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Parenteral NutritionPhase 1NCT06842121

A Bioequivalence Study Comparing Organic Phosphate (Sodium Glycerophosphate Injection) to Inorganic Phosphate (Sodium Phosphates Injection, USP)

A Phase 1 study testing Sodium Glycerophosphate Injection and Sodium Phosphates Injection in people with Parenteral Nutrition, run by Baxter Healthcare Corporation at 1 site in United States.

Completed

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

Official record
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Trial summary

This is a phase 1, prospective, single-center, randomized sequence, double-blind, 2-way crossover, relative bioavailability study in healthy adult subjects comparing Sodium Glycerophosphate Injection (SGP) to Sodium Phosphate Injection (NaP). Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Parenteral Nutrition
What is being tested?
Sodium Glycerophosphate Injection and Sodium Phosphates Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
1 siteUnited States
Study dates
27 Jan 2025to 22 May 2025
Phase
Phase 1
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 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy males or non-pregnant, non-lactating healthy females.
  • Aged 18 to 55 years, inclusive, at the time of signing informed consent.
  • Body mass index (BMI) of 18.5 to 29.9 kg/m^2 and a minimum body weight of 57 kg as measured at screening.
  • Must be willing and able to comply with all study requirements including dietary requirements.
  • Subject must be literate, has signed a written informed consent form (ICF) and has the ability to communicate and comply with all study requirements
  • Must agree to use an adequate method of contraception.
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  • Alkaline phosphatase level within standard reference range/normal limits at screening and admission.
  • Serum inorganic phosphate level within standard reference range/normal limits at screening and admission.
  • Serum parathyroid hormone (PTH) level within standard reference range/normal limits at screening.
  • Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels within reference range/normal limits at screening and admission.

Who cannot join

  • Subjects who have received any investigational medicinal product (IMP) in a clinical research study within 5 half-lives or within 30 days prior to first dose, whichever is longer.
  • Subjects who are study site or Sponsor employees, or subjects who are immediate family members of study site or Sponsor employees.
  • Subjects who have previously been administered IMP in this study.
  • History of any drug or alcohol abuse in the past 2 years prior to screening.
  • Regular alcohol consumption in 6 months prior to screening.
  • A confirmed positive alcohol urine test at screening or admission.
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  • Current smokers or those who have smoked within the last 12 months prior to screening. A confirmed positive urine cotinine test at screening or first admission.
  • Current users of e-cigarettes and nicotine replacement products and those who have used these products within the last 12 months prior to screening.
  • Females of childbearing potential must have a negative pregnancy test (urine pregnancy test at screening). Females who are pregnant or lactating will be excluded.
  • Have poor venous access that limits phlebotomy.
  • Clinically significant abnormal clinical chemistry or hematology as judged by the Investigator.
  • Clinically significant abnormal urinalysis as judged by the Investigator.
  • History of diabetes mellitus (types I or II).
  • Prediabetes (fasting blood sugar level of >106 (repeat x 1 for confirmation of abnormal level).
  • Hypertriglyceridemia (fasting triglyceride level of > 200 mg/dL) at screening.
  • Subjects who, in the Investigator's opinion, have a clinically significant abnormal 12-lead resting ECG.
  • Positive drugs of abuse test result.
  • Positive hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV Ab) or human immunodeficiency virus (HIV) antibody results.
  • Evidence of renal impairment at screening, as indicated by an eGFR < 90mL/min/m^2.
  • History of any active systemic or immunologic disease, including but not limited to active renal, hepatic, hematological, gastrointestinal (except appendectomies/cholecystectomy), endocrinal, pulmonary (including asthma), cardiovascular, neurologic, or neurological disease (including demyelinating diseases such as multiple sclerosis), hypertension, tuberculosis, or systemic fungal infection.
  • History of bleeding ulcer, bleeding abnormalities or coagulation abnormalities.
  • History of hypophosphatasia.
  • Serious adverse reaction or serious hypersensitivity to any drug or the formulation excipients.
  • Presence or history of clinically significant allergy requiring treatment, as judged by the Investigator. Hay fever is allowed unless it is active.
  • Significant serious active skin disease, including rash, food allergy, eczema, psoriasis, or urticaria.
  • Donation or loss of 1 pint of blood within 3 months, or donation of plasma within 7 days prior to first dose of study medication or had a transfusion of any blood product within 3 months prior to study drug administration.
  • Subjects who are taking, or have taken, any prescribed or over-the-counter drug or herbal remedies (other than up to 4 g per day acetaminophen and HRT/hormonal contraception) within the last 30 days or five half-lives (whichever is longer), before IMP administration. Exceptions may apply on a case-by-case basis, if considered not to interfere with the objectives of the study, as determined by the Investigator.
  • Subjects who have been administered a drug by depot injection within 30 days prior to the initial study drug administration or 6 half-lives of that drug, whichever is longer and at the discretion of the Investigator or who have received a recent (as determined by the Investigator) live or attenuated vaccination (with exception of a COVID-19 vaccine or flu vaccine), or exposure to communicable viral diseases such as chicken pox, varicella, and measles.
  • Failure to satisfy the Investigator of fitness to participate for any other reason.
  • Known hypersensitivity to egg, soy or peanut proteins.
  • Food allergies deemed clinically relevant by the investigator which would hinder ability to adhere to the prescribed diet.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Austin PPD CRU

    Austin, Texas, 78744

Other trials in United States

About this study

Official title: Phase 1, Prospective, Single-Center, Randomized Sequence, Double-Blind, 2-Way Crossover Study Comparing Organic Phosphate (Sodium Glycerophosphate Injection) to Inorganic Phosphate (Sodium Phosphates Injection, USP)

This is a phase 1, prospective, single-center, randomized sequence, double-blind, 2-way crossover, relative bioavailability study in healthy adult subjects comparing Sodium Glycerophosphate Injection (SGP) to Sodium Phosphate Injection (NaP).

