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Trial · NCT01906489

20-Week Repeat Oral Dose Study of AKB-6548 in Participants With Chronic Kidney Disease and Anemia

NCT01906489, Phase 2, Completed, Akebia Therapeutics; results first posted 2022-07-01

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. 20-Week Repeat Oral Dose Study of AKB-6548 in Participants With Chronic Kidney Disease and Anemia. Trials, record NCT01906489. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01906489

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
20-Week Repeat Oral Dose Study of AKB-6548 in Participants With Chronic Kidney Disease and Anemia
NCT number
NCT01906489
Status
Completed
Phases
Phase 2
Enrollment
210 participants, actual
Lead sponsor
Akebia Therapeutics
Conditions
Anemia, Chronic Kidney Disease
Interventions
AKB-6548, Placebo
First posted
2013-07-24
Last updated
2022-07-21
Results first posted
2022-07-01

Source ClinicalTrials.gov

Registered outcomes47

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants Achieving a Successful Hemoglobin ResponseWeeks 19 and 20
Hemoglobin (Hgb) response was defined as participants with mean Hgb ≥11.0 grams per deciliter (g/dL) (average of Weeks 19 and 20) or increase in Hgb by ≥ 1.2 g/dL (average of Weeks 19 and 20) over pre-dose average (average of the two Hgb values obtained prior to dosing) without receiving Erythropoiesis-Stimulating Agents (ESA) or transfusion.
SecondaryPercentage of Participants With Hemoglobin Value ≥13.0 g/dL at Any Time During the StudyUp to 20 WeeksParticipants who have experienced an excursion in Hgb to ≥13.0 g/dL at any time during the study were considered as "failures". Data was presented for failures.
SecondaryPercentage of Participants Achieving a Successful Hemoglobin Response, Determined Solely Based on the Hemoglobin ValueWeeks 19 and 20
Hgb response was defined as participants with mean Hgb ≥11.0 g/dL (average of Weeks 19 and 20) or increase in Hgb by ≥ 1.2 g/dL (average of Weeks 19 and 20) over pre-dose average (average of the two Hgb values obtained prior to dosing). Analysis of this secondary outcome measure is a reanalysis of the primary outcome measure whereby the response was determined solely by the Hgb value and receiving rescue therapy did not make the participant a failure.
SecondaryPercentage of Participants Achieving a Successful Hemoglobin Response in ESA Treatment naïve GroupWeeks 19 and 20
Hgb response was defined as participants with mean Hgb ≥11.0 g/dL (average of Weeks 19 and 20) or increase in Hgb by ≥ 1.2 g/dL (average of Weeks 19 and 20) over pre-dose average (average of the two Hgb values obtained prior to dosing) without receiving ESA or transfusion. Participants were assigned to 1 of 3 study groups based on their ESA status at the screening visit: Naïve, Previously Treated and Actively Treated. Analysis of this secondary outcome measure was performed in the ESA Treatment Naïve group, defined as participants who had never received treatment with an ESA and who had a screening Hgb level of ≤10.5 g/dL.
SecondaryPercentage of Participants Achieving a Successful Hemoglobin Response in ESA Previously Treated GroupWeeks 19 and 20
Hgb response was defined as participants with mean Hgb ≥11.0 g/dL (average of Weeks 19 and 20) or increase in Hgb by ≥ 1.2 g/dL (average of Weeks 19 and 20) over pre-dose average (average of the two Hgb values obtained prior to dosing) without receiving ESA or transfusion. Participants were assigned to 1 of 3 study groups based on their ESA status at the screening visit: Naïve, Previously Treated and Actively Treated. Analysis of this secondary outcome measure was performed in the ESA Previously Treated group, defined as participants who had previously received ≥1 dose of an ESA, had been off of ESA therapy for ≥11 weeks at the time of screening, and had a screening Hgb level of ≤10.5 g/dL.
SecondaryPercentage of Participants Achieving a Successful Hemoglobin Response in ESA Actively Treated GroupWeeks 19 and 20
Hgb response was defined as participants with mean Hgb ≥11.0 g/dL (average of Weeks 19 and 20) or increase in Hgb by ≥ 1.2 g/dL (average of Weeks 19 and 20) over pre-dose average (average of the two Hgb values obtained prior to dosing) without receiving ESA or transfusion. Participants were assigned to 1 of 3 study groups based on their ESA status at the screening visit: Naïve, Previously Treated and Actively Treated. Analysis of this secondary outcome measure was performed in the ESA Actively Treated group, defined as participants who had been actively treated with an ESA for a minimum of 4 months before screening, had received at least 2 doses within the last 4 months, had received their last dose within 6 weeks before screening, and had a screening Hgb level ≥9.5 g/dL and ≤12.0 g/dL.
SecondaryPercentage of Participants Achieving a Successful Hemoglobin Response, Analyzed in mITT PopulationWeeks 19 and 20
Hgb response was defined as participants with mean Hgb ≥11.0 g/dL (average of Weeks 19 and 20) or increase in Hgb by ≥ 1.2 g/dL (average of Weeks 19 and 20) over pre-dose average (average of the two Hgb values obtained prior to dosing) without receiving ESA or transfusion. Analysis of this secondary outcome measure was performed in the mITT population.
SecondaryChange From Baseline in HemoglobinBaseline, Week 2, Week 4, Week 6, Week 8, Week 12, Week 16, Week 19 and Week 20
Blood samples were collected to assess Hgb. Baseline was defined as the mean of two samples obtained prior to dosing (Screening and Baseline). Change from Baseline was calculated as the post-Baseline value minus the Baseline value. A positive change from Baseline indicated Hgb concentration increased.
SecondaryAbsolute Values of HemoglobinBaseline, Week 2, Week 4, Week 6, Week 8, Week 12, Week 16, Week 19 and Week 20Blood samples were collected at indicated time points for analysis of hemoglobin
SecondaryChange From Baseline in HematocritBaseline, Week 2, Week 4, Week 6, Week 8, Week 12, Week 16, Week 19 and Week 20
Blood samples were collected to assess Hematocrit. Baseline was defined as the mean of two samples obtained prior to dosing (Screening and Baseline). Change from Baseline was calculated as the post-Baseline value minus the Baseline value. A positive change from Baseline indicated Hematocrit concentration increased.

