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A Study of AST-120 for Evaluating Prevention of Progression In Chronic Kidney Disease (EPPIC-1)

Primary Purpose

Chronic Kidney Disease

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Placebo
AST-120
Sponsored by
Mitsubishi Tanabe Pharma Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Kidney Disease focused on measuring Kidney Diseases

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 18 years or older
  • Moderate to severe CKD, not anticipated to require dialysis or renal transplant within the next 6 months
  • Patient survival expected to be no less than one year
  • Serum creatinine in men >= 2.0 mg/dL (>= 177 µmol/L) and <= 5.0 mg/dL (<= 442 µmol/L), and in women >= 1.5 mg/dL (>= 133 µmol/L) and <= 5.0 mg/dL (<= 442 µmol/L) at Screening
  • Urinary total protein to urinary total creatinine ratio must be >= 0.5 on a spot void at Screening
  • Blood pressure <= 160/90 mmHg at both Screening and Baseline. In addition, blood pressure, if measured, must have been stable in hypertensive patients over the 3 months prior to Screening, with no more than 1 blood pressure reading > 160/90 mmHg
  • In patients being treated for hypertension, they should be on a stable anti-hypertensive regimen

Exclusion Criteria:

  • Obstructive or reversible cause of kidney disease
  • Nephrotic syndrome defined as a ratio of urinary total protein to urinary creatinine of > 6.0 as measured on a spot void
  • Adult polycystic kidney disease
  • History of previous kidney transplant
  • History of recent (within the past 6 months) accelerated or malignant hypertension
  • Uncontrolled arrhythmia or severe cardiac disease within the past 6 months
  • History of malabsorption, inflammatory bowel disease, hiatal hernia, active peptic ulcer, or severe GI dysmotility, not attributable to the use of a phosphate binder
  • Received any investigational agent or participated in a clinical study within the previous 3 months
  • Presence of any significant medical condition that might create an undue risk with study participation, or significantly confound the collection of safety and efficacy data in this study

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

AST-120

Arm Description

Outcomes

Primary Outcome Measures

Composite of Dialysis Initiation, Kidney Transplantation, and Serum Creatinine Doubling. Number of Participants Meeting the Criteria Are Reported.
Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events

Secondary Outcome Measures

Number of Participants Who Developed a Component of a Quadruple Composite Endpoint (Initiation of Dialysis, Kidney Transplant, Doubling of sCr, or Death)
Vitamin A Levels
Vitamin B12 Levels
25-Hydroxyvitamin D Levels
Vitamin E Levels
Vitamin K Levels
Serum Folate Levels

