Chronic Kidney Disease
Conditions
Keywords
Kidney Diseases
Brief summary
1\) To evaluate the effectiveness of AST-120 (spherical carbon adsorbent) added to standard-of-care therapy in moderate to severe Chronic Kidney Disease (CKD), on time to first occurrence of any event of the triple composite outcome of initiation of dialysis, kidney transplant or doubling of serum creatinine (sCr) when compared with placebo; 2) To evaluate the safety and tolerability of long-term AST-120 therapy in patients with CKD; 3) To evaluate the effects of AST-120 versus placebo, on other measures of renal function and quality of life.
Interventions
9g /day (3 times a day)
9g /day (3 times a day)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years or older * Moderate to severe CKD, not anticipated to require dialysis or renal transplant within the next 6 months * Patient survival expected to be no less than one year * Serum creatinine in men \>= 2.0 mg/dL (\>= 177 µmol/L) and \<= 5.0 mg/dL (\<= 442 µmol/L), and in women \>= 1.5 mg/dL (\>= 133 µmol/L) and \<= 5.0 mg/dL (\<= 442 µmol/L) at Screening * Urinary total protein to urinary total creatinine ratio must be \>= 0.5 on a spot void obtained at Screening * Blood pressure \<= 160/90 mmHg at both Screening and Baseline visits. In addition, blood pressure, if measured, must have been stable in hypertensive patients over the 3 months prior to Screening, with no more than 1 blood pressure reading \> 160/90 mmHg * In patients being treated for hypertension, they should be on a stable anti-hypertensive regimen
Exclusion criteria
* Obstructive or reversible cause of kidney disease * Nephrotic syndrome defined as a ratio of urinary total protein to urinary creatinine of \> 6.0 as measured on a spot void * Adult polycystic kidney disease * History of previous kidney transplant * History of recent (within the past 6 months) accelerated or malignant hypertension * Uncontrolled arrhythmia or severe cardiac disease within the past 6 months * History of malabsorption, inflammatory bowel disease, hiatal hernia, active peptic ulcer, or severe GI dysmotility, not attributable to the use of a phosphate binder * Received any investigational agent or participated in a clinical study within the previous 3 months * Presence of any significant medical condition that might create an undue risk with study participation, or significantly confound the collection of safety and efficacy data in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite of Dialysis Initiation, Kidney Transplantation, and Serum Creatinine Doubling. Number of Participants Meeting the Criteria Are Reported. | Beyond Week 48, a 12-week visit cycle continued until the end of the study or until individual patients reached an endpoint |
| Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events | Approximately 42 months |
Secondary
| Measure | Time frame |
|---|---|
| Number of Participants Who Developed a Component of a Quadruple Composite Endpoint (Initiation of Dialysis, Kidney Transplant, Doubling of sCr, or Death) | approximately 42 months |
| Vitamin A Levels | Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 430.293 Days), Final Visit (Mean: 908.486 Days) |
| Vitamin B12 Levels | Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 425.112 Days), Final Visit (Mean: 910.988 Days) |
| 25-Hydroxyvitamin D Levels | Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 429.695 Days), Final Visit (Mean: 908.601 Days) |
| Vitamin E Levels | Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 427.067 Days), Final Visit (Mean: 908.715 Days) |
| Vitamin K Levels | Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 432.942 Days), Final Visit (Mean: 910.448 Days) |
| Serum Folate Levels | Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 420.569 Days), Final Visit (Mean: 909.848 Days) |
Countries
Argentina, Brazil, Canada, Czechia, Germany, Mexico, Poland, Puerto Rico, Russia, Spain, Ukraine, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| AST-120 AST-120: 9g /day (3 times a day) | 508 |
| Placebo Placebo: 9g /day (3 times a day) | 507 |
| Total | 1,015 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 21 | 25 |
| Overall Study | Death | 23 | 30 |
| Overall Study | Lost to Follow-up | 14 | 13 |
| Overall Study | Physician Decision | 7 | 2 |
| Overall Study | Pregnancy | 0 | 3 |
| Overall Study | Protocol Violation | 2 | 1 |
| Overall Study | Reaching endpoints,Noncompliance,etc | 119 | 137 |
| Overall Study | Withdrawal by Subject | 84 | 83 |
Baseline characteristics
| Characteristic | AST-120 | Placebo | Total |
|---|---|---|---|
| Age, Continuous | 54.4 years STANDARD_DEVIATION 15.52 | 55.7 years STANDARD_DEVIATION 14.66 | 55.1 years STANDARD_DEVIATION 15.11 |
| Sex: Female, Male Female | 229 Participants | 226 Participants | 455 Participants |
| Sex: Female, Male Male | 279 Participants | 281 Participants | 560 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 393 / 507 | 377 / 505 |
| serious Total, serious adverse events | 156 / 507 | 178 / 505 |
Outcome results
Composite of Dialysis Initiation, Kidney Transplantation, and Serum Creatinine Doubling. Number of Participants Meeting the Criteria Are Reported.