Outcomes47

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants Achieving a Successful Hemoglobin ResponseWeeks 19 and 20
Per Protocol (PP) Population: participants in modified intent-to-treat (MITT) Population who had completed the study and had efficacy data through Week 20, had a study medication compliance of ≥ 80%, and did not have any protocol deviations. Only participants with available data were analyzed.
Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Hemoglobin Value ≥13.0 g/dL at Any Time During the StudyUp to 20 Weeks
Modified Intent-to-Treat (MITT) Population: all randomized participants who received at least one dose of study medication and had a Baseline (either screening or Baseline for both Hgb and RBC count) and at least one post-Baseline measurement for both Hgb and RBC. Only participants with available data were analyzed.
Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving a Successful Hemoglobin Response, Determined Solely Based on the Hemoglobin ValueWeeks 19 and 20MITT Population. Only participants with available data were analyzed.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving a Successful Hemoglobin Response in ESA Treatment naïve GroupWeeks 19 and 20MITT Population. Only participants with available data were analyzed.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving a Successful Hemoglobin Response in ESA Previously Treated GroupWeeks 19 and 20MITT Population. Only participants with available data were analyzed.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving a Successful Hemoglobin Response in ESA Actively Treated GroupWeeks 19 and 20MITT Population. Only participants with available data were analyzed.Percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving a Successful Hemoglobin Response, Analyzed in mITT PopulationWeeks 19 and 20MITT Population. Only participants with available data were analyzed.Percentage of participantsNUMBER
SECONDARYChange From Baseline in HemoglobinBaseline, Week 2, Week 4, Week 6, Week 8, Week 12, Week 16, Week 19 and Week 20MITT Population. Only participants with available data were analyzed.g/dLMEAN
SECONDARYAbsolute Values of HemoglobinBaseline, Week 2, Week 4, Week 6, Week 8, Week 12, Week 16, Week 19 and Week 20MITT Population. Only participants with available data were analyzed.g/dLMEAN
SECONDARYChange From Baseline in HematocritBaseline, Week 2, Week 4, Week 6, Week 8, Week 12, Week 16, Week 19 and Week 20MITT Population. Only participants with available data were analyzed.Percentage of red blood cells in bloodMEAN

