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Trial · NCT03427125

A Phase 3 Study of Tenapanor to Treat Hyperphosphatemia in ESRD Patients on Dialysis

NCT03427125, Phase 3, Completed, Ardelyx; results first posted 2023-06-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Phase 3 Study of Tenapanor to Treat Hyperphosphatemia in ESRD Patients on Dialysis. Trials, record NCT03427125. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03427125

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Trial

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

Title
A Phase 3 Study of Tenapanor to Treat Hyperphosphatemia in ESRD Patients on Dialysis
NCT number
NCT03427125
Status
Completed
Phases
Phase 3
Enrollment
1,559 participants, actual
Lead sponsor
Ardelyx
Conditions
Hyperphosphatemia
Interventions
Tenapanor, Placebo, Sevelamer Carbonate
First posted
2018-02-09
Last updated
2023-06-29
Results first posted
2023-06-29

Source ClinicalTrials.gov

Registered outcomes3

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

ListOutcomeTime frameDescription
PrimaryChange in Serum Phosphorus Levels During Placebo Controlled Randomized Withdrawal Period in the Responder Population12 weeks (randomized withdrawal period)Patients with at least a 1.2 mg/dL decrease in serum phosphorus during the first 26 weeks of the study were defined as the responder population.
SecondaryChange in Serum Phosphorus Levels During Placebo Controlled Randomized Withdrawal Period in the ITT Population12 weeks (randomized withdrawal period)Placebo Adjusted Change in Serum Phosphorus from the beginning to the end of the Randomized Withdrawal Period in all patients
SecondarySerum Phosphorus From Baseline26 weeks (open label treatment period)Serum Phosphorus from baseline (post washout) to end of 26 week period

Outcomes3

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Serum Phosphorus Levels During Placebo Controlled Randomized Withdrawal Period in the Responder Population12 weeks (randomized withdrawal period)The sevalmer arm was not included in the randomized withdrawal period. They were treated as an active safety comparator.mg/dLMEAN
SECONDARYChange in Serum Phosphorus Levels During Placebo Controlled Randomized Withdrawal Period in the ITT Population12 weeks (randomized withdrawal period)The sevelamer group did not participate in the randomized withdrawal periodmg/dLMEAN
SECONDARYSerum Phosphorus From Baseline26 weeks (open label treatment period)There were no placebo during this period and the sevelamer arm was a safety comparator onlymg/dLMEAN

Results by group6

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

OutcomeGroupCategoryValueSpreadUnits
Change in Serum Phosphorus Levels During Placebo Controlled Randomized Withdrawal Period in the Responder PopulationTenapanor 10 mg, 20 mg, 30 mg BID0.43Standard Deviation 0.199mg/dL
Change in Serum Phosphorus Levels During Placebo Controlled Randomized Withdrawal Period in the Responder PopulationPlacebo1.80Standard Deviation 0.196mg/dL
Change in Serum Phosphorus Levels During Placebo Controlled Randomized Withdrawal Period in the ITT PopulationTenapanor 10 mg, 20 mg, 30 mg BID0.22Standard Deviation 0.149mg/dL
Change in Serum Phosphorus Levels During Placebo Controlled Randomized Withdrawal Period in the ITT PopulationPlacebo0.88Standard Deviation 0.150mg/dL
Serum Phosphorus From BaselineTenapanor 10 mg, 20 mg, 30 mg BIDBaseline Serum Phosphorus7.44Standard Deviation 1.439mg/dL
Serum Phosphorus From BaselineTenapanor 10 mg, 20 mg, 30 mg BIDEnd of Period serum Phosphorus5.88Standard Deviation 1,455mg/dL

Participant flow36

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

PeriodMilestoneGroupParticipantsUnits counted
2 to 4 Week Washout PeriodSTARTEDTenapanor 10 mg, 20 mg, 30 mg BID0
2 to 4 Week Washout PeriodSTARTEDPlacebo1,559
2 to 4 Week Washout PeriodSTARTEDSevelamer Carbonate0
2 to 4 Week Washout PeriodCOMPLETEDTenapanor 10 mg, 20 mg, 30 mg BID0
2 to 4 Week Washout PeriodCOMPLETEDPlacebo564
2 to 4 Week Washout PeriodCOMPLETEDSevelamer Carbonate0
2 to 4 Week Washout PeriodNOT COMPLETEDTenapanor 10 mg, 20 mg, 30 mg BID0
2 to 4 Week Washout PeriodNOT COMPLETEDPlacebo995
2 to 4 Week Washout PeriodNOT COMPLETEDSevelamer Carbonate0
26-Week Treatment PeriodSTARTEDTenapanor 10 mg, 20 mg, 30 mg BID423

Adverse events27

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrheaGastrointestinal disordersTenapanor 10 mg, 20 mg, 30 mg BID222419222
otherDiarrheaGastrointestinal disordersPlacebo21262
otherDiarrheaGastrointestinal disordersSevelamer Carbonate1013710
seriouspneumoniaInfections and infestationsTenapanor 10 mg, 20 mg, 30 mg BID64196
seriouspneumoniaInfections and infestationsPlacebo01260
seriouspneumoniaInfections and infestationsSevelamer Carbonate81378
seriousCellulitisInfections and infestationsTenapanor 10 mg, 20 mg, 30 mg BID64196
seriousCellulitisInfections and infestationsPlacebo11261
seriousCellulitisInfections and infestationsSevelamer Carbonate51375
seriousSepsisInfections and infestationsTenapanor 10 mg, 20 mg, 30 mg BID64196

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTenapanor 10 mg, 20 mg, 30 mg BID12419
Total, all-cause mortalityPlacebo1126
Total, all-cause mortalitySevelamer Carbonate5137
Total, other adverse eventsTenapanor 10 mg, 20 mg, 30 mg BID222419
Total, other adverse eventsPlacebo2126
Total, other adverse eventsSevelamer Carbonate10137
Total, serious adverse eventsTenapanor 10 mg, 20 mg, 30 mg BID47419
Total, serious adverse eventsPlacebo4126
Total, serious adverse eventsSevelamer Carbonate39137

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
35372979DERIVEDPubMed
37853560DERIVEDPubMed
38323855DERIVEDPubMed
40576086DERIVEDPubMed

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 comparisons0

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

None in this release.

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/NCT03427125

GET https://conductscience.org/api/trials/v1/NCT03427125/flow?page=2