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Evaluation of TRC101 in Subjects With Chronic Kidney Disease and Metabolic Acidosis

A Double-Blind, Randomized, Placebo-Controlled Study to Evaluate the Safety, Tolerability and Efficacy of TRC101 in Subjects With Chronic Kidney Disease and Low Serum Bicarbonate Levels

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02809183
Enrollment
135
Registered
2016-06-22
Start date
2016-03-31
Completion date
2016-11-30
Last updated
2020-01-14

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

Conditions

Acidosis

Keywords

metabolic acidosis, serum bicarbonate, kidney disease

Brief summary

This was a double-blind, placebo-controlled, parallel-design, 6-arm, fixed dose study. The study enrolled 135 adult male and female subjects with Stage 3 or 4 chronic kidney disease and low serum bicarbonate levels. The study was conducted in two parts. In Part 1 study drug dosing (TRC101 or placebo) continued for 14 days twice daily (BID). In Part 2 study drug dosing (TRC101 or placebo) continued for 14 days once daily (QD). The maximum study duration per subject was anticipated to be up to 42 days.

Interventions

DRUGPlacebo

oral suspension

DRUGTRC101

oral suspension

Sponsors

Tricida, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Estimated glomerular filtration rate (eGFR) of 20 to \<60 mL/min/1.73m2 * Serum bicarbonate level of 12 to 20 mEq/L

Exclusion criteria

* Any level of low serum bicarbonate that, in the opinion of the Investigator, requires emergency intervention. * Severe comorbid conditions other than chronic kidney disease. * Chronic obstructive pulmonary disease. * Anticipated changes in doses of any of the following drugs or drug classes: diuretics, non-ophthalmic carbonic anhydrase inhibitors, oral diabetes drugs, antihypertensive drugs, antacids, H2-blockers, or proton pump inhibitors. * Excluded drugs or drug classes: insulin, non-daily or as needed diuretics, herbal products, dietary supplements, multivitamins, naturopathic remedies, sodium bicarbonate, potassium citrate, sodium citrate or other alkali therapy, non-steroidal anti-inflammatory drugs (NSAIDs), fiber supplements, laxatives, calcium and magnesium supplements, or electrolyte binders and other binder drugs.

Design outcomes

Primary

MeasureTime frameDescription
Number of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAEThrough treatment period completion (Day 15)The number and percentage of subjects who reported treatment-emergent adverse events (TEAEs) summarized by system organ class and preferred term (see Reported Adverse Events) as well as by severity, causality, seriousness, and action taken with regard to study drug. All analyses were descriptive.
Change From Baseline to the End of Treatment (Day 15) in Serum Bicarbonate Within Each Individual TRC101 Dose GroupBaseline and Day 15Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline

Secondary

MeasureTime frameDescription
Comparison of Change From Baseline in Serum Bicarbonate at Day 15 Between the Combined TRC101 Treatment Group Versus PlaceboBaseline and Day 15Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline for the Combined TRC101 Treatment Group versus that for Placebo
Comparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus PlaceboBaseline and Day 15Comparison of the proportion of subjects whose serum bicarbonate values increased from Baseline to Day 15 by greater than or equal to 2, 3, or 4 mEq/L between each TRC101 BID Dose Group versus Placebo
Change From Baseline in Serum Bicarbonate at Day 15 Within the TRC101 6g QD Dose GroupBaseline and Day 15Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline
Comparison of Change From Baseline in Serum Bicarbonate at Day 15 Between Each TRC101 Dose Group Versus PlaceboBaseline and Day 15Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline for each TRC101 dose group versus that for Placebo
Change From Baseline in Serum Bicarbonate at Day 15 Comparison Between the TRC101 6g QD Dose Group Versus the TRC101 3g BID Dose GroupBaseline and Day 15Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline for the TRC101 6g QD dose group versus that for the TRC101 3g BID dose group
Comparison of the Proportion of Subjects in the TRC101 6g QD Dose Group Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Versus PlaceboBaseline and Day 15Comparison of the proportion of subjects whose serum bicarbonate values increased from Baseline to Day 15 by greater than or equal to 2, 3, or 4 mEq/L between the 6g TRC101 QD Dose Group versus Placebo
Change From Baseline in Serum Bicarbonate at Day 15 Comparison Between the TRC101 6g QD Dose Group Versus PlaceboBaseline and Day 15Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline for the TRC101 6g dose group versus that for Placebo
Change From Baseline in Serum Bicarbonate at Day 15 Within the Combined TRC101 Treatment GroupBaseline and Day 15Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline

Countries

Bulgaria, Georgia

Participant flow

Participants by arm

ArmCount
Pooled Placebo
Pooled placebo treatment groups (Placebo administered twice daily \[BID\] for 14 days + Placebo administered once daily \[QD\] for 14 days)
31
1.5g TRC101 BID
1.5g TRC101 administered twice daily (BID) for 14 days
25
3g TRC101 BID
3g TRC101 administered twice daily (BID) for 14 days
25
4.5g TRC101 BID
4.5g TRC101 administered twice daily (BID) for 14 days
26
6g TRC101 QD
6g TRC101 administered once daily (QD) for 14 days
28
Total135

Baseline characteristics

CharacteristicTotal1.5g TRC101 BID3g TRC101 BID4.5g TRC101 BIDPooled Placebo6g TRC101 QD
Age, Continuous60.3 years
STANDARD_DEVIATION 12.44
58 years
STANDARD_DEVIATION 14
60 years
STANDARD_DEVIATION 13
61 years
STANDARD_DEVIATION 13
61 years
STANDARD_DEVIATION 12
63 years
STANDARD_DEVIATION 11
Diabetes94 Participants18 Participants20 Participants19 Participants20 Participants17 Participants
eGFR35.70 mL/min/1.73m^2
STANDARD_DEVIATION 12.419
35 mL/min/1.73m^2
STANDARD_DEVIATION 13
40 mL/min/1.73m^2
STANDARD_DEVIATION 13
35 mL/min/1.73m^2
STANDARD_DEVIATION 13
34 mL/min/1.73m^2
STANDARD_DEVIATION 14
31 mL/min/1.73m^2
STANDARD_DEVIATION 10
Heart Failure29 Participants5 Participants7 Participants5 Participants7 Participants5 Participants
Hypertension126 Participants24 Participants23 Participants23 Participants30 Participants26 Participants
Serum Bicarbonate17.72 mEq/L
STANDARD_DEVIATION 1.197
18.0 mEq/L
STANDARD_DEVIATION 1
17.8 mEq/L
STANDARD_DEVIATION 1.2
17.5 mEq/L
STANDARD_DEVIATION 1.3
17.6 mEq/L
STANDARD_DEVIATION 1.4
17.7 mEq/L
STANDARD_DEVIATION 1
Sex: Female, Male
Female
49 Participants6 Participants8 Participants11 Participants12 Participants12 Participants
Sex: Female, Male
Male
86 Participants19 Participants17 Participants15 Participants19 Participants16 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 310 / 250 / 250 / 260 / 28
other
Total, other adverse events
12 / 3113 / 259 / 2517 / 2613 / 28
serious
Total, serious adverse events
0 / 310 / 250 / 250 / 260 / 28

Outcome results

Primary

Change From Baseline to the End of Treatment (Day 15) in Serum Bicarbonate Within Each Individual TRC101 Dose Group

Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline

Time frame: Baseline and Day 15

Population: Full Analysis Set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pooled PlaceboChange From Baseline to the End of Treatment (Day 15) in Serum Bicarbonate Within Each Individual TRC101 Dose Group-0.2 mEq/LStandard Error 0.4
1.5g TRC101 BIDChange From Baseline to the End of Treatment (Day 15) in Serum Bicarbonate Within Each Individual TRC101 Dose Group3.2 mEq/LStandard Error 0.4
3g TRC101 BIDChange From Baseline to the End of Treatment (Day 15) in Serum Bicarbonate Within Each Individual TRC101 Dose Group3.0 mEq/LStandard Error 0.4
4.5g TRC101 BIDChange From Baseline to the End of Treatment (Day 15) in Serum Bicarbonate Within Each Individual TRC101 Dose Group3.7 mEq/LStandard Error 0.4
p-value: 0.554795% CI: [-0.9, 0.5]Mixed Models Analysis
Comparison: The null hypothesis is that the mean change from baseline within the 1.5g TRC101 BID treatment group = 0 mEq/L.p-value: <0.000195% CI: [2.4, 4]Mixed Models Analysis
p-value: <0.000195% CI: [2.2, 3.8]Mixed Models Analysis
p-value: <0.000195% CI: [2.9, 4.5]Mixed Models Analysis
Primary

Number of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE

The number and percentage of subjects who reported treatment-emergent adverse events (TEAEs) summarized by system organ class and preferred term (see Reported Adverse Events) as well as by severity, causality, seriousness, and action taken with regard to study drug. All analyses were descriptive.

Time frame: Through treatment period completion (Day 15)

Population: Safety Analysis Set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Pooled PlaceboNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAESubjects Reporting any TEAE14 Participants
Pooled PlaceboNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Moderate TEAE3 Participants
Pooled PlaceboNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAEStudy Drug Discontinuation Due to TEAE0 Participants
Pooled PlaceboNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Serious TEAE0 Participants
Pooled PlaceboNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Severe TEAE0 Participants
Pooled PlaceboNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Mild TEAE11 Participants
1.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAESubjects Reporting any TEAE13 Participants
1.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Mild TEAE9 Participants
1.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Moderate TEAE4 Participants
1.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Severe TEAE0 Participants
1.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Serious TEAE0 Participants
1.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAEStudy Drug Discontinuation Due to TEAE0 Participants
3g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Mild TEAE8 Participants
3g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Serious TEAE0 Participants
3g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAESubjects Reporting any TEAE9 Participants
3g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Moderate TEAE1 Participants
3g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAEStudy Drug Discontinuation Due to TEAE0 Participants
3g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Severe TEAE0 Participants
4.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAEStudy Drug Discontinuation Due to TEAE0 Participants
4.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Moderate TEAE3 Participants
4.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Severe TEAE0 Participants
4.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAESubjects Reporting any TEAE17 Participants
4.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Serious TEAE0 Participants
4.5g TRC101 BIDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Mild TEAE14 Participants
6g TRC101 QDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Serious TEAE0 Participants
6g TRC101 QDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAESubjects Reporting any TEAE17 Participants
6g TRC101 QDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAEStudy Drug Discontinuation Due to TEAE0 Participants
6g TRC101 QDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Mild TEAE15 Participants
6g TRC101 QDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Severe TEAE0 Participants
6g TRC101 QDNumber of Subjects With Treatment Emergent Adverse Events (TEAEs) and Number of Subjects Who Discontinued Study Drug Due to a TEAE≥ 1 Moderate TEAE2 Participants
Secondary

Change From Baseline in Serum Bicarbonate at Day 15 Comparison Between the TRC101 6g QD Dose Group Versus Placebo

Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline for the TRC101 6g dose group versus that for Placebo

Time frame: Baseline and Day 15

Population: Full Analysis Set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pooled PlaceboChange From Baseline in Serum Bicarbonate at Day 15 Comparison Between the TRC101 6g QD Dose Group Versus Placebo-0.2 mEq/LStandard Error 0.4
1.5g TRC101 BIDChange From Baseline in Serum Bicarbonate at Day 15 Comparison Between the TRC101 6g QD Dose Group Versus Placebo3.5 mEq/LStandard Error 0.4
p-value: <0.000195% CI: [2.6, 4.7]Mixed Models Analysis
Secondary

