ClinicalTrials.gg
Not yet recruitingNCT07901933Updated Oct 28, 2026

Study of CTX001 in Adults With Anemia Due to Non-Dialysis-Dependent Chronic Kidney Disease

A Phase 1 interventional study of Placebo and CTX001 in Chronic Kidney Disease and Anemia, sponsored by Cajal Therapeutics Inc.. Not yet recruiting at 4 sites in Australia. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Cajal Therapeutics Inc. · Phase 1, Interventional, and Treatment

Updated Oct 28, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a Phase 1b, randomized, double-blinded, placebo-controlled study of CTX001 in participants with anemia and chronic kidney disease who are not on dialysis.

Read the detailed description

This is a Phase 1b, randomized, double-blinded, placebo-controlled study of CTX001 in participants with anemia and chronic kidney disease who are not on dialysis. The primary objective is to assess the preliminary safety and tolerability of CTX001 administered with iron in this patient population. Secondary objectives include assessment of concentrations of CTX001 in the blood at different dose levels, and the impact of administration of CTX001 with iron on blood iron levels and other hematologic parameters.

Up to 2 different doses of CTX001 are planned to be tested in cohorts of 12 participants each, for a total planned enrollment of up to 24 participants. An additional group of up to 12 participants may be enrolled to evaluate an additional dose level. Eligible participants will be randomly assigned in a 3:1 ratio to receive CTX001 or placebo, together with an oral iron supplement, for 29 days.

02

Conditions studied

  • Chronic Kidney Disease
  • Anemia

Keywords

  • Anemia
  • NDD CKD
  • CKD
  • Non-dialysis dependent chronic kidney disease
03

In context

Renal Insufficiency, Chronic

3,090 studies on the registry are indexed under Renal Insufficiency, Chronic; 698 are open to participants now.

This study's planned enrollment of 24 is below the median of 73 across 2,157 interventional studies indexed under Renal Insufficiency, Chronic.

Browse Renal Insufficiency, Chronic studies →

Lead sponsor

Cajal Therapeutics Inc. is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 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

  • Between 18 and 75 years of age
  • (BMI) between 18 and 35 kg/m2
  • Estimated ≥15 and \<60 mL/min/1.73 m2
  • CKD for at least 3 months
  • Not currently receiving dialysis and not expected to start dialysis within 3 months of screening.
  • ≥9.0 g/dL and ≤11.5 g/dL
  • Transferrin saturation (TSAT) ≤20%
  • Not folate or vitamin B12 deficient
  • and AST ≤1.5 x and TBL ≤1.5 x ULN

Exclusion criteria

Exclusion Criteria:

  • Anemia due to a cause other than CKD, presence of active bleeding, or recent significant blood loss
  • Any hemoglobinopathy, bone marrow pathology or hematological , including, but not limited to sickle cell disease, thalassemia, myelodysplastic syndrome, bone marrow fibrosis, red cell aplasia
  • Known history of hemochromatosis or other iron-overload disorder, or ferritin >700 ng/mL
  • RBC transfusion, intravenous iron, or ESA use within 12 weeks prior to screening
  • Receiving an SGLT2 inhibitor on a dose that has not been stable for at least 12 weeks prior to screening.
  • Pregnant or breastfeeding.
  • Is unable or unwilling to comply with protocol-specified sun protection and requirements.
  • Has any disorder that would interfere with the absorption, distribution, metabolism, or excretion of drugs.
  • Has a concurrent disease or condition or physical, psychological, mental, and/or social reason that, in the opinion of the Investigator, would make the participant unsuitable for participation in the clinical 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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
24 participants (estimated)

Study arms

  • Experimental
    CTX001 plus oral iron

    Participants receive CTX001 at the assigned cohort dose together with oral iron once daily for 29 days.

    Drug: CTX001 · Drug: Ferrous Sulfate

  • Placebo comparator
    Placebo plus oral iron

    Participants receive matching placebo together with oral iron once daily for 29 days.

    Drug: Placebo · Drug: Ferrous Sulfate

Interventions

  • DrugPlacebo

    Matching placebo administered orally once daily for 29 days.

  • DrugCTX001

    CTX001 administered orally at the assigned cohort dose once daily for 29 days.

  • Ferrous sulfate administered orally once daily for 29 days in both treatment arms.

06

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events (TEAEs)

    Number and percentage of participants with at least one (TEAE). An adverse event (AE) is any untoward medical occurrence in a participant, whether or not considered related to the study intervention. An AE is considered a treatment-emergent AE (TEAE) if the AE begins or worsens after the first dose of study intervention and on or before the last study visit.

    Time frame: From first administration of study intervention through the end of study participation, around Day 36.

  2. Incidence of Serious TEAEs

    Number and percentage of participants with at least one serious treatment-emergent adverse event (TEAE). A serious AE (SAE) is defined as any AE that, at any dose, meets one or more of the following criteria: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; results in a congenital anomaly or birth defect; or any important medical event that may jeopardize the participant or may require medical intervention to prevent one of the outcomes listed above.

    Time frame: From first administration of study intervention through the end of study participation, around Day 36.

  3. Incidence of Clinically Significant Changes in Physical Examination

    The investigator assesses the clinical significance of changes in physical examination findings.

    Time frame: From first administration of study intervention through the end of study participation, around Day 36.

  4. Incidence of Clinically Significant Changes in Safety Laboratory Values

    Safety laboratory evaluations include blood counts, serum chemistries, coagulation studies and urinalyses. Determination of clinical significance is based on investigator discretion.

    Time frame: From first administration of study intervention through the end of study participation, around Day 36.

  5. Incidence of Clinically Significant Changes in Vital Signs

    Vital signs include heart rate, respiratory rate, blood pressure, and temperature. Determination of clinical significance is based on investigator discretion.

