ClinicalTrials.gg
CompletedNCT05408039TRACKUpdated Jul 15, 2025

Tracking Treatment Pathways in Adult Patients With Hyperkalemia.

An observational study in Hyperkalemia, sponsored by AstraZeneca. Completed at 74 sites in 5 countries. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2025-07-15.

Sponsored by AstraZeneca · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,331
Ages
18 Years to 130 Years
Sex
All
01

Study summary

This study aims to increase the understanding of Hyperkalemia (HK) management, treatment patterns, and the treatment decision-making process for the management of patients with HK over a period of up to 12 months. The generation of real-world evidence (RWE) to understand the treatment management decision rationale and to prospectively describe patient characteristics, treatment management patterns among patients with HK is of importance to improve adherence to guidelines and improve patient care.

The primary objective:

  • Describe HK management decisions, their rationale and treatment expectations.

The secondary objective:

  • Describe baseline characteristics and longitudinal clinical variables in patients with HK.

The exploratory objective:

  • Describe patient awareness and satisfaction with their HK treatment management across the study period.
Read the detailed description

This study is a multinational, observational, prospective, longitudinal, cohort study that will include primary and secondary data collection. Secondary data, collected as per routine clinical practice will be extracted from electronic health records (EHR) and manually entered into the electronic case report form (eCRF). Primary data will be collected directly from patients and Health Care Providers (HCPs). Prospective data collection will be performed for a period of 12 months and will include data collection at baseline, that is, the date of enrollment, and at 3-, 6-, 9-, and 12-months following baseline. The data collection timepoints in this study is irrespective of when the patient's medical visits are scheduled. There are no study specific patient visits mandated by protocol and study may be fully virtual.

02

Conditions studied

  • Hyperkalemia

Keywords

  • Treatment pathways,
  • Hyperkalemia,
  • High level of Serum potassium.
  • Treatment rationale,
  • Treatment objective,
  • Treatment expectations,
  • Heart failure and
  • Chronic kidney disease.
03

In context

Hyperkalemia

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

This study's enrollment of 1,331 is above 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
18 Years to 130 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with established HK (K+ levels >5.0 mmol/L) at selected sites distributed across USA and Europe will be recruited by the principal investigators to participate in the study.

This is a non-interventional study. As such, patients will undergo clinical assessments and receive standard medical care as determined by their treating physicians. Patients will not receive any experimental disease management intervention or experimental treatment because of their participation in the study.

Eligibility criteria

Patients meeting all the following inclusion criteria will be eligible for inclusion into the study:

  1. Age ≥18 years on the date of signing
  2. HK with serum potassium (K+) level(s) greater than 5.0 mmol/L, collected during Standard of Care, within 21 days prior to the date of enrollment*
  3. Provision of signed and dated informed consent

(*enrollment in study is defined as the date of Informed consent and confirmation of study eligibility, whichever occurs later).

Patients will be excluded from the study if they meet any of the following criteria:

  1. Concurrent participation in any trial that includes the use of K+ binders as an medicinal product (IMP)
  2. Patients with pseudohyperkalemia
  3. A of less than six months, based on physician judgement
  4. Acute causes of HK such as infections and/or trauma to be determined by the principal investigator
  5. Scheduled renal transplant
  6. Involvement in the planning and/or conduct of the study
Terms in these criteria, in plain language(3)

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,331 participants (actual)
Patient registry
No
Biospecimen retention
None retained
06

What researchers measure

Primary outcomes

  1. Description of change in HK management decision at 3 month intervals.

    Time frame: Up to 12 months following enrolment.

  2. Description of HK management objective(s) decision at 3 month intervals.

    Time frame: Up to 12 months following enrolment.

  3. Description of expected HK management duration decision at 3 month intervals.

    Time frame: Up to 12 months following enrolment.

Secondary outcomes

  1. Change in time to K+ normalization at 3 month intervals.

    Time frame: Up to 12 months following enrolment.

  2. Description of HK recurrence frequency.

    Time frame: Up to 12 months following enrolment.

  3. Description of average dose of Renin angiotensin aldosterone system inhibitor (RAASi) therapy.

    Time frame: Up to 12 months following enrolment.

  4. Change in time to achieve target dose of Renin angiotensin aldosterone system inhibitor (RAASi) therapy at 3 month intervals.

    Time frame: Up to 12 months following enrolment.

  5. Description of occurrences of HK complications such as arrythmia, muscle weakness, and metabolic acidosis.

    Time frame: Up to 12 months following enrolment.

  6. Description of Healthcare resource utilization (HCRU).

    Time frame: Up to 12 months following enrolment.

Other outcomes

  1. Description of change in awareness and satisfaction to HK management by patient reported outcome (PRO) at 3 month intervals.

