Can a Two-Drug combo tame high phosphorus in dialysis?
NCT ID NCT07776119
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This study looks at whether adding tenapanor to standard phosphate binders helps people on hemodialysis lower their blood phosphorus levels. High phosphorus is common in dialysis patients and can lead to bone and heart problems. The trial will follow about 200 adults who are already on phosphate binders but still have elevated phosphorus, measuring how many reach target levels and tracking safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tenapanor added to phosphate binders
- What this could lead to
- If effective, this combination could offer a new way to help dialysis patients manage high phosphorus levels, potentially reducing complications.
- What could go wrong
- This is a real-world study, not a controlled trial, so results may be influenced by patient differences. Tenapanor may cause gastrointestinal side effects, and not all patients may respond.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Hemodialysis patients with hyperphosphatemia despite the use of phosphate binders
- Ages
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18 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. The subject has provided written informed consent prior to the initiation of any study-related activities. 2. Male or female subjects aged ≥18 years at the time of signing the informed consent form. 3. The subject is receiving regular maintenance hemodialysis (3 times per week, 4 hours per session) for at least 3 months. 4. The patient has been on phosphate binder therapy for at least 3 weeks, with a stable dose. 5. Serum phosphorus \> 4.5 mg/dL. Exclusion Criteria: 1. Hypersensitivity to Tenapanor or any excipients of the formulation. 2. History of diarrhea within 1 week prior to the start of treatment. Diarrhea is defined as a Bristol Stool Form Scale (BSFS) score ≥6 (i.e., mushy or liquid stools with no solid pieces), a daily bowel movement frequency ≥3 times, and a duration of ≥2 days. 3. Life expectancy \< 6 months. 4. Expected or planned kidney transplantation during the study period. 5. History of inflammatory bowel disease (IBD) or irritable bowel syndrome with diarrhea (IBS-D). 6. Any other condition that, in the opinion of the Investigator, makes the patient unsuitable for enrollment.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Peking University People's Hospital
Beijing, Beijing Municipality, 100000, China
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