    Time frame: From first administration of study intervention through the end of study participation, around Day 36

  6. Incidence of Clinically Significant Changes in Electrocardiograms

    Electrocardiograms are tests that measure the electrical activity of the heart. Determination of clinical significance is based on investigator discretion.

    Time frame: From first administration of study intervention through the end of study participation, around Day 36

Secondary outcomes

  1. Maximum Change From Baseline in Hemoglobin

    Maximum observed change from baseline in hemoglobin concentration.

    Time frame: From first administration of study intervention through the end of study participation, around Day 36

  2. Maximum Change From Baseline in Hematocrit

    Maximum observed change from baseline in hematocrit.

    Time frame: From first administration of study intervention through the end of study participation, around Day 36

  3. Maximum Change from Baseline in Serum Iron

    Time frame: Baseline through the end of the treatment period, around Day 29

  4. Maximum Change from Baseline in Ferritin

    Time frame: Baseline through the end of the treatment period, around Day 29

  5. Maximum Change from Baseline in Transferrin Saturation

    Time frame: Baseline through the end of the treatment period, around Day 29

  6. Maximum Change from Baseline in Transferrin

    Time frame: Baseline through the end of the treatment period, around Day 29.

  7. Maximum Change from Baseline in Reticulocyte Count

    Time frame: From first administration of study intervention through the end of study participation, around Day 36.

  8. Maximum Change from Baseline in Red Blood Cell (RBC) Count

    Time frame: From first administration of study intervention through the end of study participation, around Day 36

  9. Maximum Change from Baseline in Mean Corpuscular Hemoglobin

    Time frame: From first administration of study intervention through the end of study participation, around Day 36

  10. Maximum Change From Baseline in Reticulocyte Hemoglobin Content

    Time frame: From first administration of study intervention through the end of study participation, around Day 36

  11. Plasma Concentrations of CTX001

    Plasma concentrations of CTX001 by dose level over time.

    Time frame: Pre-dose through the end of the pharmacokinetic sampling period. Days 1, 15, and 29; pre-dose and 30 minutes, 1 hour, 2 hours, 4 hours, and 6 hours post-dose.

  12. Maximum Observed Plasma Concentration of CTX001 (Cmax)

    The highest observed plasma concentration of CTX001 following dosing.

    Time frame: Pre-dose through the end of the pharmacokinetic sampling period. Days 1, 15, and 29; pre-dose and 30 minutes, 1 hour, 2 hours, 4 hours, and 6 hours post-dose.

  13. Time to Maximum Observed Plasma Concentration of CTX001 (Tmax)

    Time from dosing to the maximum observed plasma concentration of CTX001.

    Time frame: Pre-dose through the end of the pharmacokinetic sampling period. Days 1, 15, and 29; pre-dose and 30 minutes, 1 hour, 2 hours, 4 hours, and 6 hours post-dose.

  14. Area Under the Plasma Concentration-Time Curve of CTX001 From Time 0 to the Last Quantifiable Concentration (AUC0-t)

    Area under the CTX001 plasma concentration-time curve from dosing to the time of the last quantifiable concentration.

    Time frame: Pre-dose through the end of the pharmacokinetic sampling period. Days 1, 15, and 29; pre-dose and 30 minutes, 1 hour, 2 hours, 4 hours, and 6 hours post-dose.

  15. Area Under the Plasma Concentration-Time Curve of CTX001 Extrapolated to Infinity (AUC∞)

    Area under the CTX001 plasma concentration-time curve from dosing extrapolated to infinity, where reliably estimable.

    Time frame: Pre-dose through the end of the pharmacokinetic sampling period. Days 1, 15, and 29; pre-dose and 30 minutes, 1 hour, 2 hours, 4 hours, and 6 hours post-dose.

  16. Apparent Oral Clearance of CTX001 (CL/F)

    Apparent oral clearance of CTX001, estimated from the administered dose and plasma concentration-time data, where reliably estimable.

    Time frame: Pre-dose through the end of the pharmacokinetic sampling period. Days 1, 15, and 29; pre-dose and 30 minutes, 1 hour, 2 hours, 4 hours, and 6 hours post-dose.

  17. Terminal Elimination Half-Life of CTX001 (t½)

    Time required for the plasma concentration of CTX001 to decrease by half during the terminal elimination phase, where reliably estimable.

    Time frame: Pre-dose through the end of the pharmacokinetic sampling period. Days 1, 15, and 29; pre-dose and 30 minutes, 1 hour, 2 hours, 4 hours, and 6 hours post-dose.

07

Study locations

4 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Oct 2027, 11 months later.

Of 77 industry-sponsored phase 1 interventional studies under Renal Insufficiency, Chronic, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 16. This study's planned 11 months is above that.

Counting every sponsor, half of 109 studies reached it within 12 months; a quarter within 5 and three quarters within 27.

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

Registered
Oct 22, 2026
First posted
Oct 28, 2026
StartEst.
Nov 2026
Primary completionEst.
Oct 2027
CompletionEst.
Nov 2027
Last update
Oct 28, 2026
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.
Registered
First appeared on the registry. No changes since
Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07901933
Lead sponsor
Cajal Therapeutics Inc.
Responsible party
Sponsor
First posted
Oct 28, 2026
Start date
Nov 2026 (estimated)
Primary completion
Oct 2027 (estimated)
Completion
Nov 2027 (estimated)
Last update
Oct 28, 2026

Study contacts

A/Prof. Brendon Neuen
Contact
brendon.neuen@health.nsw.gov.au
+61 2 9462 9655
Rebecca Stevenson
Contact
Rebecca.Stevenson@health.nsw.gov.au
+61 2 9462 9655

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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