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Status unknownNCT04239391Updated Apr 21, 2021

Hemoglobin Maintenance in Pediatric ESRD (End-stage Renal Disease) Patients by Ferric Pyrophosphate Citrate (FPC)

A Phase 3 interventional study of Triferic in End Stage Renal Disease, sponsored by Rockwell Medical Technologies, Inc.. Status unknown at 9 sites in 2 countries. Open to participants aged 6 Months to 17 Years. Per ClinicalTrials.gov, last updated 2021-04-21.

Sponsored by Rockwell Medical Technologies, Inc. · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
6 Months to 17 Years
Sex
All
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Study summary

The main purpose is to determine the safety of Triferic iron administered via dialysate and intravenously in pediatric patients with chronic kidney disease on chronic hemodialysis (CKD-5HD). It is a global, multi- center, open-label study.

Read the detailed description

This is a global, multi- center, multi dose, open-label study assessing the safety of Triferic iron administered via dialysate and intravenously to pediatric patients (\< 18 years of age) receiving chronic hemodialysis (CKD-5HD).

Total participation in the study is approximately 44 weeks and is comprised of a screening visit, baseline, open label treatment, and a follow-up visit.

Upon completion of the respective Baseline observational periods, all patients will transition to the interventional period where they will receive Triferic. The Triferic will be administered via the liquid bicarbonate or via IV. Once patients enter the interventional period, IV iron will only be administered if ferritin \<100 µg/L and Hgb decreases by ≥0.5g/dL from the last value obtained in the observational Baseline period. Patients will remain in the interventional period for either 36 or 28 weeks (depending on randomization assignment), at which time a final study visit will take place.

02

Conditions studied

  • End Stage Renal Disease

Keywords

  • dialysis
  • pediatric
  • chronic kidney disease
  • anemia
03

In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's planned enrollment of 150 is above the median of 70 across 2,640 interventional studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

Rockwell Medical Technologies, Inc. is the lead sponsor of 18 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 5 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Months to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

A patient will be eligible for inclusion in the study only if all of the following criteria are met:

  1. Parents/legal guardians of the patient have the ability to understand the requirements of the study and have demonstrated a willingness to have their child comply with all study procedures by signing an institutional review board-approved informed consent form. Where applicable, assent of the patient has also been obtained for all study procedures prior to any study-related activities.
  2. Patient is between 6 months and \<18 years of age at screening.
  3. Patient has chronic kidney disease receiving in-center hemodialysis at least twice weekly for at least 3 months prior to screening.
  4. Patient is receiving adequate hemodialysis as assessed by the investigator and based on a single pool Kt/V measurement >1.2.
  5. Patient has a vascular access (tunneled catheter, AV fistula or AV graft) suitable to support blood flows for hemodialysis treatment.
  6. Patient has a body mass of ≥11 lbs (5 kg).
  7. Patient is iron-replete as measured by a TSAT ≥ 20% and a ferritin >100 µg/L at screening.
  8. Patient has a whole blood Hgb concentration of ≥ 9.5 g/dL at screening.
  9. If the patient is female, she must be pre-pubertal, have had documented surgical sterilization prior to Baseline admission, or be practicing adequate birth control. All female patients who have reached menarche must have a negative serum pregnancy test during screening. It is the investigator's responsibility to determine whether the patient has adequate birth control for study participation.
  10. Patients who have experienced a previous adverse event with IV iron products are eligible to participate in this study if the agent that caused the event is not administered during the Baseline period.

Exclusion criteria

Exclusion Criteria:

A patient will not be eligible for inclusion in the study if any of the following criteria apply:

  1. Patient is positive for human immunodeficiency virus (HIV) or hepatitis B by history.
  2. Patient is receiving intravenous or oral antibiotics or antifungals for any infectious process. (Prophylactic antibiotics administered on a regular basis are allowed. Patients may enter the study once the infection has cleared.)
  3. Patient has evidence of an ongoing active inflammatory process (e.g., systemic lupus erythematosus, acute or chronic active hepatitis, etc.) requiring treatment.
  4. Patient has been dosed in an investigational drug study within the 30 days prior to Baseline.
  5. Administration of iron containing phosphate binder ferric citrate (Auryxia) or sucroferric oxyhydroxide (Velphoro) within 2 weeks prior to Baseline. (Patient is only eligible if iron based binders are stopped at least 2 weeks prior to Baseline).
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Triferic via IV and Hemodialysate