In this study it is planned to randomize approximately 42 healthy male and female subjects. All study periods will be completed during a single residency, the overall duration of residency will be 11 days (10 nights).

Being tested
Sodium Glycerophosphate Injection, Sodium Phosphates Injection
Keywords
organic phosphate, inorganic phosphate, sodium glycerophosphate, pharmacokinetic, intravenous, parenteral nutrition
Medical subject headings
Hyperphagia

What participants receive

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

  • Sodium Glycerophosphate InjectionDrug

    Organic phosphate (SGP) will be diluted with 500mL of sodium chloride (0.9% normal saline) to achieve an equimolar IV phosphate dose of 60 mmol over 4 hours (h)

  • Sodium Phosphates InjectionDrug

    Inorganic phosphate (NaP) will be diluted with 500mL of sodium chloride (0.9% normal saline) to achieve an equimolar IV phosphate dose of 60 mmol over 4 h

Study groups in NCT06842121
Study groupRoleWhat they receive
Sequence AB (Organic phosphate/ Inorganic phosphate)Experimental* Period 1: Regimen A (Organic phosphate (sodium glycerophosphate SGP)) * Period 2: Regimen B (Inorganic phosphate (Sodium Phosphates Injection NaP))
Receives: Drug: Sodium Glycerophosphate Injection; Drug: Sodium Phosphates Injection
Sequence BA (Inorganic phosphate/ Organic phosphate)Experimental* Period 1: Regimen B (Inorganic phosphate (Sodium Phosphates Injection NaP)) * Period 2: Regimen A (Organic phosphate (sodium glycerophosphate SGP))
Receives: Drug: Sodium Glycerophosphate Injection; Drug: Sodium Phosphates Injection

What is being measured

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

  1. Baseline-corrected maximum observed concentration (C(maxbc)) for inorganic phosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  2. Baseline-corrected area under the curve from time 0 to 24h post-dose (AUC(0-24bc)) for inorganic phosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

Secondary outcomes (49)
  1. Baseline-corrected total urinary inorganic phosphate excreted in the urine (Ae(0-24bc))

    Urine PK parameter

    Measured: Days 1 and 7

  2. Time of maximum observed concentration (T(max)) for inorganic phosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  3. Apparent terminal elimination half-life (T(1/2 z)) for inorganic phosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  4. Elimination rate constant (K(z)) for inorganic phosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  5. Maximum observed concentration (C(max)) for inorganic phosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  6. Area under the curve from time 0 to 24h post-dose (AUC(0-24)) for inorganic phosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  7. Total urinary inorganic phosphate excreted in the urine (Ae(0-24))

    Urine PK parameter

    Measured: Days 1 and 7

  8. Baseline-corrected time of maximum observed concentration (T(maxbc)) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  9. T(max) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  10. Baseline-corrected apparent terminal elimination half-life (T(1/2 zbc)) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  11. T(1/2 z) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  12. Baseline-corrected elimination rate constant (K(zbc)) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  13. K(z) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  14. C(maxbc) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  15. C(max) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  16. AUC(0-24bc) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  17. AUC(0-24) for glycerophosphate

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  18. T(maxbc) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  19. T(max) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  20. T(1/2 zbc) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  21. T(1/2 z) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  22. K(zbc) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  23. K(z) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  24. C(maxbc) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  25. C(max) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  26. AUC(0-24bc) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  27. AUC(0-24) for glycerol

    Serum PK parameter

    Measured: Days 1, 2, 7, and 8

  28. Change from baseline in Alanine Aminotransferase (ALT)

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  29. Change from baseline in Alkaline Phosphatase

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  30. Change from baseline in Aspartate Aminotransferase (AST)

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  31. Change from baseline in total bilirubin

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  32. Change from baseline in direct bilirubin

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  33. Change from baseline in eGFR

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  34. Change from baseline in Blood Urea Nitrogen (BUN)

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  35. Change from baseline in creatinine

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  36. Change from baseline in calcium

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  37. Change from baseline in phosphate

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  38. Change from baseline in magnesium

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  39. Change from baseline in potassium

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  40. Change from baseline in sodium

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  41. Change from baseline in ionized calcium

    Safety outcome

    Measured: Day 1, Day 7

  42. Change from baseline in respiratory rate

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  43. Change from baseline in heart rate

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  44. Change from baseline in temperature

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  45. Change from baseline in blood pressure

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  46. Number of subjects with any physical examination interpreted as abnormal

    Safety outcome

    Measured: Baseline through Day 11

  47. Number of subjects experiencing any clinically significant abnormality in telemetry

    Safety outcome

    Measured: Day 1, Day 7

  48. Number of subjects experiencing any clinically significant abnormality in ECGs

    Safety outcome

    Measured: Baseline, Day 1, Day 2, Day 7, Day 8

  49. Number of subjects experiencing adverse events

    Safety outcome

    Measured: Baseline through Day 20

Timeline

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

  1. First posted24 Feb 2025
  2. Study start27 Jan 2025
  3. Primary completion22 May 2025
  4. Study completion22 May 2025

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06842121
Sponsor's protocol ID
BXU561373
Status last verified
Jun 2025
First submitted
11 Feb 2025
Last updated
29 Jun 2025
Results posted
No
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 1 study testing Sodium Glycerophosphate Injection and Sodium Phosphates Injection in people with Parenteral Nutrition, run by Baxter Healthcare Corporation at 1 site 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 10 inclusion and 31 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 29 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Baseline-corrected maximum observed concentration (C(maxbc)) for inorganic phosphate (time frame: Days 1, 2, 7, and 8). 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 29 Jun 2025.

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