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WithdrawnPhase 3

Study to Evaluate the Safety and Tolerability of KRX-0502 (Ferric Citrate) in Children With Iron Deficiency Anemia Associated With Non-Dialysis Dependent Chronic Kidney Disease

Key facts

Who runs it
Keryx Biopharmaceuticals
Trial code
Status
Withdrawn
Phase
Phase 3
Started
Jan 2025
Expected to end
Mar 2027
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • ferric citrate
  • standard of care
Record updated
20 November 2025
Why it stopped
PMR release

Who can take part

Age
6 years to 18 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 15 criteriaShow less

Who can take part

  • Age 6 years to <18 years at Screening
  • Body Weight ≥12 kilograms (kg) at Screening
  • Chronic kidney disease (CKD) stage 3 to 5, not on dialysis, with estimated glomerular filtration rate (eGFR) <60 milliliters per minute (mL/min)/1.73 meters squared (m\^2) utilizing the "Bedside Schwartz" equation
  • Hemoglobin (Hgb) ≥8.5 and ≤11.5 grams per deciliter (g/dL) at Screening
  • Transferrin saturation (TSAT) ≤25% at Screening
  • Ferritin ≤200 nanograms per milliliter (ng/mL) at Screening

Who cannot take part

  • 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
  • Active significant gastrointestinal (GI) disorder, including overt gastrointestinal (GI) bleeding or active inflammatory bowel disease
  • Serum phosphorus level at Screening:; 6 to <13 years: ≤4.0 milligrams per deciliter (mg/dL); 13 to <18 years: ≤2.7 mg/dL
  • Liver transaminases (aspartate aminotransferase [AST] and/or alanine aminotransferase [ALT]) ˃3× the upper limit of normal at Screening
  • Unable to swallow pills
  • Anemia due to causes other than iron deficiency anemia (IDA) of CKD
  • Phosphate binder use during the Screening period

About the trial

What the trial wants to find out

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).

The 2 groups in the trial

  • Ferric citrateTreatment being tested

    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.

  • Standard of careExisting treatment, for comparison

    Participants aged 12 to \<18 years and 6 to \<12 years will receive standard of care treatment for 24 weeks.

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
A 24-Week, Open-Label, Randomized, 2-Arm Study to Evaluate the Safety and Tolerability of KRX-0502 (Ferric Citrate) in Children With Iron Deficiency Anemia Associated With Non-Dialysis Dependent Chronic Kidney Disease
Record updated
20 November 2025