Skip to content

Switching hemodialysis patients from sevelamer hydrochloride to bixalomer: a single-center, non-randomized controlled analysis of efficacy and effects on gastrointestinal symptoms and metabolic acidosis

Switching hemodialysis patients from sevelamer hydrochloride to bixalomer: a single-center, non-randomized controlled analysis of efficacy and effects on gastrointestinal symptoms and metabolic acidosis - Switching from sevelamer hydrochloride to bixalomer in hemodialysis patients

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000011150
Enrollment
30
Registered
2013-07-09
Start date
2012-07-01
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

End-stage renal failure, Hemodialysis

Interventions

Intervention group:Patients were switched from sevelamer hydrochloride to bixalomer (1:1 dose) Control gtoup: Patients without sevelamer hydrochloride agent were enrolled as a control group

Sponsors

OYOKYO Kidney Research Institute
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients were included if they (1) were aged 20 to 80 years, were stable on hemodialysis sessions started at least 1 year before study entry; (2) provided written informed consent to participation; (3) had not changed their 9 regimen of phosphate-lowering drugs, cinacalcet hydrochloride (if used), and other medications that could affect serum phosphorus levels for at least 28 days before study entry; (4) had not changed their dialysis regimens for at least 28 days before study entry; (5) had not changed other factors, including dietary therapy and concomitant drugs, during the study period; and (6) were in good general health, with an Eastern Cooperative Oncology Group Performance Status (ECOG-PS) grade of 0 or 1

Exclusion criteria

Exclusion criteria: Patients were excluded if they (1) had a history of gastrointestinal surgery (excluding polypectomy), dysphagia, ileus, gastrointestinal bleeding, severe persistent constipation or diarrhea, or had received parathyroid intervention within 3 months of study entry, (2) showed unstable control of serum phosphorus and calcium levels; or (3) were in poor general health, or had a major concomitant malignant disease or another medical condition likely to result in death within 6 months of study entry.

Design outcomes

Primary

MeasureTime frame
Improvement of gastrointestinal symptoms 12 weeks after the switch

Secondary

MeasureTime frame
Improvement in metabolic acidosis, changes in blood biochemistry, and safety 12 weeks after the switch

Countries

Japan

Contacts

Public ContactShingo Hatakeyama

Hirosaki University, School of Medicine Urology

shingorilla2@gmail.com+81-172-39-5091

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026