ClinicalTrials.gg
TerminatedNCT03710291VALOR-CKDUpdated Oct 14, 2022

Evaluation of Effect of TRC101 on Progression of Chronic Kidney Disease in Subjects With Metabolic Acidosis

A Phase 3 interventional study of TRC101 and Placebo in Metabolic Acidosis and Chronic Kidney Disease, sponsored by Tricida, Inc.. Terminated at 203 sites in 34 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2022-10-14.

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

Why this study was terminated
Administrative reasons

From the registry’s dates

  • Primary completion was Aug 2022, 4 years 2 months ago, and no results have been posted to the registry.
Phase
Phase 3
Study type
Interventional
Enrollment
1,480
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the effect of TRC101 on the progression of chronic kidney disease (CKD) and to evaluate the safety profile of TRC101 in CKD patients with metabolic acidosis.

Read the detailed description

This is a randomized, double-blind, placebo-controlled trial. Eligible subjects will be randomized in a 1:1 ratio to TRC101 or placebo. The primary endpoint of the study will be progression of renal disease, defined by time to first occurrence of any event in the composite endpoint consisting of a confirmed ≥ 40% reduction in eGFR, end-stage renal disease (ESRD), and renal death. The study will terminate when the independent blinded Clinical Endpoint Adjudication Committee has positively adjudicated the targeted number of primary efficacy endpoint events. The maximum duration of follow-up for a randomized subject is anticipated to be approximately 6 years.

02

Conditions studied

  • Metabolic Acidosis
  • Chronic Kidney Disease

Keywords

  • serum bicarbonate
  • renal outcomes
  • TRC101
  • eGFR
  • veverimer
03

In context

Acidosis

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

This study's enrollment of 1,480 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

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

  • Estimated (eGFR) 20 - 40 mL/min/1.73m\^2.
  • Serum bicarbonate 12 - 20 mEq/L.
  • On maximum tolerated dose of ACE inhibitor and/or ARB.

Exclusion criteria

Exclusion Criteria:

  • Acute metabolic acidosis.
  • Anticipated dialysis or kidney transplant within 6 months.
  • Recent acute kidney injury.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,480 participants (actual)

Study arms

  • Experimental
    TRC101

    Drug: TRC101

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugTRC101

    Oral, non-absorbed, polymeric hydrochloric acid binder

    Also known as: Veverimer

  • DrugPlacebo

    Placebo comparator

06

What researchers measure

Primary outcomes

  1. Progression of chronic kidney disease

    Time to first occurrence of: a confirmed ≥40% reduction in eGFR; ESRD; renal death.

    Time frame: Through study completion, up to approximately 6 years.

Secondary outcomes

  1. Death (all-cause), ESRD or a confirmed ≥50% reduction in eGFR

    Time to first occurrence of: death (all-cause); ESRD; a confirmed ≥50% reduction in eGFR.

    Time frame: Through study completion, up to approximately 6 years.

  2. Physical functioning (subjective)

    Kidney Disease Quality of Life Physical Functioning Survey.

    Time frame: 18 months after randomization.

  3. Physical functioning (objective)

    Repeated chair stand test.

    Time frame: 18 months after randomization.

  4. ESRD or renal death

    Time to ESRD or renal death.

    Time frame: Through study completion, up to approximately 6 years.

  5. Primary outcome measure OR cardiovascular death

    Time to first occurrence of: a confirmed ≥40% reduction in eGFR; ESRD; renal death; cardiovascular death.

    Time frame: Through study completion, up to approximately 6 years.

  6. Serum creatinine

    Time to first occurrence of a confirmed doubling of serum creatinine.

    Time frame: Through study completion, up to approximately 6 years.

  7. ≥50% reduction in eGFR

    Time to first occurrence of a confirmed ≥50% reduction in eGFR.

    Time frame: Through study completion, up to approximately 6 years.

  8. ≥40% reduction in eGFR

    Time to first occurrence of a confirmed ≥40% reduction in eGFR.

    Time frame: Through study completion, up to approximately 6 years.

  9. All-cause hospitalization

    Frequency of all-cause hospitalization.

    Time frame: Through study completion, up to approximately 6 years.

  10. Cardiovascular death

    Time to cardiovascular death.

