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Dose Ranging Study of Magnesium Iron Hydroxycarbonate in Haemodialysis Subjects With Hyperphosphataemia (ACT3)

Primary Purpose

Chronic Kidney Failure

Status
Completed
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
Fermagate
Sevelamer HCl
Sponsored by
Ineos Healthcare Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Kidney Failure focused on measuring Hyperphosphataemia, Phosphate binder

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female subjects on active haemodialysis, aged 18 years or over who are able to comply with study procedures
  • Written informed consent given
  • On a stable haemodialysis regimen (three times per week) for at least 3 months and be unlikely to change their dialysis prescription during the study period
  • On a stable dose of phosphate binder for at least 1 month prior to screening
  • Willing to abstain from taking any phosphate binder or oral magnesium-, aluminium- or iron-containing products and preparations, other than the study medication
  • Willing to avoid any intentional changes in diet such as fasting, dieting or overeating
  • On a dialysate magnesium ion concentration of ≤1.0 mmol/L for at least 1 month prior to screening

Exclusion Criteria:

  • Received a cardiac transplant
  • Heart failure according to New York Heart Association (NYHA) Functional IV Classification
  • Participation in any other clinical trial using an investigational product or device within the previous 4 weeks
  • A significant history of alcohol, drug or solvent abuse in the opinion of the investigator
  • Any disease or condition, physical or psychological, which in the opinion of the investigator would compromise the safety of the subject or increase the likelihood of the subject being withdrawn
  • Clinically significant laboratory findings (at screening for this subject population) in the opinion of the investigator
  • Any history of recent clinically significant malignancy
  • A significant illness (excluding renal disease) in the 4 weeks before screening
  • A history of poorly controlled epilepsy
  • Female subjects who are lactating or pregnant. Women of childbearing potential (pre-menopausal and not surgically sterilised) unless they are using a reliable contraceptive method, that is, barrier methods, hormones or intrauterine device
  • Allergy to magnesium iron hydroxycarbonate or sevelamer or any component of the formulations
  • Any condition that affects the reliability of measuring QT interval, for example, an irregular heart rhythm such as atrial fibrillation or frequent ectopic activity

Sites / Locations

  • Department of Renal Medicine, Derby City General Hospital, Uttoxeter Road
  • Queens Dialysis Unit, Rom Valley Way
  • Renal Unit, Queen Elizabeth Hospital, Edgbaston
  • Ash Haemodialysis Unit, Hospital of St Cross, University Hospital of Coventry & Warwickshire NHS Trust, Clifford Bridge Road
  • Haemodyialysis unit, Department of Nephrology, Walsgrave Hospital, University of Coventry & Warwickshire NHS Trust, Clifford Bridge Road
  • Renal Dialysis Unit, Western Infirmary, Dumbarton Road
  • Renal Dialysis Unit, Gartnavel General Hospital
  • Renal Unit, The Royal London Hospital, Whitechapel
  • Whipps Cross Renal Unit, Whipps Cross University Hospital, Whipps Cross Road, Leytonstone
  • Wanstead Renal Unit, 29 Cambridge Park, Wanstead
  • Renal Unit, St Bartholomew's Hospital, West Smithfield
  • Central Manchester & Manchester Childrens Hospital NHS Trust, Renal Dialysis Unit, Manchester Royal Infirmary, Oxford Rd
  • Central Manchester & Manchester Childrens Hospital NHS Trust, Renal Dialysis Unit, Wythenshawe Hospital, Southmoor Rd
  • Haemodialysis Unit, Royal Berkshire Hospital, Royal Berkshire Hospital, Royal Berkshire NHS Foundation Trust, London Rd
  • Renal Services, Hope Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

1

2

Arm Description

Dose titration on active

Dose titration

Outcomes

Primary Outcome Measures

Assessment of intolerance

Secondary Outcome Measures

Assessment of QTc interval
Change from baseline in serum electrolytes
Change from baseline in parathyroid hormone (PTH)
Reduction of serum magnesium removal during dialysis

Full Information

First Posted
February 16, 2007
Last Updated
July 21, 2009
Sponsor
Ineos Healthcare Limited
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1. Study Identification

Unique Protocol Identification Number
NCT00436683
Brief Title
Dose Ranging Study of Magnesium Iron Hydroxycarbonate in Haemodialysis Subjects With Hyperphosphataemia
Acronym
ACT3
Official Title
An Open Label, Dose-Ranging Study to Establish the Tolerability of Magnesium Iron Hydroxycarbonate in Haemodialysis Subjects With Hyperphosphataemia.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2009
Overall Recruitment Status
Completed
Study Start Date
February 2007 (undefined)
Primary Completion Date
January 2008 (Actual)
Study Completion Date
April 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Ineos Healthcare Limited