Time frame: Beyond Week 48, a 12-week visit cycle continued until the end of the study or until individual patients reached an endpoint
Population: ITT (censored at last contact)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| AST-120 | Composite of Dialysis Initiation, Kidney Transplantation, and Serum Creatinine Doubling. Number of Participants Meeting the Criteria Are Reported. | 172 participants |
| Placebo | Composite of Dialysis Initiation, Kidney Transplantation, and Serum Creatinine Doubling. Number of Participants Meeting the Criteria Are Reported. | 183 participants |
Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events
Time frame: Approximately 42 months
Population: Safety population
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| AST-120 | Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events | Treatment-emergent AE | 438 Participants |
| AST-120 | Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events | Treatment-emergent SAE | 156 Participants |
| Placebo | Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events | Treatment-emergent AE | 425 Participants |
| Placebo | Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events | Treatment-emergent SAE | 178 Participants |
25-Hydroxyvitamin D Levels
Time frame: Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 429.695 Days), Final Visit (Mean: 908.601 Days)
Population: Safety population. This analysis was performed using the data only from patients who had the data at each visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| AST-120 | 25-Hydroxyvitamin D Levels | Week 72 | 22.56 ng/mL | Standard Deviation 11.326 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 48 | 21.10 ng/mL | Standard Deviation 10.195 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 180 | 33.63 ng/mL | Standard Deviation 15.515 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 60 | 21.39 ng/mL | Standard Deviation 10.139 |
| AST-120 | 25-Hydroxyvitamin D Levels | Baseline | 21.09 ng/mL | Standard Deviation 10.391 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 84 | 22.29 ng/mL | Standard Deviation 9.967 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 156 | 27.30 ng/mL | Standard Deviation 14.396 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 96 | 22.63 ng/mL | Standard Deviation 10.563 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 12 | 21.64 ng/mL | Standard Deviation 9.981 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 108 | 22.97 ng/mL | Standard Deviation 10.305 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 144 | 25.02 ng/mL | Standard Deviation 10.83 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 120 | 24.45 ng/mL | Standard Deviation 11.315 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 24 | 21.70 ng/mL | Standard Deviation 10.166 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 132 | 25.50 ng/mL | Standard Deviation 11.083 |
| AST-120 | 25-Hydroxyvitamin D Levels | Early Term/ Discontinuation | 22.18 ng/mL | Standard Deviation 13.112 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 168 | 28.87 ng/mL | Standard Deviation 12.654 |
| AST-120 | 25-Hydroxyvitamin D Levels | Final Visit | 24.62 ng/mL | Standard Deviation 11.311 |