    Time frame: Through study completion, up to approximately 6 years.

  11. All-cause mortality

    Time to all-cause mortality.

    Time frame: Through study completion, up to approximately 6 years.

Other outcomes

  1. Safety of TRC101

    Frequency, intensity, and relationship to study drug of adverse events and serious adverse events.

    Time frame: Through study completion, up to approximately 6 years.

07

Study locations

203 sites
  • Investigative Site 4136
    Azusa, California 91702, United States
  • Investigative Site 4148
    Denver, Colorado 80230, United States
  • Investigative Site 4157
    Boca Raton, Florida 33431, United States
  • Investigative Site 4146
    Bradenton, Florida 34209, United States
  • Investigative Site 4102
    Coral Springs, Florida 33071, United States
  • Investigative Site 4153
    Fort Lauderdale, Florida 33308, United States
  • Investigative Site 4122
    Hollywood, Florida 33021, United States
  • Investigative Site 4123
    Hollywood, Florida 33024, United States
  • Investigative Site 4130
    Miami Lakes, Florida 33014, United States
  • Investigative Site 4104
    Miami, Florida 33015, United States
  • Investigative Site 4116
    Port Charlotte, Florida 33952, United States
  • Investigative Site 4152
    Tampa, Florida 33637, United States
  • Investigative Site 4127
    Augusta, Georgia 30904, United States
  • Investigative Site 4141
    Greenbelt, Maryland 20770, United States
  • Investigative Site 4155
    Kansas City, Missouri 64111, United States
  • Investigative Site 4108
    Greenville, North Carolina 27834, United States
  • Investigative Site 4106
    Kinston, North Carolina 28504, United States
  • Investigative Site 4107
    New Bern, North Carolina 28562, United States
  • Investigative Site 4124
    Bethlehem, Pennsylvania 18017, United States
  • Investigative Site 4132
    Nashville, Tennessee 37205, United States
  • Investigative Site 1103
    Shkodër, 4001, Albania
  • Investigative Site 1101
    Tirana, 1023, Albania
  • Investigative Site 4402
    Buenos Aires, B6000GMA, Argentina
  • Investigative Site 4410
    Corrientes, W3400AMZ, Argentina
  • Investigative Site 4414
    Córdoba, X5000AAW, Argentina
  • Investigative Site 4408
    Córdoba, X5002AOQ, Argentina
  • Investigative Site 4405
    Mar Del Plata, B7600FYK, Argentina
  • Investigative Site 4409
    San Luis, D5700CGR, Argentina
  • Investigative Site 2803
    Yerevan, 0014, Armenia
  • Investigative Site 2809
    Yerevan, 0015, Armenia
  • Investigative Site 2802
    Yerevan, 0025, Armenia
  • Investigative site 2801
    Yerevan, 0052, Armenia
  • Investigative Site 2805
    Yerevan, 0075, Armenia
  • Investigative Site 2807
    Yerevan, 0078, Armenia
  • Investigative Site 5101
    Gosford, 2250, Australia
  • Investigative Site 1502
    Grodno, 230017, Belarus
  • Investigative Site 3108
    Liège, 3108, Belgium
  • Investigative Site 3103
    Liège, 4000, Belgium
  • Investigative Site 4518
    Caxias Do Sul, 95010-005, Brazil
  • Investigative Site 4516
    Curitiba, 80060-150, Brazil
  • Investigative Site 4504
    Curitiba, 80440-020, Brazil
  • Investigative Site 4507
    Juiz De Fora, 36036-330, Brazil
  • Investigative Site 4517
    São Paulo, 01323-903, Brazil
  • Investigative Site 4508
    São Paulo, 09090-790, Brazil
  • Investigative Site 4509
    São Paulo, 09715-090, Brazil
  • Investigative Site 4506
    São Paulo, 15090-000, Brazil
  • Investigative Site 4519
    São Paulo, 18618-686, Brazil
  • Investigative Site 1211
    Kozloduy, 3320, Bulgaria
  • Investigative Site 1213
    Montana, 3400, Bulgaria
  • Investigative Site 1210
    Pleven, 5800, Bulgaria
