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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03710291
Registration number
NCT03710291
Ethics application status
Date submitted
11/10/2018
Date registered
18/10/2018
Titles & IDs
Public title
Evaluation of Effect of TRC101 on Progression of Chronic Kidney Disease in Subjects With Metabolic Acidosis
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Scientific title
A Phase 3b, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of TRC101 in Delaying Chronic Kidney Disease Progression in Subjects With Metabolic Acidosis
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Secondary ID [1]
0
0
2018-001303-36
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Secondary ID [2]
0
0
TRCA-303
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Universal Trial Number (UTN)
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Trial acronym
VALOR-CKD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metabolic Acidosis
0
0
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Chronic Kidney Disease
0
0
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Condition category
Condition code
Renal and Urogenital
0
0
0
0
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Kidney disease
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Renal and Urogenital
0
0
0
0
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Other renal and urogenital disorders
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Metabolic and Endocrine
0
0
0
0
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Other metabolic disorders
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Respiratory
0
0
0
0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - TRC101
Treatment: Drugs - Placebo
Experimental: TRC101 -
Placebo comparator: Placebo -
Treatment: Drugs: TRC101
Oral, non-absorbed, polymeric hydrochloric acid binder
Treatment: Drugs: Placebo
Placebo comparator
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Intervention code [1]
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0
Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Progression of chronic kidney disease
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Assessment method [1]
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Time to first occurrence of: a confirmed =40% reduction in eGFR; ESRD; renal death.
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Timepoint [1]
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0
Through study completion, up to approximately 6 years.
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Secondary outcome [1]
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0
Death (all-cause), ESRD or a confirmed =50% reduction in eGFR
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Assessment method [1]
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0
Time to first occurrence of: death (all-cause); ESRD; a confirmed =50% reduction in eGFR.
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Timepoint [1]
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0
Through study completion, up to approximately 6 years.
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Secondary outcome [2]
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0
Physical functioning (subjective)
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Assessment method [2]
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0
Kidney Disease Quality of Life Physical Functioning Survey.
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Timepoint [2]
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0
18 months after randomization.
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Secondary outcome [3]
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0
Physical functioning (objective)
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Assessment method [3]
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0
Repeated chair stand test.
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Timepoint [3]
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0
18 months after randomization.
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Secondary outcome [4]
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0
ESRD or renal death
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Assessment method [4]
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Time to ESRD or renal death.
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Timepoint [4]
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Through study completion, up to approximately 6 years.
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Secondary outcome [5]
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0
Primary outcome measure OR cardiovascular death
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Assessment method [5]
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0
Time to first occurrence of: a confirmed =40% reduction in eGFR; ESRD; renal death; cardiovascular death.
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Timepoint [5]
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0
Through study completion, up to approximately 6 years.
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Secondary outcome [6]
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Serum creatinine
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Assessment method [6]
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0
Time to first occurrence of a confirmed doubling of serum creatinine.
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Timepoint [6]
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0
Through study completion, up to approximately 6 years.
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Secondary outcome [7]
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=50% reduction in eGFR
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Assessment method [7]
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Time to first occurrence of a confirmed =50% reduction in eGFR.
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Timepoint [7]
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0
Through study completion, up to approximately 6 years.
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Secondary outcome [8]
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=40% reduction in eGFR
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Assessment method [8]
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0
Time to first occurrence of a confirmed =40% reduction in eGFR.
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Timepoint [8]
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Through study completion, up to approximately 6 years.
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Secondary outcome [9]
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All-cause hospitalization
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Assessment method [9]
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Frequency of all-cause hospitalization.
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Timepoint [9]
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Through study completion, up to approximately 6 years.
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Secondary outcome [10]
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Cardiovascular death
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Assessment method [10]
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Time to cardiovascular death.
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Timepoint [10]
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Through study completion, up to approximately 6 years.
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Secondary outcome [11]
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All-cause mortality
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Assessment method [11]
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Time to all-cause mortality.
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Timepoint [11]
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Through study completion, up to approximately 6 years.
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Eligibility
Key inclusion criteria
* Estimated glomerular filtration rate (eGFR) 20 - 40 mL/min/1.73m^2.
* Serum bicarbonate 12 - 20 mEq/L.
* On maximum tolerated dose of ACE inhibitor and/or ARB.
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Acute metabolic acidosis.
* Anticipated dialysis or kidney transplant within 6 months.
* Recent acute kidney injury.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
20/11/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
27/09/2022
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Sample size
Target
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Accrual to date
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Final
1480
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Investigative Site 5101 - Gosford
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Recruitment postcode(s) [1]
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2250 - Gosford
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Ukraine
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Ivano-Frankivs'k
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Ukraine
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Kharkiv
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Ukraine
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Kyiv
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Ukraine
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Ternopil'
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Ukraine
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Zaporizhzhya
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Ukraine
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Zhytomyr
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United Kingdom
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Coventry
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United Kingdom
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Nottingham
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United Kingdom
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State/province [136]
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Swansea
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Tricida, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the effect of TRC101 on the progression of chronic kidney disease (CKD) and to evaluate the safety profile of TRC101 in CKD patients with metabolic acidosis.
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Trial website
https://clinicaltrials.gov/study/NCT03710291
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Trial related presentations / publications
Hultin S, Johnson DW, Badve SV. Recent evidence on the effect of treatment of metabolic acid on the progression of kidney disease. Curr Opin Nephrol Hypertens. 2021 Sep 1;30(5):467-473. doi: 10.1097/MNH.0000000000000728.
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Public notes
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Contacts
Principal investigator
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03710291