ClinicalTrials.gg
CompletedNCT03317444Updated Apr 26, 2021Results posted

Evaluation of TRC101 in Subjects With Metabolic Acidosis Associated With Chronic Kidney Disease

A Phase 3 interventional study of TRC101 and Placebo in Metabolic Acidosis, sponsored by Tricida, Inc.. Completed at 44 sites in 8 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2021-04-26.

Sponsored by Tricida, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
217
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This is a multicenter, double-blind, placebo-controlled, parallel-design study. The study will enroll approximately 210 adult male and female subjects with stage 3 or 4 chronic kidney disease and metabolic acidosis. The study dosing (TRC101 or placebo) will continue for 12 weeks once daily.

The maximum study duration is anticipated to be up to 16 weeks.

02

Conditions studied

  • Metabolic Acidosis

Keywords

  • blood bicarbonate, kidney disease
03

In context

Acidosis

111 studies on the registry are indexed under Acidosis; 19 are open to participants now.

This study's enrollment of 217 is above the median of 52 across 79 interventional studies indexed under Acidosis.

Browse Acidosis studies →

Lead sponsor

Tricida, Inc. is the lead sponsor of 4 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 to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Blood bicarbonate level of 12 to 20 mEq/L.
  • Estimated (eGFR) of 20 to 40 mL/min/1.73m2.
  • Stable kidney function defined as \<=20% variability in eGFR during screening period.

Key Exclusion Criteria:

  • Any level of low blood bicarbonate during the screening period that in the opinion of the Investigator, requires emergency intervention or evaluation for an acute acidotic process.
  • Anuria, dialysis, acute kidney injury, or history of acute kidney insufficiency within 3 months prior to screening.
  • Heart failure with maximum (NYHA) Class IV symptoms or that required hospitalization during the preceding 6 months.
  • Heart or kidney transplant.
  • (COPD) that is treated with chronic oral , that requires the subject to be on oxygen, or that required hospitalization within the previous 6 months.
  • Change in doses to alkali therapy in the 4 weeks prior to screening.
  • History or current diagnosis of diabetic gastroparesis, bowel obstruction, swallowing disorders, inflammatory bowel disease, major gastrointestinal surgery, frequent diarrhea or active gastric/duodenal ulcers.
  • Serum calcium \<= 8.0 mg/dL at screening.
  • Planned initiation of renal replacement therapy within 12 weeks following randomization.
  • Use of polymeric binder drugs within 14 days prior to screening.
Terms in these criteria, in plain language(4)

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

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

Study arms

  • Experimental
    TRC101

    Administered once daily (QD) for 12 weeks

    Drug: TRC101

  • Placebo comparator
    Placebo

    Administered once daily (QD) for 12 weeks

    Drug: Placebo

Interventions

  • DrugTRC101

    Oral suspension

    Also known as: Veverimer

  • DrugPlacebo

    Oral suspension

06

What researchers measure

Primary outcomes

  1. Subjects With Change From Baseline in Serum Bicarbonate of ≥ 4 mEq/L or Serum Bicarbonate Within the Normal Range

    Composite endpoint of the percentage of subjects having a change from baseline in serum bicarbonate ≥ 4 mEq/L or having serum bicarbonate in the normal range (22 - 29 mEq/L) at the end of treatment (Week 12 Visit).

    Time frame: Baseline to Week 12

Secondary outcomes

  1. Change From Baseline to End of Treatment in Serum Bicarbonate

    Mean change from baseline to end of treatment (Week 12 Visit) in serum bicarbonate

    Time frame: Baseline to Week 12

07

Results

Posted Apr 26, 2021

Participant flow

Participant flow — Overall Study
MilestoneTRC101 Treatment ArmPlacebo Treatment Arm
Started12493
Completed11989
Not completed54

Outcome measures

PrimarySubjects With Change From Baseline in Serum Bicarbonate of ≥ 4 mEq/L or Serum Bicarbonate Within the Normal Range

Composite endpoint of the percentage of subjects having a change from baseline in serum bicarbonate ≥ 4 mEq/L or having serum bicarbonate in the normal range (22 - 29 mEq/L) at the end of treatment (Week 12 Visit).

