NCT06933472RecruitingPhase 3
A Study of a Novel Iron-based Phosphate Binder AP301 in Patients With Hyperphosphatemia in the U.S. and China
A Randomized, Double-Blind, Multi-Regional, Phase 3 Study to Evaluate the Efficacy and Safety of AP301 on Serum Phosphorus Control in Chronic Kidney Disease Patients Receiving Maintenance Dialysis With Hyperphosphatemia
Source: ClinicalTrials.gov · Last updated 29 Jan 2026
Brief summary (registry, in English)
The goal of this clinical trial is to learn if AP301 could work in the patients receiving maintenance dialysis with elevated blood phosphate. The main questions it aims to answer are: * Does AP301 lower blood phosphate levels? * Does AP301 works on serum calcium level, calcium times phosphate level, and intact parathyroid hormone level? * What discomfort or medical problem do the patients have when taking AP301? * Does AP301 improve quality of life in Chinese patients? The researchers will compare AP301 to an ineffective comparator (a look-alike substance that contains low dose AP301) to see if AP301 works to treat elevated blood phosphate. In the study, the patients will experience the following stages in a chronicle order: * Stop all using blood phosphate-lowering drugs, * Take AP301 or the comparator three times a day for 8 weeks, * Take AP301 three times a day for 24 weeks, and * Take AP301 or the comparator three times a day for 3 weeks. In the first 32 weeks, the dose of AP301 will be adjusted upwards or downwards based on the patient's blood phosphate level and the study doctor's judgment. If the participant has a blood phosphate level above or below a certain level, they may receive additional treatment to lower the blood phosphate level.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 3
- Study type
- Interventional
- Enrollment
- 264 (estimated)
- First submitted
- 19 Mar 2025
- Start date
- 13 Jun 2025
- Primary completion date
- 20 Jun 2026
- Lead sponsor
- Alebund Pharmaceuticals
- Diseases
- Chronic kidney disease
- NCT number
- NCT06933472
What you commit to
- Study type: Interventional · Phase 3
- Planned participants: 264
- From 13 Jun 2025 to the primary completion date, 20 Jun 2026
- 41 sites in 2 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- History or plan of kidney transplantation
- History or plan of parathyroid intervention 6 months before signing the ICF
- History of gastrectomy or duodenectomy, or GI surgery within 3 months before signing the ICF
Other illness
- Presence of clinically significant gastrointestinal (GI) disorder
- Known allergic to any ingredient of AP301, or known history of severe allergies leading to emergency medical care
Lab values
- Serum calcium \< 1.9 mmol/L (7.6 mg/dL) or \> 2.75 mmol/L (11 mg/dL) at screening
- Serum intact parathyroid hormone \> 127 pmol/L (1200 pg/mL) at screening
Other
- Female who are breastfeeding
Who the study is looking for
- Provision of signed and dated ICF
- Age ≥ 12 years when signing the ICF
- Patients on dialysis for ≥ 3 months before signing the ICF and throughout the study
- For HD patients, spKt/V ≥ 1.2; for PD patients, total Kt/V ≥ 1.7/week
- Patients who receive phosphate-lowering drugs over 4 weeks and their serum phosphate level is:
- Screening: 1.13 mmol/L (3.5 mg/dL) ≤ serum phosphate \< 2.58 mmol/L (8.0 mg/dL)
- After washout: 1.94 mmol/L (6.0 mg/dL) ≤ serum phosphate \< 3.23 mmol/L (10.0 mg/dL)
Age in the registry: 12 years to - · Sex: All · Does not accept healthy volunteers
Sites (41)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Beijing Tsinghua Chang Gung Hospital Coordinator of this site? Confirm its status | Beijing | China | Recruiting |
| Peking University International Hospital Coordinator of this site? Confirm its status | Beijing | China | Recruiting |
| Peking University First Hospital Coordinator of this site? Confirm its status | Beijing | China | Recruiting |
| Central South University-The Third Xiangya Hospital Coordinator of this site? Confirm its status | Changsha | China | Recruiting |
| Sichuan Provincial People's Hospital Coordinator of this site? Confirm its status | Chengdu | China | Recruiting |
| Jiangxi Provincial People's Hospital Coordinator of this site? Confirm its status | Nanchang | China | Recruiting |
| Jiangsu Province Hospital (the First Affiliated Hospital With Nanjing Medical University) Coordinator of this site? Confirm its status | Nanjing | China | Recruiting |
