Title

A Study of HS219 in Chronic Kidney Disease Patients on Hemodialysis With Hyperphosphatemia
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    chitosan ...
  • Study Participants

    68
This was a study to evaluate the efficacy and safety of HS219, chitosan-loaded chewing gum, when given three times a day for 3 weeks to the hemodialysis (HD) patients with hyperphosphatemia whose serum inorganic phosphorus was not well controlled with calcium carbonate or sevelamer hydrogen chloride.
Study Started
Dec 31
2009
Primary Completion
May 31
2010
Study Completion
Jun 30
2010
Results Posted
Jun 01
2012
Estimate
Last Update
Sep 14
2015
Estimate

Dietary Supplement Placebo

Chewing for 30 min three times a day far after meal

Dietary Supplement HS219

Chewing for 30 min three time a day far after meal

HS219 Experimental

  • Dietary Supplement HS219

Placebo Placebo Comparator

Criteria

Inclusion Criteria:

Written informed consent given
Able to comply with the study procedures and medication
On a stable HD regimen (at least 3 x per week) for ≥ 3 months
Subject receiving calcium carbonate or sevelamer hydrochloride as a phosphate binder at screening, must have been on a stable regimen (dose and medication) for at least 1 month
A mean serum inorganic phosphorous in the previous 3 tests : > 5.5 mg/dL and < 9.0 mg/dL
Removal rate of blood urea nitrogen (BUN) ≥ 60%
Rate of salivary flow by Saxon test ≥ 1 g/2 min

Exclusion Criteria:

Blood purification therapy other than HD
Current clinically significant intestinal motility disorder
Possible parathyroid intervention during the study period
History of malignancy and severe cardiovascular disorders such as heart disease, angina, congested heart failure, valve stenosis, atrial fibrillation and arrhythmia
History of allergy against active ingredient
Receipt of any investigational drug within 30 days of informed consent

Summary

HS219

Placebo

All Events

Event Type Organ System Event Term HS219 Placebo

Change in Serum Inorganic Phosphorus at the End of Treatment From Baseline

Change in serum inorganic phosphorus at the end of treatment from baseline

HS219

-0.26
mg/dL (Mean)
Standard Deviation: 1.19

Placebo

-0.2
mg/dL (Mean)
Standard Deviation: 1.21

Serum Intact Parathyroid Hormone (PTH) Level

Serum intact and whole PTH levels were determined at week 3 before the first dialysis of the week (Monday or Tuesday).

HS219

206.5
pg/mL (Mean)
Standard Deviation: 141.2

Placebo

251.2
pg/mL (Mean)
Standard Deviation: 183.6

Number of Participants With Serum Inorganic Phosphorus Reduction of 1.5 mg/dL

HS219

7.0
participants

Placebo

2.0
participants

Achievement Number of Participants With Serum Inorganic Phosphorus; 3.5 ≦P<5.5 mg/dL at Week 3

HS219

8.0
participants

Placebo

2.0
participants

Serum Inorganic Phosphorus Level

Serum inorganic phosphorus levels were determined at week 3 before the first dialysis of the week (Monday or Tuesday).

HS219

6.38
mg/dL (Mean)
Standard Deviation: 1.35

Placebo

6.29
mg/dL (Mean)
Standard Deviation: 1.29

Salivary Inorganic Phosphorus Level

Salivary inorganic phosphorus levels were determined at week 3 before the first dialysis of the week (Monday or Tuesday).

HS219

22.32
mg/dL (Mean)
Standard Deviation: 8.04

Placebo

21.51
mg/dL (Mean)
Standard Deviation: 8.95

Corrected Serum Calcium (Ca) Level Based on the Serum Albumin Level Corrected Serum Calcium (mg/dL) = Measured Total Ca (mg/dL) + (4 - Serum Albumin [g/dL])

Serum Ca levels were determined at week 3 before the first dialysis of the week (Monday or Tuesday).

HS219

9.37
mg/dL (Mean)
Standard Deviation: 0.66

Placebo

9.13
mg/dL (Mean)
Standard Deviation: 0.61

Ca×P

Serum inorganic phosphorus and Ca levels were determined at week 3 before the first dialysis of the week (Monday or Tuesday).

HS219

59.9
mg/mL*mg/mL (Mean)
Standard Deviation: 13.87

Placebo

57.24
mg/mL*mg/mL (Mean)
Standard Deviation: 11.34

Serum Intact Fibroblast Growth Factor (FGF) 23 Level

Serum intact FGF23 levels were determined at week 3 before the first dialysis of the week (Monday or Tuesday).

HS219

4.0
log10(pg/mL) (Mean)
Standard Deviation: 0.5

Placebo

4.0
log10(pg/mL) (Mean)
Standard Deviation: 0.5

Total

63
Participants

Age, Continuous

56.4
years (Mean)
Standard Deviation: 11.0

Sex: Female, Male

Overall Study

HS219

Placebo

Drop/Withdrawal Reasons

HS219