    Functional Assessment of Chronic Illness Therapy Treatment Satisfaction-General (FACIT-TS-G) and bespoke questions on dietary recommendations.

    Time frame: Up to 12 months following enrolment.

07

Study locations

74 sites
  • Research Site
    Huntsville, Alabama 35805, United States
  • Research Site
    La Jolla, California 92037, United States
  • Research Site
    Rancho Cucamonga, California 91730, United States
  • Research Site
    New Haven, Connecticut 06511, United States
  • Research Site
    Nampa, Idaho 83687, United States
  • Research Site
    Hinsdale, Illinois 60521, United States
  • Research Site
    Princeton, New Jersey 08540, United States
  • Research Site
    Albany, New York 12208, United States
  • Research Site
    New York, New York 10011, United States
  • Research Site
    Abington, Pennsylvania 19001, United States
  • Research Site
    Doylestown, Pennsylvania 18901, United States
  • Research Site
    Philadelphia, Pennsylvania 19140, United States
  • Research Site
    Pittsburgh, Pennsylvania 15206, United States
  • Research Site
    Providence, Rhode Island 02903, United States
  • Research Site
    Edinburg, Texas 78539, United States
  • Research Site
    Houston, Texas 77089, United States
  • Research Site
    Burlington, Vermont 05401, United States
  • Research Site
    Bad Krozingen, Germany
  • Research Site
    Berlin, Germany
  • Research Site
    Coburg, Germany
  • Research Site
    Dresden, Germany
  • Research Site
    Fulda, Germany
  • Research Site
    Göttingen, Germany
  • Research Site
    Halle, Germany
  • Research Site
    Papenburg, Germany
  • Research Site
    Stuttgart, Germany
  • Research Site
    Bari, Italy
  • Research Site
    Bologna, Italy
  • Research Site
    Brescia, Italy
  • Research Site
    Catanzaro, Italy
  • Research Site
    Florence, Italy
  • Research Site
    Genova, Italy
  • Research Site
    Lecco, Italy
  • Research Site
    Milan, Italy
  • Research Site
    Naples, Italy
  • Research Site
    Padova, Italy
  • Research Site
    Parma, Italy
  • Research Site
    Pisa, Italy
  • Research Site
    Rome, Italy
  • Research Site
    Rozzano, Italy
  • Research Site
    San Giovanni Rotondo, Italy
  • Research Site
    Sassari, Italy
  • Research Site
    Trieste, Italy
  • Research Site
    Badalona, Spain
  • Research Site
    Barcelona, Spain
  • Research Site
    El Ejido, Spain
  • Research Site
    El Palmar, Spain
  • Research Site
    Ferrol, Spain
  • Research Site
    Gij N, Spain
  • Research Site
    Girona, Spain
  • Research Site
    Granada, Spain
  • Research Site
    Ja N, Spain
  • Research Site
    Madrid, Spain
  • Research Site
    Majadahonda, Spain
  • Research Site
    Salamanca, Spain
  • Research Site
    San Sebasti N de Los Reyes, Spain
  • Research Site
    Sant Joan Despí, Spain
  • Research Site
    Zaragoza, Spain
  • Research Site
    Ashford, United Kingdom
  • Research Site
    Barnet, United Kingdom
  • Research Site
    Barnstaple, United Kingdom
  • Research Site
    Birkenhead, United Kingdom
  • Research Site
    Bradford, United Kingdom
  • Research Site
    Bristol, United Kingdom
  • Research Site
    Calow, United Kingdom
  • Research Site
    Dorchester, United Kingdom
  • Research Site
    Headington, United Kingdom
  • Research Site
    High Heaton/Newcastle Upon Tyn, United Kingdom
  • Research Site
    Hull, United Kingdom
  • Research Site
    Kogarah, United Kingdom
  • Research Site
    London, United Kingdom
  • Research Site
    Preston, United Kingdom
  • Research Site
    Salford, United Kingdom
  • Research Site
    Stevenage, United Kingdom
08

References and documents

Publications

  • Hsia J, Shivappa N, Bakhai A, Bover J, Butler J, Ferraro PM, Fried L, Schneider MP, Tangri N, Winkelmayer WC, Bishop M, Chen H, Sundin AK, Bonaca MP. Design and cohort characteristics of TRACK, a prospective study of hyperkalaemia management decision-making. Clin Kidney J. 2024 Sep 30;17(10):sfae295. doi: 10.1093/ckj/sfae295. eCollection 2024 Oct. PubMed 39464260 ↗

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.

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 de-identified 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

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05408039
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Jun 7, 2022
Start date
Jul 14, 2022
Primary completion
Dec 19, 2024
Completion
Dec 19, 2024
Last update
Jul 15, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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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