Change From Baseline in Serum Bicarbonate at Day 15 Comparison Between the TRC101 6g QD Dose Group Versus the TRC101 3g BID Dose Group

Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline for the TRC101 6g QD dose group versus that for the TRC101 3g BID dose group

Time frame: Baseline and Day 15

Population: Full Analysis Set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pooled PlaceboChange From Baseline in Serum Bicarbonate at Day 15 Comparison Between the TRC101 6g QD Dose Group Versus the TRC101 3g BID Dose Group3.0 mEq/LStandard Error 0.4
1.5g TRC101 BIDChange From Baseline in Serum Bicarbonate at Day 15 Comparison Between the TRC101 6g QD Dose Group Versus the TRC101 3g BID Dose Group3.5 mEq/LStandard Error 0.4
p-value: 0.421495% CI: [-1.6, 0.7]Mixed Models Analysis
Secondary

Change From Baseline in Serum Bicarbonate at Day 15 Within the Combined TRC101 Treatment Group

Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline

Time frame: Baseline and Day 15

Population: Full Analysis Set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pooled PlaceboChange From Baseline in Serum Bicarbonate at Day 15 Within the Combined TRC101 Treatment Group3.3 mEq/LStandard Error 0.2
p-value: <0.000195% CI: [3, 3.7]Mixed Models Analysis
Secondary

Change From Baseline in Serum Bicarbonate at Day 15 Within the TRC101 6g QD Dose Group

Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline

Time frame: Baseline and Day 15

Population: Full Analysis Set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pooled PlaceboChange From Baseline in Serum Bicarbonate at Day 15 Within the TRC101 6g QD Dose Group3.5 mEq/LStandard Error 0.4
p-value: <0.000195% CI: [2.7, 4.2]Mixed Models Analysis
Secondary

Comparison of Change From Baseline in Serum Bicarbonate at Day 15 Between Each TRC101 Dose Group Versus Placebo

Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline for each TRC101 dose group versus that for Placebo

Time frame: Baseline and Day 15

Population: Full Analysis Set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pooled PlaceboComparison of Change From Baseline in Serum Bicarbonate at Day 15 Between Each TRC101 Dose Group Versus Placebo-0.2 mEq/LStandard Error 0.4
1.5g TRC101 BIDComparison of Change From Baseline in Serum Bicarbonate at Day 15 Between Each TRC101 Dose Group Versus Placebo3.2 mEq/LStandard Error 0.4
3g TRC101 BIDComparison of Change From Baseline in Serum Bicarbonate at Day 15 Between Each TRC101 Dose Group Versus Placebo3.0 mEq/LStandard Error 0.4
4.5g TRC101 BIDComparison of Change From Baseline in Serum Bicarbonate at Day 15 Between Each TRC101 Dose Group Versus Placebo3.7 mEq/LStandard Error 0.4
p-value: <0.000195% CI: [2.3, 4.5]Mixed Models Analysis
p-value: <0.000195% CI: [2.2, 4.3]Mixed Models Analysis
p-value: <0.000195% CI: [2.9, 5]Mixed Models Analysis
Secondary

Comparison of Change From Baseline in Serum Bicarbonate at Day 15 Between the Combined TRC101 Treatment Group Versus Placebo

Serum bicarbonate at Day 15 minus serum bicarbonate at Baseline for the Combined TRC101 Treatment Group versus that for Placebo

Time frame: Baseline and Day 15

Population: Full Analysis Set

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Pooled PlaceboComparison of Change From Baseline in Serum Bicarbonate at Day 15 Between the Combined TRC101 Treatment Group Versus Placebo-0.2 mEq/LStandard Error 0.4
1.5g TRC101 BIDComparison of Change From Baseline in Serum Bicarbonate at Day 15 Between the Combined TRC101 Treatment Group Versus Placebo3.3 mEq/LStandard Error 0.2
p-value: <0.000195% CI: [2.8, 4.4]Mixed Models Analysis
Secondary

