Can a charcoal pill delay dialysis?
NCT ID NCT00500682
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase 3 trial tested whether AST-120, a spherical carbon adsorbent taken as a powder, can slow the progression of chronic kidney disease. Over 1,000 adults with moderate to severe kidney disease received either AST-120 or a placebo alongside their usual care. The main goal was to see if the drug could delay the need for dialysis, kidney transplant, or a doubling of creatinine levels.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AST-120 (spherical carbon adsorbent)
- What this could lead to
- If it works, this could provide a new way to delay dialysis or kidney transplant in people with moderate to severe chronic kidney disease.
- What could go wrong
- This is a completed Phase 3 trial, but results may not show a clear benefit over standard care. The treatment is an adsorbent, not a cure, and long-term safety needs confirmation.
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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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1,020 people
The number who actually took part.
- Start date
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Jul 2007
- Finished
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Oct 2011
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- 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: * 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 at Screening * Blood pressure \<= 160/90 mmHg at both Screening and Baseline. 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
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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.
Contacts and locations
Locations
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Study site
Phoenix, Arizona, United States
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Little Rock, Arkansas, United States
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Alhambra, California, United States
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Covina, California, United States
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Glendale, California, United States
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Los Angeles, California, United States
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Stamford, Connecticut, United States
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Washington D.C., District of Columbia, United States
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Hudson, Florida, United States
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Miami, Florida, United States
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Ocala, Florida, United States
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Orlando, Florida, United States
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Pembroke Pines, Florida, United States
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Spring Hill, Florida, United States
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Tampa, Florida, United States
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Winter Park, Florida, United States
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Kansas City, Kansas, United States
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New Orleans, Louisiana, United States
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Shreveport, Louisiana, United States
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Ypsilanti, Michigan, United States
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Kansas City, Missouri, United States
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St Louis, Missouri, United States
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Camden, New Jersey, United States
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Eatontown, New Jersey, United States
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Port Washington, New York, United States
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Springfield Gardens, New York, United States
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Asheville, North Carolina, United States
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Cincinnati, Ohio, United States
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Dayton, Ohio, United States
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Toledo, Ohio, United States
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Portland, Oregon, United States
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Philadelphia, Pennsylvania, United States
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Pittsburgh, Pennsylvania, United States
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Rock Hill, South Carolina, United States
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Nashville, Tennessee, United States
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Arlington, Texas, United States
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Dallas, Texas, United States
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Houston, Texas, United States
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San Antonio, Texas, United States
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Appleton, Wisconsin, United States
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Oshkosh, Wisconsin, United States
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Buenos Aires, Argentina
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Córdoba, Argentina
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San Luis, Argentina
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San Miguel de Tucumán, Argentina
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San Pedro, Argentina
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Barao Geraldo-Campinas, Brazil
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Belo Horizonte Minas Gerais, Brazil
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Juiz de Fora, Brazil
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Porto Alegre, Brazil
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Rio de Janeiro, Brazil
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São Paulo, Brazil
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Taubaté, Brazil
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Winnipeg, Manitoba, Canada
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Brampton, Ontario, Canada
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Kitzhener, Ontario, Canada
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Oakville, Ontario, Canada
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Scarborough Village, Ontario, Canada
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Toronto, Ontario, Canada
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Montreal, Quebec, Canada
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České Budějovice, Czechia
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Jihlava, Czechia
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Ostrava - Poruba, Czechia
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Prague, Czechia
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Tábor, Czechia
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Grenoble, France
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Lyon, France
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Nantes, France
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Saint-Lô, France
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Bologna, Italy
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Brescia, Italy
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Como, Italy
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Pavia, Italy
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Aguascalientes, Mexico
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Mexico City, Mexico
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Tijuana, Mexico
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Gdansk, Poland
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Szczecin, Poland
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Torun, Poland
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Warsaw, Poland
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Caguas, Puerto Rico
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Bamaul, Russia
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Kazan', Russia
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Krasnodar, Russia
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Moscow, Russia
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Nizhny Novgorod, Russia
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Novosibirsk, Russia
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Pyatigorsk, Russia
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Ryazan, Russia
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Saint Petersburg, Russia
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Saratov, Russia
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Smolensk, Russia
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Sochi, Russia
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Stavropol, Russia
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Yekaterinburg, Russia
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Chernivtsi, Ukraine
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Dnipropetrovsk, Ukraine
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Donetsk, Ukraine
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Ivano-Frankivsk, Ukraine
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Kharkiv, Ukraine
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Kiev, Ukraine
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Odesa, Ukraine
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Uzhhorod, Ukraine
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Vinnitsa, Ukraine
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Zhytomyr, Ukraine
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Other studies related to the condition(s) this trial covers.
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