    Upon completion of the Baseline observational periods, all enrolled patients will transition to the interventional period where they will then receive Triferic. The Triferic will be administered via the liquid bicarbonate concentrate at a dialysate concentration of 2 uM or via IV at a dose of 0.1 mg Fe/kg, if the patient does not receive dialysis using liquid bicarbonate, for up to an additional 36 weeks (depending on duration of observational Baseline period). Hgb and CHr will continue to be measured bi-weekly and iron profiles will be obtained at 4 week intervals. In the Triferic phase of the study,changes in ESA dose will be allowed according to the study site existing protocol. IV iron will only be administered if ferritin meets the criteria for iron deficiency. Patients will remain in the interventional period for either 36 or 28 weeks (depending on randomization assignment), at which time a final study visit will take place

    Drug: Triferic

  • No intervention
    Historic Control Observational Arm

    Up to 75 patients will be enrolled in the Observational Arm. Patients who participate in the historical control observational arm will not receive any study medication, but will have Hgb, CHr and serum iron profiles collected at 4 week intervals for up to a total of 44 weeks.

Interventions

  • DrugTriferic

    Ferric Pyrophosphate Citrate

    Also known as: FPC

06

What researchers measure

Primary outcomes

  1. Assess the incidence of adverse events of Triferic administration via dialysate and IV in pediatric CKD-5HD patients

    Incidence and severity of adverse events compared to Baseline.

    Time frame: 44 weeks

Secondary outcomes

  1. Assess the ability of Triferic to maintain hemoglobin in pediatric CKD-5HD patients

    Change from Baseline in hemoglobin concentration

    Time frame: 44 weeks

  2. Assess the proportion of patients maintaining hemoglobin between 10.5-12.0 g/dL compared to baseline

    Proportion of patients maintaining hemoglobin between 10.5 - 12.0 g/dL compared toBaseline

    Time frame: 44 weeks

  3. Assess the change in reticulocyte hemoglobin content (CHr).

    Change from Baseline in reticulocyte hemoglobin content (CHr).

    Time frame: 44 weeks

07

Study locations

9 of 9 sites recruiting
  • Loma Linda University Hospital
    Loma Linda, California 92354, United States
    • Jacqueline Lopez · Contact · JANLopez@llu.edu
    • Rita Sheth, MD · Principal investigator
    Recruiting
  • Childrens Hospital National Medical Center
    Washington, District of Columbia 20010, United States
    Recruiting
  • Riley Hospital for Children at Indiana University
    Indianapolis, Indiana 46202, United States
    • Sherry Wilson · Contact · slw2@iu.edu
    • Neha Pottanat, MD · Principal investigator
    Recruiting
  • Children's Mercy Hospital
    Kansas City, Missouri 64108, United States
    • Stephen Morrison · Contact · ssmorison@cmh.edu
    • Bradley Warady, MD · Principal investigator
    Recruiting
  • Carolina's Medical Center
    Charlotte, North Carolina 28203, United States
    Recruiting
  • Cincinnati Children's Hospital
    Cincinnati, Ohio 45229, United States
    Recruiting
  • University of Texas Health Science Center At San Antonio
    San Antonio, Texas 78229, United States
    Recruiting
  • Childrens Hospital and Medical Center- Seattle
    Seattle, Washington 98105, United States
    Recruiting
  • University of Puerto Rico School of Medicine
    San Juan, 00963-5067, Puerto Rico
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04239391
Lead sponsor
Rockwell Medical Technologies, Inc.
Responsible party
Sponsor
First posted
Jan 27, 2020
Start date
Sep 1, 2020
Primary completion
Aug 31, 2023 (estimated)
Completion
Nov 1, 2023 (estimated)
Last update
Apr 21, 2021

Study contacts

Emily Akin
Contact
eakin@georgeclinical.com
913-485-9082
Terrilyn Sharpe, MSHS
Contact
tsharpe@rockwellmed.com
248-819-3088
Raymond D Pratt, MD FACP
study director · Rockwell Medical, Inc

Oversight

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

Not currently enrolling

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

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