Comparison of the Proportion of Subjects in the TRC101 6g QD Dose Group Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Versus Placebo

Comparison of the proportion of subjects whose serum bicarbonate values increased from Baseline to Day 15 by greater than or equal to 2, 3, or 4 mEq/L between the 6g TRC101 QD Dose Group versus Placebo

Time frame: Baseline and Day 15

Population: Full Analysis Set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Pooled PlaceboComparison of the Proportion of Subjects in the TRC101 6g QD Dose Group Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Versus Placebo=> 2 mEq/L Baseline Serum Bicarbonate4 Participants
Pooled PlaceboComparison of the Proportion of Subjects in the TRC101 6g QD Dose Group Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Versus Placebo=> 3 mEq/L Baseline Serum Bicarbonate2 Participants
Pooled PlaceboComparison of the Proportion of Subjects in the TRC101 6g QD Dose Group Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Versus Placebo=> 4 mEq/L Baseline Serum Bicarbonate1 Participants
1.5g TRC101 BIDComparison of the Proportion of Subjects in the TRC101 6g QD Dose Group Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Versus Placebo=> 2 mEq/L Baseline Serum Bicarbonate23 Participants
1.5g TRC101 BIDComparison of the Proportion of Subjects in the TRC101 6g QD Dose Group Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Versus Placebo=> 3 mEq/L Baseline Serum Bicarbonate14 Participants
1.5g TRC101 BIDComparison of the Proportion of Subjects in the TRC101 6g QD Dose Group Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Versus Placebo=> 4 mEq/L Baseline Serum Bicarbonate12 Participants
p-value: <0.0001Fisher Exact
p-value: 0.0003Fisher Exact
p-value: 0.0003Fisher Exact
Secondary

Comparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo

Comparison of the proportion of subjects whose serum bicarbonate values increased from Baseline to Day 15 by greater than or equal to 2, 3, or 4 mEq/L between each TRC101 BID Dose Group versus Placebo

Time frame: Baseline and Day 15

Population: Full Analysis Set

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Pooled PlaceboComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 2 mEq/L Baseline Serum Bicarbonate4 Participants
Pooled PlaceboComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 4 mEq/L Baseline Serum Bicarbonate1 Participants
Pooled PlaceboComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 3 mEq/L Baseline Serum Bicarbonate2 Participants
1.5g TRC101 BIDComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 2 mEq/L Baseline Serum Bicarbonate18 Participants
1.5g TRC101 BIDComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 4 mEq/L Baseline Serum Bicarbonate8 Participants
1.5g TRC101 BIDComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 3 mEq/L Baseline Serum Bicarbonate14 Participants
3g TRC101 BIDComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 3 mEq/L Baseline Serum Bicarbonate10 Participants
3g TRC101 BIDComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 2 mEq/L Baseline Serum Bicarbonate14 Participants
3g TRC101 BIDComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 4 mEq/L Baseline Serum Bicarbonate10 Participants
4.5g TRC101 BIDComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 2 mEq/L Baseline Serum Bicarbonate19 Participants
4.5g TRC101 BIDComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 4 mEq/L Baseline Serum Bicarbonate11 Participants
4.5g TRC101 BIDComparison of the Proportion of Subjects Whose Serum Bicarbonate Values Increased From Baseline to Day 15 by Greater Than or Equal to 2, 3, or 4 mEq/L Between Each TRC101 Dose Group Versus Placebo=> 3 mEq/L Baseline Serum Bicarbonate16 Participants
p-value: 0.0013Fisher Exact
p-value: <0.0001Fisher Exact
p-value: <0.0001Fisher Exact
p-value: 0.0074Fisher Exact
p-value: 0.0012Fisher Exact
p-value: 0.0032Fisher Exact
p-value: <0.0001Fisher Exact
p-value: <0.0001Fisher Exact
p-value: <0.0006Fisher Exact

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026