| AST-120 | 25-Hydroxyvitamin D Levels | Week 36 | 21.72 ng/mL | Standard Deviation 10.441 |
| Placebo | 25-Hydroxyvitamin D Levels | Final Visit | 24.03 ng/mL | Standard Deviation 11.099 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 72 | 21.58 ng/mL | Standard Deviation 11.225 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 132 | 22.33 ng/mL | Standard Deviation 11.377 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 144 | 21.06 ng/mL | Standard Deviation 9.96 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 156 | 21.46 ng/mL | Standard Deviation 10.506 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 168 | 23.91 ng/mL | Standard Deviation 11.704 |
| Placebo | 25-Hydroxyvitamin D Levels | Baseline | 20.36 ng/mL | Standard Deviation 10.063 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 12 | 21.08 ng/mL | Standard Deviation 10.246 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 24 | 21.28 ng/mL | Standard Deviation 10.1 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 36 | 21.00 ng/mL | Standard Deviation 9.766 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 48 | 20.57 ng/mL | Standard Deviation 10.489 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 60 | 20.36 ng/mL | Standard Deviation 10.25 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 84 | 22.30 ng/mL | Standard Deviation 10.728 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 96 | 21.83 ng/mL | Standard Deviation 10.463 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 108 | 22.17 ng/mL | Standard Deviation 11.535 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 120 | 22.55 ng/mL | Standard Deviation 12.332 |
| Placebo | 25-Hydroxyvitamin D Levels | Early Term/ Discontinuation | 21.32 ng/mL | Standard Deviation 10.752 |
| Placebo | 25-Hydroxyvitamin D Levels | Week 180 | 25.72 ng/mL | Standard Deviation 8.827 |
Number of Participants Who Developed a Component of a Quadruple Composite Endpoint (Initiation of Dialysis, Kidney Transplant, Doubling of sCr, or Death)
Time frame: approximately 42 months
Population: ITT (censored at last contact)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| AST-120 | Number of Participants Who Developed a Component of a Quadruple Composite Endpoint (Initiation of Dialysis, Kidney Transplant, Doubling of sCr, or Death) | 204 Participants |
| Placebo | Number of Participants Who Developed a Component of a Quadruple Composite Endpoint (Initiation of Dialysis, Kidney Transplant, Doubling of sCr, or Death) | 217 Participants |
Serum Folate Levels
Time frame: Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 420.569 Days), Final Visit (Mean: 909.848 Days)
Population: Safety population. This analysis was performed using the data only from patients who had the data at each visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| AST-120 | Serum Folate Levels | Baseline | 15.51 ng/mL | Standard Deviation 28.3 |
| AST-120 | Serum Folate Levels | Week 12 | 13.46 ng/mL | Standard Deviation 23.247 |
| AST-120 | Serum Folate Levels | Week 24 | 13.79 ng/mL | Standard Deviation 28.539 |
| AST-120 | Serum Folate Levels | Week 36 | 13.35 ng/mL | Standard Deviation 24.059 |
| AST-120 | Serum Folate Levels | Week 48 | 13.84 ng/mL | Standard Deviation 24.193 |
