Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as AKB-6548, reference formulation given in the fasted state, AKB-6548, AKB-6548 (therapeutic dose)
AKB-6548, reference formulation given in the · 8 trials · 6 indications
Change from pre-dose average was calculated by the mid-study average minus the pre-dose average. The pre-dose average was defined as the average of the 3 Hgb values that were obtained before dosing at the first screening visit, the second screening visit, and the Baseline visit; the mid-study average was defined as the average of the 2 Hgb values that were obtained at the Week 7 and Week 8 visits.
Change from pre-dose average was calculated by the end-of-study average minus the pre-dose average. The pre-dose average was defined as the average of the 3 Hgb values that were obtained before dosing at the first screening visit, the second screening visit, and the Baseline visit; the end-of-study average was defined as the average of the 2 Hgb values that were obtained at the Week 15 and Week 16 visits.
Change from mid-study average was calculated by the end-of-study average minus the mid-study average. The mid-study average was defined as the average of the 2 Hgb values that were obtained at the Week 7 and Week 8 visits; the end-of-study average was defined as the average of the 2 Hgb values that were obtained at the Week 15 and Week 16 visits.
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.
Absolute change from Baseline was calculated as the Week 6 (end of treatment) value minus the Baseline value. Baseline Hgb was defined as the average of the last two measurements obtained prior to dosing. If there was only one measurement prior to dosing, this measurement served as Baseline. A positive change from Baseline indicated that hemoglobin concentration increased.
Blood samples were collected to assess Hgb. Baseline Hgb was defined as the average of the 2 samples obtained prior to dosing (Pre-Baseline and Baseline). A positive change from baseline indicates that hemoglobin concentration increased.
maximum observed plasma concentration (Cmax) for celecoxib
time to reach Cmax for celecoxib
terminal elimination half-life (t½) for celecoxib
concentration (AUC0-t) for celecoxib
area under the plasma concentration-time curve from 0 to last quantifiable
AUC from time 0 to infinity (AUC0-inf) for celecoxib
apparent oral clearance (CL/F) for celecoxib
apparent volume of distribution during the terminal phase (Vz/F) for celecoxib
| Arm | Type | Description |
|---|---|---|
| AKB-6548, starting dose 1 | EXPERIMENTAL | - |
| AKB-6548, starting dose 2 | EXPERIMENTAL | - |
| AKB-6548, starting dose 3 | EXPERIMENTAL | - |
| AKB-6548 | EXPERIMENTAL | - |
| Placebo | PLACEBO_COMPARATOR | - |
| AKB-6548 240 mg | EXPERIMENTAL | - |
| AKB-6548 370 mg | EXPERIMENTAL | - |
| AKB-6548 500 mg | EXPERIMENTAL | - |
| AKB-6548 630 mg | EXPERIMENTAL | - |
| Celecoxib | ACTIVE_COMPARATOR | Celecoxib |
| AKB-6548 and Celecoxib | EXPERIMENTAL | AKB-6548; celecoxib |
| Treatment A | EXPERIMENTAL | AKB-6548 |
| Treatment B | EXPERIMENTAL | AKB-6548 |
| Treatment C | EXPERIMENTAL | AKB-6548 |
| AKB-6548 plus Ferrous Sulfate | EXPERIMENTAL | AKB-6548 plus ferrous sulfate |
| AKB-6548 (therapeutic dose) | EXPERIMENTAL | - |
| AKB-6548 (supratherapeutic dose) | EXPERIMENTAL | - |
| Moxifloxacin | ACTIVE_COMPARATOR | - |
| Name | Type | Description |
|---|---|---|
| AKB-6548 | DRUG | Starting dose 1. Oral dose administered once daily for 16 weeks. Dose adjustment based on hemoglobin level as defined in the protocol. |
| Placebo | DRUG | Oral Placebo administered once daily for 20 weeks. Dose adjustment based on hemoglobin level as defined in the protocol. |
| Celecoxib | DRUG | - |
| AKB-6548 tablet, reference formulation given in the fasted state | DRUG | - |
| AKB-6548 tablet, test formulation given in the fasted state. | DRUG | - |
| AKB-6548 tablet, test formulation given in the fed state | DRUG | - |
| Ferrous Sulfate | DRUG | - |
| AKB-6548 (therapeutic dose) | DRUG | Single oral dose of AKB-6548 at a therapeutic dose level |
| AKB-6548 (supratherapeutic dose) | DRUG | Single oral dose of AKB-6548 at a supratherapeutic dose level |
| Moxifloxacin | DRUG | Single oral dose of 400 mg moxifloxacin |
Key Inclusion Criteria: * 18 to 79 years inclusive * Chronic Kidney Disease (CKD) Stage 5 on chronic hemodialysis for at least 3 months * Anemia secondary to CKD treated with erythropoiesis stimulating agent and intravenous iron Key Exclusion Criteria: * Body mass index \>44.0 kilograms per meter...
Top 6 of 7 competitors
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| Bristol-Myers Squibb Company | BMY | 2 | PHASE3 | Luspatercept |
| Takeda Pharmaceutical Co. Ltd. Sponsored ADR | TAK | 1 | PHASE3 | Elritercept |
| Disc Medicine, Inc. | IRON | 2 | PHASE2 | DISC-0974 |
| Akebia Therapeutics, Inc. | AKBA | 2 | PHASE3 | Vadadustat |
| Incyte Corporation | INCY | 1 | PHASE1 | INCB000928, Ruxolitinib |
| Ascentage Pharma Group International Unsponsored ADR | AAPG | 1 | PHASE1 | APG-5918 |
AKB-6548 is an investigational small molecule developed by Akebia Therapeutics, Inc. (ticker AKBA) for anemia. It has been studied in healthy volunteers and in participants with end stage renal disease requiring chronic hemodialysis. The program includes four completed clinical trials with a combined enrollment of 407 participants.
AKB-6548 targets hypoxia-inducible factor, or HIF. HIF is a transcription factor that regulates the body's response to low oxygen, including erythropoiesis. By acting on the HIF pathway, AKB-6548 is designed to stimulate red blood cell production, which is the rationale for studying it in anemia.
AKB-6548 is developed by Akebia Therapeutics, Inc., which trades under the ticker AKBA. Akebia is the sponsor of the clinical program studying the drug in anemia and in healthy volunteer settings.
AKB-6548 is in Phase 2 development. The Phase 2 study was a 16-week repeat oral dose trial in participants with anemia and end stage renal disease requiring chronic hemodialysis. The remaining three trials were Phase 1 studies in healthy volunteers. All four trials are completed.
AKB-6548 has been studied in four completed trials: NCT02260193, a Phase 2 anemia study in end stage renal disease; NCT02412449, a Phase 1 relative bioavailability and food effect study; NCT02502500, a Phase 1 drug interaction study with celecoxib; and NCT02327546, a Phase 1 study of ferrous sulfate effects on pharmacokinetics.