HyperkalemiaPhase 3Patiromer JADENCT05136664
Trial Evaluating the Efficacy and Safety of Patiromer in Chinese Subjects
A Phase 3 study testing Patiromer Powder for Oral Suspension (Part A) and Patiromer Powder for Orals Suspension (Part B) in people with Hyperkalemia and Renal Insufficiency, Chronic, run by Vifor Fresenius Medical Care Renal Pharma at 28 sites in China.
Trial summary
This is a multicentre, 2-part, single-blind, randomised, withdrawal, placebo-controlled study, that includes a 4-week patiromer treatment phase (Part A) followed by an 8-week randomised placebo-controlled withdrawal phase (Part B) and a 2-week follow-up period. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hyperkalemia, Renal Insufficiency, Chronic
- What is being tested?
- Patiromer Powder for Oral Suspension (Part A) and Patiromer Powder for Orals Suspension (Part B)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 262 participants
- Where
- 28 sitesChina
- Study dates
- 10 Feb 2022to 18 Nov 2025
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- - Chinese subjects at least 18 years of age.
- - Chronic Kidney Disease (CKD) stage 3 and 4.
- - Mean of 2 measurement of serum potassium higher than 5.0 and lower than 6.5 mEq/L at baseline.
- - Subjects on any stable dose of at least 1 RAASi medication for at least 28 days before Day 0/baseline.
- - If on antihypertensive medication, have a stable dose for 28 days before Day 0/baseline.
- - Women of childbearing potential must agree to continue using contraception throughout the study and for 4 weeks after study completion.
Who cannot join
- - Any level of hyperkalemia at Day 0/baseline that, in the opinion of the Investigator, requires emergency intervention.
- - Type 1 diabetes or Type 2 diabetes mellitus with glycated haemoglobin (Hb A1c) higher than 10.0% at screening/Part A baseline.
- - History of acute renal insufficiency in the past 3 months prior to the beginning of the study.
- - Diseases affecting the hearth muscle and heart's ability to pump blood around the body
- - Major surgery including thoracic and cardiac within 3 months prior to the beginning of the study or anticipated need during study participation.
- - Heart or kidney transplant recipient or anticipated need for transplant during study participation
Show all 9Show fewer
- - Diagnosis or treatment of a malignancy in the past 2 years before Day 0/baseline.
- - Use of potassium supplements, bicarbonate or baking soda in the last 7 days prior to Day 0/baseline.
- - Pregnant women or breastfeeding.
Trial locations and contacts
28 sites in 1 country.
28 sites in 1 country
China28 sites
Investigator Site 016
Beijing, Beijing Municipality, 100029
Investigator Site 007
Changchun, Jilin, 130041
Investigator Site 006
Changsha, Hunan, 410013
Investigator Site 002
Changzhou, Jiangsu, 213004
Investigator Site 004
Chengdu, Sichuan, 610044
Investigator Site 001
Hangzhou, Zhejiang, 310003
Investigator Site 020
Hanzhou, Zhejiang, 310014
Investigator Site 009
Hefei, Anhui, 230022
Investigator Site 008
Hefei, Anhui, 230601
Investigator Site 026
Jiaxing, Zhejiang, 314000
Investigator Site 025
Jinhua, Zhejiang, 322000
Investigator Site 012
Lanzhou, Gansu, 730013
Investigator Site 003
Lanzhou, Gansu, 730030
Investigator Site 019
Nanjing, Jiangsu, 210029
Investigator Site 030
Nanning, Guangxi, 530000
Investigator Site 024
Nanyang, Henan, 473000
Investigator Site 028
Shanghai, Pudong New Area, 200120
Investigator Site 015
Shanghai, Shanghai Municipality, 200040
Investigator Site 022
Taiyuan, Shanxi, 030012
Investigator Site 014
Tianjin, Tianjin Municipality, 300052
Investigator Site 023
Ürümqi, Xinjiang, 830001
Investigator Site 010
Wuhan, Hubei, 430060
Investigator Site 021
Wuxi, Jiangsu, 214023
Investigator Site 005
Xuzhou, Jiangsu, 221004
Investigator Site 018
Yinchuan, Ningxia, 750003
Investigator Site 011
Yuncheng, Shanxi, 044099
Investigator Site 013
Zhenjiang, Jiangsu, 210031
Investigator Site 027
Zhuzhou, Tianyuan District, 412007
About this study
Official title: A 2-Part, Single-Blind, Phase 3 Trial Evaluating the Efficacy and Safety of Patiromer for the Treatment of Hyperkalaemia in Chinese Subjects (The Patiromer JADE Study)
This is a multicentre, 2-part, single-blind, randomised, withdrawal, placebo-controlled study, that includes a 4-week patiromer treatment phase (Part A) followed by an 8-week randomised placebo-controlled withdrawal phase (Part B) and a 2-week follow-up period.
Read the detailed description
In Part A, participants who meet all eligibility criteria will initiate patiromer at an oral dose of 8.4 g (1 packet/day). The dose will be adjusted based on the serum potassium (sK+) levels.
