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    HP:0002153: Hyperkalemia

    Developed by Shray Alag, The Harker School
    Sections: Correlations, Clinical Trials, and HPO

    Correlations computed by analyzing all clinical trials.

    Navigate: Clinical Trials and HPO


    Correlated Drug Terms (5)


    Name (Synonyms) Correlation
    drug4019 Sodium Zirconium Cyclosilicate (SZC) Dose During 28 Day Maintenance Phase Wiki 1.00
    drug4021 Sodium Zirconium Cyclosilicate (SZC) Dose Level 2 (DL2) Wiki 1.00
    drug4023 Sodium Zirconium Cyclosilicate (SZC) Reduced Dose Level Wiki 1.00
    Name (Synonyms) Correlation
    drug4020 Sodium Zirconium Cyclosilicate (SZC) Dose Level 1 (DL1) Wiki 1.00
    drug4022 Sodium Zirconium Cyclosilicate (SZC) Dose Level 3 (DL3) Wiki 1.00

    Correlated MeSH Terms (1)


    Name (Synonyms) Correlation
    D006947 Hyperkalemia NIH 1.00

    Correlated HPO Terms (0)


    Name (Synonyms) Correlation

    Clinical Trials

    Navigate: Correlations   HPO

    There is one clinical trial.


    1 A Phase 3, Dose-Escalating Study in Children With Hyperkalaemia Between Birth and <18 Years of Age to Evaluate Increasing Doses of Sodium Zirconium Cyclosilicate (SZC) Given Three Times Daily for the Correction of Hyperkalaemia and the Effectiveness of the Same Dose of SZC Given Once Daily to Maintain Normokalaemia Among Those Requiring Continuous Treatment.

    Sodium zirconium cyclosilicate has been shown to be effective and safe in adults for the treatment of hyperkalaemia, and therefore it is expected to be beneficial in children. This study will evaluate the efficacy, safety and tolerability of sodium zirconium cyclosilicate for the treatment of hyperkalaemia in children <18 years of age. Primary Objective:28-day maintenance phase (MP) primary objective: To compare the effect of SZC vs placebo on maintaining normokalaemia during the MP. Correction phase (CP) primary objective: To evaluate SZC efficacy of different dose levels on achieving normokalaemia during the CP. Overall design: Approximately 140 participants will be enrolled at approximately 40 sites in locations including but not limited to Europe and North America for this study. Treatment will include 3 phases: the CP, MP, and LTMP. Participants from 2 to <18 years are eligible to participate in all phases of the study. Participants <2 years of age will be included in the first 2 phases, namely the CP and the MP. During the study, participants are recommended to be fasting prior to any visit pre-dose laboratory testing. All laboratory tests are taken pre-dose except select post dose K+ values during the CP. Electrocardiograms are to be taken prior to dosing. On visit days, the study treatment is to be taken at the site (during the CP this pertains only to the morning dose). For participants with diabetes, K+ measurements should be performed prior to insulin administration where possible. For inclusion into the study and for determining the ≥0.5 mmol/L decrease in K+, i-STAT is used. For subsequent decisions on eligibility and determination of hyper and normokalaemia for entry into the MP and LTMP phases, local laboratory K+ is the determinant value. Tolerability and safety will be assessed using AE reporting, results from laboratory testing, vital signs, physical examinations and ECG findings during the study. Care will be taken not to introduce bias when detecting AEs and/or SAEs. Open ended non leading verbal questioning of the participant or participant's legal representative, as appropriate, is the preferred method to inquire about AE occurrences. Participants are allowed to discontinue the study treatment and assessments at any time or at the discretion of the Investigator(s). The independent Data Monitoring Committee (iDMC) will monitor data during all phases of the study including DL evaluations.

    NCT03813407
    Conditions
    1. Hyperkalaemia
    Interventions
    1. Drug: Sodium Zirconium Cyclosilicate (SZC) Reduced Dose Level
    2. Drug: Sodium Zirconium Cyclosilicate (SZC) Dose Level 1 (DL1)
    3. Drug: Sodium Zirconium Cyclosilicate (SZC) Dose Level 2 (DL2)
    4. Drug: Sodium Zirconium Cyclosilicate (SZC) Dose Level 3 (DL3)
    5. Drug: Sodium Zirconium Cyclosilicate (SZC) Dose During 28 Day Maintenance Phase
    MeSH:Hyperkalemia
    HPO:Hyperkalemia

    Primary Outcomes

    Description: The proportion of participants in whom normokalaemia can be maintained throughout the Maintenance phase.