Full Information

First Posted
July 11, 2007
Last Updated
May 13, 2022
Sponsor
Mitsubishi Tanabe Pharma Corporation
Collaborators
Kureha Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00500682
Brief Title
A Study of AST-120 for Evaluating Prevention of Progression In Chronic Kidney Disease (EPPIC-1)
Official Title
A Phase III, Randomized, Double-Blind, Placebo-Controlled Study of AST-120 for Prevention of Chronic Kidney Disease Progression in Patients With Moderate to Severe Chronic Kidney Disease
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
July 2007 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
October 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mitsubishi Tanabe Pharma Corporation
Collaborators
Kureha Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
1) To evaluate the effectiveness of AST-120 (spherical carbon adsorbent) added to standard-of-care therapy in moderate to severe Chronic Kidney Disease (CKD), on time to first occurrence of any event of the triple composite outcome of initiation of dialysis, kidney transplant or doubling of serum creatinine (sCr) when compared with placebo; 2) To evaluate the safety and tolerability of long-term AST-120 therapy in patients with CKD; 3) To evaluate the effects of AST-120 versus placebo, on other measures of renal function.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Kidney Disease
Keywords
Kidney Diseases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
1020 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
AST-120
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
9g /day (3 times a day)
Intervention Type
Drug
Intervention Name(s)
AST-120
Intervention Description
9g /day (3 times a day)
Primary Outcome Measure Information:
Title
Composite of Dialysis Initiation, Kidney Transplantation, and Serum Creatinine Doubling. Number of Participants Meeting the Criteria Are Reported.
Time Frame
Beyond Week 48, a 12-week visit cycle continued until the end of the study or until individual patients reached an endpoint
Title
Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events
Time Frame
Approximately 42 months
Secondary Outcome Measure Information:
Title
Number of Participants Who Developed a Component of a Quadruple Composite Endpoint (Initiation of Dialysis, Kidney Transplant, Doubling of sCr, or Death)
Time Frame
Approximately 42 months
Title
Vitamin A Levels
Time Frame
Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, Early Term/Discontinuation (Mean: 428.615 Days), Final Visit (Mean: 947.354 Days)
Title
Vitamin B12 Levels
Time Frame
Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, Early Term/Discontinuation (Mean: 428.114 Days), Final Visit (Mean: 947.239 Days)
Title
25-Hydroxyvitamin D Levels
Time Frame
Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, Early Term/Discontinuation (Mean: 427.270 Days), Final Visit (Mean: 946.762 Days)
Title
Vitamin E Levels
Time Frame
Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, 192, Early Term/Discontinuation (Mean: 428.056 Days), Final Visit (Mean: 946.525 Days)
Title
Vitamin K Levels
Time Frame
Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 441.826 Days), Final Visit (Mean: 946.463 Days)
Title
Serum Folate Levels
Time Frame
Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 423.024 Days), Final Visit (Mean: 946.074 Days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18 years or older Moderate to severe CKD, not anticipated to require dialysis or renal transplant within the next 6 months Patient survival expected to be no less than one year Serum creatinine in men >= 2.0 mg/dL (>= 177 µmol/L) and <= 5.0 mg/dL (<= 442 µmol/L), and in women >= 1.5 mg/dL (>= 133 µmol/L) and <= 5.0 mg/dL (<= 442 µmol/L) at Screening Urinary total protein to urinary total creatinine ratio must be >= 0.5 on a spot void at Screening Blood pressure <= 160/90 mmHg at both Screening and Baseline. In addition, blood pressure, if measured, must have been stable in hypertensive patients over the 3 months prior to Screening, with no more than 1 blood pressure reading > 160/90 mmHg In patients being treated for hypertension, they should be on a stable anti-hypertensive regimen Exclusion Criteria: Obstructive or reversible cause of kidney disease Nephrotic syndrome defined as a ratio of urinary total protein to urinary creatinine of > 6.0 as measured on a spot void Adult polycystic kidney disease History of previous kidney transplant History of recent (within the past 6 months) accelerated or malignant hypertension Uncontrolled arrhythmia or severe cardiac disease within the past 6 months History of malabsorption, inflammatory bowel disease, hiatal hernia, active peptic ulcer, or severe GI dysmotility, not attributable to the use of a phosphate binder Received any investigational agent or participated in a clinical study within the previous 3 months Presence of any significant medical condition that might create an undue risk with study participation, or significantly confound the collection of safety and efficacy data in this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Professor
Organizational Affiliation
Information at Mitsubishi Tanabe Pharma Development America, Inc.
Official's Role
Principal Investigator
Facility Information:
City
Phoenix
State/Province
Arizona
Country
United States
City
Little Rock
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Arkansas
Country
United States
City
Alhambra
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California
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United States
City
Covina
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California
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United States
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Glendale
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California
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United States
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Los Angeles
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California
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United States
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Stamford
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Connecticut
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United States
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Washington
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District of Columbia
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United States
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Hudson
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Florida
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United States
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Miami
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Florida
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United States
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Ocala
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Florida
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Orlando
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United States
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Pembroke Pines
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United States
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Spring Hill
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Tampa
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Winter Park
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Florida
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Kansas City
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Kansas
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New Orleans
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Louisiana
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United States
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Shreveport
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Louisiana
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Ypsilanti
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Michigan
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United States
City
Kansas City
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Missouri
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Saint Louis
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Missouri
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Camden
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New Jersey
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United States
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Eatontown
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New Jersey
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Port Washington
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New York
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United States
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Springfield Gardens
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New York
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Asheville
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North Carolina
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United States
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Cincinnati
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Ohio
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United States
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Dayton
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Ohio
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United States
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Toledo
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Ohio
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United States
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Portland
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Oregon
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Philadelphia
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Pittsburgh
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Rock Hill
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South Carolina
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United States
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Nashville
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Tennessee
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Arlington
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United States
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Dallas
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United States
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Houston
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Texas
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San Antonio
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United States
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Appleton
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Wisconsin
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United States
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Oshkosh
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Wisconsin
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United States
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Buenos Aires
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Argentina
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Cordoba
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Argentina
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San Luis
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Argentina
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San Pedro
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Argentina
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Tucuman
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Argentina
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Barao Geraldo-Campinas
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Brazil
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Belo Horizonte Minas Gerais
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Brazil
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Juiz de Fora
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Brazil
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Porto Alegre
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Brazil
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Rio de Janeiro
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Brazil
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São Paulo
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Brazil
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Taubaté
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Brazil
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Winnipeg
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Manitoba
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Canada
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Brampton
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Ontario
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Canada
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Kitzhener
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Ontario
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Canada
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Oakville
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Ontario
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Canada
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Scarborough
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Ontario
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Canada
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Toronto
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Ontario
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Canada
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Montreal
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Quebec
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Canada
City
Ceske Budejovice
Country
Czechia
City
Jihlava
Country
Czechia
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Ostrava - Poruba
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Czechia
City
Praha
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Czechia
City
Tabor
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Czechia
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Grenoble
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France
City
Lyon
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France
City
Nantes
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France
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Saint-Lo
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France
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Bologna
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Italy
City
Brescia
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Italy
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Como
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Italy
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Pavia
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Italy
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Aguascalientes
Country
Mexico
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Mexico City
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Mexico
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Tijuana
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Mexico
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Gdansk
Country
Poland
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Szczecin
Country
Poland
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Torun
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Poland
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Warszawa
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Poland
City
Caguas
Country
Puerto Rico
City
Bamaul
Country
Russian Federation
City
Ekaterinburg
Country
Russian Federation
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Kazan
Country
Russian Federation
City
Krasnodar
Country
Russian Federation
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Moscow
Country
Russian Federation
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Nizhniy Novgorod
Country
Russian Federation
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Novosibirsk
Country
Russian Federation
City
Pyatigorsk
Country
Russian Federation
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Ryazan
Country
Russian Federation
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Saratov
Country
Russian Federation
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Smolensk
Country
Russian Federation
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Sochi
Country
Russian Federation
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St. Petersburg
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Russian Federation
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Stavropol
Country
Russian Federation
City
Chernovtsy
Country
Ukraine
City
Dnipropetrovsk
Country
Ukraine
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Donetsk
Country
Ukraine
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Ivano-Frankivsk
Country
Ukraine
City
Kharkov
Country
Ukraine
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Kiev
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Ukraine
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Odessa
Country
Ukraine
City
Uzhgorod
Country
Ukraine
City
Vinnitsa
Country
Ukraine
City
Zhytomir
Country
Ukraine