After the completion of part A, all the participants who meet the eligibility criteria for Part B will be randomised to receive patiromer or placebo. Participants will start Part B with the same dose of patiromer they were receiving at the end Part A. However, Patiromer dose may be up- or down-titrated based on sK+ levels.
The primary objectives of the study are:
Part A - To evaluate the efficacy of patiromer for the treatment of hyperkalemia in Chinese subjects.
Part B - To evaluate the effect of withdrawing patiromer on sK+ control. To determine if the treatment with patiromer will result in continued use of renin-angiotensin-aldosterone system inhibitor (RAASi) medications.
- Conditions
- Hyperkalemia, Renal Insufficiency, Chronic
- Being tested
- Patiromer Powder for Oral Suspension (Part A), Placebo (Part B), Patiromer Powder for Orals Suspension (Part B)
- Keywords
- Hyperkalemia, Chronic kidney disease
- Medical subject headings
- Hyperkalemia, Renal Insufficiency, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Patiromer Powder for Oral Suspension (Part A)Drug
Participants initiate patiromer at an oral dose of 1 packet/day (8.4g/day as powder for suspension). The dose is adjusted ate the following visit based on local serum potassium (sK+) levels.
The content of each packet should be mixed with water, apple or cranberry juice before administration.
Placebo (Part B)Drug
Placebo is provided in packets, each containing 6 g of placebo as powder for suspension. Participants will take 1 packet per day, by mixing its content with water, apple or cranberry juice.
Patiromer Powder for Orals Suspension (Part B)Drug
Participants will continue to receive the same number of packets established during Part A, but dose may be up- or down titrated depending on sK+ levels.
The content of each packet should be mixed with water, apple or cranberry juice before administration.
| Study group | Role | What they receive |
|---|---|---|
| Part A: Patiromer | Experimental | Part A: 4-week, single-arm patiromer treatment phase (4 weeks) Receives: Drug: Patiromer Powder for Oral Suspension (Part A) |
| Part B: Placebo | Placebo comparator | Part B: 8-week randomized, parallel group, placebo-controlled withdrawal phase Receives: Drug: Placebo (Part B) |
| Part B: Patiromer | Experimental | Part B: 8-week randomized, parallel group, placebo-controlled withdrawal phase Receives: Drug: Patiromer Powder for Orals Suspension (Part B) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part A: Change from baseline in the serum potassium (sK+)
Measured in milliequivalents per litre (mEq/L)
Measured: Week 4
Part B: Change from Week 4 in sK+
Measured in mEq/L
Measured: The earlier of: Week 8 or the date when RAASi therapy is first decreased or discontinued
Secondary outcomes (3)
Part A: Proportion of participants having an sK+ level between 3.8 and less than 5.1 mEq/L at Week 4
Measured: Week 4
Part B: Proportion of participants taking any RAASi medication at Week 12
Measured: Week 12
Part B: Proportion of subjects discontinuing/reducing RAASi medication due to hyperkalemia
Measured: From Week 4 to 2 weeks after the end of treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Nov 2021
- Study start10 Feb 2022
- Primary completion18 Nov 2025
- Study completion18 Nov 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HyperkalemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 2-part, single-blind, randomised withdrawal, placebo-controlled (Part B), parallel group study that includes a 4-week patiromer treatment phase (Part A) followed by an 8-week randomised placebo-controlled withdrawal phase (Part B).
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 262 participants (actual)
Sponsor and investigators
- Lead sponsor
- Vifor Fresenius Medical Care Renal Pharma
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Tigermed Consulting Co., Ltd
- Responsible party
- Sponsor
- Investigators
- Julian Platon, MD, PhD, Study director, CSL Vifor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05136664
- Sponsor's protocol ID
- PAT-CHINA-303
- Other IDs
- CTR20212173
- Acronym
- Patiromer JADE
- Status last verified
- Apr 2026
- First submitted
- 15 Nov 2021
- Last updated
- 13 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 2-Part, Single-Blind, Phase 3 Trial Evaluating the Efficacy and Safety of Patiromer for the Treatment of Hyperkalaemia in Chinese Subjects (The Patiromer JADE Study)
- ClinicalTrials.gov ID
- NCT05136664
- Acronym / sponsor ID
- Patiromer JADE / PAT-CHINA-303
- Conditions
- Hyperkalemia, Renal Insufficiency, Chronic
- Keywords
- Hyperkalemia, Chronic kidney disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 262 participants (actual)
- Lead sponsor
- Vifor Fresenius Medical Care Renal PharmaIndustry (pharma, biotech, devices)
- Collaborators
- Tigermed Consulting Co., Ltd
- Study start
- 10 Feb 2022 (actual)
- Primary completion
- 18 Nov 2025 (actual)
- Study completion
- 18 Nov 2025 (actual)
- First posted
- 29 Nov 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicentre, 2-part, single-blind, randomised, withdrawal, placebo-controlled study, that includes a 4-week patiromer treatment phase (Part A) followed by an 8-week randomised placebo-controlled withdrawal phase (Part B) and a 2-week follow-up period.
