Trial Outcomes & Findings for Pharmacodynamic Study of AZD1722 in End-stage Renal Disease Patients on Hemodialysis (NCT NCT01764854)

NCT ID: NCT01764854

Last Updated: 2020-08-10

Results Overview

Patients are weighed pre dialysis prior to their first dialysis of the week. This measure looks at the change in pre-dialysis weight over time

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

88 participants

Primary outcome timeframe

Run-in period (Weeks -2 and -1) versus Week 4 (end of treatment)

Results posted on

2020-08-10

Participant Flow

Participant milestones

Participant milestones
Measure
AZD1722- in Patient
Tenapanor administered in a clinical pharmacology unit AZD1722 (in-patient): doses between 5 and 60 mg BID may be administered based on tolerability in a CPU setting
Placebo- in Patient
Placebo (size and color matched to experimental drug) administered in a clinical pharmacology unit
AZD1722 Out-patient
Tenapanor AZD1722 (out-patient): doses between 5 and 45 mg BID
Placebo Out-patient
Placebo Placebo: Placebo, size and color matched to experimental drug
Overall Study
STARTED
8
8
37
35
Overall Study
COMPLETED
8
8
31
33
Overall Study
NOT COMPLETED
0
0
6
2

Reasons for withdrawal

Reasons for withdrawal
Measure
AZD1722- in Patient
Tenapanor administered in a clinical pharmacology unit AZD1722 (in-patient): doses between 5 and 60 mg BID may be administered based on tolerability in a CPU setting
Placebo- in Patient
Placebo (size and color matched to experimental drug) administered in a clinical pharmacology unit
AZD1722 Out-patient
Tenapanor AZD1722 (out-patient): doses between 5 and 45 mg BID
Placebo Out-patient
Placebo Placebo: Placebo, size and color matched to experimental drug
Overall Study
Adverse Event
0
0
2
0
Overall Study
Withdrawal by Subject
0
0
1
0
Overall Study
relocation
0
0
2
0
Overall Study
Protocol Violation
0
0
1
2

Baseline Characteristics

Pharmacodynamic Study of AZD1722 in End-stage Renal Disease Patients on Hemodialysis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AZD1722- in Patient
n=8 Participants
Tenapanor administered in a clinical pharmacology unit AZD1722 (in-patient): doses between 5 and 60 mg BID may be administered based on tolerability in a CPU setting
Placebo- in Patient
n=8 Participants
Placebo (size and color matched to experimental drug) administered in a clinical pharmacology unit Placebo (in-patient): Placebo, size and color matched to experimental drug administered in a CPU
AZD1722 Out-patient
n=37 Participants
Tenapanor AZD1722 (out-patient): doses between 5 and 45 mg BID
Placebo Out-patient
n=35 Participants
Placebo Placebo: Placebo, size and color matched to experimental drug
Total
n=88 Participants
Total of all reporting groups
Age, Continuous
47.9 years
STANDARD_DEVIATION 8.3 • n=39 Participants
54.4 years
STANDARD_DEVIATION 6.5 • n=41 Participants
51.5 years
STANDARD_DEVIATION 11.5 • n=35 Participants
49.3 years
STANDARD_DEVIATION 11.8 • n=31 Participants
50.6 years
STANDARD_DEVIATION 11.6 • n=146 Participants
Sex: Female, Male
Female
2 Participants
n=39 Participants
3 Participants
n=41 Participants
13 Participants
n=35 Participants
15 Participants
n=31 Participants
33 Participants
n=146 Participants
Sex: Female, Male
Male
6 Participants
n=39 Participants
5 Participants
n=41 Participants
24 Participants
n=35 Participants
20 Participants
n=31 Participants
55 Participants
n=146 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=39 Participants
0 Participants
n=41 Participants
13 Participants
n=35 Participants
10 Participants
n=31 Participants
24 Participants
n=146 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=39 Participants
8 Participants
n=41 Participants
24 Participants
n=35 Participants
25 Participants
n=31 Participants
64 Participants
n=146 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
1 Participants
n=35 Participants
0 Participants
n=31 Participants
1 Participants
n=146 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
0 Participants
n=41 Participants
3 Participants
n=35 Participants
0 Participants
n=31 Participants
3 Participants
n=146 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=39 Participants
6 Participants
n=41 Participants
14 Participants
n=35 Participants
19 Participants
n=31 Participants
45 Participants
n=146 Participants
Race (NIH/OMB)
White
2 Participants
n=39 Participants
2 Participants
n=41 Participants
18 Participants
n=35 Participants
16 Participants
n=31 Participants
38 Participants
n=146 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
1 Participants
n=35 Participants
0 Participants
n=31 Participants
1 Participants
n=146 Participants
Height
172.89 centimeters
STANDARD_DEVIATION 9.31 • n=39 Participants
172.05 centimeters
STANDARD_DEVIATION 16.48 • n=41 Participants
170.23 centimeters
STANDARD_DEVIATION 10.80 • n=35 Participants
170.20 centimeters
STANDARD_DEVIATION 10.39 • n=31 Participants
170.63 centimeters
STANDARD_DEVIATION 10.84 • n=146 Participants

PRIMARY outcome

Timeframe: Run-in period (Weeks -2 and -1) versus Week 4 (end of treatment)

Population: The out-patient arms were the only groups that were pre-specified to be included in this analysis since the in-patient arms were only treated for one week.

