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NCT Number: NCT03283267

A Safety and Pharmacodynamic Study of Healthy Chinese Subjects Administered Sodium Zirconium Cyclosilicate (ZS)

This is a single center, inpatient, open label pharmacodynamic study to determine the effect of 5 g and 10 g doses of Sodium Zirconium Cyclosilicate (ZS) administered once daily (qd) for 4 days on potassium and sodium excretion in healthy Chinese subjects on a standardized, low sodium and high potassium diet.

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Key information

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Research Site

Hong Kong

About this study

This study will be conducted at 1 study centre in Hong Kong. Approximately 22 Subjects will be screened to achieve 20 subjects completing the study. Subjects will be randomized to receive ZS 5 g or 10 g (1:1) once daily (qd) in conjunction with breakfast and will be continued with a standard diet during the ZS treatment period.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Provision of informed consent prior to any study specific procedures
  • Female and/or male healthy Chinese subjects aged between 18 and 55 inclusive who reside in Hong Kong
  • Ability to have repeated blood draws or effective venous catheterization
  • Willing to consume food and beverages using a standardized daily diet containing 40 (± 10%) mEq/day sodium and 128 (± 10%) mEq/day potassium provided by the research site

Key Exclusion Criteria:

  • Participation in another clinical study with an investigational product during the last 3 months
  • Subjects who were receiving concomitant medications including vitamins, dietary supplements and herbal preparations within 2 weeks prior to Study Day 1 of the Diet Run-in Period.
  • Current and/or past history of alcohol abuse within the past year or a positive results (exceed normal range) of breath test for alcohol abuse
  • Current and/or past history of drugs abuse within the past year or a positive drug abuse screen, e. g. methylenedioxymethamphetamine, opiate, barbiturates, benzodiazepines, ketamine, cocaine, amphetamine, methamphetamine, marijuana, and methadone.
  • Plasma donation within 1 month of screening or any blood donation/blood loss >500 mL during the 3 months prior to screening.

Treatment and study plan

Sodium Zirconium Cyclosilicate (ZS)

Drug

Sodium zirconium cyclosilicate (ZS) is a non-absorbed, inorganic crystalline compound that selectively captures potassium ions in exchange for sodium and hydrogen ions in the gastrointestinal tract after oral administration.

Primary outcomes

  1. Mean change from baseline to ZS treatment period in urine potassium excretion.

    Time frame: Study Day 3 and 4 vs Study Day 7 and 8.

    The 48- hour urine potassium excretion on Study Days 3 and 4 (baseline) will be compared with 48-hour urine potassium excretion on Study Days 7 and 8 (on study drug).

Secondary outcomes

  1. Mean change from baseline to ZS treatment period in urine sodium excretion.

    Time frame: Study Day 3 and 4 vs Study Day 7 and 8.

    The 48- hour urine sodium excretion on Study Days 3 and 4 (baseline) will be compared with 48- hour urine sodium excretion on Study Days 7 and 8 (on study drug).

  2. Mean change from baseline to ZS treatment period in serum potassium (S-K).

    Time frame: Study Day 3 and 4 vs Study Day 7 and 8.

    Mean change in S-K from the Baseline Period (Day 3 and 4) to the ZS Treatment Period (Day 7 and 8).

Other outcomes

  1. Number of subjects with adverse events

    Time frame: From Day 1 through Follow-up visit

  2. Changes in vital signs

    Time frame: Through study completion, up to 10 days

  3. Changes in standard Electrocardiograph (ECG ) parameters

    Time frame: Through study completion, up to 10 days

  4. Changes in standard physical examination parameters including height

    Time frame: Through study completion, up to 10 days

  5. Changes in standard clinical chemistry lab parameters

    Time frame: Through study completion, up to 10 days

  6. Changes in standard hematology lab parameters

    Time frame: Through study completion, up to 10 days

  7. Changes in Serum calcium (S-Ca)

    Time frame: Through study completion, up to 10 days

  8. Changes in Serum magnesium (S-Mg)

    Time frame: Through study completion, up to 10 days

  9. Changes in Serum sodium (S-Na)

    Time frame: Through study completion, up to 10 days

  10. Changes in Serum phosphate (S-PO4)

    Time frame: Through study completion, up to 10 days

  11. Changes in Serum bicarbonate (S-HCO3)

    Time frame: Through study completion, up to 10 days

  12. Changes in Blood urea nitrogen (BUN)

    Time frame: Through study completion, up to 10 days

  13. Number of subjects with Serious adverse events

    Time frame: Through study completion and follow-up visit, up to 34 Days

Sponsors and collaborators

Lead sponsor

AstraZeneca

Industry

Registry information

Official study title

A Single-center Safety and Pharmacodynamic Study of Healthy Chinese Subjects Administered Sodium Zirconium Cyclosilicate (ZS)

Important dates

Study start
2017
Primary completion
2017
Study completion
2017
First posted
Sep 14, 2017
Registry last updated
Dec 19, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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