ClinicalTrials.gg
CompletedNCT00542386Updated Jan 8, 2026Results posted

A Study of MCI-196 in Chronic Kidney Disease Subjects on Dialysis With Hyperphosphatemia and Dyslipidaemia

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

Phase
Phase 3
Study type
Interventional
Enrollment
642
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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.

02

Conditions studied

  • Chronic Kidney Disease
  • Dialysis
  • Hyperphosphatemia
  • Dyslipidemia

Keywords

  • Chronic Kidney Disease
  • Dialysis
  • Hyperphosphatemia
  • Dyslipidemia
  • Phosphate binder
03

In context

Renal Insufficiency, Chronic

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 →

Lead sponsor

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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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.

Inclusion criteria

  • Male or female, 18 years of age or over
  • Clinically stable haemodialysis or peritoneal dialysis
  • Stable phosphate control
  • On a stabilised phosphorus diet
  • Female and of have a negative serum pregnancy test
  • Male subjects must agree to use appropriate

Exclusion criteria

Exclusion Criteria:

  • Current 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.
  • A a serum albumin level\<30.0g/L
  • A PTH level >1000pg/mL
  • A (BMI)\<= 16.0kg/㎡ or =>40.0kg/㎡
  • A serum LDL-C level >4.94mmol/L(190mg/dL)
  • A serum triglycerides level >6.76mmol/L (600mg/dL)
  • A History of significant gastrointestinal motility problems
  • A positive test for 1 and 2 antibodies
  • A history of substance or alcohol abuse within the last year
  • Seizure disorders
  • A history of drug or other allergy
  • A temporary catheter as a vascular access
  • 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
Terms in these criteria, in plain language(6)

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.

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.

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
642 participants (actual)

Study arms

  • Experimental
    1

    Drug: MCI-196

  • Placebo comparator
    2

    Drug: Placebo

Interventions

  • 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®

  • DrugPlacebo

    3g to 15g/day (3 times a day), Tablet, 12 weeks of fixed dose of study

06

What researchers measure

Primary outcomes

  1. The Change in Serum Phosphorus

    The change from baseline to week 12

    Time frame: 12 weeks

  2. The Change in LDL-cholesterol

    The percentage change from baseline to week 12

    Time frame: 12 weeks

Secondary outcomes

  1. The Change in Total-cholesterol

    Time frame: 12 weeks

  2. The Change in HDL-cholesterol

    Time frame: 12 weeks

  3. The Change in Triglycerides

    Time frame: 12 weeks

  4. The Change in PTH

    Time frame: 12 weeks

  5. The Change in Ca

    Time frame: 12 weeks

  6. The Change in Ca x P Ion Product

    Time frame: 12 weeks

  7. The Incidence of Adverse Events

    Time frame: 12 weeks

07

Results

Posted Oct 6, 2014

Participant flow

Participant flow — Overall Study
MilestoneMCI-196: 3 gMCI-196: 6 gMCI-196: 9 gMCI-196: 12 gMCI-196: 15 gPooled Placebo
Started10410299103102132
Completed617466656282
Not completed432833384050
Withdrew: Adverse event1778134
Withdrew: Death001212
Withdrew: Lack of efficacy32121013731
Withdrew: Physician decision100100
Withdrew: Protocol violation001004
Withdrew: Withdrawal by subject581011157
Withdrew: Other reasons414342

Outcome measures

PrimaryThe Change in Serum Phosphorus

The change from baseline to week 12

Time frame:
12 weeks
Reported as:
Mean · mg/dL
The Change in Serum Phosphorus
mg/dLMCI-196: 3 gMCI-196: 6 gMCI-196: 9 gMCI-196: 12 gMCI-196: 15 gPooled 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
PrimaryThe Change in LDL-cholesterol

The percentage change from baseline to week 12

Time frame:
12 weeks
Reported as:
Mean · Percent change
The Change in LDL-cholesterol
Percent changeMCI-196: 3 gMCI-196: 6 gMCI-196: 9 gMCI-196: 12 gMCI-196: 15 gPooled Placebo
The Change in LDL-cholesterol-16.66 ± 20.05-23.56 ± 20.99-27.64 ± 21.45-29.44 ± 25.28-27.46 ± 24.572.77 ± 17.44
SecondaryThe Change in Total-cholesterol
Time frame:
12 weeks

Results for this outcome have not been posted.

SecondaryThe Change in HDL-cholesterol
Time frame:
12 weeks

Results for this outcome have not been posted.

SecondaryThe Change in Triglycerides
Time frame:
12 weeks

Results for this outcome have not been posted.

SecondaryThe Change in PTH
Time frame:
12 weeks

Results for this outcome have not been posted.

SecondaryThe Change in Ca
Time frame:
12 weeks

Results for this outcome have not been posted.

SecondaryThe Change in Ca x P Ion Product
Time frame:
12 weeks

Results for this outcome have not been posted.

SecondaryThe Incidence of Adverse Events
Time frame:
12 weeks

Results for this outcome have not been posted.