12. IPD Sharing Statement

Citations:
PubMed Identifier
25349205
Citation
Schulman G, Berl T, Beck GJ, Remuzzi G, Ritz E, Arita K, Kato A, Shimizu M. Randomized Placebo-Controlled EPPIC Trials of AST-120 in CKD. J Am Soc Nephrol. 2015 Jul;26(7):1732-46. doi: 10.1681/ASN.2014010042. Epub 2014 Oct 27.
Results Reference
result
PubMed Identifier
28741050
Citation
Schulman G, Berl T, Beck GJ, Remuzzi G, Ritz E, Shimizu M, Kikuchi M, Shobu Y. Risk factors for progression of chronic kidney disease in the EPPIC trials and the effect of AST-120. Clin Exp Nephrol. 2018 Apr;22(2):299-308. doi: 10.1007/s10157-017-1447-0. Epub 2017 Jul 24.
Results Reference
derived
PubMed Identifier
27716149
Citation
Schulman G, Berl T, Beck GJ, Remuzzi G, Ritz E, Shimizu M, Shobu Y, Kikuchi M. The effects of AST-120 on chronic kidney disease progression in the United States of America: a post hoc subgroup analysis of randomized controlled trials. BMC Nephrol. 2016 Sep 30;17(1):141. doi: 10.1186/s12882-016-0357-9.
Results Reference
derived

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A Study of AST-120 for Evaluating Prevention of Progression In Chronic Kidney Disease (EPPIC-1)

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