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CompletedNCT05297409HK registryUpdated Aug 8, 2025

An Observational Prospective Cohort Study for Long-term Management of Hyperkalemia in Patients With Chronic Kidney Disease or Heart Failure

An observational study in Hyperkalemia, sponsored by AstraZeneca. Completed at 32 sites in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2025-08-08.

Sponsored by AstraZeneca · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
352
Ages
20 Years and older
Sex
All
01

Study summary

This prospective observational research will be conducted to assess the burden of hyperkalemia including treatment and disease burden of patients in a long-term continuous care from various aspects including adherence to the medication for hyperkalemia and HR-QoLs.

02

Conditions studied

  • Hyperkalemia

Browse trials for

03

In context

Hyperkalemia

133 studies on the registry are indexed under Hyperkalemia; 25 are open to participants now.

This study's enrollment of 352 is below the median of 459 across 30 observational studies indexed under Hyperkalemia.

Browse Hyperkalemia studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,499 studies on the registry; 270 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) 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
Sampling method
Non-probability sample

Study population

Adult out-patients with CKD stage 3b, stage 4, or stage 5, or with HF (NYHA class II-IV) who are being treated with potassium binders for hyperkalemia at the time of enrolment, and who started receiving potassium binders within 6 months before enrolment

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

  • Patients with hyperkalemia who meet the following criteria:

    1) Being treated with potassium binders for hyperkalemia at the time of enrolment, and having started receiving potassium binders within 6 months before enrolment

  • Having been diagnosed as CKD (≥stage 3b) or HF diagnosed by investigators, and as defined below:

    1) CKD is diagnosed based on the CKD guidelines issued by the Japanese Society of Nephrologyxxix as being either or both of condition 1 and 2 for ≥3 months

    1-i) Clear signs of kidney impairment based on the results of urinalysis, imaging, blood test, or . Presence of proteinuria, especially more than 0.15 g/gCr (albuminuria more than 30 mg/gCr).

    1-ii) \<45 mL/min/1.73m2

    2) Patients with HFwill be enrolled if patients meet following criteria: 2-i) class II-IV, within 6 months 2-ii) Patients with a diagnosis or history of heart failure, hospitalization, and laboratory records of any of the following; NT-proBNP≥400 pg/ml or BNP≥100 pg/ml, or pathological findings such as abnormal cardiac function by UCG/CT/MRI/catheterization/nuclear medicine examination

  • Provision of signed, written, and detailed

Exclusion criteria

Exclusion Criteria:

  • Currently on any chronic RRT (including hemodialysis or peritoneal dialysis >30 days, or kidney transplant) within 6 months before enrolment
  • Patients with acute kidney injury (AKI)* within 6 months before enrolment
  • Patients with acute heart failure within 3 months before enrolment
  • Patients who received blood transfusion within 6 months before enrolment
  • Patients with active or whose is less than 6 months
  • GI disturbance, chronic diarrhoea, or GI stoma if, as judged by the investigators, that condition or its treatment has an important impact on S-K values
  • disease if, as judged by the investigators, that condition or its treatment has an important impact on S-K values
  • Patients who are suspected, on the basis of laboratory data, to have pseudohyperkalemia (abnormality in the sample, a history of severe leukocytopenia or thrombocytopenia)
  • Patients with recent traumatic injury
  • Patients who are pregnant, lactating, or planning to become pregnant
  • Current participation in a clinical trials, i.e. an interventional studies
  • Presence of a condition that, in the opinion of the investigator, i) would places the subject at undue risk, or ii) would potentially jeopardizes the quality of the data to be generated, or iii) would prevent the patient from performing protocol-defined tasks for physical or mental reasons, or iv) would prevent the patient from understanding the contents of the self-administered questionnaire and responding to its questions on his/her own, or v) would, for some other reason, make the patient inappropriate for this study.
Terms in these criteria, in plain language(7)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
352 participants (actual)
Patient registry
No

Groups and cohorts

  • Hyperkalemia patient with Chronic kidney disease
  • hyperkalemia patient with heart failure
06

