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Trial · NCT04707573

Study to Assess the Safety and Pharmacokinetics of AKB-6548 in Participants With Chronic Kidney Disease (CKD), Stages 3 and 4

NCT04707573, Phase 2, Completed, Akebia Therapeutics; results first posted 2022-05-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Assess the Safety and Pharmacokinetics of AKB-6548 in Participants With Chronic Kidney Disease (CKD), Stages 3 and 4. Trials, record NCT04707573. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04707573

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Trial

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

Title
Study to Assess the Safety and Pharmacokinetics of AKB-6548 in Participants With Chronic Kidney Disease (CKD), Stages 3 and 4
NCT number
NCT04707573
Status
Completed
Phases
Phase 2
Enrollment
22 participants, actual
Lead sponsor
Akebia Therapeutics
Conditions
Chronic Kidney Disease
Interventions
Vadadustat
First posted
2021-01-13
Last updated
2022-06-28
Results first posted
2022-05-17

Source ClinicalTrials.gov

Registered outcomes22

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Up to Day 8
An Adverse Event (AE) was defined as any untoward, undesired, unplanned clinical event in the form of signs, symptoms, disease, or laboratory or physiological observations occurring in a human being participating in a clinical study following study medication administration, regardless of causal relationship. This also included any clinically significant worsening or re-occurrence of a pre-existing condition, or AE occurring from an overdose of a study drug whether accidental or intentional or AE occurring from abuse of study drug or that has been associated with the discontinuation of the use of study drug.
PrimaryNumber of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesUp to Day 8
Parameters assessed for laboratory values included hematology, chemistry, urinalysis, and coagulation. The investigator was responsible for reviewing laboratory results for clinically significant changes.
PrimaryNumber of Participants With Clinically Significant Changes From Baseline in Vital Sign ValuesUp to Day 8
Parameters assessed for vital signs included sitting (at rest for a minimum of 5 minutes) heart rate, respiratory rate, body temperature, and blood pressure. The investigator was responsible for reviewing laboratory results for clinically significant changes. Number of participants with a clinically significant change from baseline in at least one of the assessed vital signs parameters is reported.
PrimaryNumber of Participants With Clinically Abnormal 12-Lead Electrocardiogram (ECG) FindingsUp to Day 2
A standard 12-lead ECG was performed following dosing in a supine position for approximately 10 minutes. ECGs were taken prior to blood draws when possible. The investigator was responsible for reviewing laboratory results for clinical significance.
PrimaryChange From Baseline in PR Interval, QT Interval, QRS Interval, and QT Corrected (QTc) IntervalBaseline; Day 2
A standard 12-lead ECG was performed following dosing in a supine position for approximately 10 minutes. ECGs were taken prior to blood draws when possible. The parameters evaluated from the participant ECG trace included PR interval, QT interval, QRS interval, and QTc (corrected). The baseline was defined as Day 1 pre-dose measurement. If missing, the last measurement prior to dosing was used.
PrimaryChange From Baseline in Heart RateBaseline; Day 2The heart rate evaluation was performed after the participant had been resting comfortably in a supine position for approximately 10 minutes.
PrimaryNumber of Participants With Clinically Significant Changes From Baseline in Physical Examination FindingsUp to Day 8
A baseline physical examination was performed at screening. Otherwise, abbreviated physical examinations were conducted and were to include heart, lung, and abdomen. The investigator was responsible for reviewing laboratory results for clinically significant changes.
PrimaryGeometric Mean Maximum Observed Plasma Concentration (Cmax) of AKB-6548Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, and 24 hours post-dose (Day 2)
Plasma samples were collected from the participants at the defined time points. Cmax was defined as the maximum observed plasma concentration. Cmax was calculated using the standard non-compartmental method.
PrimaryMedian Time to Reach Cmax (Tmax) of AKB-6548Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, and 24 hours post-dose (Day 2)
Plasma samples were collected from the participants at the defined time points. Tmax was defined as the time to reach maximum plasma concentration. Tmax was calculated using the standard non-compartmental method.
PrimaryMean Terminal Elimination Rate Constant (λz)Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, and 24 hours post-dose (Day 2)
Plasma samples were collected from the participants at the defined time points. λz was calculated using linear regression of the terminal linear portion of the log concentration vs. time curve. The parameter was calculated by linear least-squares regression analysis using three or more concentrations, excluding Cmax.