Patients are weighed pre dialysis prior to their first dialysis of the week. This measure looks at the change in pre-dialysis weight over time

Outcome measures

Outcome measures
Measure
AZD1722 Out-patient
n=37 Participants
Tenapanor AZD1722 (out-patient): doses between 5 and 45 mg BID
Placebo Out-patient
n=35 Participants
Placebo Placebo: Placebo, size and color matched to experimental drug
Change in Mean Weekly Interdialytic Weight Gain (IDWG)
-0.26 kilograms
Standard Deviation 0.939
-0.23 kilograms
Standard Deviation 0.871

SECONDARY outcome

Timeframe: Days 1 through 7

Population: The in-patient arms were the only groups pre-specified to be used in this analysis since stool could only be collected in the clinical pharmacology unit (in-patient).

The amount of sodium in a days worth of stool output

Outcome measures

Outcome measures
Measure
AZD1722 Out-patient
n=8 Participants
Tenapanor AZD1722 (out-patient): doses between 5 and 45 mg BID
Placebo Out-patient
n=8 Participants
Placebo Placebo: Placebo, size and color matched to experimental drug
Stool Sodium Content
36.62 mEq/day
Standard Deviation 21.809
2.82 mEq/day
Standard Deviation 2.655

Adverse Events

AZD1722- in Patient

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo- in Patient

Serious events: 3 serious events
Other events: 2 other events
Deaths: 0 deaths

AZD1722 Out-patient

Serious events: 2 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo Out-patient

Serious events: 1 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
AZD1722- in Patient
n=8 participants at risk
Tenapanor administered in a clinical pharmacology unit AZD1722 (in-patient): doses between 5 and 60 mg BID may be administered based on tolerability in a CPU setting
Placebo- in Patient
n=8 participants at risk
Placebo (size and color matched to experimental drug) administered in a clinical pharmacology unit
AZD1722 Out-patient
n=37 participants at risk
Tenapanor AZD1722 (out-patient): doses between 5 and 45 mg BID
Placebo Out-patient
n=35 participants at risk
Placebo Placebo: Placebo, size and color matched to experimental drug
Cardiac disorders
Syncope
0.00%
0/8 • one month
12.5%
1/8 • Number of events 1 • one month
2.7%
1/37 • Number of events 1 • one month
0.00%
0/35 • one month
Renal and urinary disorders
Urinary Tract Infection
0.00%
0/8 • one month
0.00%
0/8 • one month
2.7%
1/37 • Number of events 1 • one month
0.00%
0/35 • one month
Respiratory, thoracic and mediastinal disorders
acute respiratory failure
0.00%
0/8 • one month
12.5%
1/8 • Number of events 1 • one month
0.00%
0/37 • one month
0.00%
0/35 • one month
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
local swelling
0.00%
0/8 • one month
12.5%
1/8 • Number of events 1 • one month
0.00%
0/37 • one month
0.00%
0/35 • one month
Respiratory, thoracic and mediastinal disorders
pneumonia
0.00%
0/8 • one month
0.00%
0/8 • one month
0.00%
0/37 • one month
2.9%
1/35 • Number of events 1 • one month

Other adverse events

Other adverse events
Measure
AZD1722- in Patient
n=8 participants at risk
Tenapanor administered in a clinical pharmacology unit AZD1722 (in-patient): doses between 5 and 60 mg BID may be administered based on tolerability in a CPU setting
Placebo- in Patient
n=8 participants at risk
Placebo (size and color matched to experimental drug) administered in a clinical pharmacology unit
AZD1722 Out-patient
n=37 participants at risk
Tenapanor AZD1722 (out-patient): doses between 5 and 45 mg BID
Placebo Out-patient
n=35 participants at risk
Placebo Placebo: Placebo, size and color matched to experimental drug
Gastrointestinal disorders
diarrhea
75.0%
6/8 • Number of events 6 • one month
25.0%
2/8 • Number of events 2 • one month
8.1%
3/37 • Number of events 3 • one month
60.0%
21/35 • Number of events 21 • one month

Additional Information

Chief Development Officer

Ardelyx, Inc.

Phone: 617 513-4929

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60