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Magnesium iron hydroxycarbonate is a phosphate binder that absorbs phosphate from food, reducing the amount that the body can absorb. The purpose of this study is to determine how well a range of different doses of fermagate are tolerated by the subjects in the trial.
Detailed Description
High levels of phosphate in the blood are linked with serious effects, due to calcium imbalances (high levels of parathyroid hormone (PTH), bone disease, formation of calcium deposits in the body, and blood-vessel disease. Current guidelines indicate that blood phosphorus levels should be maintained between 1.13 to 1.78 mmol/L in patients who receive hemodialysis. The purpose of this study is to determine the range of dosages which are tolerated by patients with hyperphosphatemia, undergoing haemodialysis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Kidney Failure
Keywords
Hyperphosphataemia, Phosphate binder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Dose titration on active
Arm Title
2
Arm Type
Active Comparator
Arm Description
Dose titration
Intervention Type
Drug
Intervention Name(s)
Fermagate
Other Intervention Name(s)
Alpharen
Intervention Description
Film coated tablet 500mg
Intervention Type
Drug
Intervention Name(s)
Sevelamer HCl
Other Intervention Name(s)
RenaGel
Intervention Description
tablet 800mg
Primary Outcome Measure Information:
Title
Assessment of intolerance
Time Frame
10 weeks
Secondary Outcome Measure Information:
Title
Assessment of QTc interval
Time Frame
10 weeks
Title
Change from baseline in serum electrolytes
Time Frame
10 weeks
Title
Change from baseline in parathyroid hormone (PTH)
Time Frame
10 weeks
Title
Reduction of serum magnesium removal during dialysis
Time Frame
10 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subjects on active haemodialysis, aged 18 years or over who are able to comply with study procedures Written informed consent given On a stable haemodialysis regimen (three times per week) for at least 3 months and be unlikely to change their dialysis prescription during the study period On a stable dose of phosphate binder for at least 1 month prior to screening Willing to abstain from taking any phosphate binder or oral magnesium-, aluminium- or iron-containing products and preparations, other than the study medication Willing to avoid any intentional changes in diet such as fasting, dieting or overeating On a dialysate magnesium ion concentration of ≤1.0 mmol/L for at least 1 month prior to screening Exclusion Criteria: Received a cardiac transplant Heart failure according to New York Heart Association (NYHA) Functional IV Classification Participation in any other clinical trial using an investigational product or device within the previous 4 weeks A significant history of alcohol, drug or solvent abuse in the opinion of the investigator Any disease or condition, physical or psychological, which in the opinion of the investigator would compromise the safety of the subject or increase the likelihood of the subject being withdrawn Clinically significant laboratory findings (at screening for this subject population) in the opinion of the investigator Any history of recent clinically significant malignancy A significant illness (excluding renal disease) in the 4 weeks before screening A history of poorly controlled epilepsy Female subjects who are lactating or pregnant. Women of childbearing potential (pre-menopausal and not surgically sterilised) unless they are using a reliable contraceptive method, that is, barrier methods, hormones or intrauterine device Allergy to magnesium iron hydroxycarbonate or sevelamer or any component of the formulations Any condition that affects the reliability of measuring QT interval, for example, an irregular heart rhythm such as atrial fibrillation or frequent ectopic activity
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Maarten Taal, MBChB MD FRCP
Organizational Affiliation
Derby City Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Department of Renal Medicine, Derby City General Hospital, Uttoxeter Road
City
Derby
State/Province
Derbyshire
ZIP/Postal Code
DE22 3NE
Country
United Kingdom
Facility Name
Queens Dialysis Unit, Rom Valley Way
City
Romford
State/Province
Essex
ZIP/Postal Code
RM7 0AG
Country
United Kingdom
Facility Name
Renal Unit, Queen Elizabeth Hospital, Edgbaston
City
Birmingham
ZIP/Postal Code
B15 2TH
Country
United Kingdom
Facility Name
Ash Haemodialysis Unit, Hospital of St Cross, University Hospital of Coventry & Warwickshire NHS Trust, Clifford Bridge Road
City
Coventry
ZIP/Postal Code
CV2 2DX
Country
United Kingdom
Facility Name
Haemodyialysis unit, Department of Nephrology, Walsgrave Hospital, University of Coventry & Warwickshire NHS Trust, Clifford Bridge Road
City
Coventry
ZIP/Postal Code
CV2 2DX
Country
United Kingdom
Facility Name
Renal Dialysis Unit, Western Infirmary, Dumbarton Road
City
Glasgow
ZIP/Postal Code
G11 6NT
Country
United Kingdom
Facility Name
Renal Dialysis Unit, Gartnavel General Hospital
City
Glasgow
ZIP/Postal Code
G12 0XP
Country
United Kingdom
Facility Name
Renal Unit, The Royal London Hospital, Whitechapel
City
London
ZIP/Postal Code
E1 1BB
Country
United Kingdom
Facility Name
Whipps Cross Renal Unit, Whipps Cross University Hospital, Whipps Cross Road, Leytonstone
City
London
ZIP/Postal Code
E11 1 NR
Country
United Kingdom
Facility Name
Wanstead Renal Unit, 29 Cambridge Park, Wanstead
City
London
ZIP/Postal Code
E11 2PU
Country
United Kingdom
Facility Name
Renal Unit, St Bartholomew's Hospital, West Smithfield
City
London
ZIP/Postal Code
EC1A 7BE
Country
United Kingdom
Facility Name
Central Manchester & Manchester Childrens Hospital NHS Trust, Renal Dialysis Unit, Manchester Royal Infirmary, Oxford Rd
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom
Facility Name
Central Manchester & Manchester Childrens Hospital NHS Trust, Renal Dialysis Unit, Wythenshawe Hospital, Southmoor Rd
City
Manchester
ZIP/Postal Code
M23 9LT
Country
United Kingdom
Facility Name
Haemodialysis Unit, Royal Berkshire Hospital, Royal Berkshire Hospital, Royal Berkshire NHS Foundation Trust, London Rd
City
Reading
ZIP/Postal Code
RG1 5AN
Country
United Kingdom
Facility Name
Renal Services, Hope Hospital
City
Salford
ZIP/Postal Code
M6 8HD
Country
United Kingdom

12. IPD Sharing Statement

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Dose Ranging Study of Magnesium Iron Hydroxycarbonate in Haemodialysis Subjects With Hyperphosphataemia

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