What researchers measure

Primary outcomes

  1. Patient characteristics including socio-demographic variables, severity of disease and comorbidities

    Time frame: 6 month

  2. Health-Related Quality of Life

    Time frame: 6 month

  3. Serum Potassium

    Time frame: 6 month

Secondary outcomes

  1. Nutritional status

    Time frame: 6 month

  2. Status of metabolic acidosis

    Time frame: 6 month

  3. Use of healthcare resource

    Time frame: 6 month

Other outcomes

  1. Onset or worsening of HF, any rapid decline in kidney function, GI symptoms and peripheral edema

    Time frame: 6 month

07

Study locations

32 sites
  • Research Site
    Kasugai, Aichi-ken 486-8510, Japan
  • Research Site
    Nagaoka, Aichi-ken 457-8511, Japan
  • Research Site
    Nagaoka, Aichi-ken 460-0001, Japan
  • Research Site
    Matsudo, Chiba 271-0077, Japan
  • Research Site
    Chikushino-shi, Fukuoka 818-0058, Japan
  • Research Site
    Iizuka-shi, Fukuoka 820-8505, Japan
  • Research Site
    Kitakyushu-shi, Fukuoka 802-8555, Japan
  • Research Site
    Takasaki, Gunma 370-0001, Japan
  • Research Site
    Takasaki, Gunma 370-8537, Japan
  • Research Site
    Fukuyama, Hiroshima 729-0104, Japan
  • Research Site
    Hirosima-shi,Naka-ku, Hiroshima 730-8518, Japan
  • Research Site
    Hakusan, Ishikawa-ken 924-8588, Japan
  • Research Site
    Kanazawa, Ishikawa-ken 920-8650, Japan
  • Research Site
    Kawasaki-shi,Kawasaki-ku, Kanagawa 210-0852, Japan
  • Research Site
    Kawasaki-shi,Miyamae-ku, Kanagawa 216-8511, Japan
  • Research Site
    Kuwana, Mie-ken 511-0061, Japan
  • Research Site
    Sendai, Miyagi 982-8502, Japan
  • Research Site
    Azumino, Nagano 399-8292, Japan
  • Research Site
    Ueda, Nagano 386-8610, Japan
  • Research Site
    Nagaoka, Niigata 940-8653, Japan
  • Research Site
    Osaka-shi,Kita-ku, Osaka 530-0012, Japan
  • Research Site
    Sakai, Osaka 593-8304, Japan
  • Research Site
    Bunkyo, Tokyo 113-8431, Japan
  • Research Site
    Bunkyo, Tokyo 113-8519, Japan
  • Research Site
    tabashi City, Tokyo 173-0032, Japan
  • Research Site
    tabashi City, Tokyo 173-8610, Japan
  • Research Site
    Kagoshima, 890-0075, Japan
  • Research Site
    Kochi, 781-0082, Japan
  • Research Site
    Shizuoka, 410-2295, Japan
  • Research Site
    Tochigi, 321-0293, Japan
  • Research Site
    Toyama, 939-8511, Japan
  • Research Site
    Yamagata, 990-8533, Japan
08

References and documents

Publications

  • Shibagaki Y, Yamazaki H, Wakita T, Ware JE, Wang J, Onishi Y, Yajima T, Sada KE, Yamamoto Y, Fukuhara S. Impact of treatment of hyperkalaemia on quality of life: design of a prospective observational cohort study of long-term management of hyperkalaemia in patients with chronic kidney disease or chronic heart failure in Japan. BMJ Open. 2023 Dec 14;13(12):e074090. doi: 10.1136/bmjopen-2023-074090. PubMed 38101840 ↗

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Data sharing details ↗ · astrazenecagroup-dt.pharmacm.com

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 May 2022 to primary completion in Aug 2024, 27 months.

Of 20 observational studies under Hyperkalemia, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 27. This study's 27 months is above that.

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

Registered
Mar 17, 2022
First posted
Mar 28, 2022
StartActual
May 21, 2022
Primary completionActual
Aug 28, 2024
CompletionActual
Aug 28, 2024
Last update
Aug 8, 2025
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 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05297409
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Mar 28, 2022
Start date
May 21, 2022
Primary completion
Aug 28, 2024
Completion
Aug 28, 2024
Last update
Aug 8, 2025
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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