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Chronic Kidney DiseasesPhase 4COMPASSNCT03236246

KRX-0502 (Ferric Citrate) in Subjects With NDD-CKD and IDA (The COMPASS Trial)

A Phase 4 study testing KRX-0502 in people with Chronic Kidney Diseases and Iron Deficiency Anemia, run by Keryx Biopharmaceuticals at 28 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The objectives of this study are to assess the long-term efficacy and safety of different dose regimens of KRX-0502 in the treatment of iron deficiency anemia (IDA) in adult subjects with non-dialysis dependent chronic kidney disease (CKD). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
KRX-0502
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
206 participants
Where
28 sitesUnited States
Study dates
15 Aug 2017to 27 Sep 2019
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Estimated glomerular filtration rate ≥20 mL/min and <60 mL/min
  • Hgb ≥8.5 g/dL and ≤11.5 g/dL
  • Serum ferritin ≤500 ng/mL and transferrin saturation (TSAT) ≤25%
  • Serum intact parathyroid hormone ≤600 pg/mL

Who cannot join

  • Serum phosphate <3.0 mg/dL
  • Intravenous (IV) iron administered within 4 weeks prior to Screening
  • Erythropoiesis-stimulating agents (ESA) administered within 4 weeks prior to Screening
  • Blood transfusion within 4 weeks prior to Screening

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

United States28 sites
  • Mountain Kidney & Hypertension Associates

    Asheville, North Carolina, 28801

  • Southeastern Clinical Research Institute, LLC

    Augusta, Georgia, 30904

  • Research Management, Inc.

    Austin, Texas, 78751

  • Research Management, Inc.

    Austin, Texas, 78758

  • Metrolina Nephrology Associates, PA

    Charlotte, North Carolina, 28207

  • Research by Design, LLC

    Chicago, Illinois, 60643

  • California Institute of Renal Research

    Chula Vista, California, 91910

  • Columbia Nephrology Associates, PA

    Columbia, South Carolina, 29203

  • Renal Associates, LLC

    Columbus, Georgia, 31904

  • Denver Nephrologists, P.C.

    Denver, Colorado, 80230

  • Hypertension and Nephrology Association

    Eatontown, New Jersey, 07724

  • California Institute of Renal Research

    El Centro, California, 92243

  • Division of Kidney/HTN Research

    Great Neck, New York, 11021

  • Eastern Nephrology Associates

    Greenville, North Carolina, 27834

  • South Mississippi Medical Research, LLC

    Gulfport, Mississippi, 39501

  • Southeastern Nephrology Associates

    Jacksonville, North Carolina, 28546

  • Clinical Research Consultants

    Kansas City, Missouri, 64111

  • P & I Clinical Research, LLC

    Lufkin, Texas, 75904

  • Miami Kidney Group

    Miami, Florida, 33143

  • Kidney and Hypertension Specialists of Miami, P.A.

    Miami, Florida, 33150

  • Nephrology Associates, P.C.

    Nashville, Tennessee, 37205

  • Eastern Nephrology Associates

    New Bern, North Carolina, 28562

  • South Carolina Nephrology & Hypertension Center, Inc

    Orangeburg, South Carolina, 29118

  • Arizona Kidney Disease and Hypertension center: AKDHC Medical Research Services, LLC

    Phoenix, Arizona, 85032

  • California Institute of Renal Research

    Poway, California, 92064

  • Sierra Nevada Nephrology Consultants

    Reno, Nevada, 89511

  • Clinical Advancement Center, PLLC

    San Antonio, Texas, 78212

  • Southeastern Nephrology

    Wilmington, North Carolina, 28401

Other trials in United States

About this study

Official title: Study of KRX-0502 (Ferric Citrate) Dose Regimens in Subjects With Non-Dialysis Dependent Chronic Kidney Disease and Iron-Deficiency Anemia

The objectives of this study are to assess the long-term efficacy and safety of different dose regimens of KRX-0502 in the treatment of iron deficiency anemia (IDA) in adult subjects with non-dialysis dependent chronic kidney disease (CKD).

Read the detailed description

This is a Phase 4, 48-week, randomized, open-label, multicenter clinical study comprised of 2 periods: a 24-week Dose Titration Period, followed by a 24-week Dose Maintenance Period. The study will consist of 12 scheduled clinic visits over a period of 48 weeks and additional visits as needed.

Being tested
KRX-0502
Medical subject headings
Renal Insufficiency, Chronic, Anemia, Iron-Deficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • KRX-0502Drug

    Also called ferric citrate

    Oral ferric citrate with meals

Study groups in NCT03236246
Study groupRoleWhat they receive
Group 1ExperimentalKRX-0502 1 tablet thrice daily (TID) with meals
Receives: Drug: KRX-0502
Group 2ExperimentalKRX-0502 2 tablets twice daily (BID) with the largest 2 daily meals
Receives: Drug: KRX-0502

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Hemoglobin (Hgb) at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from a mixed model of repeated measures (MMRM), including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 24

Secondary outcomes (27)
  1. Change From Baseline in Hgb at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 48

  2. Time From Randomization to the First Increase From Baseline Hgb of at Least 0.5 Grams Per Deciliter (g/dL) During the Dose Titration Period

    The Kaplan-Meier estimator of the survival function of time from randomization to the first increase from Baseline Hgb of at least 0.5 g/dL for each of the two starting dose treatment groups were obtained.

