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Soluble Ferric Pyrophosphate in liquid bicarbonate

Phase 2

End Stage Renal Disease | Small molecule | Nephrology |Rockwell Medical, Inc.|Last Updated: Oct 1, 2018

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_CONTROLLED
Total Trials1
Total Enrollment108
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01286012Continuous Soluble Ferric Pyrophosphate (SFP) Iron Delivery Via Dialysate in Hemodialysis PatientsPHASE2 COMPLETED 108Jan 1, 2011Jan 1, 2013Oct 1, 201823 United States, Puerto Rico
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Study Endpoints
Primary Endpoints
The Percent Change From Baseline in ESA Dose Required to Maintain Hemoglobin in the Target Range, Adjusted for Hgb.
Hemoglobin measured weekly and serum ferritin and Transferrin Saturation (TSAT) determined every other week; ESA dose recorded at each visit for 36 weeks.

The statistical endpoint is the change from baseline between groups at End of Treatment, where the baseline prescribed ESA dose (expressed as U/week epoetin) per subject is defined as the average weekly dose of ESA prescribed for administration over the two-week period of time immediately prior to randomization. The end-of-treatment prescribed ESA dose (expressed as U/week epoetin) per subject is defined as the average weekly dose of ESA prescribed for administration over the last two weeks of the treatment period.

Secondary Endpoints
The Distribution of Changes From Baseline in the Prescribed ESA Dose Between the Two Treatment Arms
ESA dose is monitored and recorded at each dialysis session for 36 weeks.
Stability of Hemoglobin Over Time (Maintenance of Hemoglobin Between 9.5-11.5 g/dL.
36 weeks
The Amount of Supplemental Intravenous (IV) Iron Needed During Study Participation.
36 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
SFP in liquid bicarbonateACTIVE_COMPARATOR -
Placebo: Conventional Liquid BicarbonatePLACEBO_COMPARATORControl concentrate lacking SFP does not contain SFP (total iron = 0)
Interventions
NameTypeDescription
Soluble Ferric Pyrophosphate in liquid bicarbonateDRUGSubjects will receive hemodialysis containing SFP at 2 µM (11 µg iron/dL of dialysate) at every dialysis session, for a total duration of 36 weeks.
Placebo: Conventional liquid bicarbonateDRUGSubjects will receive hemodialysis containing conventional liquid bicarbonate lacking SFP at every dialysis session, for a total duration of 36 weeks.
Erythrocyte Stimulating Agent (ESA)DRUGESA was administered according to the recommendation of a blinded central anemia management center (CAMC) based on the weekly hemoglobin value and its rate of change.
Intravenous (IV) IronDRUGApproved IV iron preparations were administered per a protocol driven algorithm when patients serum ferritin value decreased below 200 ug/L.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites23

Main Inclusion Criteria: 1. Male and female subjects ≥ 18 years of age. 2. End-stage renal disease undergoing maintenance hemodialysis 3 to 4 times a week for at least 4 months and expected to remain on this schedule and be able to complete the study. Subjects on a cadaveric transplant list need no...

Countries:United StatesPuerto Rico
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