Auryxia (Ferric Citrate) Therapy for In-Center and Home Dialysis Participants

Trial end date:
Target enrollment:
Participant gender:
This study is being conducted to demonstrate the effect of Auryxia, when used as the primary phosphate lowering therapy, on the overall cumulative use of erythropoiesis-stimulating agent and intravenous iron as well as on the laboratory parameters indicative of phosphate and anemia management.
Phase 4
Accepts Healthy Volunteers?
Lead Sponsor:
USRC Kidney Research
Akebia Therapeutics Inc.
Inclusion Criteria:

1. Adult participants greater or equal to 18 years old.

2. Diagnosis of end-stage kidney disease and receiving maintenance dialysis (in-center,
home hemodialysis or peritoneal dialysis) for greater or equal to 12 weeks prior to

3. Most recent transferrin saturation less than or equal to 50 percent

4. Most recent serum phosphate is greater or equal to 3.0 milligrams per deciliter

5. Receiving treatment for greater or equal to 8 weeks prior to screening with
non-Auryxia phosphate lowering therapy. No requirement for stable dosing within this
time frame.

6. Receiving treatment for greater or equal to 8 weeks prior to screening with
erythropoiesis-stimulating agent (any dose, any type). No requirement for stable
dosing within this time frame.

7. Understands the procedures and requirements of the study and provides written informed
consent and authorization for protected health information disclosure.

Exclusion Criteria:

1. A known allergy or intolerance to Auryxia or any of its constituents.

2. Hypersensitivity reaction to previous oral iron therapy.

3. History of hemochromatosis or other iron overload syndrome.

4. Active malignancy requiring current treatment except for non-melanoma skin cancer
regardless of treatment.

5. Active drug or alcohol dependence or abuse (excluding tobacco use or medicinal or
recreational marijuana) within the 12 months prior to Screening or evidence of such
abuse (in the opinion of the Investigator).

6. Limited life expectancy (less than 6 months), (in the opinion of the Investigator).

7. Scheduled organ transplant and participants on the kidney transplant wait-list who are
expected to receive a transplant within 6 months of screening. Being active on
transplant list is not an exclusion. Previous kidney transplant is not an exclusion.

8. Unable to comply with study requirements or in the opinion of the Investigator not
clinically stable to participate in the study.

9. Females who are known to be pregnant or are breast-feeding during Screening or are
planning to become pregnant and breastfeeding during the study period.

10. Evidence of clinically active infection at the time of Screening.

11. Use of an investigational medication or participation in an investigational study
within 30 days prior to Screening.