCI-196: 12 g | MCI-196: 15 g | Pooled Placebo |
|---|---|---|---|---|---|---|
| The Change in LDL-cholesterol | -16.66 ± 20.05 | -23.56 ± 20.99 | -27.64 ± 21.45 | -29.44 ± 25.28 | -27.46 ± 24.57 | 2.77 ± 17.44 |
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Collected over 12 weeks. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| MCI-196: 3 g | — | 3/104 (2.9%) | 47/104 (45.2%) |
| MCI-196: 6 g | — | 1/102 (1%) | 44/102 (43.1%) |
| MCI-196: 9 g | — | 2/98 (2%) | 49/98 (50%) |
| MCI-196: 12 g | — | 7/102 (6.9%) | 53/102 (52%) |
| MCI-196: 15 g | — | 5/101 (5%) | 59/101 (58.4%) |
| Pooled Placebo | — | 8/132 (6.1%) | 65/132 (49.2%) |
| Event | MCI-196: 3 g | MCI-196: 6 g | MCI-196: 9 g | MCI-196: 12 g | MCI-196: 15 g | Pooled Placebo |
|---|---|---|---|---|---|---|
| Haemorrhagic strokeNervous system disorders | 0/104 | 0/102 | 0/98 | 0/102 | 0/101 | 2/132 |
| HypertensionVascular disorders | 0/104 | 0/102 | 1/98 | 0/102 | 0/101 | 0/132 |
| AzotaemiaRenal and urinary disorders | 0/104 | 0/102 | 1/98 | 0/102 | 0/101 | 0/132 |
| Pulmonary oedemaRespiratory, thoracic and mediastinal disorders | 0/104 | 0/102 | 1/98 | 0/102 | 0/101 | 1/132 |
| Cardiovascular insufficiencyCardiac disorders | 0/104 | 0/102 | 0/98 | 0/102 | 1/101 | 0/132 |
| Pyelonephritis chronicInfections and infestations | 1/104 | 0/102 | 0/98 | 0/102 | 1/101 | 0/132 |
| Abscess limbInfections and infestations | 0/104 | 0/102 | 0/98 | 0/102 | 1/101 | 0/132 |
| SepsisInfections and infestations | 0/104 | 0/102 | 0/98 | 0/102 | 1/101 | 0/132 |
| Hepatitis BInfections and infestations | 0/104 | 0/102 | 0/98 | 0/102 | 1/101 | 0/132 |
| HaemorrhoidsGastrointestinal disorders | 0/104 | 0/102 | 0/98 | 0/102 | 1/101 | 0/132 |
| Event | MCI-196: 3 g | MCI-196: 6 g | MCI-196: 9 g | MCI-196: 12 g | MCI-196: 15 g | Pooled Placebo |
|---|---|---|---|---|---|---|
| NauseaGastrointestinal disorders | 4/104 | 9/102 | 12/98 | 19/102 | 20/101 | 0/132 |
| VomitingGastrointestinal disorders | 2/104 | 4/102 | 8/98 | 11/102 | 6/101 | 2/132 |
| DyspepsiaGastrointestinal disorders | 4/104 | 8/102 | 7/98 | 5/102 | 9/101 | 1/132 |
| Abdominal distensionGastrointestinal disorders | 0/104 | 3/102 | 2/98 | 7/102 | 6/101 | 4/132 |
| HypertensionVascular disorders | 3/104 | 6/102 | 6/98 | 2/102 | 5/101 | 4/132 |
| DiarrhoeaGastrointestinal disorders | 5/104 | 5/102 | 6/98 | 4/102 | 5/101 | 7/132 |
| ConstipationGastrointestinal disorders | 3/104 | 1/102 | 6/98 | 0/102 | 5/101 | 2/132 |
| Abdominal pain upperGastrointestinal disorders | 1/104 | 3/102 | 0/98 | 3/102 | 6/101 | 2/132 |
| Decreased appetiteMetabolism and nutrition disorders | 2/104 | 1/102 | 1/98 | 6/102 | 4/101 | 1/132 |
| HypocalcaemiaMetabolism and nutrition disorders | 2/104 | 2/102 | 3/98 | 6/102 | 2/101 | 3/132 |
Each one subject in the MCI-196 9 g group, MCI-196 12 g group, and MCI-196 15 g group were randomised but did not receive any study medication. Therefore these 3 subjects were excluded in the baseline characteristics analysis population.
| Age, Continuous(years) | MCI-196: 3 g | MCI-196: 6 g | MCI-196: 9 g | MCI-196: 12 g | MCI-196: 15 g | Pooled Placebo | Total |
|---|---|---|---|---|---|---|---|
| Mean | 49.9 ± 12.20 | 48.7 ± 14.64 | 47.3 ± 12.55 | 49.5 ± 12.41 | 50.7 ± 11.34 | 48.5 ± 12.54 | 49.1 ± 12.65 |
| Sex: Female, Male(Participants) | MCI-196: 3 g | MCI-196: 6 g | MCI-196: 9 g | MCI-196: 12 g | MCI-196: 15 g | Pooled Placebo | Total |
|---|---|---|---|---|---|---|---|
| Female | 48 | 54 | 48 | 48 | 46 | 55 | 299 |
| Male | 56 | 48 | 50 | 54 | 55 | 77 | 340 |
The record gives a start of Dec 2007, a primary completion of Nov 2009 and a completion of Nov 2009. It does not say whether these dates are actual or estimated.
Results were first posted in Oct 2014, 4 years 11 months after primary completion. A results delay was requested in Jun 2010.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Cholebine
Renal Insufficiency, Chronic →