Adverse events

Collected over 12 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
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%)
Most frequent serious events
Showing 10 of 34
Most frequent serious events
EventMCI-196: 3 gMCI-196: 6 gMCI-196: 9 gMCI-196: 12 gMCI-196: 15 gPooled Placebo
Haemorrhagic strokeNervous system disorders0/1040/1020/980/1020/1012/132
HypertensionVascular disorders0/1040/1021/980/1020/1010/132
AzotaemiaRenal and urinary disorders0/1040/1021/980/1020/1010/132
Pulmonary oedemaRespiratory, thoracic and mediastinal disorders0/1040/1021/980/1020/1011/132
Cardiovascular insufficiencyCardiac disorders0/1040/1020/980/1021/1010/132
Pyelonephritis chronicInfections and infestations1/1040/1020/980/1021/1010/132
Abscess limbInfections and infestations0/1040/1020/980/1021/1010/132
SepsisInfections and infestations0/1040/1020/980/1021/1010/132
Hepatitis BInfections and infestations0/1040/1020/980/1021/1010/132
HaemorrhoidsGastrointestinal disorders0/1040/1020/980/1021/1010/132
Most frequent other events
Showing 10 of 223
Most frequent other events
EventMCI-196: 3 gMCI-196: 6 gMCI-196: 9 gMCI-196: 12 gMCI-196: 15 gPooled Placebo
NauseaGastrointestinal disorders4/1049/10212/9819/10220/1010/132
VomitingGastrointestinal disorders2/1044/1028/9811/1026/1012/132
DyspepsiaGastrointestinal disorders4/1048/1027/985/1029/1011/132
Abdominal distensionGastrointestinal disorders0/1043/1022/987/1026/1014/132
HypertensionVascular disorders3/1046/1026/982/1025/1014/132
DiarrhoeaGastrointestinal disorders5/1045/1026/984/1025/1017/132
ConstipationGastrointestinal disorders3/1041/1026/980/1025/1012/132
Abdominal pain upperGastrointestinal disorders1/1043/1020/983/1026/1012/132
Decreased appetiteMetabolism and nutrition disorders2/1041/1021/986/1024/1011/132
HypocalcaemiaMetabolism and nutrition disorders2/1042/1023/986/1022/1013/132

Baseline characteristics

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
Age, Continuous(years)MCI-196: 3 gMCI-196: 6 gMCI-196: 9 gMCI-196: 12 gMCI-196: 15 gPooled PlaceboTotal
Mean49.9 ± 12.2048.7 ± 14.6447.3 ± 12.5549.5 ± 12.4150.7 ± 11.3448.5 ± 12.5449.1 ± 12.65
Sex: Female, Male
Sex: Female, Male(Participants)MCI-196: 3 gMCI-196: 6 gMCI-196: 9 gMCI-196: 12 gMCI-196: 15 gPooled PlaceboTotal
Female485448484655299
Male564850545577340
08

Study locations

73 sites
  • Ajka, Hungary
  • Baja, Hungary
  • Budapest, Hungary
  • Esztergom, Hungary
  • Győr, Hungary
  • Hatvan, Hungary
  • Kisvárda, Hungary
  • Lecco, Italy
  • Modena, Italy
  • Pavia, Italy
  • Roma, Italy
  • Alor Star, Malaysia
  • Ipoh, Malaysia
  • Kajang, Malaysia
  • Klang, Malaysia
  • Kota Kinabalu, Malaysia
  • Kuala Terengganu, Malaysia
  • Kuantan, Malaysia
  • Kuching, Malaysia
  • Malacca, Malaysia
  • Seremban, Malaysia
  • Taiping, Malaysia
  • Skopje, North Macedonia
  • Lodz, Poland
  • Poznan, Poland
  • Płock, Poland
  • Rybnik, Poland
  • Warsaw, Poland
  • Wroclaw, Poland
  • Zielona Góra, Poland
  • Arkhangelsk, Russia
  • Armavir, Russia
  • Chelyabinsk, Russia
  • Chita, Russia
  • Irkutsk, Russia
  • Ivanovo, Russia
  • Kaluga, Russia
  • Kemerovo, Russia
  • Khabarovsk, Russia
  • Krasnodar, Russia
  • Krasnoyarsk, Russia
  • Moscow, Russia
  • Nizhny Novgorod, Russia
  • Novokuznetsk, Russia
  • Novorossiysk, Russia
  • Novosibirsk, Russia
  • Omsk, Russia
  • Petrozavodsk, Russia
  • Rostov-on-Don, Russia
  • Saint Petersburg, Russia
  • Smolensk, Russia
  • Tomsk, Russia
  • Tver', Russia
  • Tyumen, Russia
  • Vladimir, Russia
  • Vladivostok, Russia
  • Volzhskiy, Russia
  • Yaroslavl, Russia
  • Yekaterinburg, Russia
  • Belgrade, Serbia
  • Kragujevac, Serbia
  • Niš, Serbia
  • Novi Sad, Serbia
  • Chernivtsi, Ukraine
  • Dnipro, Ukraine
  • Ivano-Frankivsk, Ukraine
  • Kharkiv, Ukraine
  • Kiev, Ukraine
  • Mykolaiv, Ukraine
  • Ternopil, Ukraine
  • Uzhhorod, Ukraine
  • Zaporizhya, Ukraine
  • Zhytomyr, Ukraine
09

References and documents

Publications

  • Natale P, Green SC, Ruospo M, Craig JC, Vecchio M, Elder GJ, Strippoli GF. Phosphate binders for preventing and treating chronic kidney disease-mineral and bone disorder (CKD-MBD). Cochrane Database Syst Rev. 2025 Jun 27;6(6):CD006023. doi: 10.1002/14651858.CD006023.pub4. PubMed 40576086 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

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.

Registered
Oct 10, 2007
First posted
Oct 11, 2007
Start
Dec 2007
Primary completionActual
Nov 2009
CompletionActual
Nov 2009
Results delay requested
Jun 24, 2010
Results first posted
Oct 6, 2014
Last update
Jan 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00542386
Responsible party
Sponsor
First posted
Oct 11, 2007
Start date
Dec 2007
Primary completion
Nov 2009
Completion
Nov 2009
Results posted
Oct 6, 2014
Last update
Jan 8, 2026

Study contacts

Professor
principal investigator · Information at Mitsubishi Pharma Europe

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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