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Cation Exchange Resin

Potassium Binders for Hyperkalemia (KBindER Trial)

Phase 4
Recruiting
Research Sponsored by University of California, Irvine
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Age ≥18 years
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up plasma potassium level measured at 2 and 4 hours after study drug was administered
Awards & highlights

KBindER Trial Summary

This trial compares the effectiveness of three different oral potassium binders at lowering blood potassium in patients who come to the emergency room with acute hyperkalemia.

Who is the study for?
This trial is for adults over 18 with high blood potassium levels (above 5.5 mEq/L) who can consent to participate. It's not for those with recent bowel surgery, blockages, certain blood issues mimicking high potassium, pregnant women, people with active psychiatric disorders or severe allergies to the drugs being tested.Check my eligibility
What is being tested?
The study compares three oral medications—Polyethylene Glycol 3350, Sodium Polystyrene Sulfonate [SPS], and Patiromer—to see which is best at lowering dangerously high potassium in hospital patients.See study design
What are the potential side effects?
Possible side effects of these potassium binders include digestive discomfort like nausea or constipation, electrolyte imbalances that could affect heart rhythm and muscle function, and rarely intestinal damage.

KBindER Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am 18 years old or older.

KBindER Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~measured at 2 and 4 hours after study drug was administered
This trial's timeline: 3 weeks for screening, Varies for treatment, and measured at 2 and 4 hours after study drug was administered for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in blood potassium level
Secondary outcome measures
Change in calcium, phosphorus and magnesium
Dialysis yes/no within 8 hours
Length of ER or hospital stay
+1 more

KBindER Trial Design

4Treatment groups
Experimental Treatment
Group I: Sodium zirconium cyclosilicate (Lokelma)Experimental Treatment1 Intervention
Participants will be randomized to one of four study arms. They will receive one dose of the study drug. The potassium binder drugs of interest include sodium polystyrene sulfonate (one dose of 30g), patiromer (one dose of 25.2g), and sodium zirconium cyclosilicate (one dose of 15g).
Group II: Sodium polystyrene sulfonate (Kayexalate)Experimental Treatment1 Intervention
Participants will be randomized to one of four study arms. They will receive one dose of the study drug. The potassium binder drugs of interest include sodium polystyrene sulfonate (one dose of 30g), patiromer (one dose of 25.2g), and sodium zirconium cyclosilicate (one dose of 15g).
Group III: Polyethylene glycol 3350 (MiraLax)Experimental Treatment1 Intervention
Participants will be randomized to one of four study arms. They will receive one dose of the study drug. One study arm is the nonspecific laxative MiraLax (one dose of 17g). Since constipation can contribute to hyperkalemia, this arm will study the effect of treating constipation instead of direct cation exchange for potassium in the gut.
Group IV: Patiromer (Veltassa)Experimental Treatment1 Intervention
Participants will be randomized to one of four study arms. They will receive one dose of the study drug. The potassium binder drugs of interest include sodium polystyrene sulfonate (one dose of 30g), patiromer (one dose of 25.2g), and sodium zirconium cyclosilicate (one dose of 15g).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Polyethylene glycol
FDA approved
Patiromer
FDA approved
Sodium zirconium cyclosilicate
FDA approved

Find a Location

Who is running the clinical trial?

University of California, IrvineLead Sponsor
544 Previous Clinical Trials
1,922,923 Total Patients Enrolled

Media Library

Patiromer (Cation Exchange Resin) Clinical Trial Eligibility Overview. Trial Name: NCT04585542 — Phase 4
Hyperkalemia Research Study Groups: Patiromer (Veltassa), Sodium zirconium cyclosilicate (Lokelma), Polyethylene glycol 3350 (MiraLax), Sodium polystyrene sulfonate (Kayexalate)
Hyperkalemia Clinical Trial 2023: Patiromer Highlights & Side Effects. Trial Name: NCT04585542 — Phase 4
Patiromer (Cation Exchange Resin) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04585542 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many study participants are part of this clinical trial?

"Yes, this is an ongoing study that is looking for new participants. The trial was first posted on October 20th, 2020, and the most recent update was on August 6th, 2021. They are recruiting for a total of 120 patients at 1 medical site."

Answered by AI

Why is Polyethylene Glycol 3350 commonly ingested?

"Polyethylene Glycol 3350 is an effective medical solution for patients struggling with colonoscopy, bowel preparation therapy, and dry eyes."

Answered by AI

Are there any other instances where Polyethylene Glycol 3350 has been studied?

"As of right now, there are 29 ongoing clinical trials for Polyethylene Glycol 3350. Out of those 29 trials, 7 are in Phase 3. Most of the trials taking place for Polyethylene Glycol 3350 are based in Durham, North carolina, but 853 locations worldwide are running trials for Polyethylene Glycol 3350."

Answered by AI

What is the maximum amount of Polyethylene Glycol 3350 that a person can consume without experiencing negative health effects?

"Polyethylene Glycol 3350 is a safe treatment option, as it has been approved in Phase 4 of clinical trials."

Answered by AI

Are there any more positions open for this research project?

"Yes, this is an ongoing study that was originally posted on October 20th, 2020. The most recent update was on August 6th, 2021."

Answered by AI
~5 spots leftby Jul 2024