ConductScience.org, home

Trial · NCT04313153

Trial Evaluating the Efficacy and Safety of Oral Vadadustat Once Daily (QD) and Three Times Weekly (TIW) for the Maintenance Treatment of Anemia in Hemodialysis Subjects Converting From Erythropoiesis-Stimulating Agents (ESAs)

NCT04313153, Phase 3, Completed, Akebia Therapeutics; results first posted 2025-05-22

3 sourcestrials-2026-11-12-0.5.0

Download JSON
Cite this record

ConductScience Library. Trial Evaluating the Efficacy and Safety of Oral Vadadustat Once Daily (QD) and Three Times Weekly (TIW) for the Maintenance Treatment of Anemia in Hemodialysis Subjects Converting From Erythropoiesis-Stimulating Agents (ESAs). Trials, record NCT04313153. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04313153

On this page

Trial

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

Title
Trial Evaluating the Efficacy and Safety of Oral Vadadustat Once Daily (QD) and Three Times Weekly (TIW) for the Maintenance Treatment of Anemia in Hemodialysis Subjects Converting From Erythropoiesis-Stimulating Agents (ESAs)
NCT number
NCT04313153
Status
Completed
Phases
Phase 3
Enrollment
319 participants, actual
Lead sponsor
Akebia Therapeutics
Conditions
Anemia
Interventions
Vadadustat, Darbepoetin alfa
First posted
2020-03-18
Last updated
2025-05-22
Other registries' IDs
eudract:2019-004851-36
Results first posted
2025-05-22
Limitations and caveats
Per the protocol, data was collected by the arm to which participants were randomized and not by dose received in vadadustat QD or vadadustat TIW arms.

Source ClinicalTrials.gov

Registered outcomes2

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

ListOutcomeTime frameDescription
PrimaryChange From Baseline in Hb to the Average Over the Primary Evaluation Period (PEP) (Weeks 20 to 26)Baseline; Weeks 20 to 26
The Baseline Hb was defined as the average of the last 2 central laboratory Hb values taken on or prior to the first dose date. The average for the PEP was calculated as the average of all Hb measurements from the central laboratory within the three visit windows during Weeks 20 through 26, regardless of intercurrent events. Analysis was conducted using an analysis of covariance (ANCOVA) model with multiple imputation for missing data with randomization stratification factors and Baseline Hb as covariates. Change from Baseline was calculated as PEP value minus the Baseline value.
SecondaryChange From Baseline in Hb to the Average Over the Secondary Evaluation Period (SEP) (Weeks 46 to 52)Baseline; Weeks 46 to 52
The Baseline Hb was defined as the average of the last 2 central laboratory Hb values taken on or prior to the first dose date. The average for the SEP was calculated as the average of all Hb measurements from the central laboratory within the three visit windows during Weeks 46 through 52, regardless of intercurrent events. Analysis was conducted using an ANCOVA model with multiple imputation for missing data with randomization stratification factors and Baseline Hb as covariates. Change from Baseline was calculated as SEP value minus the Baseline value.

Outcomes2

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in Hb to the Average Over the Primary Evaluation Period (PEP) (Weeks 20 to 26)Baseline; Weeks 20 to 26Randomized PopulationGrams per deciliter (g/dL)LEAST_SQUARES_MEAN
SECONDARYChange From Baseline in Hb to the Average Over the Secondary Evaluation Period (SEP) (Weeks 46 to 52)Baseline; Weeks 46 to 52Randomized Populationg/dLLEAST_SQUARES_MEAN

Results by group6

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

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Hb to the Average Over the Primary Evaluation Period (PEP) (Weeks 20 to 26)Vadadustat QD0.07Standard Error 0.12Grams per deciliter (g/dL)
Change From Baseline in Hb to the Average Over the Primary Evaluation Period (PEP) (Weeks 20 to 26)Vadadustat TIW-0.19Standard Error 0.12Grams per deciliter (g/dL)
Change From Baseline in Hb to the Average Over the Primary Evaluation Period (PEP) (Weeks 20 to 26)Darbepoetin Alfa0.34Standard Error 0.12Grams per deciliter (g/dL)
Change From Baseline in Hb to the Average Over the Secondary Evaluation Period (SEP) (Weeks 46 to 52)Vadadustat QD0.04Standard Error 0.15g/dL
Change From Baseline in Hb to the Average Over the Secondary Evaluation Period (SEP) (Weeks 46 to 52)Vadadustat TIW0.03Standard Error 0.15g/dL
Change From Baseline in Hb to the Average Over the Secondary Evaluation Period (SEP) (Weeks 46 to 52)Darbepoetin Alfa0.44Standard Error 0.15g/dL

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDVadadustat QD105
Overall StudySTARTEDVadadustat TIW106
Overall StudySTARTEDDarbepoetin Alfa108
Overall StudyCOMPLETEDVadadustat QD54
Overall StudyCOMPLETEDVadadustat TIW50
Overall StudyCOMPLETEDDarbepoetin Alfa67
Overall StudyNOT COMPLETEDVadadustat QD51
Overall StudyNOT COMPLETEDVadadustat TIW56
Overall StudyNOT COMPLETEDDarbepoetin Alfa41

Adverse events501

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersVadadustat QD5105
otherAnaemiaBlood and lymphatic system disordersVadadustat TIW7104
otherAnaemiaBlood and lymphatic system disordersDarbepoetin Alfa7108
otherAbdominal painGastrointestinal disordersVadadustat QD4105
otherAbdominal painGastrointestinal disordersVadadustat TIW4104
otherAbdominal painGastrointestinal disordersDarbepoetin Alfa8108
otherDiarrhoeaGastrointestinal disordersVadadustat QD14105
otherDiarrhoeaGastrointestinal disordersVadadustat TIW15104
otherDiarrhoeaGastrointestinal disordersDarbepoetin Alfa6108
otherNauseaGastrointestinal disordersVadadustat QD12105

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityVadadustat QD12105
Total, all-cause mortalityVadadustat TIW9104
Total, all-cause mortalityDarbepoetin Alfa7108
Total, other adverse eventsVadadustat QD46105
Total, other adverse eventsVadadustat TIW49104
Total, other adverse eventsDarbepoetin Alfa46108
Total, serious adverse eventsVadadustat QD47105
Total, serious adverse eventsVadadustat TIW47104
Total, serious adverse eventsDarbepoetin Alfa47108

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
36005278DERIVEDPubMed
39231617DERIVEDPubMed

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/NCT04313153

GET https://conductscience.org/api/trials/v1/NCT04313153/events?page=2