| AST-120 | Serum Folate Levels | Week 60 | 13.25 ng/mL | Standard Deviation 20.655 |
| AST-120 | Serum Folate Levels | Week 72 | 12.78 ng/mL | Standard Deviation 21.37 |
| AST-120 | Serum Folate Levels | Week 84 | 12.67 ng/mL | Standard Deviation 19.767 |
| AST-120 | Serum Folate Levels | Week 96 | 13.27 ng/mL | Standard Deviation 18.484 |
| AST-120 | Serum Folate Levels | Week 108 | 12.76 ng/mL | Standard Deviation 18.758 |
| AST-120 | Serum Folate Levels | Week 120 | 12.34 ng/mL | Standard Deviation 13.152 |
| AST-120 | Serum Folate Levels | Week 132 | 12.13 ng/mL | Standard Deviation 12.813 |
| AST-120 | Serum Folate Levels | Week 144 | 14.26 ng/mL | Standard Deviation 31.355 |
| AST-120 | Serum Folate Levels | Week 156 | 12.12 ng/mL | Standard Deviation 12.259 |
| AST-120 | Serum Folate Levels | Week 168 | 13.90 ng/mL | Standard Deviation 16.225 |
| AST-120 | Serum Folate Levels | Week 180 | 16.63 ng/mL | Standard Deviation 17.402 |
| AST-120 | Serum Folate Levels | Early Term/ Discontinuation | 12.28 ng/mL | Standard Deviation 18.101 |
| AST-120 | Serum Folate Levels | Final Visit | 13.62 ng/mL | Standard Deviation 24.37 |
| Placebo | Serum Folate Levels | Week 156 | 10.04 ng/mL | Standard Deviation 10.91 |
| Placebo | Serum Folate Levels | Baseline | 18.87 ng/mL | Standard Deviation 37.577 |
| Placebo | Serum Folate Levels | Week 108 | 17.10 ng/mL | Standard Deviation 42.133 |
| Placebo | Serum Folate Levels | Week 12 | 18.57 ng/mL | Standard Deviation 38.5 |
| Placebo | Serum Folate Levels | Final Visit | 18.36 ng/mL | Standard Deviation 42.611 |
| Placebo | Serum Folate Levels | Week 24 | 17.44 ng/mL | Standard Deviation 39.95 |
| Placebo | Serum Folate Levels | Week 120 | 18.93 ng/mL | Standard Deviation 46.884 |
| Placebo | Serum Folate Levels | Week 36 | 16.61 ng/mL | Standard Deviation 34.428 |
| Placebo | Serum Folate Levels | Week 168 | 17.62 ng/mL | Standard Deviation 31.941 |
| Placebo | Serum Folate Levels | Week 48 | 18.16 ng/mL | Standard Deviation 40.329 |
| Placebo | Serum Folate Levels | Week 132 | 14.08 ng/mL | Standard Deviation 36.549 |
| Placebo | Serum Folate Levels | Week 60 | 17.57 ng/mL | Standard Deviation 40.427 |
| Placebo | Serum Folate Levels | Early Term/ Discontinuation | 23.21 ng/mL | Standard Deviation 35.035 |
| Placebo | Serum Folate Levels | Week 72 | 17.76 ng/mL | Standard Deviation 38.679 |
| Placebo | Serum Folate Levels | Week 144 | 9.93 ng/mL | Standard Deviation 9.423 |
| Placebo | Serum Folate Levels | Week 84 | 14.34 ng/mL | Standard Deviation 26.514 |
| Placebo | Serum Folate Levels | Week 180 | 13.45 ng/mL | Standard Deviation 14.884 |
| Placebo | Serum Folate Levels | Week 96 | 17.20 ng/mL | Standard Deviation 37.621 |
Vitamin A Levels
Time frame: Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 430.293 Days), Final Visit (Mean: 908.486 Days)
Population: Safety population. This analysis was performed using the data only from patients who had the data at each visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| AST-120 | Vitamin A Levels | Week 108 | 1231.2 ng/mL | Standard Deviation 397.68 |
| AST-120 | Vitamin A Levels | Week 48 | 1117.0 ng/mL | Standard Deviation 380.72 |
| AST-120 | Vitamin A Levels | Week 120 | 1240.8 ng/mL | Standard Deviation 387.79 |
