Patiromer and Diet/hrQoL in Chronic Dialysis

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorMario Negri Institute for Pharmacological Research

About this trial

This is a phase III, prospective, randomized, double-blind, placebo-controlled, single-center, pilot trial, aimed at assessing whether treatment with the oral potassium binder patiromer as compared to placebo allows withdrawal or down-titration of potassium dietary restriction without increasing the risk of hyperkalemia in chronic dialysis patients.

Eligibility criteria

Qualifiers

More than 18-year-old

Chronic and stable dialysis therapy with three weekly dialysis sessions for at least three months because of ESKD

Pre-dialysis (in the long interdialytic period) serum potassium 4 to 5.5 mEq/L confirmed in two consecutive weeks, without any clinical signs or symptoms of hyperkalemia

Stable therapy (since at least 3 months) with RAS inhibitors or MRAs. No treatment with potassium sparing diuretics

Disqualifiers

Hyperkalemia (pre-dialysis potassium >5.5 mEq/L during the long interdialytic period)

Hypomagnesemia (serum magnesium <1.7 mg/dL)

Hypercalcemia (serum calcium >10.5mg/dl)

Ongoing treatment with potassium binding medications including Sodium polystyrene sulfonate (SPS, Kayexalate®, Sanofi-Aventis S.p.A) or Sodium zirconium cyclosilate (Lokelma®, Astra Zeneca S.p.A.)

Trial design

Treatments tested in this trial

  • Patiromer 8400 MG [Veltassa]
  • Placebo

Treatment groups

40 Participants
are divided into 2 treatment groups