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CompletedNCT04771780Updated Aug 2, 2023

Phosphate Binder Switch Study of KHK7791 in Hyperphosphatemia Patients on Hemodialysis

A Phase 3 interventional study of KHK7791 in Hyperphosphatemia, sponsored by Kyowa Kirin Co., Ltd.. Completed at 1 site in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2023-08-02.

Sponsored by Kyowa Kirin Co., Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
213
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Study summary

To investigate the safety of repeated administration of KHK7791 for 52 weeks while switching from a phosphate-binding agent to KHK7791 in Hemodialysis patients with hyperphosphatemia.

02

Conditions studied

  • Hyperphosphatemia

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Keywords

  • Tenapanor
  • Hyperphosphatemia
  • Hemodialysis
03

In context

Hyperphosphatemia

173 studies on the registry are indexed under Hyperphosphatemia; 16 are open to participants now.

This study's enrollment of 213 is above the median of 101 across 143 interventional studies indexed under Hyperphosphatemia.

Browse Hyperphosphatemia studies →

Lead sponsor

Kyowa Kirin Co., Ltd. is the lead sponsor of 159 studies on the registry; 8 are open to participants now.

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

  1. Has voluntarily provided written to participate in the study.
  2. Aged ≥ 20 years (expressed in completed years) at the time of providing informed consent.
  3. Stable chronic renal failure patients who have undergone hemodialysis 3 times per week for at least 12 weeks until screening examination.
  4. Dialysis conditions excluding dry weight, should have been unchanged during the last 2 weeks before screening examination.
  5. The prescribed drug and dosage regimen should have been unchanged during the last 4 weeks before screening examination.
  6. Serum phosphorus levels should be in the range of ≥ 3.5 and ≤ 7.0 mg/dL at screening examination.
  7. If on any vitamin D, calcimimetics regimen, bisphosphonate,calcitonin preparations, selective estrogen receptor modulators or teriparatide preparations then the prescribed drug and dosage regimen should have been unchanged for the last 4 weeks before screening examination.
  8. Kt/V urea ≥ 1.2 at the most recent test in routine medical practice before screening examination.

Exclusion criteria

Exclusion Criteria:

  1. Peritoneal dialysis was performed within 12 weeks before screening examination.
  2. iPTH > 600 pg/mL (should be based on the most recent value from patient's medical records before pre-enrollment)
  3. History of inflammatory bowel disease (IBD) or diarrhea predominant irritable bowel syndrome
  4. History of gastrectomy or enterectomy (excluding endoscopic resection and cecectomy) or having undergone gastrointestinal tract surgery within 3 months before screening examination.
  5. Subjects who used anti RANKL preparations within 6 weeks before screening examination.
  6. Subjects who used anti-sclerostin antibody preparations within 12 weeks before screening examination.
  7. Severe heart disease, hepatic impairment, or concurrent cirrhosis.
  8. Developed cerebrovascular disease or cardiovascular disease requiring hospitalization within 6 months before screening examination.
  9. Uncontrollable hypertension or diabetes
  10. Subjects experienced more than 3 times diarrhea or loose stool in a day at least six BSFS score more than two days in a week.
  11. Scheduled for living donor kidney transplant, change in the mode of dialysis, home hemodialysis or plans to change the dialysis center (relocate to another hospital/clinic) during the study period.
  12. Any diagnosis of or treatment of within 5 years before screening examination.
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

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

Study arms

  • Experimental
    KHK7791

    During the dosing period, subjects administer KHK7791 twice daily just before meals.Subjects will be underwent tests at scheduled visits at least weekly until Week 12, at least once every 2 weeks after completion of Week 12 test. KHK7791 and phosphate binders are adjusted with the goal of controlling serum phosphorus concentration within a certain range based on the dose adjustment criteria described in the study protocol.It should be considered that phosphorus adsorbent should be switched to KHK7791 whenever feasible.

    Drug: KHK7791

Interventions

06

What researchers measure

Primary outcomes

  1. Incidence rates of all adverse events and adverse drug reactions that occurred or worsened after the initiation of KHK7791 treatment for 52 weeks.

    To investigate the safety of repeated administration of KHK7791 for 52 weeks while switching from a phosphate-binding agent to KHK7791 in Hemodialysis patients with hyperphosphatemia.

    Time frame: Dose period Week 1~52

Secondary outcomes

  1. Achievement of at least 30% change of the total number of daily prescription tablets of phosphorus binders and KHK7791 from baseline in the last 3 weeks of the final assessment.

    To investigate the efficacy of repeated administration of KHK7791 for 52 weeks while switching from a phosphate-binding agent to KHK7791 in hyperphosphatemic subjects undergoing hemodialysis. Important secondary endpoint

    Time frame: Week 1~52

  2. Total daily prescription of phosphate binders and KHK7791 tablets, such as tablet counts, at each time point after the start of treatment.

    Time frame: Week 1~52

  3. Achievement of at least 30% change of the total number of daily prescription tablets of phosphorus binders and KHK7791 from baseline, at each time point after the start of treatment.

    Time frame: Week 1~52

  4. The change of total daily prescription of phosphate binders and KHK7791 tablets, such as tablet counts, at each time point after the start of treatment.

    Time frame: Week 1~52

  5. The rate of change of total daily prescription of phosphate binders and KHK7791 tablets, such as tablet counts, at each time point after the start of treatment.

    Time frame: Week 1~52

  6. Concentration of serum phosphorous levels values at each time point.

    Time frame: Week 1~52

  7. Change of serum phosphorous levels from baseline values at each time point.

    Time frame: Week 1~52

  8. Achievement/failure of the target serum phosphorus level (serum phosphorus level: ≤ 6.0).

    Time frame: Week 1~52

  9. Time when the target serum phosphorus level (serum phosphorus level: ≤ 6.0) was achieved.

    Time frame: Week 1~52

  10. Achievement/failure of the target serum phosphorus level (serum phosphorus level: ≤ 5.5).

    Time frame: Week 1~52

  11. Time when the target serum phosphorus level (serum phosphorus level: ≤ 5.5) was achieved.

    Time frame: Week 1~52

  12. Concentrations of such as Ca × P product levels at each time point.

    Time frame: Week 1~52

  13. Changes of such as Ca × P product levels from baseline values at each time point.

    Time frame: Week 1~52

07

Study locations

1 site
  • Medical Corporation Seijinkai Ikeda Hospital
    Kanoya, Kagoshima, Japan
08

References and documents

Individual participant data

Plan to share: Yes — The datasets generated and/or analyzed during the study sponsored by Kyowa Kirin will be available in the Vivli repository, https://vivli.org/ourmember/kyowa-kirin/ as long as conditions of data disclosure specified in the policy section of the Vivli website are satisfied.

No publications or documents are linked to this record.

09

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 Mar 2021 to primary completion in Jun 2022, 15 months.

Of 21 phase 3 interventional studies under Hyperphosphatemia, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 22. This study's 15 months is close to that.

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

Registered
Feb 16, 2021
First posted
Feb 25, 2021
StartActual
Mar 15, 2021
Primary completionActual
Jun 27, 2022
CompletionActual
Jun 27, 2022
Last update
Aug 2, 2023
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 Aug 2, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04771780
Responsible party
Sponsor
First posted
Feb 25, 2021
Start date
Mar 15, 2021
Primary completion
Jun 27, 2022
Completion
Jun 27, 2022
Last update
Aug 2, 2023

Oversight

Data monitoring committee
No
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 Jul 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Tenapanor

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