Time frame:
Baseline to Week 12
Reported as:
Number · percentage of participants
Subjects With Change From Baseline in Serum Bicarbonate of ≥ 4 mEq/L or Serum Bicarbonate Within the Normal Range
percentage of participantsTRC101 Treatment ArmPlacebo Treatment Arm
Subjects with change from baseline serum bicarbonate ≥ 4 mEq/L or serum bicarbonate in normal range59.2 (49.8 to 68.0)22.5 (14.3 to 32.6)
Subjects with change from baseline serum bicarbonate ≥ 4 mEq/L55.8 (46.5 to 64.9)21.3 (13.4 to 31.3)
Subjects with serum bicarbonate in normal range50.0 (40.7 to 59.3)16.9 (9.8 to 26.3)
Statistical analysis
  • TRC101 Treatment Arm vs Placebo Treatment Arm · Fisher Exact · p = < 0.0001 · Treatment difference in % of subjects: 36.7 · 95% CI 23.5 to 48.9
  • TRC101 Treatment Arm vs Placebo Treatment Arm · Fisher Exact · p = < 0.0001 · Treatment difference in % of subjects: 34.5 · 95% CI 21.2 to 46.8
  • TRC101 Treatment Arm vs Placebo Treatment Arm · Fisher Exact · p = < 0.0001 · Treatment difference in % of subjects: 33.1 · 95% CI 19.7 to 45.6
SecondaryChange From Baseline to End of Treatment in Serum Bicarbonate

Mean change from baseline to end of treatment (Week 12 Visit) in serum bicarbonate

Time frame:
Baseline to Week 12
Reported as:
Least squares mean · mEq/L
Change From Baseline to End of Treatment in Serum Bicarbonate
mEq/LTRC101 Treatment ArmPlacebo Treatment Arm
Change From Baseline to End of Treatment in Serum Bicarbonate4.42 (3.85 to 4.98)1.78 (1.13 to 2.44)
Statistical analysis
  • TRC101 Treatment Arm vs Placebo Treatment Arm · Mixed-effect repeated measures model · p = < 0.0001 · Treatment difference in ls means: 2.63 · 95% CI 1.77 to 3.5Standard error presented above is for the LS mean.

Adverse events

Collected over Data are the number of patients with adverse events occurring on or after the date of the first dose of TRC101 or placebo up to 14 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
TRC101 Treatment Arm0/124 (0%)3/124 (2.4%)31/124 (25%)
Placebo Treatment Arm2/93 (2.2%)2/93 (2.2%)13/93 (14%)
Most frequent serious events
Most frequent serious events
EventTRC101 Treatment ArmPlacebo Treatment Arm
Angina unstableCardiac disorders0/1241/93
Diabetic hyperglycaemic comaNervous system disorders0/1241/93
PneumoniaInfections and infestations0/1241/93
FallInjury, poisoning and procedural complications1/1240/93
Acute left ventricular failureCardiac disorders1/1240/93
Cardiac failure congestiveCardiac disorders1/1240/93
AstheniaGeneral disorders1/1240/93
Acute kidney injuryRenal and urinary disorders1/1240/93
Most frequent other events
Most frequent other events
EventTRC101 Treatment ArmPlacebo Treatment Arm
HyperkalaemiaMetabolism and nutrition disorders13/1246/93
DiarrhoeaGastrointestinal disorders11/1243/93
HeadacheNervous system disorders7/1244/93

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)TRC101 Treatment ArmPlacebo Treatment ArmTotal
<=18 years000
Between 18 and 65 years5944103
>=65 years6549114
Age, Continuous
Age, Continuous(years)TRC101 Treatment ArmPlacebo Treatment ArmTotal
Mean62.9 ± 12.6463.3 ± 12.0863.1 ± 12.38
Sex: Female, Male
Sex: Female, Male(Participants)TRC101 Treatment ArmPlacebo Treatment ArmTotal
Female503383
Male7460134
Race (NIH/OMB)
Race (NIH/OMB)(Participants)TRC101 Treatment ArmPlacebo Treatment ArmTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American336
White12189210
More than one race011
Unknown or Not Reported000
History of Hypertension
History of Hypertension(Participants)TRC101 Treatment ArmPlacebo Treatment ArmTotal
Count of participants12090210
History of Diabetes Mellitus
History of Diabetes Mellitus(Participants)TRC101 Treatment ArmPlacebo Treatment ArmTotal
Count of participants7665141
History of Congestive Heart Failure
History of Congestive Heart Failure(Participants)TRC101 Treatment ArmPlacebo Treatment ArmTotal
Count of participants363167
Baseline Estimated Glomerular Filtration Rate (eGFR)
Baseline Estimated Glomerular Filtration Rate (eGFR)(mL/min/1.73m^2)TRC101 Treatment ArmPlacebo Treatment ArmTotal
Mean29.2 ± 6.2927.8 ± 5.4528.6 ± 5.97

1 further baseline measures are reported on the registry.

