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Efficacy and Safety Study of Magnesium Iron Hydroxycarbonate for the Reduction of High Blood Phosphate in Hemodialysis Patients

Primary Purpose

Chronic Kidney Failure

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Fermagate
Placebo
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 Hyperphosphatemia, 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. 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 a phosphate binder for at least 1 month prior to screening. Willing to abstain from taking any phosphate binder or oral magnesium, aluminum 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. Willing to maintain their usual type and dose of Vitamin D supplementation. Exclusion Criteria: Participation in any other clinical trial using an investigational product or device within the previous 4 months. 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opinion of the investigator would compromise the safety of the subject or increase the likelihood of the subject being withdrawn.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 (for this subject population) in the opinion of the investigator. Any malignancy requiring treatment within 5 years of screening with the exception of basal cell carcinoma and Bowen's disease. A history of a motility disorder of the intestines, including, but not limited to, gastroparesis, ileus, pseudo-obstruction, megacolon, or mechanical obstruction. A significant illness in the 4 weeks before screening. Taking medication prescribed for seizures. A history of haemochromatosis. A history of high serum ferritin concentration of ≥ 1000ng/ml (excluding transient, treatment-induced ferritin elevation). A history of dysphagia or swallowing disorders that might limit the subject's ability to swallow study medication in the opinion of the investigator. Female subjects who are lactating or pregnant. Women of childbearing potential (pre-menopausal and not surgically sterilized) unless they are using a reliable contraceptive method, that is, barrier methods, hormones or intrauterine device. Current haemoglobin concentration of < 10.00 g/dL. Allergy to the IMP or its constituents.

Sites / Locations

  • 1614 West 42nd Street
  • US Renal Care
  • Davita Dialysis Center
  • Southeast Renal Associates
  • Renal Unit, Birmingham Heartlands Hospital
  • St Lukes Hospital
  • Richard Bright Renal Unit, Southmead Hospital
  • Addenbrookes Dialysis Centre, Addenbrookes Hospital
  • Renal Unit, Leicester General Hospital
  • Dialysis Unit, Broad Green Hospital
  • Royal Liverpool University Hospital
  • General Medicine and Nephrology, Norfolk and Norwich University Hospital
  • Nottingham Renal and Transplant Unit, Nottingham City Hospital
  • Sheffield Kidney Unit, Northern General Hospital
  • Dept. of Nephrology, Morriston Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1

2

Arm Description

Outcomes

Primary Outcome Measures

Proportion of subjects who achieve controlled serum phosphate concentrations during the double-blind comparative phase

Secondary Outcome Measures

Change from baseline in mean serum phosphate concentration
Change from baseline in serum calcium
Change from baseline calcium-phosphate product
Change from baseline PTH
Change from baseline magnesium
Assessment of adverse events
Assessment of routine safety laboratory parameters
Assessment of physical examination
Assessment of 12-lead electrocardiogram
Assessment of bowel habits

Full Information

First Posted
April 21, 2006
Last Updated
July 21, 2009
Sponsor
Ineos Healthcare Limited
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1. Study Identification

Unique Protocol Identification Number
NCT00317694
Brief Title
Efficacy and Safety Study of Magnesium Iron Hydroxycarbonate for the Reduction of High Blood Phosphate in Hemodialysis Patients
Official Title
A Multicentre Phase II Study With Magnesium Iron Hydroxycarbonate: an Open-label, Dose-ranging Phase Followed by a Placebo-controlled, Double-blind, Parallel-group Comparison in Haemodialysis Subjects With Hyperphosphataemia
Study Type
Interventional

2. Study Status

Record Verification Date
July 2009
Overall Recruitment Status
Completed
Study Start Date
March 2006 (undefined)
Primary Completion Date
June 2007 (Actual)
Study Completion Date
June 2007 (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 it to look at how effective and safe Magnesium iron hydroxycarbonate is in controlling levels of phosphate in the blood in patients who receive hemodialysis.
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. This study is designed to investigate magnesium iron hydroxycarbonate's ability to lower and control patients' blood phosphate to the recommended levels and compare the average blood phosphate, calcium, calcium-phosphate product, PTH and magnesium concentrations and overall safety with placebo (or "dummy") tablets.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
111 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Fermagate
Other Intervention Name(s)
Magnesium iron hydroxycarbonate
Intervention Description
Film coated tablet 500mg
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral administration, film coated tablet, 0mg
Primary Outcome Measure Information:
Title
Proportion of subjects who achieve controlled serum phosphate concentrations during the double-blind comparative phase
Time Frame
Mean of last two serum phosphate values in the double blind phase
Secondary Outcome Measure Information:
Title
Change from baseline in mean serum phosphate concentration
Time Frame
Mean of last two serum phosphate values
Title
Change from baseline in serum calcium
Time Frame
Specified visits throughout the study period
Title
Change from baseline calcium-phosphate product
Time Frame
Specified visits throughout the study period
Title
Change from baseline PTH
Time Frame
Specified visits throughout the study period
Title
Change from baseline magnesium
Time Frame
Specified visits throughout the study period
Title
Assessment of adverse events
Time Frame
Throughout the study period
Title
Assessment of routine safety laboratory parameters
Time Frame
Specified visits throughout the study period
Title
Assessment of physical examination
Time Frame
At screen and follow-up
Title
Assessment of 12-lead electrocardiogram
Time Frame
At screen and follow-up
Title
Assessment of bowel habits
Time Frame
Specified visits throughout the study period

