About this trial
This clinical trial consists of 2 parts, Part A and Part B. Part A consists of a 2-day randomized, double-blind, placebo-controlled corrective phase (CP) and a 28-day randomized, double-blind, placebo-controlled maintenance phase (MP). Part B (open-label extension, OLE) is an open-label, 11-month extension study carried out in participants who come from Part A and meet certain inclusion criteria.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults (male or female) aged 18 years and older;
Participants with a serum potassium concentration >5.0 mmol/L and ≤6.5 mmol/L (serum potassium concentration will be measured using the i-STAT portable biochemical analyzer in screening period);
Participants who have negative pregnancy test result at screening and ensure the use of contraception during the trial;
Participants who understand and voluntarily sign the Informed Consent Form.
Disqualifiers
Participants who have a history of severe drug allergy, or are definitely allergic to the investigational product or its ingredients;
Participants who have pseudohyperkalemia, such as serum potassium increasing caused by hemolysis of blood samples due to improper blood collection methods (such as too tight pressure pulse band banding, too heavy local rubbing, repeated fist clenching-loosening hands), hemolysis of blood samples due to difficulty in venipuncture or trauma, and severe leukocytosis (>50 × 10^9/L) or thrombocytosis (>500 × 10^9/L);
Participants with acute hyperkalemia caused by conditions such as tumor lysis syndrome or hemolysis and so on;
Participants suffering from severe cerebrovascular diseases, such as cerebral infarction or cerebral hemorrhagic disease, with language disorder or unresponsiveness, or severely blocked limb movement;
Trial design
Parallel
Treatments tested in this trial
WS016
DrugWS016 (12g), oral, three times daily for 48 hours, for a total of six doses.
Placebo
DrugPlacebo, oral, three times daily for 48 hours, for a total of six doses.
WS016
DrugWS016 (6g, 12g or 18g), oral, once daily for 28 consecutive days.
Placebo
DrugPlacebo, oral, once daily for 28 consecutive days.
WS016
DrugWS016, oral, once daily for 11 months, starting at a dose of 12g with subsequent dose adjustments based on serum potassium levels.
Treatment groups
Trial outcomes
Primary outcomes
Mean serum potassium level during maintenance phase Days 8-29
Secondary outcomes
Exponential rate of change in serum potassium during the corrective phase
Mean change from baseline in serum potassium at all time points of corrective phase
Cumulative duration (in days) of serum potassium within the normal range during the maintenance phase
Mean change from baseline in serum potassium at all time points of maintenance phase
Sponsors and contacts
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