  • Investigative Site 1205
    Ruse, 7000, Bulgaria
  • Investigative Site 1212
    Ruse, 7000, Bulgaria
  • Investigative Site 1206
    Sevlievo, 5400, Bulgaria
  • Investigative Site 1204
    Sliven, 8800, Bulgaria
  • Investigative Site 1201
    Sofia, 1612, Bulgaria
  • Investigative Site 1208
    Veliko Tarnovo, 5000, Bulgaria
  • Investigative Site 1203
    Yambol, 8600, Bulgaria
  • Investigative Site 4203
    Brampton, L6S 0C9, Canada
  • Investigative Site 4202
    Kitchener, N2H 5Z8, Canada
  • Investigative Site 4201
    London, N6A 5A5, Canada
  • Investigative Site 4204
    Québec, G1R 2J6, Canada
  • Investigative Site 4208
    Winnipeg, R2V 3M3, Canada
  • Investigative Site 4604
    Concepción, 4070038, Chile
  • Investigative Site 4601
    Providencia, 7500739, Chile
  • Investigative Site 4602
    Temuco, 4781151, Chile
  • Investigative Site 4703
    Barranquilla, 080020, Colombia
  • Investigative Site 4708
    Barranquilla, 080020, Colombia
  • Investigative Site 4712
    Barranquilla, 080020, Colombia
  • Investigative Site 4705
    Cali, 760035, Colombia
  • Investigative Site 4709
    Zipaquirá, 250252, Colombia
  • Investigative Site 2106
    Sokolov, 356 01, Czechia
  • Investigative Site 2107
    Znojmo, 669 03, Czechia
  • Investigative Site 3209
    Boulogne-Billancourt, 92100, France
  • Investigative Site 3205
    Lille, 59000, France
  • Investigative Site 2201
    Batumi, 6010, Georgia
  • Investigative Site 2202
    Kutaisi, 4600, Georgia
  • Investigative Site 2208
    Tbilisi, 0102, Georgia
  • Investigative Site 2205
    Tbilisi, 0112, Georgia
  • Investigative Site 2211
    Tbilisi, 0144, Georgia
  • Investigative Site 2204
    Tbilisi, 0159, Georgia
  • Investigative Site 2206
    Tbilisi, 0159, Georgia
  • Investigative Site 2207
    Tbilisi, 0159, Georgia
  • Investigative Site 2209
    Tbilisi, 0159, Georgia
  • Investigative Site 2212
    Tbilisi, 0159, Georgia
  • Investigative Site 2213
    Tbilisi, 0159, Georgia
  • Investigative Site 2214
    Tbilisi, 0159, Georgia
  • Investigative Site 2210
    Tbilisi, 0186, Georgia
  • Investigative Site 6101
    Hong Kong, Hong Kong
  • Investigative Site 6103
    Hong Kong, Hong Kong
  • Investigative Site 6105
    Hong Kong, Hong Kong
  • Investigative Site 6104
    Sha Tin, Hong Kong
  • Investigative Site 2311
    Baja, 6500, Hungary
  • Investigative Site 2312
    Budapest, 1097, Hungary
  • Investigative Site 2304
    Budapest, 1115, Hungary
  • Investigative Site 2306
    Győr, 9023, Hungary
  • Investigative Site 2309
    Kaposvár, 7400, Hungary
  • Investigative Site 2310
    Kistarcsa, 2143, Hungary
  • Investigative Site 2316
    Nagykanizsa, 8800, Hungary
  • Investigative Site 3913
    Afula, 1384111, Israel
  • Investigative Site 3902
    Ashkelon, 7830604, Israel

Showing the first 100 of 203 sites across 34 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Hultin S, Johnson DW, Badve SV. Recent evidence on the effect of treatment of metabolic acid on the progression of kidney disease. Curr Opin Nephrol Hypertens. 2021 Sep 1;30(5):467-473. doi: 10.1097/MNH.0000000000000728. PubMed 34009141 ↗

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 Oct 14, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03710291
Lead sponsor
Tricida, Inc.
Responsible party
Sponsor
First posted
Oct 18, 2018
Start date
Nov 20, 2018
Primary completion
Aug 23, 2022
Completion
Sep 27, 2022
Last update
Oct 14, 2022

Oversight

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

Not currently enrolling

This study is terminated, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Veverimer

Start the discussion