    Measure: 28-day maintenance phase (MP) primary endpoint (Primary Analysis Endpoint): The proportion of participants in whom normokalaemia can be maintained throughout the MP.

    Time: 28 Days

    Description: The proportion of participants in whom S-K+ decreases by ≥0.5 mmol/L and who achieve normokalaemia at (by or before) 24, 48 and 72 hours during Correction Phase.

    Measure: Correction phase (CP) primary endpoint: The proportion of participants in whom S-K+ decreases by ≥0.5 mmol/L and who achieve normokalaemia at (by or before) 24, 48 and 72 hours during Correction Phase.

    Time: 24, 48 and 72 Hours

    Secondary Outcomes

    Description: The proportion of participants in whom S-K+ decreases by ≥0.5 mmol/L and who achieve normokalaemia during the first 72 hours.

    Measure: Correction Phase secondary endpoints The proportion of participants in whom S-K+ decreases by ≥0.5 mmol/L and who achieve normokalaemia during the first 72 hours

    Time: 72 hours

    Description: Time from randomisation to relapse of hyperkalaemia in each treatment group

    Measure: Maintenance Phase secondary endpointsTime from randomization to relapse of hyperkalaemia.:

    Time: 28 Days

    Description: Proportion of participants within each treatment group who maintain normokalaemia per visit over the MP

    Measure: Maintenance Phase Secondary endpoint. Proportion of participants within each treatment group who maintain normal S-K+ levels .

    Time: 28 days

    Description: Absolute change from baseline in S-K+ levels post dose during the MP and at any time point thereafter in each treatment group

    Measure: Maintenance Phase Secondary End Point. Absolute change from base line in S-K+ levels post dose during MP and at any time point thereafter in each treatment group.

    Time: 28 days

    Description: Time to an increase in S-K+ concentration of ≥0.5 mmol/L in each treatment group

    Measure: Maintenance Phase Secondary End Point. Time to an increase in S-K+ concentration of 0.5 mmol/L in each treatment group.

    Time: 28 Days

    Description: The difference in mean of all S-K+ values obtained during the MP in participants receiving either SZC or placebo

    Measure: Maintenance Phase Secondary End point. The difference in mean of all S-K values obtained during the MP in subjects receiving either SZC or placebo.

    Time: 28 Days

    Description: The number and percentage of participants with hypo- or hyperkalaemia in participants receiving either SZC or placebo

    Measure: Maintenance Phase Secondary End Point Percentage of subjects with hypokalaemia in subjects receiving either SZC or Placebo

    Time: 28 Days

    Description: Change from baseline in S-Aldo to end of the MP

    Measure: Maintenance Phase Secondary End point. Change from baseline in S-Aldo to end of the MP

    Time: 28 Days

    Description: Proportion of participants per response category in Study Medication Palatability Assessment questionnaires (self-reported or observer assessment)

    Measure: Maintenance Phase Secondary Endpoint. Proportion of patients per response category in Study Medication Palatability Assessment questionnaires.

    Time: 28 Days

    Description: Number and percentage of days of normokalaemia

    Measure: Maintenance Phase Secondary End poinPercentage of days of normokalaemia.

    Time: 28 Days

    Description: Proportion of participants in whom normokalaemia can be maintained over the LTMP.

    Measure: Long Term Maintenance Phase secondary endpointsProportion of participants in whom normokalaemia can be maintained over the LTMP.

    Time: 22 Weeks

    Description: Proportion of participants who needed dose escalation/de-escalaion to higher dose levels during the LTMP

    Measure: Long Term Maintenance Phase Secondary End Proportion of participants who needed dose escalation/de-esclation to higher dose levels during the LTMP.

    Time: 22 weeks

    Description: Proportion of participants who needed dose de-escalation to lower dose levels during the LTMP

    Measure: Long Term Maintenance Phase Secondary End PointProportion of participants who needed dose de-escalation to lower dose levels during the LTMP

    Time: 22 Weeks

    Description: The percentage of subjects with hypokalaemia during the LTMP.

    Measure: Long Term Maintenance Phase Secondary End Point Percentage of participants with hypokalaemia during LTMP

    Time: 22 Weeks

    Description: Proportion of participants per response category in Study Medication Palatability Assessment questionnaires (self reported or observer assessment)

    Measure: Long Term Maintenance Phase Secondary End PoinProportion of participants per response category in Study Medication Palatability Assessment.

