Recruiting at 31 sites Phase 2 Hyperphosphatemia

Hyperphosphatemia study: AP306

Official title A Study to Evaluate Safety, Tolerability and Efficacy of AP306 at Fixed Doses in Dialysis Participants With Hyperphosphatemia

ClinicalTrials.gov ID: NCT06712654

What this study is testing

What is AP306 75 mg BID?

AP306 75 mg BID is an investigational medicine, taken by mouth twice daily, being studied as a potential treatment for hyperphosphatemia.

Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
The study will find out if AP306 is safe, well‑tolerated, and can lower phosphate levels in people on dialysis.
Who it's for
Adults who are receiving regular hemodialysis and have high blood phosphate.
What's involved
Participants will take set doses of AP306 and attend clinic visits for monitoring and blood tests.
  • Phase 2: a mid-size study of how well it works
  • You might receive a placebo (an inactive treatment) instead of the study drug, decided by chance. You may not know which one you got.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Important
  • Signs a written informed consent form (ICF) and is willing to comply with all study requirements in the study
  • Receiving a stable hemodialysis (including hemodialysis, hemodiafiltration, and hemoadsorption) regimen, which is defined as a frequency of three...
  • Who has a blood phosphate level within the study-required range
  • Who has a dialysis adequacy, assessed by single pooled Kt/V (SpKt/V, estimated with blood urea) ≥1.20, at screening or any documented value ≥1.20...

You likely can't join if

  • Pregnant or breastfeeding
  • Scheduled for a living donor kidney transplant in the next 6 months, planned change to peritoneal dialysis or home hemodialysis in the study
  • Any history of a non-pharmacological parathyroid intervention within 6 months prior to the ICF sign off, or planned parathyroid intervention in the...
  • Blood calcium or blood intact parathyroid hormone abnormality
  • Adequate organ and bone marrow function
  • Acute hepatitis or significant chronic liver disease
See the full eligibility criteria
Who can join
  • Important
  • Signs a written informed consent form (ICF) and is willing to comply with all study requirements in the study
  • Receiving a stable hemodialysis (including hemodialysis, hemodiafiltration, and hemoadsorption) regimen, which is defined as a frequency of three times per week for at least 12 weeks before signing the ICF, and does not...
  • Who has a blood phosphate level within the study-required range
  • Who has a dialysis adequacy, assessed by single pooled Kt/V (SpKt/V, estimated with blood urea) ≥1.20, at screening or any documented value ≥1.20 within 12 weeks prior to signing the ICF
  • If the participant is receiving etelcalcetide, their doses must be unchanged for at least 4 weeks prior to signing the ICF
  • If the participant is receiving any of the following therapies, their doses are stable for at least 14 days prior to signing the ICF: phosphate-lowering products other than tenapanor or phosphate binders, active vitamin...
  • Agreement to use highly effective contraception for women of childbearing potentially and non-sterile sexually active males throughout the study and for 90 days after the final dose of study drug Important
What rules you out
  • Pregnant or breastfeeding
  • Scheduled for a living donor kidney transplant in the next 6 months, planned change to peritoneal dialysis or home hemodialysis in the study; planned relocation to another dialysis center in the study
  • Any history of a non-pharmacological parathyroid intervention within 6 months prior to the ICF sign off, or planned parathyroid intervention in the study
  • Blood calcium or blood intact parathyroid hormone abnormality
  • Adequate organ and bone marrow function
  • Acute hepatitis or significant chronic liver disease
  • Any clinically significant GI disorders within 4 weeks prior to signing the ICF; or any history of gastrectomy; or any GI tract surgery (excluding appendectomy and polypectomy), within 12 weeks of signing the ICF
  • Uncontrolled hypertension
  • Hospitalization for cardiac or cardiocerebrovascular disease within 24 weeks prior to signing the ICF
  • Significant abnormalities of QT interval and heart rhythm on an electrocardiograph (ECG) test
  • Any clinically significant active infection or infestation or any treatment with systemic antimicrobial treatment within 2 weeks prior to signing the ICF
  • History or presence of malignancy within 3 years prior to signing the ICF, except basal cell skin cancer, in-situ carcinoma of the cervix, and in-situ prostate cancer
  • Taking moderate or strong cytochrome P450 (CYP) 3A inhibitors within 2 weeks or 5 half-lives, whichever is longer, prior to signing the ICF (topical use is allowed)
  • Treatment with any investigational medication or medical device within 30 days prior to signing the ICF
  • Life expectancy less than 12 months

The study team makes the final eligibility decision.

Where it is enrolling

  • Huntsville, Alabama, United States
  • Chula Vista, California, United States
  • Los Angeles, California, United States
  • San Dimas, California, United States
  • Denver, Colorado, United States
  • Middlebury, Connecticut, United States
  • Orange, Connecticut, United States
  • Fort Myers, Florida, United States
  • Dalton, Georgia, United States
  • Shelby, Michigan, United States
  • Edina, Minnesota, United States
  • Kansas City, Missouri, United States
  • Las Vegas, Nevada, United States
  • Albuquerque, New Mexico, United States
  • Ridgewood, New York, United States
  • Toledo, Ohio, United States
  • Greenville, Texas, United States
  • Houston, Texas, United States
  • McAllen, Texas, United States
  • San Antonio, Texas, United States

+ 7 more site(s).

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

This study is enrolling now at Huntsville, Alabama, United States; Chula Vista, California, United States; Los Angeles, California, United States; San Dimas, California, United States; Denver, Colorado, United States; Middlebury, Connecticut, United States and 21 more locations. Enter your location above to see the nearest enrolling site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.