ClinicalTrials.gg
CompletedNCT03402386Updated Apr 6, 2026Results posted

Efficacy and Safety Study to Evaluate MT-6548 in Peritoneal Dialysis Subjects With Anemia Associated With Chronic Kidney Disease in Japan

A Phase 3 interventional study of MT-6548 in Anemia; Peritoneal Dialysis Dependent Chronic Kidney Disease, sponsored by Tanabe Pharma Corporation. Completed at 17 sites in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2026-04-06.

Sponsored by Tanabe Pharma Corporation · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
42
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Study summary

To evaluate the efficacy and safety of MT-6548 in peritoneal dialysis subjects with anemia associated with chronic kidney disease

02

Conditions studied

  • Anemia; Peritoneal Dialysis Dependent Chronic Kidney Disease

Browse trials for

03

In context

Anemia

1,810 studies on the registry are indexed under Anemia; 215 are open to participants now.

This study's enrollment of 42 is below the median of 117 across 1,336 interventional studies indexed under Anemia.

Browse Anemia 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
20 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

  • Diagnosis of CKD
  • Receiving peritoneal dialysis for more than 4 weeks prior to the screening period. However, receiving hemodialysis is excluded
  • Not expected to start hemodialysis during the study
  • Correction group: Not being treated with ESAs for the recent 8 weeks prior to the screening period
  • Conversion group: Being treated with ESAs for the recent 8 weeks prior to the screening period
  • Mean of the two screening levels closest in time to the baseline visit. Correction group: ≥8.0 g/dL and \< 11.0 g/dL Conversion group: ≥9.0 g/dL and ≤12.5 g/dL
  • Fluctuation between the two Hb levels closest in time to the baseline visit during the screening period less than 1.5 g/dL
  • Serum ferritin ≥ 100 ng/mL, or TSAT ≥20% during the screening period
  • Folate and vitamin B12 ≥ lower limit of normal during the screening period

Exclusion criteria

Exclusion Criteria:

  • Anemia due to a main cause other than CKD: sickle cell disease, myelodysplastic syndrome, bone marrow fibrosis, hematologic , hemolytic anemia, thalassemia, or pure red cell aplasia
  • Active bleeding or recent blood loss within 8 weeks prior to the screening period
  • RBC transfusion within 8 weeks prior to the screening period
  • Received testosterone enanthate or mepitiostane within 8 weeks prior to the screening period
  • Peritonitis within 4 weeks prior to the screening period
  • , ALT, or total >2.5 x during the screening period
  • Uncontrolled hypertension (diastolic blood pressure >110 mm Hg or systolic blood pressure >180 mm Hg) during the screening period and Day 1
  • Ophthalmic examinations during the screening period correspond to either of the following criteria;

    • No available fundal findings
    • Findings indicating the presence of active fundal disease
  • Severe heart failure ( Class IV)
  • Cerebrovascular disorder or acute coronary syndrome (e.g. hospitalization due to unstable angina or myocardial infarction), requiring hospitalization due to urgent percutaneous intervention for coronary or heart failure within 12 weeks prior to the screening period
  • Current or history of malignancy. History of malignancy with no recurrence for the recent 5 years is not an exclusion criterion
  • New onset or recurrent event of deep vein thrombosis or pulmonary embolism within 12 weeks prior to the screening period
  • Current or history of hemosiderosis or hemochromatosis
  • History of prior organ transplantation or scheduled organ transplant, or prior transplantation of hematopoietic stem cell or bone marrow
  • Males and females of who are unwilling to use an acceptable method of during the designated period (Males: during the study and 90 days after the last dose, Females: during study and 30 days after the last dose)
  • Females who are pregnant or breast feeding, or are predicted to be pregnant
Terms in these criteria, in plain language(8)

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    MT-6548

    Drug: MT-6548

Interventions

  • Oral tablet

    Also known as: vadadustat, AKB-6548

06

What researchers measure

Primary outcomes

  1. Mean Hb Level of Week 20 and Week 24

    Time frame: Up to Week 24

  2. Hb Level at Each Assessment Time Point

    Time frame: Up to Week 24

  3. Percentage of Subjects With Hb Level at Each Assessment Time Point Within the Target Range During the Treatment Period

    Time frame: Up to Week 24

  4. Time to Reach the Target Hb Range in Correction Group Only

    Time frame: Up to Week 24

  5. Rate of Increase in Hb Level in Correction Group Only

    Time frame: Up to Week 6

07

Results

Posted Jul 6, 2021

Participant flow

Participant flow — Overall Study
MilestoneMT-6548
Started42
Correction group2
Conversion group40
Completed36
Not completed6
Withdrew: Adverse event3
Withdrew: Physician decision1
Withdrew: Difficult to control hb2

