UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000010671
Receipt number R000012478
Scientific Title Efficacy and tolerability of bixalomer for treatment of hyperphosphatemia in maintenance hemodialysis patients with poor tolerance to sevelamer: a switching study.
Date of disclosure of the study information 2013/05/09
Last modified on 2014/06/16 14:55:07

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Basic information

Public title

Efficacy and tolerability of bixalomer for treatment of hyperphosphatemia in maintenance hemodialysis patients with poor tolerance to sevelamer: a switching study.

Acronym

Bixalomer for treatment of hyperphosphatemia in patients with poor tolerance to sevelamer: a switching study
(BIXA-SWITCH Study)

Scientific Title

Efficacy and tolerability of bixalomer for treatment of hyperphosphatemia in maintenance hemodialysis patients with poor tolerance to sevelamer: a switching study.

Scientific Title:Acronym

Bixalomer for treatment of hyperphosphatemia in patients with poor tolerance to sevelamer: a switching study
(BIXA-SWITCH Study)

Region

Japan


Condition

Condition

Chronic renal failure

Classification by specialty

Medicine in general Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of bixalomer on serum phosphorus level and the adverse effects on digestive symptoms in hemodialysis patients with poor tolerance to sevelamer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in the serum phosphorus level over the 12 weeks

Key secondary outcomes

1)Changes in digestive symptoms over the 12 weeks (assessed with the Izumo scale questionnaire)
2)Changes in medications for astriction
3)The dose of bixalomer which reaches the same level of serum phosphorus as that of sevelamer hydrochloride did before switch to bixalomer
4)Changes in a dose of bixalomer over the 12 weeks
5)Changes in a dose of calcium carbonate over the 12 weeks
6)Changes in the serum phosphorus level over the 4 weeks prior to bixalomer initiation and the last 4 weeks of the observational period (8-12 weeks after initiation)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Patients on sevelamer are to switch to bixalomer (dosed at 1500-7500 mg a day), and their serum phosphorus level is to be controlled by bixalomer.
*For those who meet the Case 1 in the inclusion criteria

Patients who discontinued sevelamer before and have been on another medication for hyperphosphatemia are to switch to bixalomer (dosed at 1500-7500 mg a day), and their serum phosphorus level is to be controlled by bixalomer.
*For those who meet the Case 2 in the inclusion criteria

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients with chronic renal failure under hemodialysis who fall into i) or ii):
i)
Patients currently on sevelamer hydrochloride who want to switch to bixalomer for some reasons; for instance,
they are reluctant to take sevelamer due to its gastrointestinal side-affects; or, they cannot increase its dose sufficiently because of those reactions (Case 1)
ii)
Patients who discontinued sevelamer in the past because of its side-effects such as gastrointestinal dysfunction, and want to change their medication to bixalomer while currently taking another agent for hyperphosphatemia (Case 2)
2) Aged 20 or older
3) Patients able to consent to their participation in writing by themselves

Key exclusion criteria

1) Patients with an intestinal blockage
2) Patients suffering from severe astriction or diarrhea continuously
3) Patients who have experienced gastrointestinal tract ulcer or a surgery in the abdomen
4) Patients with liver dysfunction (whose AST or ALT value is more than twice, or T-Bil value is more than 1.5 times higher than the standard level of the hospital they visit), or patients with a severe hepatic disorder such as cirrhosis
5) Patients who are expecting a child, lactating or suspected of pregnancy, or patients who want to be pregnant during their participation in this study
6) Patients considered as ineligible for this study by the investigator for another reason

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Satoshi Kurihara

Organization

Keijukai Healthcare Corporation,
Saitama Tsukinomori Clinic

Division name

General Hospital Director

Zip code


Address

366-1 Mashinaga, Iwatsuki-ku, Saitama-shi, Saitama, Japan

TEL

048-792-1811

Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

Keijukai Healthcare Corporation,Saitama Tsukinomori Clinic

Division name

General Hospital Director

Zip code


Address


TEL

048-792-1811

Homepage URL


Email



Sponsor or person

Institute

Keijukai Healthcare Corporation,Saitama Tsukinomori Clinic

Institute

Department

Personal name



Funding Source

Organization

Astellas Pharma Inc.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

さいたまつきの森クリニック(埼玉県)、春日部内科クリニック(埼玉県)、岩槻南病院 (埼玉県)、武蔵嵐山病院(埼玉県)、埼友クリニック(埼玉県)


Other administrative information

Date of disclosure of the study information

2013 Year 05 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 12 Month 25 Day

Date of IRB


Anticipated trial start date

2013 Year 04 Month 10 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 05 Month 08 Day

Last modified on

2014 Year 06 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012478