| AST-120 | Vitamin A Levels | Week 60 | 1162.6 ng/mL | Standard Deviation 373.49 |
| AST-120 | Vitamin A Levels | Week 132 | 1253.2 ng/mL | Standard Deviation 376.03 |
| AST-120 | Vitamin A Levels | Week 24 | 1106.0 ng/mL | Standard Deviation 371.04 |
| AST-120 | Vitamin A Levels | Week 144 | 1324.6 ng/mL | Standard Deviation 567.01 |
| AST-120 | Vitamin A Levels | Week 72 | 1157.6 ng/mL | Standard Deviation 397.82 |
| AST-120 | Vitamin A Levels | Week 156 | 1196.3 ng/mL | Standard Deviation 456.16 |
| AST-120 | Vitamin A Levels | Week 12 | 1098.9 ng/mL | Standard Deviation 376.33 |
| AST-120 | Vitamin A Levels | Week 168 | 1265.0 ng/mL | Standard Deviation 478.26 |
| AST-120 | Vitamin A Levels | Week 84 | 1225.6 ng/mL | Standard Deviation 418.23 |
| AST-120 | Vitamin A Levels | Week 180 | 1243.4 ng/mL | Standard Deviation 454.73 |
| AST-120 | Vitamin A Levels | Week 36 | 1118.4 ng/mL | Standard Deviation 382.22 |
| AST-120 | Vitamin A Levels | Early Term/ Discontinuation | 1231.2 ng/mL | Standard Deviation 442.79 |
| AST-120 | Vitamin A Levels | Week 96 | 1219.5 ng/mL | Standard Deviation 419.49 |
| AST-120 | Vitamin A Levels | Final Visit | 1223.3 ng/mL | Standard Deviation 393.07 |
| AST-120 | Vitamin A Levels | Baseline | 1143.6 ng/mL | Standard Deviation 398.42 |
| Placebo | Vitamin A Levels | Final Visit | 1274.5 ng/mL | Standard Deviation 350.67 |
| Placebo | Vitamin A Levels | Baseline | 1159.4 ng/mL | Standard Deviation 404.85 |
| Placebo | Vitamin A Levels | Week 12 | 1182.9 ng/mL | Standard Deviation 411.38 |
| Placebo | Vitamin A Levels | Week 24 | 1180.5 ng/mL | Standard Deviation 385.83 |
| Placebo | Vitamin A Levels | Week 36 | 1201.6 ng/mL | Standard Deviation 401.03 |
| Placebo | Vitamin A Levels | Week 60 | 1242.3 ng/mL | Standard Deviation 421.19 |
| Placebo | Vitamin A Levels | Week 72 | 1243.5 ng/mL | Standard Deviation 416.84 |
| Placebo | Vitamin A Levels | Week 84 | 1249.3 ng/mL | Standard Deviation 379.41 |
| Placebo | Vitamin A Levels | Week 96 | 1267.8 ng/mL | Standard Deviation 376.38 |
| Placebo | Vitamin A Levels | Week 108 | 1266.6 ng/mL | Standard Deviation 427.25 |
| Placebo | Vitamin A Levels | Week 120 | 1198.7 ng/mL | Standard Deviation 388.77 |
| Placebo | Vitamin A Levels | Week 132 | 1234.2 ng/mL | Standard Deviation 365.55 |
| Placebo | Vitamin A Levels | Week 144 | 1204.5 ng/mL | Standard Deviation 414.34 |
| Placebo | Vitamin A Levels | Week 156 | 1193.0 ng/mL | Standard Deviation 389.27 |
| Placebo | Vitamin A Levels | Week 168 | 1363.7 ng/mL | Standard Deviation 348.93 |
| Placebo | Vitamin A Levels | Week 180 | 1147.8 ng/mL | Standard Deviation 254.3 |
| Placebo | Vitamin A Levels | Early Term/ Discontinuation | 1269.4 ng/mL | Standard Deviation 425.09 |
| Placebo | Vitamin A Levels | Week 48 | 1196.7 ng/mL | Standard Deviation 399.97 |
Vitamin B12 Levels
Time frame: Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 425.112 Days), Final Visit (Mean: 910.988 Days)
Population: Safety population. This analysis was performed using the data only from patients who had the data at each visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| AST-120 | Vitamin B12 Levels | Week 48 | 455.2 pg/mL | Standard Deviation 371.17 |