    Measured: from Randomization to Week 24

  3. Change From Baseline in Transferrin Saturation (TSAT) at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 24

  4. Change From Baseline in TSAT at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 48

  5. Change From Baseline in Ferritin at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 24

  6. Change From Baseline in Ferritin at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 48

  7. Change From Baseline in Serum Phosphate at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; up to Week 24

  8. Change From Baseline in Serum Phosphate at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 48

  9. Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 24

  10. Change From Baseline in eGFR at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 48

  11. Change From Baseline in Bicarbonate at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 24

  12. Change From Baseline in Bicarbonate at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates are from an MMRM, including an intercept term and covariates for randomized treatment, visit, treatment by visit interaction, Baseline value, and Baseline value by visit interaction. The Kenward-Roger method was used along with an unstructured covariance matrix.

    Measured: Baseline; Week 48

  13. Change From Baseline in Intact Parathyroid Hormone (iPTH) at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using a common slope analysis of covariance (ANCOVA) model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, and a random error term.

    Measured: Baseline; Week 24

  14. Change From Baseline in iPTH at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using an uncommon slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, randomized treatment group by Baseline interaction, and a random error term.

    Measured: Baseline; Week 48

  15. Change From Baseline in C-terminal Fibroblast Growth Factor 23 (FGF23) at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using an uncommon slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, randomized treatment group by Baseline interaction, and a random error term.

    Measured: Baseline; Week 24

  16. Change From Baseline in C-terminal FGF23 at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using an uncommon slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, randomized treatment group by Baseline interaction, and a random error term.

    Measured: Baseline; Week 48

  17. Change From Baseline in Intact Fibroblast Growth Factor 23 at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using a common slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, and a random error term.

    Measured: Baseline; Week 24

  18. Change From Baseline in Intact Fibroblast Growth Factor 23 at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Estimates obtained using an uncommon slope ANCOVA model which includes the Baseline laboratory parameter as a covariate, randomized treatment group, randomized treatment group by Baseline interaction, and a random error term.

    Measured: Baseline; Week 48

  19. Change From Baseline Scores for the Work Productivity and Activity Impairment (WPAI) Questionnaire Adapted for Anemia Associated With Chronic Kidney Disease (CKD) at Week 24: Work-associated Measures

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The WPAI is a questionnaire to evaluate the effect of anemia associated with Chronic Kidney Disease on the ability to work and perform regular activities. Scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact and 100% representing complete impact.

    Measured: Baseline; Week 24

  20. Change From Baseline Scores for the WPAI Questionnaire Adapted for Anemia Associated With CKD at Week 48: Work-associated Measures

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The WPAI is a questionnaire to evaluate the effect of anemia associated with Chronic Kidney Disease on the ability to work and perform regular activities. Scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact and 100% representing complete impact.

    Measured: Baseline; Week 48

  21. Change From Baseline Scores for the WPAI Questionnaire Adapted for Anemia Associated With CKD at Week 24: Activity Impairment

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The WPAI is a questionnaire to evaluate the effect of anemia associated with Chronic Kidney Disease on the ability to work and perform regular activities. Scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact and 100% representing complete impact.

    Measured: Baseline; Week 24

  22. Change From Baseline Scores for the WPAI Questionnaire Adapted for Anemia Associated With CKD at Week 48: Activity Impairment

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. The WPAI is a questionnaire to evaluate the effect of anemia associated with Chronic Kidney Disease on the ability to work and perform regular activities. Scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact and 100% representing complete impact.

    Measured: Baseline; Week 48

  23. Change From Baseline in the Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue Scale Score at Week 24

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Participants were asked to respond to 13 statements (as they apply to the last 7 days) that other people with the same illness said are important with one of the following: 0, not at all; 1, a little bit; 2, somewhat; 3, quite a bit; 4, very much. All individual items were summed to create a single fatigue score ranging from 0 to 52. Higher scores indicate greater fatigue.

    Measured: Baseline; Week 24

  24. Change From Baseline in the Functional Assessment of Chronic Illness Therapy Fatigue Scale Score at Week 48

    Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Participants were asked to respond to 13 statements (as they apply to the last 7 days) that other people with the same illness said are important with one of the following: 0, not at all; 1, a little bit; 2, somewhat; 3, quite a bit; 4, very much. All individual items were summed to create a single fatigue score ranging from 0 to 52. Higher scores indicate greater fatigue.

    Measured: Baseline; Week 48

  25. Number of Hospitalizations for Participants Who Entered the Dose Maintenance Period

    A hospitalization is defined as admission to the hospital.

    Measured: up to Week 48

  26. Duration of Hospitalizations for Participants Who Entered the Dose Maintenance Period

    A hospitalization is defined as admission to the hospital.

    Measured: up to Week 48

  27. Number of Participants With Any Treatment-emergent Adverse Event (TEAE) for Participants Who Entered the Dose Maintenance Period

    Treatment-emergent adverse events are defined as adverse events that began after the first administration of study medication or pre-existing conditions that worsened after the first dose of study medication.

    Measured: up to Week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2017
  2. Study start15 Aug 2017
  3. Primary completion30 Aug 2019
  4. Study completion27 Sep 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
206 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03236246
Sponsor's protocol ID
KRX-0502-402
Acronym
COMPASS
Status last verified
Mar 2021
First submitted
26 Jul 2017
Last updated
12 Mar 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing KRX-0502 in people with Chronic Kidney Diseases and Iron Deficiency Anemia, run by Keryx Biopharmaceuticals at 28 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Mar 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Hemoglobin (Hgb) at Week 24 (time frame: Baseline; Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Mar 2021.

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