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CompletedNCT03256838Updated Jan 13, 2020

Assess the Safety and Efficacy of Nephoxil® in Subjects With End Stage Renal Disease (ESRD) on Dialysis

A Phase 4 interventional study of Ferric Citrate in Kidney Failure, Chronic, End-stage Renal Disease and Phosphorus Metabolism Disorders, sponsored by Panion & BF Biotech Inc.. Completed at 9 sites in Taiwan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-01-13.

Sponsored by Panion & BF Biotech Inc. · Phase 4, Interventional, and Other

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Apr 2017, registered Jul 2017).
Phase
Phase 4
Study type
Interventional
Enrollment
202
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To assess the long-term safety and effectiveness of Nephoxil® for the treatment of hyperphosphatemia in patients with ESRD undergoing dialysis.

Read the detailed description

This study is an open-label, prospective, long term, Phase IV study to assess the safety and efficacy of Nephoxil® in subjects with ESRD on dialysis.

02

Conditions studied

  • Kidney Failure, Chronic
  • End-stage Renal Disease
  • Phosphorus Metabolism Disorders
  • Hyperphosphatemia

Keywords

  • Citric Acid
  • Ferric Compounds
  • Renal Insufficiency
  • Anticoagulants
  • Calcium Chelating Agents
  • Chelating Agents
  • Sequestering Agents
  • Hemodialysis
  • Dialysis
  • Renal Failure
  • Kidney Failure
  • Urologic Diseases
  • Metabolic Disease
  • Kidney Diseases
  • Renal Insufficiency, Chronic
03

In context

Kidney Failure, Chronic

2,108 studies on the registry are indexed under Kidney Failure, Chronic; 273 are open to participants now.

This study's enrollment of 202 is above the median of 57 across 1,569 interventional studies indexed under Kidney Failure, Chronic.

Browse Kidney Failure, Chronic studies →

Lead sponsor

Panion & BF Biotech Inc. is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

  1. Is ≧ 18 years of age on the day of signing or other age required by local regulation
  2. Willing and able to provide written informed consent
  3. ESRD patients who is undergoing hemodialysis 3 times per week and is considered necessary to receive medication for hyperphosphatemia by his/her treating physician
  4. Serum ferritin \<1000 ng/mL and transferrin saturation (TSAT) \< 50% at the Enrollment Visit
  5. Women of (WOCBP [defined as women ≤ 50 years of age with a history of amenorrhea for \< 12 months prior to study entry]) who is willing to use an effective form of during study participation

Exclusion criteria

Exclusion Criteria:

  1. Has any known to ferric citrate according to locally approved prescribing information, include but not limited to the following criteria:

    i. Is allergic to ferric citrate ii. Has hypophosphatemia iii. Has hemochromatosis or iron overload syndromes iv. Has active severe GI disorders

  2. Has parathyroidectomy (PTx) or percutaneous ethanol injection therapy (PEIT) within 3 months prior to Enrollment Visit or serum calcium \< 7 mg/dL at the Enrollment Visit
  3. Has participated in another interventional study for any agent or device within 30 days prior to enrollment
  4. Is currently pregnant or breastfeeding
  5. Other unstable medical condition or psychiatric conditions that is considered unsuitable for this study per Investigator's clinical judgment
Terms in these criteria, in plain language(5)

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.

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
202 participants (actual)

Study arms

  • Experimental
    Ferric citrate

    Ferric Citrate (Nephoxil® Capsules) will be dosed three times a day (with meals).

    Drug: Ferric Citrate

Interventions

  • Ferric citrate will be provided as a 500mg capsule. All intervention doses will be based on serum phosphorus levels.

    Also known as: Nephoxil® Capsules

06

What researchers measure

Primary outcomes

  1. Number of subjects with treatment-emergent adverse events (TEAEs)

    Number of subjects with treatment-emergent adverse events (TEAEs)

    Time frame: 13 months

  2. Percentage of subjects with treatment-emergent adverse events (TEAEs)

    Percentage of subjects with treatment-emergent adverse events (TEAEs)

    Time frame: 13 months

Secondary outcomes

  1. Serum Phosphorus

    Serum Phosphorus will be assessed by time-course changes of serum phosphorus levels and proportion of subjects achieved target range of serum phosphorus (\>=3.5 mg/dL and \<=5.5. mg/dL) from baseline to the end-of-treatment.

    Time frame: 13 months

Other outcomes

  1. Serum calcium

    Time-course changes of serum calcium from baseline.

    Time frame: 13 months

  2. Intact plasma parathyroid hormone (iPTH)

    Time-course changes of intact plasma parathyroid hormone (iPTH) from baseline.

    Time frame: 13 months

  3. Ferritin

    Time-course changes of ferritin from baseline.

    Time frame: 13 months

  4. Transferring saturation (TSAT) percentage

    Time-course changes of transferring saturation (TSAT) percentage from baseline.

    Time frame: 13 months

  5. Serum iron

    Time-course changes of serum iron from baseline.

    Time frame: 13 months

  6. Total iron-binding capacity (TIBC)

    Time-course changes of total iron-binding capacity (TIBC) from baseline.

    Time frame: 13 months

  7. Hemoglobin

    Time-course changes of hemoglobin from baseline.

    Time frame: 13 months

  8. Dose of IV iron

    Time-course changes of dose of IV iron from baseline.

    Time frame: 13 months

  9. Dose of erythropoiesis stimulating agents (ESA)

    Time-course changes of dose of erythropoiesis stimulating agents (ESA) from baseline.

    Time frame: 13 months

  10. Treatment adherence

    Prescribed dose and the dose actually taken at each time point will be calculated.

    Time frame: 13 months

07

Study locations

9 sites
  • Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital
    Kaohsiung, 80756, Taiwan
  • Division of Nephrology, Department of Internal Medicine, Kaohsiung Chang-Gung Memorial Hospital
    Kaohsiung, 83301, Taiwan
  • Division of Nephrology, Department of Internal Medicine, Keelung Chang Gung Memorial Hospital
    Keelung, 20401, Taiwan
  • Division of Nephrology, Department of Internal Medicine, Far East Memorial Hospital
    New Taipei City, 22060, Taiwan
  • Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital
    Taichung, 40705, Taiwan
  • Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital
    Taipei, 10002, Taiwan
  • Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital
    Taipei, 11042, Taiwan
  • Division of Nephrology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital
    Taipei, 11101, Taiwan
  • Division of Nephrology, Department of Internal Medicine, Taipei Veterans General Hospital
    Taipei, 11217, Taiwan
08

References and documents

Publications

  • Lee CT, Lee CC, Wu MJ, Chiu YW, Leu JG, Wu MS, Peng YS, Wu MS, Tarng DC. Long-term safety and efficacy of ferric citrate in phosphate-lowering and iron-repletion effects among patients with on hemodialysis: A multicenter, open-label, Phase IV trial. PLoS One. 2022 Mar 3;17(3):e0264727. doi: 10.1371/journal.pone.0264727. eCollection 2022. PubMed 35239732 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03256838
Lead sponsor
Panion & BF Biotech Inc.
Responsible party
Sponsor
First posted
Aug 22, 2017
Start date
Apr 12, 2017
Primary completion
Dec 31, 2018
Completion
May 31, 2019
Last update
Jan 13, 2020

Study contacts

Mai-Szu Wu, M.D.
principal investigator · Division of Nephrology, Department of Internal Medicine, Taipei Medical University Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ferric citrate

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