| AST-120 | Vitamin B12 Levels | Week 108 | 700.2 pg/mL | Standard Deviation 2110.74 |
| AST-120 | Vitamin B12 Levels | Week 12 | 497.6 pg/mL | Standard Deviation 1466.88 |
| AST-120 | Vitamin B12 Levels | Week 120 | 509.9 pg/mL | Standard Deviation 726.72 |
| AST-120 | Vitamin B12 Levels | Week 60 | 444.4 pg/mL | Standard Deviation 332.65 |
| AST-120 | Vitamin B12 Levels | Week 132 | 657.7 pg/mL | Standard Deviation 1428.09 |
| AST-120 | Vitamin B12 Levels | Week 36 | 631.8 pg/mL | Standard Deviation 2079.77 |
| AST-120 | Vitamin B12 Levels | Week 144 | 416.3 pg/mL | Standard Deviation 211.52 |
| AST-120 | Vitamin B12 Levels | Week 72 | 601.6 pg/mL | Standard Deviation 1882.39 |
| AST-120 | Vitamin B12 Levels | Week 156 | 601.5 pg/mL | Standard Deviation 744.06 |
| AST-120 | Vitamin B12 Levels | Week 24 | 608.4 pg/mL | Standard Deviation 2016.76 |
| AST-120 | Vitamin B12 Levels | Week 168 | 552.7 pg/mL | Standard Deviation 570.85 |
| AST-120 | Vitamin B12 Levels | Week 84 | 465.2 pg/mL | Standard Deviation 637.01 |
| AST-120 | Vitamin B12 Levels | Week 180 | 494.5 pg/mL | Standard Deviation 389.57 |
| AST-120 | Vitamin B12 Levels | Early Term/ Discontinuation | 1186.2 pg/mL | Standard Deviation 4148.5 |
| AST-120 | Vitamin B12 Levels | Week 96 | 444.8 pg/mL | Standard Deviation 364.9 |
| AST-120 | Vitamin B12 Levels | Final Visit | 764.2 pg/mL | Standard Deviation 2392.88 |
| AST-120 | Vitamin B12 Levels | Baseline | 651.7 pg/mL | Standard Deviation 1961.13 |
| Placebo | Vitamin B12 Levels | Final Visit | 505.5 pg/mL | Standard Deviation 1063.91 |
| Placebo | Vitamin B12 Levels | Baseline | 747.9 pg/mL | Standard Deviation 2521.02 |
| Placebo | Vitamin B12 Levels | Week 12 | 464.3 pg/mL | Standard Deviation 650.01 |
| Placebo | Vitamin B12 Levels | Week 24 | 681.0 pg/mL | Standard Deviation 2127.01 |
| Placebo | Vitamin B12 Levels | Week 36 | 618.7 pg/mL | Standard Deviation 2031.35 |
| Placebo | Vitamin B12 Levels | Week 48 | 728.4 pg/mL | Standard Deviation 2412.07 |
| Placebo | Vitamin B12 Levels | Week 60 | 637.8 pg/mL | Standard Deviation 1911.72 |
| Placebo | Vitamin B12 Levels | Week 72 | 741.3 pg/mL | Standard Deviation 2281.81 |
| Placebo | Vitamin B12 Levels | Week 84 | 740.9 pg/mL | Standard Deviation 2492.87 |
| Placebo | Vitamin B12 Levels | Week 96 | 459.5 pg/mL | Standard Deviation 548.84 |
| Placebo | Vitamin B12 Levels | Week 108 | 505.6 pg/mL | Standard Deviation 771.7 |
| Placebo | Vitamin B12 Levels | Week 120 | 689.1 pg/mL | Standard Deviation 1864.4 |
| Placebo | Vitamin B12 Levels | Week 132 | 476.9 pg/mL | Standard Deviation 483.88 |
| Placebo | Vitamin B12 Levels | Week 144 | 721.3 pg/mL | Standard Deviation 1543.37 |
| Placebo | Vitamin B12 Levels | Week 156 | 1046.6 pg/mL | Standard Deviation 3595.42 |
| Placebo | Vitamin B12 Levels | Week 168 | 750.2 pg/mL | Standard Deviation 1385.54 |
| Placebo | Vitamin B12 Levels | Week 180 | 1062.7 pg/mL | Standard Deviation 2386.4 |
| Placebo | Vitamin B12 Levels | Early Term/ Discontinuation | 1174.8 pg/mL | Standard Deviation 3403.8 |
Vitamin E Levels
Time frame: Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 427.067 Days), Final Visit (Mean: 908.715 Days)