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. 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 a phosphate binder for at least 1 month prior to screening. Willing to abstain from taking any phosphate binder or oral magnesium, aluminum 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. Willing to maintain their usual type and dose of Vitamin D supplementation. Exclusion Criteria: Participation in any other clinical trial using an investigational product or device within the previous 4 months. 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 (for this subject population) in the opinion of the investigator. Any malignancy requiring treatment within 5 years of screening with the exception of basal cell carcinoma and Bowen's disease. A history of a motility disorder of the intestines, including, but not limited to, gastroparesis, ileus, pseudo-obstruction, megacolon, or mechanical obstruction. A significant illness in the 4 weeks before screening. Taking medication prescribed for seizures. A history of haemochromatosis. A history of high serum ferritin concentration of ≥ 1000ng/ml (excluding transient, treatment-induced ferritin elevation). A history of dysphagia or swallowing disorders that might limit the subject's ability to swallow study medication in the opinion of the investigator. Female subjects who are lactating or pregnant. Women of childbearing potential (pre-menopausal and not surgically sterilized) unless they are using a reliable contraceptive method, that is, barrier methods, hormones or intrauterine device. Current haemoglobin concentration of < 10.00 g/dL. Allergy to the IMP or its constituents.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Simon Roe, MB ChB
Organizational Affiliation
Nottingham Renal and Transplant Unit, Nottingham City Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
1614 West 42nd Street
City
Pine Bluff
State/Province
Arkansas
ZIP/Postal Code
71603
Country
United States
Facility Name
US Renal Care
City
Stuttgart
State/Province
Arkansas
ZIP/Postal Code
72160
Country
United States
Facility Name
Davita Dialysis Center
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28208
Country
United States
Facility Name
Southeast Renal Associates
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28208
Country
United States
Facility Name
Renal Unit, Birmingham Heartlands Hospital
City
Birmingham
ZIP/Postal Code
B9 5SS
Country
United Kingdom
Facility Name
St Lukes Hospital
City
Bradford
ZIP/Postal Code
BD5 0NA
Country
United Kingdom
Facility Name
Richard Bright Renal Unit, Southmead Hospital
City
Bristol
ZIP/Postal Code
BS10 5NB
Country
United Kingdom
Facility Name
Addenbrookes Dialysis Centre, Addenbrookes Hospital
City
Cambridge
ZIP/Postal Code
CB2 2QQ
Country
United Kingdom
Facility Name
Renal Unit, Leicester General Hospital
City
Leicester
ZIP/Postal Code
LE5 4PW
Country
United Kingdom
Facility Name
Dialysis Unit, Broad Green Hospital
City
Liverpool
ZIP/Postal Code
L14 3LB
Country
United Kingdom
Facility Name
Royal Liverpool University Hospital
City
Liverpool
ZIP/Postal Code
L7 8XP
Country
United Kingdom
Facility Name
General Medicine and Nephrology, Norfolk and Norwich University Hospital
City
Norwich
ZIP/Postal Code
NR4 7RF
Country
United Kingdom
Facility Name
Nottingham Renal and Transplant Unit, Nottingham City Hospital
City
Nottingham
ZIP/Postal Code
NG5 1PB
Country
United Kingdom
Facility Name
Sheffield Kidney Unit, Northern General Hospital
City
Sheffield
ZIP/Postal Code
S5 7AU
Country
United Kingdom
Facility Name
Dept. of Nephrology, Morriston Hospital
City
Swansea
ZIP/Postal Code
SA6 6NL
Country
United Kingdom

12. IPD Sharing Statement

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Efficacy and Safety Study of Magnesium Iron Hydroxycarbonate for the Reduction of High Blood Phosphate in Hemodialysis Patients

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