Evidence map›Paper›PMID 40790188›Full record

Trial reportBMC nephrology2025

A randomized trial to evaluate the pharmacokinetics, pharmacodynamics, and safety of vadadustat in patients with anemia associated with chronic kidney disease receiving hemodialysis.

Pamela Navarro-Gonzales, Ajit Chavan, Don Wang, Steven K Burke, Kevin Dykstra

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03992066 (A Phase 1b, Randomized, Open-Label Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Vadadustat in Hemodialysis Subjects With Anemia Associated With Chronic Kidney Disease), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03992066 phase1completednot on this map

A Phase 1b, Randomized, Open-Label Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Vadadustat in Hemodialysis Subjects With Anemia Associated With Chronic Kidney Disease

TypeinterventionalSponsorAkebia TherapeuticsRan2019 to 2020Enrolled46ConditionsAnemia Associated With Chronic Kidney DiseaseArmsVadadustat, Darbepoetin alfa, Epoetin alfa
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Impact of SLCO1B1 Gene Polymorphisms on Vadadustat Pharmacokinetics.European journal of drug metabolism and pharmacokinetics · 2026
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pamela Navarro-GonzalesAkebia Therapeutics, Inc, 245 1st St, Cambridge, MA, 02142, USA.
Ajit ChavanAkebia Therapeutics, Inc, 245 1st St, Cambridge, MA, 02142, USA.
Don WangAkebia Therapeutics, Inc, 245 1st St, Cambridge, MA, 02142, USA.
Steven K BurkeAkebia Therapeutics, Inc, 245 1st St, Cambridge, MA, 02142, USA.
Kevin DykstraAkebia Therapeutics, Inc, 245 1st St, Cambridge, MA, 02142, USA. kdykstra@Akebia.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVadadustat is an oral hypoxia-inducible factor prolyl hydroxylase inhibitor for treatment of anemia in dialysis-dependent chronic kidney disease (CKD) with a starting dose of 300 mg once daily (dose adjustments up to 600 mg). A recent phase 1b study evaluated the pharmacokinetics, pharmacodynamics, and safety of higher vadadustat doses (500-900 mg) in healthy volunteers. Here we report the pharmacokinetic (PK), pharmacodynamic (PD), and safety characterization of higher doses of vadadustat in patients with CKD receiving dialysis.

methodsThis phase 1b, randomized, open-label study evaluated the pharmacokinetics and pharmacodynamics of vadadustat (600, 750, or 900 mg) in patients with CKD-related anemia receiving hemodialysis over a 10-day treatment period. Forty-six eligible patients were randomized to vadadustat 600, 750, or 900 mg daily or an intravenous erythropoiesis-stimulating agent. For vadadustat groups, blood samples for PK and PD analyses were collected on Day 1 and Day 8. PK analyses included area under the plasma concentration time curve (AUC) from dosing to last quantifiable concentration and to infinity, and to maximum plasma concentration (C

resultsIn the vadadustat groups, a dose-dependent increase in plasma exposure of vadadustat (C

conclusionsThe current study characterized the PK and PD response (EPO and reticulocytes) and safety profile of vadadustat at doses of 600, 750, and 900 mg in patients with CKD receiving dialysis. Overall, vadadustat was well tolerated. These findings will contribute to the development of higher-dose regimens for further investigation in phase 3 studies.

trial registrationClinicalTrials.gov ID NCT03992066; https://clinicaltrials.gov/study/NCT03992066 ; Retrospectively registered on June 18, 2019. Accessed January 13, 2025.

Indexed as

AnemiaGlycineProlyl-Hydroxylase InhibitorsRenal DialysisRenal Insufficiency, ChronicAdultAgedDose-Response Relationship, DrugFemaleHematinicsHumansMaleMiddle AgedPicolinic AcidsGlycineHematinicsPicolinic AcidsProlyl-Hydroxylase InhibitorsvadadustatHIF-PHIPharmacodynamicsPharmacokineticsPhase 1SafetyVadadustat

Identifiers

PMID40790188
PMCPMC12341096

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.