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Ferric 1 GM

Phase 3

Anemia, Iron Deficiency | Small molecule | Hematology |Akebia Therapeutics, Inc.|Last Updated: Aug 29, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment289
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05085275Ferric Citrate for the Prevention of Renal Failure in Adults With Advanced Chronic Kidney DiseasePHASE3 COMPLETED 289Mar 30, 2022Jan 24, 2024Aug 29, 202523 United States
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Study Endpoints
Primary Endpoints
Number of Participants Achieving a Composite Endpoint of Initiation of Maintenance Dialysis or All-cause Mortality
9 months

Number of participants achieving a composite endpoint of initiation of maintenance dialysis or all-cause mortality

Secondary Endpoints
Hospitalization Events Reported as a Serious Adverse Event (SAE) (Excluding Disease-related Hospitalization [e.g., Dialysis Access Placement, Dialysis Initiation, Kidney Transplant] and Elective Procedures)
9 months
Component of Primary - Initiation of Maintenance Dialysis
9 months
Component of Primary - All-Cause Mortality
9 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ferric citrateEXPERIMENTALSupplied as tablets for oral administration containing 1 gram ferric citrate (210 milligrams of ferric iron). Administered orally with meals or snacks.
PlaceboPLACEBO_COMPARATORTablets, matching in color and size to ferric citrate.
Interventions
NameTypeDescription
Ferric Citrate 1 GM Oral Tablet [AURYXIA]DRUGAll subjects will be instructed to take study drug (ferric citrate or placebo) at a fixed dose of 2 tablets per meal or snacks, up to three times per day. The maximum dose is 6 tablets per day. No additional tablets (beyond a total of 6 per day) should be taken. Tablets should not be crushed or chewed.
PlaceboDRUGAll subjects will be instructed to take study drug (ferric citrate or placebo) at a fixed dose of 2 tablets per meal or snacks, up to three times per day. The maximum dose is 6 tablets per day. No additional tablets (beyond a total of 6 per day) should be taken. Tablets should not be crushed or chewed.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites23

Inclusion Criteria: 1. Adult patients greater or equal to 18 years old. 2. Diagnosis of NDD advanced CKD, regardless of etiology. Advanced CKD is defined as at least one local laboratory determined estimated glomerular filtration rate (eGFR) ≤20 ml/min/1.73m2 (calculated per any commonly used metho...

Countries:United States
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