| Southeast University Zhongda Hospital Coordinator of this site? Confirm its status | Nanjing | China | Recruiting |
| Nantong University Affiliated Hospital Coordinator of this site? Confirm its status | Nantong | China | Recruiting |
| Qingdao University-The Affiliated Hospital Coordinator of this site? Confirm its status | Qingdao | China | Recruiting |
| Shanghai Jiao Tong University School of Medicine (SJTUSM)-Renji Hospital Coordinator of this site? Confirm its status | Shanghai | China | Recruiting |
| Fudan University Huashan Hospital Coordinator of this site? Confirm its status | Shanghai | China | Recruiting |
| Children's Hospital Of Fudan University Coordinator of this site? Confirm its status | Shanghai | China | Not yet recruiting |
| Shanghai Tongren Hospital Coordinator of this site? Confirm its status | Shanghai | China | Recruiting |
| Fudan University Zhongshan Hospital Coordinator of this site? Confirm its status | Shanghai | China | Recruiting |
| Wuhan University People's Hospital Coordinator of this site? Confirm its status | Wuhan | China | Recruiting |
| Huazhong University of Science and Technology-Tongji Medical College - Wuhan Union Hospital Coordinator of this site? Confirm its status | Wuhan | China | Recruiting |
| Nanjing Medical University-Wuxi People's Hospital (Wuxi No.1 People's Hospital) Coordinator of this site? Confirm its status | Wuxi | China | Recruiting |
| The First Affiliated hospital of Xiamen University Coordinator of this site? Confirm its status | Xiamen | China | Recruiting |
| Subei People's Hospital Coordinator of this site? Confirm its status | Yangzhou | China | Recruiting |
| Yantai Yuhuangding Hospital Coordinator of this site? Confirm its status | Yantai | China | Recruiting |
| Henan Provincial People's Hospital Coordinator of this site? Confirm its status | Zhengzhou | China | Recruiting |
| Zhengzhou University - First Affiliated Hospital Coordinator of this site? Confirm its status | Zhengzhou | China | Recruiting |
| Renal Associates Of Baton Rouge, LLC Coordinator of this site? Confirm its status | Baton Rouge | United States | Recruiting |
| US Renal Care - West Cheektowaga Coordinator of this site? Confirm its status | Cheektowaga | United States | Recruiting |
| Nephrology Associates, P.C. - Columbus Coordinator of this site? Confirm its status | Columbus | United States | Recruiting |
| Dallas Renal Group - Dallas Coordinator of this site? Confirm its status | Dallas | United States | Recruiting |
| Nephrology & Hypertension Specialists Coordinator of this site? Confirm its status | Dalton | United States | Recruiting |
| US Renal Care - Fort Myers South Coordinator of this site? Confirm its status | Fort Myers | United States | Recruiting |
| US Renal Care - Bluebonnet Coordinator of this site? Confirm its status | Fort Worth | United States | Recruiting |
| High Desert Nephrology Association - US Renal Care Coordinator of this site? Confirm its status | Gallup | United States | Recruiting |
| Renal Consultants Medical Group Coordinator of this site? Confirm its status | Granada Hills | United States | Recruiting |
| Rocky Mountain Kidney Care - Lone Tree Coordinator of this site? Confirm its status | Lone Tree | United States | Recruiting |
| Gamma Medical Research Coordinator of this site? Confirm its status | McAllen | United States | Recruiting |
| PACT Kidney Care - Orange Coordinator of this site? Confirm its status | Orange | United States | Recruiting |
| NY Kidney & Hypertension Medicine Coordinator of this site? Confirm its status | Ridgewood | United States | Recruiting |
| US Renal Care - South San Antonio Coordinator of this site? Confirm its status | San Antonio | United States | Recruiting |
| US Renal Care - Hill Country Coordinator of this site? Confirm its status | San Antonio | United States | Recruiting |
| North America Research Institute - San Dimas Coordinator of this site? Confirm its status | San Dimas | United States | Recruiting |
| US Renal Care - Alexis Coordinator of this site? Confirm its status | Toledo | United States | Recruiting |
| Nephrology & Hypertension Associates Ltd - Tupelo Coordinator of this site? Confirm its status | Tupelo | United States | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.