A Phase 3, Randomized, Double Blind, Placebo-Controlled, Multi-Center, Withdrawal Study of MCI-196 in CKD on Dialysis With Hyperphosphatemia
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Multi-center, Withdrawal Study Comparing MCI-196 v.s Placebo Following A 12-Week Dose Titration Period With MCI-196 in Stage V Subjects on Dialysis With Hyperphosphatemia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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San Juan, Puerto Rico
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Arizona
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Glendale, Arizona, United States
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Tempe, Arizona, United States
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Arkansas
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Hot Springs, Arkansas, United States
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Paragould, Arkansas, United States
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Pine Bluff, Arkansas, United States
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California
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Fountain Valley, California, United States
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La Mesa, California, United States
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Long Beach, California, United States
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Lynwood, California, United States
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Orange, California, United States
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San Diego, California, United States
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Whittier, California, United States
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Florida
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Brandon, Florida, United States
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Hudson, Florida, United States
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Lauderdale Lakes, Florida, United States
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Tampa, Florida, United States
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Georgia
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Augusta, Georgia, United States
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Decatur, Georgia, United States
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Macon, Georgia, United States
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Illinois
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Evanston, Illinois, United States
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Evergreen Park, Illinois, United States
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Indiana
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Fort Wayne, Indiana, United States
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Louisiana
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Shreveport, Louisiana, United States
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Massachusetts
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Springfield, Massachusetts, United States
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New Jersey
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Eatontown, New Jersey, United States
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New York
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Flushing, New York, United States
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Springfield Gardens, New York, United States
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Pennsylvania
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Allentown, Pennsylvania, United States
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Lewistown, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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South Carolina
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Columbia, South Carolina, United States
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Orangeburg, South Carolina, United States
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Sumter, South Carolina, United States
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Texas
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San Antonio, Texas, United States
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Virginia
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Alexandria, Virginia, United States
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Portsmouth, Virginia, United States
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Richmond, Virginia, United States
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Wisconsin
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West Allis, Wisconsin, United States
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female, and is >=18 years old
- Stable hemodialysis or peritoneal dialysis
- Subjects has Stable phosphate control
- Subjects on Stabilized phosphorus diet
- Subjects undergoing regular dialysis treatment
- Female and of child-bearing potential have a negative serum pregnancy test.
- Male subjects must agree to use appropriate contraception.
Exclusion Criteria:
- Current clinically significant medical comorbidities, which may substantially compromise subject safety, or expose them to undue risk, or interfere significantly with study procedures and which, in the opinion of the Investigator, makes the subject unsuitable for inclusion in the study.
- serum albumin level < 3.0g/dL
- PTH level > 1000pg/mL
- Hemoglobin level < 8mg/dL
- A History of significant gastrointestinal motility problems
- Biliary obstruction or proven liver dysfunction
- A positive test for hepatitis B surface antigen, hepatitis C antibody or HIV 1 and 2 antibodies
- A clinically significant severe lactose intolerance or sensitivity
- A history of substance or alcohol abuse within the last year.
- Seizure disorders
- A history of drug or other allergy
- using cholestyramine, colestipol or colesevelam
- Schedule to receive a kidney transplant within the next 6 months
- Participation in a clinical study with any experimental medication in the last 30 days or an experimental biological product within the last 90 days prior to signing of informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: 1
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3g to 15g/day (3 times a day), Tablet, 12 weeks of flexible dose (Open-label) and 4 weeks of double blind
Other Names:
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Placebo Comparator: 2
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3g to 15g/day (3 times a day), Tablet, 4 weeks of double blind
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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The Change in Serum Phosphorus From Week 12 to Week 16
Time Frame: 4 weeks (Week 12 to Week 16)
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The changes in serum phosphorus (mg/dL) from Week 12 to Week 16 (last observation post Week 12)
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4 weeks (Week 12 to Week 16)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Change From Baseline in Serum Phosphorus
Time Frame: 12 weeks (Week 0 to Week 12)
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12 weeks (Week 0 to Week 12)
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Change From Baseline in PTH
Time Frame: 12 weeks
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12 weeks
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Change From Baseline in Calcium
Time Frame: 12 weeks
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12 weeks
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Change From Baseline in Calcium x Phosphorus Ion Product
Time Frame: 12 weeks
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12 weeks
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Change From Baseline in Total Cholesterol
Time Frame: 12 weeks
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12 weeks
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Change From Baseline in LDL Cholesterol
Time Frame: 12 weeks
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12 weeks
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Change From Baseline in HDL Cholesterol
Time Frame: 12 weeks
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12 weeks
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Change From Baseline in VLDL Cholesterol
Time Frame: 12 weeks
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12 weeks
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Change From Baseline in Triglyceride
Time Frame: 12 weeks
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12 weeks
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Incidence of Adverse Events
Time Frame: 12 weeks (Week 0-12) and 4 weeks (Week 12-16)
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12 weeks (Week 0-12) and 4 weeks (Week 12-16)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Professor, Information at Mitsubishi Pharma America
Publications and helpful links
General Publications
- Hertel J, Locatelli F, Spasovski G, Dimkovic N, Wanner C. Randomized, Double-Blind, Placebo-Controlled, Withdrawal Study of Colestilan after Dose Titration in Chronic Kidney Disease Dialysis Patients with Hyperphosphatemia. Nephron. 2015;130(4):229-38. doi: 10.1159/000431289. Epub 2015 Jul 10.
- Natale P, Green SC, Ruospo M, Craig JC, Vecchio M, Elder GJ, Strippoli GF. Phosphate binders for preventing and treating chronic kidney disease-mineral and bone disorder (CKD-MBD). Cochrane Database Syst Rev. 2025 Jun 27;6(6):CD006023. doi: 10.1002/14651858.CD006023.pub4.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Pathologic Processes
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Chronic Disease
- Disease Attributes
- Metabolic Diseases
- Renal Insufficiency
- Phosphorus Metabolism Disorders
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Renal Insufficiency, Chronic
- Hyperphosphatemia
- cholebine
Other Study ID Numbers
Other Study ID Numbers
- MCI-196-A05
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