Population: Safety population. This analysis was performed using the data only from patients who had the data at each visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| AST-120 | Vitamin E Levels | Baseline | 16.55 ug/mL | Standard Deviation 6.204 |
| AST-120 | Vitamin E Levels | Week 12 | 16.59 ug/mL | Standard Deviation 6.152 |
| AST-120 | Vitamin E Levels | Week 24 | 16.87 ug/mL | Standard Deviation 6.146 |
| AST-120 | Vitamin E Levels | Week 36 | 17.32 ug/mL | Standard Deviation 7.28 |
| AST-120 | Vitamin E Levels | Week 48 | 17.12 ug/mL | Standard Deviation 6.653 |
| AST-120 | Vitamin E Levels | Week 60 | 16.60 ug/mL | Standard Deviation 5.787 |
| AST-120 | Vitamin E Levels | Week 72 | 16.79 ug/mL | Standard Deviation 6.188 |
| AST-120 | Vitamin E Levels | Week 84 | 17.13 ug/mL | Standard Deviation 6.978 |
| AST-120 | Vitamin E Levels | Week 96 | 17.42 ug/mL | Standard Deviation 6.987 |
| AST-120 | Vitamin E Levels | Week 108 | 17.27 ug/mL | Standard Deviation 6.403 |
| AST-120 | Vitamin E Levels | Week 120 | 16.95 ug/mL | Standard Deviation 5.217 |
| AST-120 | Vitamin E Levels | Week 132 | 16.81 ug/mL | Standard Deviation 5.533 |
| AST-120 | Vitamin E Levels | Week 144 | 17.11 ug/mL | Standard Deviation 6.97 |
| AST-120 | Vitamin E Levels | Week 156 | 16.64 ug/mL | Standard Deviation 6.016 |
| AST-120 | Vitamin E Levels | Week 168 | 16.64 ug/mL | Standard Deviation 6.435 |
| AST-120 | Vitamin E Levels | Week 180 | 15.57 ug/mL | Standard Deviation 4.474 |
| AST-120 | Vitamin E Levels | Early Term/ Discontinuation | 16.32 ug/mL | Standard Deviation 5.047 |
| AST-120 | Vitamin E Levels | Final Visit | 15.60 ug/mL | Standard Deviation 5.731 |
| Placebo | Vitamin E Levels | Week 156 | 16.70 ug/mL | Standard Deviation 6.491 |
| Placebo | Vitamin E Levels | Baseline | 16.29 ug/mL | Standard Deviation 6.188 |
| Placebo | Vitamin E Levels | Week 108 | 17.03 ug/mL | Standard Deviation 5.986 |
| Placebo | Vitamin E Levels | Week 12 | 16.94 ug/mL | Standard Deviation 6.756 |
| Placebo | Vitamin E Levels | Final Visit | 15.92 ug/mL | Standard Deviation 6.211 |
| Placebo | Vitamin E Levels | Week 24 | 16.82 ug/mL | Standard Deviation 6.275 |
| Placebo | Vitamin E Levels | Week 120 | 16.79 ug/mL | Standard Deviation 5.87 |
| Placebo | Vitamin E Levels | Week 36 | 16.82 ug/mL | Standard Deviation 6.046 |
| Placebo | Vitamin E Levels | Week 168 | 18.02 ug/mL | Standard Deviation 6.865 |
| Placebo | Vitamin E Levels | Week 48 | 16.95 ug/mL | Standard Deviation 6.204 |
| Placebo | Vitamin E Levels | Week 132 | 16.42 ug/mL | Standard Deviation 6.081 |
| Placebo | Vitamin E Levels | Week 60 | 17.14 ug/mL | Standard Deviation 6.267 |
| Placebo | Vitamin E Levels | Early Term/ Discontinuation | 16.25 ug/mL | Standard Deviation 6.334 |
| Placebo | Vitamin E Levels | Week 72 | 17.10 ug/mL | Standard Deviation 6.242 |
| Placebo | Vitamin E Levels | Week 144 | 17.06 ug/mL | Standard Deviation 6.607 |
| Placebo | Vitamin E Levels | Week 84 | 16.82 ug/mL | Standard Deviation 5.847 |
| Placebo | Vitamin E Levels | Week 180 | 17.58 ug/mL | Standard Deviation 5.239 |
| Placebo | Vitamin E Levels | Week 96 | 17.21 ug/mL | Standard Deviation 6.007 |
Vitamin K Levels
Time frame: Baseline, Week 12, 24, 36, 48, 60, 72, 84, 96, 108, 120, 132, 144, 156, 168, 180, Early Term/Discontinuation (Mean: 432.942 Days), Final Visit (Mean: 910.448 Days)
