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Iron-Based Phosphate Binder

Ferric Citrate for Chronic Kidney Disease (FIT4KID Trial)

Phase 2
Recruiting
Led By Isidro B Salusky, MD
Research Sponsored by University of California, Los Angeles
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Serum phosphate within age appropriate normal levels
Ages 6 to 17 years (inclusive)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 months and 12 months
Awards & highlights

Summary

This trial will assess the effects of therapy with FC on changes in iFGF23 levels in 160 pediatric patients with CKD stages 3-4. Participants will be randomized to one of the two groups: 1) FC or 2) FC placebo.

Who is the study for?
This trial is for children aged 6-17 with moderate chronic kidney disease (stages 3-4) who have normal phosphate levels and can swallow tablets. They should be on stable doses of certain medications like growth hormone or iron supplements for at least two weeks before the study starts, and they must be able to eat at least two meals a day.
What is being tested?
The trial is testing if ferric citrate (FC) affects a hormone called iFGF23 in kids with kidney disease over a year. It's a double-blind study, meaning neither the participants nor the researchers know who gets FC or placebo. Kids are randomly chosen to get either FC or fake pills that look like FC.
What are the potential side effects?
Possible side effects from ferric citrate may include digestive issues such as diarrhea or constipation, nausea, vomiting, and potential changes in blood tests related to iron levels.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My blood phosphate levels are normal for my age.
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I am between 6 and 17 years old.
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I can swallow pills.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 months and 12 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 6 months and 12 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Safety of Ferric Citrate
Tolerability of Ferric Citrate
iFGF23 levels
Secondary study objectives
Effects on 1,25 D
Effects on Ferritin
Effects on Hemoglobin
+2 more

Side effects data

From 2019 Phase 4 trial • 55 Patients • NCT03079869
93%
Black stool
37%
Diarrhea
19%
Constipation
15%
Nausea, vomiting
15%
Itching/rash
15%
Upper Respiratory Infection
11%
Decreased appetite
7%
Abdominal pain
7%
Bloating/Gas
4%
Peritonitis
4%
Congestive heart failure exacerbation
4%
Placement of catheter for HD
4%
gallstone pancreatitis
4%
Abdominal swelling
4%
Chest pain
4%
Intertrochanteric fracture
4%
Right foot infection
4%
Right sided pleuroperitoneal leak
4%
Pneumonia
4%
Hemorrhagic cerebrovascular accident
4%
Abscess
4%
Chest Pain/Palpitations
100%
80%
60%
40%
20%
0%
Study treatment Arm
Ferric Citrate - Peritoneal Dialysis
Ferric Citrate - Hemodialysis

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Treatment ArmExperimental Treatment1 Intervention
During the 12-month trial, participants will be given a fixed weight-based dose of Ferric Citrate (FC). The full medication dose will be 3g/day for participants weighing \<31 kg, 5g/day for those weighing \>31 - \<51 kg, and 6g/day for participants \>51 kg. These doses will be divided into three doses to be taken with meals.
Group II: Control ArmPlacebo Group1 Intervention
During the 12-month trial, participants will be given a fixed weight-based dose of Placebo. The full medication dose will be 3g/day for participants weighing \<31 kg, 5g/day for those weighing \>31 - \<51 kg, and 6g/day for participants \>51 kg. These doses will be divided into three doses to be taken with meals.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Tetraferric tricitrate decahydrate
FDA approved

Find a Location

Who is running the clinical trial?

University of California, Los AngelesLead Sponsor
1,554 Previous Clinical Trials
10,263,954 Total Patients Enrolled
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)NIH
2,410 Previous Clinical Trials
4,324,731 Total Patients Enrolled
Isidro B Salusky, MDPrincipal InvestigatorUniversity of California, Los Angeles
1 Previous Clinical Trials
61 Total Patients Enrolled

Media Library

Ferric Citrate (Iron-Based Phosphate Binder) Clinical Trial Eligibility Overview. Trial Name: NCT04741646 — Phase 2
Chronic Kidney Disease Research Study Groups: Treatment Arm, Control Arm
Chronic Kidney Disease Clinical Trial 2023: Ferric Citrate Highlights & Side Effects. Trial Name: NCT04741646 — Phase 2
Ferric Citrate (Iron-Based Phosphate Binder) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04741646 — Phase 2
~53 spots leftby Dec 2025