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PMR release
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This study will be conducted to evaluate the safety and tolerability of ferric citrate in pediatric participants with iron deficiency anemia (IDA) associated with non-dialysis dependent chronic kidney disease (NDD-CKD).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ferric citrate | Experimental | Participants aged 12 to <18 years and 6 to <12 years will receive ferric citrate for 24 weeks at a starting dose based on body weight categories. |
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| Standard of care | Active Comparator | Participants aged 12 to <18 years and 6 to <12 years will receive standard of care treatment for 24 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ferric citrate | Drug | oral tablets |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Serious and Non-serious Treatment-emergent Adverse Events | up to Week 28 | |
| Number of Participants with Clinically Significant Laboratory Abnormalities or Changes in Laboratory Results | up to Week 24 | |
| Number of Participants with Treatment-emergent Adverse Events Leading to the Discontinuation of Ferric Citrate | up to Week 28 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Hemoglobin to Week 24/Early Termination Visit | Baseline; Week 24 | |
| Change from Baseline in Transferrin Saturation (TSAT) to Week 24/Early Termination Visit | Baseline; Week 24 |
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Inclusion Criteria:
Exclusion Criteria:
Serum phosphorus level at Screening:
Liver transaminases (aspartate aminotransferase [AST] and/or alanine aminotransferase [ALT]) ˃3× the upper limit of normal at Screening
Active significant gastrointestinal (GI) disorder, including overt gastrointestinal (GI) bleeding or active inflammatory bowel disease
Unable to swallow pills
Anemia due to causes other than iron deficiency anemia (IDA) of CKD
Intravenous iron therapy or blood transfusion within 4 weeks before the Screening visit
Participants with a functioning organ transplant
Receipt of any investigational drug within 4 weeks before Screening
Phosphate binder use during the Screening period
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| Name | Affiliation | Role |
|---|---|---|
| Chief Medical Officer | Akebia Therapeutics | Study Director |
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| standard of care | Drug | administered per the approved label and at the Investigator's discretion |
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| Change from Baseline in Ferritin to Week 24/Early Termination Visit | Baseline; Week 24 |
| Change from Baseline in Serum Phosphorus to Week 24/Early Termination Visit | Baseline; Week 24 |
| Change from Baseline in Calcium to Week 24/Early Termination Visit | Baseline; Week 24 |
| Change from Baseline in Bicarbonate to Week 24/Early Termination Visit | Baseline; Week 24 |
| ID | Term |
|---|---|
| D018798 | Anemia, Iron-Deficiency |
| ID | Term |
|---|---|
| D000747 | Anemia, Hypochromic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D000090463 | Iron Deficiencies |
| D019189 | Iron Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| C025314 | ferric citrate |
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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