Outcome measures

PrimaryMean Hb Level of Week 20 and Week 24
Time frame:
Up to Week 24
Reported as:
Least squares mean · g/dL
Mean Hb Level of Week 20 and Week 24
g/dLMT-6548
Mean Hb Level of Week 20 and Week 2411.35 (10.99 to 11.70)
PrimaryHb Level at Each Assessment Time Point
Time frame:
Up to Week 24
Reported as:
Mean · g/dL
Hb Level at Each Assessment Time Point
g/dLMT-6548
Baseline10.90 (10.56 to 11.25)
Week 210.96 (10.54 to 11.38)
Week 410.74 (10.31 to 11.17)
Week 610.61 (10.09 to 11.13)
Week 810.87 (10.41 to 11.33)
Week 1010.89 (10.45 to 11.32)
Week 1211.10 (10.67 to 11.53)
Week 1611.58 (11.12 to 12.04)
Week 2011.68 (11.24 to 12.13)
Week 2411.39 (11.00 to 11.79)
Week 24 (LOCF)11.01 (10.54 to 11.47)
PrimaryPercentage of Subjects With Hb Level at Each Assessment Time Point Within the Target Range During the Treatment Period
Time frame:
Up to Week 24
Reported as:
Number · percentage of subjects
Percentage of Subjects With Hb Level at Each Assessment Time Point Within the Target Range During the Treatment Period
percentage of subjectsMT-6548
Baseline57.1
Week 260.0
Week 441.5
Week 635.9
Week 847.4
Week 1044.7
Week 1244.7
Week 1632.4
Week 2066.7
Week 2465.7
PrimaryTime to Reach the Target Hb Range in Correction Group Only
Time frame:
Up to Week 24

No measurements were reported for this outcome.

PrimaryRate of Increase in Hb Level in Correction Group Only
Time frame:
Up to Week 6

No measurements were reported for this outcome.

Adverse events

Collected over 24 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
MT-65481/42 (2.4%)12/42 (28.6%)21/42 (50%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventMT-6548
PeritonitisInfections and infestations3/42
Peripheral arterial occlusive diseaseVascular disorders2/42
AnaemiaBlood and lymphatic system disorders1/42
Cardiac failure chronicCardiac disorders1/42
Myocardial ischaemiaCardiac disorders1/42
Gastric polypsGastrointestinal disorders1/42
Inguinal herniaGastrointestinal disorders1/42
Catheter site infectionInfections and infestations1/42
SepsisInfections and infestations1/42
Peritoneal dialysis complicationInjury, poisoning and procedural complications1/42
Most frequent other events
Most frequent other events
EventMT-6548
Catheter site infectionInfections and infestations9/42
DiarrhoeaGastrointestinal disorders8/42
NasopharyngitisInfections and infestations6/42
VomitingGastrointestinal disorders4/42
Abdominal pain upperGastrointestinal disorders3/42
NauseaGastrointestinal disorders3/42
Decreased appetiteMetabolism and nutrition disorders3/42

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)MT-6548
<=18 years0
Between 18 and 65 years19
>=65 years23
Sex: Female, Male
Sex: Female, Male(Participants)MT-6548
Female12
Male30
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)MT-6548
Asian (Japanese)42
Asian (Other)0
Other0
08

Study locations

17 sites
  • Research site
    Aichi, Japan
  • Research site
    Chiba, Japan
  • Research site
    Fukuoka, Japan
  • Research site
    Fukushima, Japan
  • Research site
    Gunma, Japan
  • Research site
    Hokkaido, Japan
  • Research site
    Hyōgo, Japan
  • Research site
    Ibaraki, Japan
  • Research site
    Kagoshima, Japan
  • Research site
    Kanagawa, Japan
  • Research site
    Kyoto, Japan
  • Research site
    Nagano, Japan
  • Research site
    Nara, Japan
  • Research site
    Okayama, Japan
  • Research site
    Okinawa, Japan
  • Research site
    Shiga, Japan
  • Research site
    Tokyo, Japan
09

References and documents

Publications

  • Nangaku M, Kondo K, Takabe S, Ueta K, Kaneko G, Otsuka M, Kawaguchi Y, Komatsu Y. Vadadustat for anemia in chronic kidney disease patients on peritoneal dialysis: A phase 3 open-label study in Japan. Ther Apher Dial. 2021 Oct;25(5):642-653. doi: 10.1111/1744-9987.13611. Epub 2020 Dec 29. PubMed 33283981 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Nov 2018, 10 months.

Results were first posted in Jul 2021, 2 years 7 months after primary completion.

Of 98 industry-sponsored phase 3 interventional studies under Anemia, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 49. This study's 10 months is below that.

Counting every sponsor, half of 150 studies reached it within 30 months; a quarter within 17 and three quarters within 51.

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

Registered
Dec 27, 2017
First posted
Jan 18, 2018
StartActual
Jan 3, 2018
Primary completionActual
Nov 22, 2018
CompletionActual
Dec 20, 2018
Results first posted
Jul 6, 2021
Last update
Apr 6, 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 Apr 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03402386
Responsible party
Sponsor
First posted
Jan 18, 2018
Start date
Jan 3, 2018
Primary completion
Nov 22, 2018
Completion
Dec 20, 2018
Results posted
Jul 6, 2021
Last update
Apr 6, 2026

Study contacts

General Manager
study director · Tanabe Pharma Corporation

Oversight

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

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Studies of the drug tested here: Vadadustat

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