08

Study locations

44 sites
  • Investigative Site 55
    Phoenix, Arizona 85032, United States
  • Investigative Site 56
    Chula Vista, California 91910, United States
  • Investigative Site 91
    Los Angeles, California 90022, United States
  • Investigative Site 59
    Hialeah, Florida 33015, United States
  • Investigative Site 54
    Hollywood, Florida 33021, United States
  • Investigative Site 93
    Hollywood, Florida 33024, United States
  • Investigative Site 92
    Lauderdale Lakes, Florida 33313, United States
  • Investigative Site 51
    Tampa, Florida 33614, United States
  • Investigative Site 57
    Winter Park, Florida 32789, United States
  • Investigative Site 95
    Atlanta, Georgia 30342, United States
  • Investigative Site 53
    Shreveport, Louisiana 71101, United States
  • Investigative Site 58
    Flushing, New York 11355, United States
  • Investigative Site 52
    San Antonio, Texas 78215, United States
  • Investigative Site 11
    Sofia, Bulgaria
  • Investigative Site 21
    Zagreb, Croatia
  • Investigative Site 31
    Tbilisi, Georgia
  • Investigative Site 32
    Tbilisi, Georgia
  • Investigative Site 33
    Tbilisi, Georgia
  • Investigative Site 34
    Tbilisi, Georgia
  • Investigative Site 35
    Tbilisi, Georgia
  • Investigative Site 36
    Tbilisi, Georgia
  • Investigative Site 37
    Tbilisi, Georgia
  • Investigative Site 43
    Baja, Hungary
  • Investigative Site 48
    Balatonfüred, Hungary
  • Investigative Site 41
    Budapest, Hungary
  • Investigative Site 46
    Budapest, Hungary
  • Investigative Site 45
    Hatvan, Hungary
  • Investigative Site 49
    Hódmezővásárhely, Hungary
  • Investigative Site 44
    Kistarcsa, Hungary
  • Investigative Site 42
    Miskolc, Hungary
  • Investigative Site 47
    Mosonmagyaróvár, Hungary
  • Investigative Site 64
    Belgrade, Serbia
  • Investigative Site 65
    Belgrade, Serbia
  • Investigative Site 61
    Vršac, Serbia
  • Investigative Site 62
    Zrenjanin, Serbia
  • Investigative Site 72
    Jesenice, Slovenia
  • Investigative Site 71
    Maribor, Slovenia
  • Investigative Site 81
    Kharkiv, Ukraine
  • Investigative Site 83
    Kharkiv, Ukraine
  • Investigative Site 87
    Kharkiv, Ukraine
  • Investigative Site 88
    Kharkiv, Ukraine
  • Investigative Site 84
    Kyiv, Ukraine
  • Investigative Site 85
    Kyiv, Ukraine
  • Investigative Site 86
    Kyiv, Ukraine
09

References and documents

Publications

  • Wesson DE, Mathur V, Tangri N, Stasiv Y, Parsell D, Li E, Klaerner G, Bushinsky DA. Veverimer versus placebo in patients with metabolic acidosis associated with chronic kidney disease: a multicentre, randomised, double-blind, controlled, phase 3 trial. Lancet. 2019 Apr 6;393(10179):1417-1427. doi: 10.1016/S0140-6736(18)32562-5. Epub 2019 Mar 8. PubMed 30857647 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2017 to primary completion in May 2018, 7 months.

Results were first posted in Apr 2021, 2 years 11 months after primary completion. A results delay was requested in Mar 2019.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 11, 2017
First posted
Oct 23, 2017
StartActual
Sep 26, 2017
Primary completionActual
May 4, 2018
CompletionActual
May 15, 2018
Results delay requested
Mar 11, 2019
Results first posted
Apr 26, 2021
Last update
Apr 26, 2021
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 Apr 26, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03317444
Lead sponsor
Tricida, Inc.
Responsible party
Sponsor
First posted
Oct 23, 2017
Start date
Sep 26, 2017
Primary completion
May 4, 2018
Completion
May 15, 2018
Results posted
Apr 26, 2021
Last update
Apr 26, 2021

Study contacts

Clinical Operations
study director · Tricida, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Veverimer

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