New hope for kidney patients: drug safely lowers dangerous potassium levels
NCT ID NCT05136664
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called patiromer in 262 Chinese adults with chronic kidney disease and high potassium levels. Participants took patiromer for 4 weeks, then some switched to placebo for 8 weeks to see if potassium stayed controlled. The goal was to manage potassium safely while allowing patients to continue their heart-protective medications.
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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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262 people
The number who actually took part.
- Started
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Feb 2022
- Finished
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Nov 2025
- 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: * \- Chinese subjects at least 18 years of age. * \- Chronic Kidney Disease (CKD) stage 3 and 4. * \- Mean of 2 measurement of serum potassium higher than 5.0 and lower than 6.5 mEq/L at baseline. * \- Subjects on any stable dose of at least 1 RAASi medication for at least 28 days before Day 0/baseline. * \- If on antihypertensive medication, have a stable dose for 28 days before Day 0/baseline. * \- Women of childbearing potential must agree to continue using contraception throughout the study and for 4 weeks after study completion. Exclusion Criteria: * \- Any level of hyperkalemia at Day 0/baseline that, in the opinion of the Investigator, requires emergency intervention. * \- Type 1 diabetes or Type 2 diabetes mellitus with glycated haemoglobin (Hb A1c) higher than 10.0% at screening/Part A baseline. * \- History of acute renal insufficiency in the past 3 months prior to the beginning of the study. * \- Diseases affecting the hearth muscle and heart's ability to pump blood around the body * \- Major surgery including thoracic and cardiac within 3 months prior to the beginning of the study or anticipated need during study participation. * \- Heart or kidney transplant recipient or anticipated need for transplant during study participation * \- Diagnosis or treatment of a malignancy in the past 2 years before Day 0/baseline. * \- Use of potassium supplements, bicarbonate or baking soda in the last 7 days prior to Day 0/baseline. * \- Pregnant women or breastfeeding.
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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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Investigator Site 001
Hangzhou, Zhejiang, 310003, China
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Investigator Site 002
Changzhou, Jiangsu, 213004, China
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Investigator Site 003
Lanzhou, Gansu, 730030, China
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Investigator Site 004
Chengdu, Sichuan, 610044, China
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Investigator Site 005
Xuzhou, Jiangsu, 221004, China
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Investigator Site 006
Changsha, Hunan, 410013, China
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Investigator Site 007
Changchun, Jilin, 130041, China
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Investigator Site 008
Hefei, Anhui, 230601, China
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Investigator Site 009
Hefei, Anhui, 230022, China
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Investigator Site 010
Wuhan, Hubei, 430060, China
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Investigator Site 011
Yuncheng, Shanxi, 044099, China
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Investigator Site 012
Lanzhou, Gansu, 730013, China
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Investigator Site 013
Zhenjiang, Jiangsu, 210031, China
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Investigator Site 014
Tianjin, Tianjin Municipality, 300052, China
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Investigator Site 015
Shanghai, Shanghai Municipality, 200040, China
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Investigator Site 016
Beijing, Beijing Municipality, 100029, China
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Investigator Site 018
Yinchuan, Ningxia, 750003, China
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Investigator Site 019
Nanjing, Jiangsu, 210029, China
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Investigator Site 020
Hanzhou, Zhejiang, 310014, China
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Investigator Site 021
Wuxi, Jiangsu, 214023, China
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Investigator Site 022
Taiyuan, Shanxi, 030012, China
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Investigator Site 023
Ürümqi, Xinjiang, 830001, China
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Investigator Site 024
Nanyang, Henan, 473000, China
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Investigator Site 025
Jinhua, Zhejiang, 322000, China
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Investigator Site 026
Jiaxing, Zhejiang, 314000, China
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Investigator Site 027
Zhuzhou, Tianyuan District, 412007, China
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Investigator Site 028
Shanghai, Pudong New Area, 200120, China
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Investigator Site 030
Nanning, Guangxi, 530000, China
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Other studies related to the condition(s) this trial covers.
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- Rethinking potassium: a looser diet for dialysis patients?
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