Outcomes22

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Up to Day 8Intent-to-treat (ITT) population: all enrolled participants who received a dose of the study drug.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesUp to Day 8ITT PopulationParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Clinically Significant Changes From Baseline in Vital Sign ValuesUp to Day 8ITT PopulationParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Clinically Abnormal 12-Lead Electrocardiogram (ECG) FindingsUp to Day 2ITT PopulationParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYChange From Baseline in PR Interval, QT Interval, QRS Interval, and QT Corrected (QTc) IntervalBaseline; Day 2ITT PopulationMillisecondsMEAN
PRIMARYChange From Baseline in Heart RateBaseline; Day 2ITT PopulationBeats per minuteMEAN
PRIMARYNumber of Participants With Clinically Significant Changes From Baseline in Physical Examination FindingsUp to Day 8ITT PopulationParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYGeometric Mean Maximum Observed Plasma Concentration (Cmax) of AKB-6548Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, and 24 hours post-dose (Day 2)Pharmacokinetic (PK) Evaluable Population: all ITT participants who had adequate and reliable PK data for the evaluation of PK of AKB-6548 plasma concentrations.Micrograms per millilitre (mcg/mL)GEOMETRIC_MEAN
PRIMARYMedian Time to Reach Cmax (Tmax) of AKB-6548Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, and 24 hours post-dose (Day 2)PK Evaluable PopulationHoursMEDIAN
PRIMARYMean Terminal Elimination Rate Constant (λz)Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 12, and 24 hours post-dose (Day 2)PK Evaluable Population1/HourMEAN

Results by group60

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Cohort 1: CKD Stage 3 Vadadustat6Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Cohort 2: CKD Stage 4 Vadadustat2Participants
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesCohort 1: CKD Stage 3 VadadustatUrinalysis0Participants
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesCohort 2: CKD Stage 4 VadadustatUrinalysis0Participants
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesCohort 1: CKD Stage 3 VadadustatHematology0Participants
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesCohort 2: CKD Stage 4 VadadustatHematology0Participants
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesCohort 1: CKD Stage 3 VadadustatSerum chemistry1Participants
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesCohort 2: CKD Stage 4 VadadustatSerum chemistry0Participants
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesCohort 1: CKD Stage 3 VadadustatCoagulation0Participants
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesCohort 2: CKD Stage 4 VadadustatCoagulation0Participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1: CKD Stage 3 Vadadustat10
Overall StudySTARTEDCohort 2: CKD Stage 4 Vadadustat12
Overall StudyCOMPLETEDCohort 1: CKD Stage 3 Vadadustat10
Overall StudyCOMPLETEDCohort 2: CKD Stage 4 Vadadustat12
Overall StudyNOT COMPLETEDCohort 1: CKD Stage 3 Vadadustat0
Overall StudyNOT COMPLETEDCohort 2: CKD Stage 4 Vadadustat0

Adverse events34

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherTachycardiaCardiac disordersCohort 1: CKD Stage 3 Vadadustat110
otherTachycardiaCardiac disordersCohort 2: CKD Stage 4 Vadadustat012
otherNauseaGastrointestinal disordersCohort 1: CKD Stage 3 Vadadustat210
otherNauseaGastrointestinal disordersCohort 2: CKD Stage 4 Vadadustat012
otherVomitingGastrointestinal disordersCohort 1: CKD Stage 3 Vadadustat110
otherVomitingGastrointestinal disordersCohort 2: CKD Stage 4 Vadadustat012
otherCatheter Site InflammationGeneral disordersCohort 1: CKD Stage 3 Vadadustat010
otherCatheter Site InflammationGeneral disordersCohort 2: CKD Stage 4 Vadadustat112
otherPyrexiaGeneral disordersCohort 1: CKD Stage 3 Vadadustat110
otherPyrexiaGeneral disordersCohort 2: CKD Stage 4 Vadadustat012

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1: CKD Stage 3 Vadadustat010
Total, all-cause mortalityCohort 2: CKD Stage 4 Vadadustat012
Total, other adverse eventsCohort 1: CKD Stage 3 Vadadustat610
Total, other adverse eventsCohort 2: CKD Stage 4 Vadadustat212
Total, serious adverse eventsCohort 1: CKD Stage 3 Vadadustat010
Total, serious adverse eventsCohort 2: CKD Stage 4 Vadadustat012

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons6

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

ComparisonSource
Cohort 1: CKD Stage 3 Vadadustat vs Cohort 2: CKD Stage 4 Vadadustat: Number of Participants With Clinically Significant Changes From Baseline in Physical Examination FindingsTrial comparisons
Cohort 1: CKD Stage 3 Vadadustat vs Cohort 2: CKD Stage 4 Vadadustat: Number of Participants With Treatment-emergent Adverse Events (TEAEs)Trial comparisons
Cohort 1: CKD Stage 3 Vadadustat vs Cohort 2: CKD Stage 4 Vadadustat: Number of Participants With Clinically Significant Changes From Baseline in Vital Sign ValuesTrial comparisons
Cohort 1: CKD Stage 3 Vadadustat vs Cohort 2: CKD Stage 4 Vadadustat: Number of Participants With Clinically Abnormal 12-Lead Electrocardiogram (ECG) FindingsTrial comparisons
Cohort 1: CKD Stage 3 Vadadustat vs Cohort 2: CKD Stage 4 Vadadustat: deaths from any causeTrial comparisons
Cohort 1: CKD Stage 3 Vadadustat vs Cohort 2: CKD Stage 4 Vadadustat: 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/NCT04707573

GET https://conductscience.org/api/trials/v1/NCT04707573/registered?page=2