The goal of this clinical study is to test the tolerability of oxylanthanum carbonate (OLC) in patients with chronic kidney disease on hemodialysis and have hyperphosphatemia (too much phosphorus in their blood). The main question it aims to answer is whether patients taking OLC for hyperphosphatemia are able to tolerate the drug. Participants will continue with their scheduled dialysis treatments and replace their current phosphate binder drug with OLC.
This is a 17-week study consisting of 4 parts. In Part 1, patients are screened for eligibility. In Part 2 patients undergo approximately 3-weeks of washout from previous phosphate binder therapy. Part 3 of the study is up to 6-week titration period where patients are treated with OLC starting at a dose level of 1500 mg/day. At the end of 2 weeks, the dose will be adjusted based on serum phosphate level, up to a maximum dose of 3000 mg/day. Part 4 of the study is a 4-week Maintenance Period with patients treated for 4 weeks on the clinically effective dose of oxylanthanum carbonate (OLC) identified in the Titration Period. Patients will return to the clinic for the End-of-Study Visit on the last day of the 4-week Maintenance Period before restarting their prescribed phosphate binder therapy. The primary endpoint will be to evaluate the tolerability of OLC (as assessed by rate of discontinuations due to treatment-related adverse events) and the secondary endpoints are the evaluation of the safety of clinically effective doses of OLC and evaluate the pharmacokinetics of OLC. Once weekly, at one of the patient's scheduled dialysis appointments and at the End-of-Study Visit, the tolerability will be assessed. After the End-of-Study Visit, patients will reinitiate standard therapy. Toxicity will be assessed during the study based on the severity grade (mild, moderate, or severe) as assessed by the Investigator.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
Phosphate Binder to Reduce Hyperphosphatemia
US Renal Care
Pine Bluff, Arkansas, United States
US Renal Care
Fort Myers, Florida, United States
US Renal Care
Gallup, New Mexico, United States
US Renal Care
Cheektowaga, New York, United States
Incidence of treatment-related AEs leading to study drug discontinuation during the Maintenance Period.
Tolerability of clinically effective doses of OLC as assessed by the incidence of treatment-related AEs leading to study drug discontinuation during the Maintenance Period.
Time frame: 4 weeks
Adverse Drug Reactions
To evaluate the safety of clinically effective doses of OLC
Time frame: up to 10 weeks
Maximum Plasma Concentration (Cmax) of Lanthanum
To evaluate the pharmacokinetics (PK) of OLC
Time frame: up to 10 weeks
Area Under the Concentration-Time Curve (AUC) of Lanthanum
To evaluate the pharmacokinetics (PK) of OLC
Time frame: up to 10 weeks
Time to Peak Plasma Concentration (Tmax) of Lanthanum
To evaluate the pharmacokinetics (PK) of OLC
Time frame: up to 10 weeks
Elimination Half-Life (t1/2) of Lanthanum
To evaluate the pharmacokinetics (PK) of OLC
Time frame: up to 10 weeks
Change from Baseline in Clinical Laboratory Tests
Hematology and Biochemistry
Time frame: Up to 10 weeks
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US Renal Care
Toledo, Ohio, United States
US Renal Care
San Antonio, Texas, United States
Clinical Advancement Center, PLLC
San Antonio, Texas, United States