Population: Safety population. This analysis was performed using the data only from patients who had the data at each visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| AST-120 | Vitamin K Levels | Baseline | 0.663 ng/mL | Standard Deviation 0.6138 |
| AST-120 | Vitamin K Levels | Week 12 | 0.651 ng/mL | Standard Deviation 0.6296 |
| AST-120 | Vitamin K Levels | Week 24 | 0.655 ng/mL | Standard Deviation 0.5999 |
| AST-120 | Vitamin K Levels | Week 36 | 0.730 ng/mL | Standard Deviation 0.6616 |
| AST-120 | Vitamin K Levels | Week 48 | 0.626 ng/mL | Standard Deviation 0.5746 |
| AST-120 | Vitamin K Levels | Week 60 | 0.695 ng/mL | Standard Deviation 0.6458 |
| AST-120 | Vitamin K Levels | Week 72 | 0.703 ng/mL | Standard Deviation 0.6295 |
| AST-120 | Vitamin K Levels | Week 84 | 0.775 ng/mL | Standard Deviation 0.7309 |
| AST-120 | Vitamin K Levels | Week 96 | 0.723 ng/mL | Standard Deviation 0.6386 |
| AST-120 | Vitamin K Levels | Week 108 | 0.801 ng/mL | Standard Deviation 0.719 |
| AST-120 | Vitamin K Levels | Week 120 | 0.688 ng/mL | Standard Deviation 0.7177 |
| AST-120 | Vitamin K Levels | Week 132 | 0.782 ng/mL | Standard Deviation 0.7253 |
| AST-120 | Vitamin K Levels | Week 144 | 0.661 ng/mL | Standard Deviation 0.6658 |
| AST-120 | Vitamin K Levels | Week 156 | 0.685 ng/mL | Standard Deviation 0.63 |
| AST-120 | Vitamin K Levels | Week 168 | 0.822 ng/mL | Standard Deviation 0.7662 |
| AST-120 | Vitamin K Levels | Week 180 | 0.879 ng/mL | Standard Deviation 0.8268 |
| AST-120 | Vitamin K Levels | Early Term / Discontinuation | 0.761 ng/mL | Standard Deviation 0.692 |
| AST-120 | Vitamin K Levels | Final Visit | 0.843 ng/mL | Standard Deviation 0.7197 |
| Placebo | Vitamin K Levels | Week 156 | 0.724 ng/mL | Standard Deviation 0.657 |
| Placebo | Vitamin K Levels | Baseline | 0.628 ng/mL | Standard Deviation 0.6023 |
| Placebo | Vitamin K Levels | Week 108 | 0.737 ng/mL | Standard Deviation 0.7428 |
| Placebo | Vitamin K Levels | Week 12 | 0.653 ng/mL | Standard Deviation 0.606 |
| Placebo | Vitamin K Levels | Final Visit | 0.814 ng/mL | Standard Deviation 0.6982 |
| Placebo | Vitamin K Levels | Week 24 | 0.658 ng/mL | Standard Deviation 0.6364 |
| Placebo | Vitamin K Levels | Week 120 | 0.717 ng/mL | Standard Deviation 0.6918 |
| Placebo | Vitamin K Levels | Week 36 | 0.640 ng/mL | Standard Deviation 0.612 |
| Placebo | Vitamin K Levels | Week 168 | 0.862 ng/mL | Standard Deviation 0.7611 |
| Placebo | Vitamin K Levels | Week 48 | 0.649 ng/mL | Standard Deviation 0.6211 |
| Placebo | Vitamin K Levels | Week 132 | 0.650 ng/mL | Standard Deviation 0.6832 |
| Placebo | Vitamin K Levels | Week 60 | 0.732 ng/mL | Standard Deviation 0.664 |
| Placebo | Vitamin K Levels | Early Term / Discontinuation | 0.679 ng/mL | Standard Deviation 0.6541 |
| Placebo | Vitamin K Levels | Week 72 | 0.703 ng/mL | Standard Deviation 0.6668 |
| Placebo | Vitamin K Levels | Week 144 | 0.662 ng/mL | Standard Deviation 0.5824 |
| Placebo | Vitamin K Levels | Week 84 | 0.717 ng/mL | Standard Deviation 0.6631 |
| Placebo | Vitamin K Levels | Week 180 | 1.020 ng/mL | Standard Deviation 1.0008 |
| Placebo | Vitamin K Levels | Week 96 | 0.682 ng/mL | Standard Deviation 0.6382 |