Detailed description
In Part A, participants who meet all eligibility criteria will initiate patiromer at an oral dose of 8.4 g (1 packet/day). The dose will be adjusted based on the serum potassium (sK+) levels.
After the completion of part A, all the participants who meet the eligibility criteria for Part B will be randomised to receive patiromer or placebo. Participants will start Part B with the same dose of patiromer they were receiving at the end Part A. However, Patiromer dose may be up- or down-titrated based on sK+ levels.
The primary objectives of the study are:
Part A - To evaluate the efficacy of patiromer for the treatment of hyperkalemia in Chinese subjects.
Part B - To evaluate the effect of withdrawing patiromer on sK+ control. To determine if the treatment with patiromer will result in continued use of renin-angiotensin-aldosterone system inhibitor (RAASi) medications.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
- Model description
- 2-part, single-blind, randomised withdrawal, placebo-controlled (Part B), parallel group study that includes a 4-week patiromer treatment phase (Part A) followed by an 8-week randomised placebo-controlled withdrawal phase (Part B).
| Arm | Type | Receives |
|---|---|---|
| Part A: Patiromer | Experimental | Drug: Patiromer Powder for Oral Suspension (Part A)Part A: 4-week, single-arm patiromer treatment phase (4 weeks) |
| Part B: Placebo | Placebo comparator | Drug: Placebo (Part B)Part B: 8-week randomized, parallel group, placebo-controlled withdrawal phase |
| Part B: Patiromer | Experimental | Drug: Patiromer Powder for Orals Suspension (Part B)Part B: 8-week randomized, parallel group, placebo-controlled withdrawal phase |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- - Chinese subjects at least 18 years of age.
- - Chronic Kidney Disease (CKD) stage 3 and 4.
- - Mean of 2 measurement of serum potassium higher than 5.0 and lower than 6.5 mEq/L at baseline.
- - Subjects on any stable dose of at least 1 RAASi medication for at least 28 days before Day 0/baseline.
- - If on antihypertensive medication, have a stable dose for 28 days before Day 0/baseline.
Key exclusion criteria (9 listed)
- - Any level of hyperkalemia at Day 0/baseline that, in the opinion of the Investigator, requires emergency intervention.
- - Type 1 diabetes or Type 2 diabetes mellitus with glycated haemoglobin (Hb A1c) higher than 10.0% at screening/Part A baseline.
- - History of acute renal insufficiency in the past 3 months prior to the beginning of the study.
- - Diseases affecting the hearth muscle and heart's ability to pump blood around the body
- - Major surgery including thoracic and cardiac within 3 months prior to the beginning of the study or anticipated need during study participation.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Patiromer Powder for Oral Suspension (Part A)Participants initiate patiromer at an oral dose of 1 packet/day (8.4g/day as powder for suspension). The dose is adjusted ate the following visit based on local serum potassium (sK+) levels. The content of each packet should be mixed with water, apple or cranberry juice before administration. | Drug | Part A: Patiromer |
| Placebo (Part B)Placebo is provided in packets, each containing 6 g of placebo as powder for suspension. Participants will take 1 packet per day, by mixing its content with water, apple or cranberry juice. | Drug | Part B: Placebo |
| Patiromer Powder for Orals Suspension (Part B)Participants will continue to receive the same number of packets established during Part A, but dose may be up- or down titrated depending on sK+ levels. The content of each packet should be mixed with water, apple or cranberry juice before administration. | Drug | Part B: Patiromer |
Primary outcome
Part A: Change from baseline in the serum potassium (sK+)
Time frame: Week 4
Measured in milliequivalents per litre (mEq/L)
Part B: Change from Week 4 in sK+
Time frame: The earlier of: Week 8 or the date when RAASi therapy is first decreased or discontinued
Measured in mEq/L
3 secondary outcomes
Part A: Proportion of participants having an sK+ level between 3.8 and less than 5.1 mEq/L at Week 4
Time frame: Week 4
Part B: Proportion of participants taking any RAASi medication at Week 12
Time frame: Week 12
Part B: Proportion of subjects discontinuing/reducing RAASi medication due to hyperkalemia
Time frame: From Week 4 to 2 weeks after the end of treatment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Julian Platon, MD, PhD study director
CSL Vifor
28 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Patiromer Powder for Oral Suspension (Part A) and Patiromer Powder for Orals Suspension (Part B) in people with Hyperkalemia and Renal Insufficiency, Chronic, run by Vifor Fresenius Medical Care Renal Pharma at 28 sites in China.
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 6 inclusion and 9 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 13 Apr 2026. 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 China. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Part A: Change from baseline in the serum potassium (sK+) (time frame: Week 4). The study lists 2 primary outcomes in all. 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 13 Apr 2026; AzTrials last refreshed its copy on 8 Nov 2026.