Results by group186

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants Achieving a Successful Hemoglobin ResponseVadadustat54.9Percentage of participants
Percentage of Participants Achieving a Successful Hemoglobin ResponsePlacebo10.3Percentage of participants
Percentage of Participants With Hemoglobin Value ≥13.0 g/dL at Any Time During the StudyVadadustat59.6Percentage of participants
Percentage of Participants With Hemoglobin Value ≥13.0 g/dL at Any Time During the StudyPlacebo88.9Percentage of participants
Percentage of Participants Achieving a Successful Hemoglobin Response, Determined Solely Based on the Hemoglobin ValueVadadustat44.9Percentage of participants
Percentage of Participants Achieving a Successful Hemoglobin Response, Determined Solely Based on the Hemoglobin ValuePlacebo13.9Percentage of participants
Percentage of Participants Achieving a Successful Hemoglobin Response in ESA Treatment naïve GroupVadadustat50Percentage of participants
Percentage of Participants Achieving a Successful Hemoglobin Response in ESA Treatment naïve GroupPlacebo7.9Percentage of participants
Percentage of Participants Achieving a Successful Hemoglobin Response in ESA Previously Treated GroupVadadustat41.5Percentage of participants
Percentage of Participants Achieving a Successful Hemoglobin Response in ESA Previously Treated GroupPlacebo19Percentage of participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDVadadustat138
Overall StudySTARTEDPlacebo72
Overall StudyCOMPLETEDVadadustat112
Overall StudyCOMPLETEDPlacebo63
Overall StudyNOT COMPLETEDVadadustat26
Overall StudyNOT COMPLETEDPlacebo9

Adverse events106

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersVadadustat14138
otherDiarrhoeaGastrointestinal disordersPlacebo372
otherNauseaGastrointestinal disordersVadadustat14138
otherNauseaGastrointestinal disordersPlacebo372
otherConstipationGastrointestinal disordersVadadustat5138
otherConstipationGastrointestinal disordersPlacebo472
otherFatigueGeneral disordersVadadustat11138
otherFatigueGeneral disordersPlacebo572
otherOedema peripheralGeneral disordersVadadustat10138
otherOedema peripheralGeneral disordersPlacebo772

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityVadadustat3138
Total, all-cause mortalityPlacebo072
Total, other adverse eventsVadadustat58138
Total, other adverse eventsPlacebo2972
Total, serious adverse eventsVadadustat33138
Total, serious adverse eventsPlacebo1172

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
27650732DERIVEDPubMed
36005278DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons5

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Vadadustat vs Placebo: Number of Participants With Clinically Abnormal 12-Lead Electrocardiogram (ECG) FindingsTrial comparisons
Vadadustat vs Placebo: Number of Participants With Clinically Significant Changes From Baseline in Vital SignsTrial comparisons
Vadadustat vs Placebo: Number of Participants With Clinically Significant Changes From Baseline in Physical Examination FindingsTrial comparisons
Vadadustat vs Placebo: deaths from any causeTrial comparisons
Vadadustat vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01906489

GET https://conductscience.org/api/trials/v1/NCT01906489/registered?page=2