    Time: 22 weeks

    Description: Time to first day achievement of normokalaemia

    Measure: Correction Phase Secondary enpoints Time to first day achievement of normokalaemia

    Time: From date of first dose in the Correction Phase to date of first date of normokalaemia, or date of censoring as applicable, assessed up to 72 hours

    Description: Absolute change from baseline in serum K levels at all intervals of follow-up after dosing has been initiated

    Measure: Correction Phase Secondary Endpoint Absolute change from baseline in serum K levels at all intervals of follow-up

    Time: At baseline and at 24, 48 and 72 hours

    Description: Time to decrease of 0.5 mmol/L in serum K level

    Measure: Correction Phase Secondary End Point Time to decrease of 0.5 mmol/L in serum K level

    Time: From date of first dose in the CP to date of first date of decrease of ≥0.5 mmol/L, or date of censoring as applicable, assessed up to 72 hours"

    Description: Proportion of patients per response category in Study Medication Palatability Assessment questionnaires (self reported or observer assessment)

    Measure: Correction Phase Secondary EndpointProportion of patients per response category in Study Medication Palatability Assessment questionnaires.

    Time: At baseline and 48 hours

    Description: Change from Baseline to Visit 7 For Sodium (Plasma Electrolyte)

    Measure: Maintenance Phase Secondary Endpoint Change from Baseline in Sodium (plasma electrolytes.)

    Time: 28 Days

    Description: Change from Baseline to Visit 7 For Potassium (Plasma Electrolyte)

    Measure: Maintenance Phase Secondary Endpoint Change from Baseline in Potassium (plasma electrolytes.)

    Time: 28 Days

    Description: Change from Baseline to Visit 7 For Calcium (Plasma Electrolyte)

    Measure: Maintenance Phase Secondary Endpoint Change from Baseline in Calcium ( plasma electrolytes.)

    Time: 28 Days

    Description: Change from Baseline to Visit 7 For Phosphrous (Plasma Electrolyte)

    Measure: Maintenance Phase Secondary Endpoint Change from Baseline in Phosphrous ( plasma electrolytes.)

    Time: 28 Days

    Description: Change from Baseline to Visit 7 For Megnesium (Plasma Electrolyte)

    Measure: Maintenance Phase Secondary Endpoint Change from Baseline in Megnesium ( plasma electrolytes.)

    Time: 28 Days

    Description: Percentage change from base in serum K levels at all intervals of follow up after dosing has been initiated.

    Measure: Correction Phase Secondary Endpoint Percent change from baseline in serum K levels at all intervals of follow up

    Time: At Baseline and at 24, 48 and 72 Hours

    Description: Percent change from baseline in serum K levels post dose during the MP and at any time point thereafter in each treatment group

    Measure: percent change from baseline in serum K levels post dose during the MP and at any time point thereafter in each treatment group

    Time: 28 Days

    Description: The percentage of subjects with hyperkalaemia in participants receiving either SZC or placebo

    Measure: The percentage of subjects with hyperkalaemia in participants receiving either SZC or placebo.

    Time: 28 Days

    Description: Change from Baseline to Visit 7 For Bicarbonate (plasma electrolytes)

    Measure: Maintenance phase secondary end point change from baseline in Bicarbonate (plasma electrolytes)

    Time: 28 days

    Description: Change from Baseline to Visit 7 For Spot Urine PH.

    Measure: Maintenance Phase Secondary Endpoint Change from Baseline in Spot Urine PH

    Time: 28 Days

    Description: Percentage of days of normokalaemia.

    Measure: Maintenance Phase Secondary End Point percentage of days of normokalaemia

    Time: 28 Days

    Description: Proportion of patients per response category in Study Medication Palatability Assessment questionnaires (self reported or observer assessment)

    Measure: Long Term Maintenance Phase Secondary End PoinProportion of patients per response category in Study Medication Palatability Assessment.

    Time: 22 weeks

    Description: The percentage of participants with hyperkalaemia during the LTMP.

    Measure: Long Term Maintenance Phase Secondary End Point Percentage of participants with hyperkalaemia during LTMP.

    Time: 22 Weeks

    Description: Change from Baseline to Visit 7 For Spot urine Sodium.

    Measure: Maintenance Phase Secondary Endpoint Change from Baseline in Spot Urine Sodium

    Time: 28 Days

    Description: Change from Baseline to Visit 7 For Spot urine Potassium.

    Measure: Maintenance Phase Secondary Endpoint Change from Baseline in Spot Urine Potassium

    Time: 28 Days

    Description: Change from Baseline to Visit 7 For Spot urine Bicarbonate.

    Measure: Maintenance Phase Secondary Endpoint Change from Baseline in Spot Urine Bicarbonate

    Time: 28 Days

    HPO Nodes


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    Data processed on December 13, 2020.

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