Adults 18 to 99, any sex, with Anemia or Dialysis-dependent Chronic Kidney Disease. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Mean Change in Hemoglobin (Hb) Between Baseline and the Primary Evaluation Period (PEP)Primary· Baseline; Week 10 to Week 12
Change from Baseline in Hb value was calculated as the PEP Hb value minus the Baseline Hb value. The PEP value was the average Hb value from Week 10 to Week 12. The Baseline Hb value was defined as the average of the final two Hb values prior to start of dosing on Day 1.
Baseline
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
10.223
± 0.5805
Low Dose of Epoetin Alfa: Vadadustat 450 mg
10.059
± 0.6769
Low Dose of Epoetin Alfa: Epoetin Alfa
10.165
± 0.6806
High Dose of Epoetin Alfa: Vadadustat 300 mg
9.778
± 0.6832
High Dose of Epoetin Alfa: Vadadustat 450 mg
10.288
± 0.5445
High Dose of Epoetin Alfa: Vadadustat 600 mg
10.095
± 0.7150
High Dose of Epoetin Alfa: Epoetin Alfa
9.950
± 0.7950
ESA Hyporesponder: Vadadustat 600 mg
9.530
± 0.2864
ESA Hyporesponder: Epoetin Alfa
9.620
± 0.6925
Change from Baseline at PEP
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
-0.371
± 0.8920
Low Dose of Epoetin Alfa: Vadadustat 450 mg
0.072
± 1.1353
Low Dose of Epoetin Alfa: Epoetin Alfa
0.160
± 0.7519
High Dose of Epoetin Alfa: Vadadustat 300 mg
-0.911
± 1.3515
High Dose of Epoetin Alfa: Vadadustat 450 mg
-0.284
± 1.0383
High Dose of Epoetin Alfa: Vadadustat 600 mg
-0.418
± 1.2752
High Dose of Epoetin Alfa: Epoetin Alfa
0.268
± 1.0087
ESA Hyporesponder: Vadadustat 600 mg
-0.671
± 0.7643
ESA Hyporesponder: Epoetin Alfa
-0.290
± 1.7730
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Primary· Up to Week 24
An adverse event (AE) was defined as any untoward medical occurrence (including a clinically significant abnormal laboratory finding) that occurred in the protocol-specified AE reporting period. An AE included medical conditions, signs, and symptoms not previously observed in the participant that emerged during the protocol-specified AE reporting period, including signs or symptoms associated with pre-existing underlying conditions that were not present prior to the AE reporting period. TEAEs, defined as AEs that began (or pre-existing AEs that worsened) on or after the first dose through each
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
18
Low Dose of Epoetin Alfa: Vadadustat 450 mg
27
Low Dose of Epoetin Alfa: Epoetin Alfa
13
High Dose of Epoetin Alfa: Vadadustat 300 mg
12
High Dose of Epoetin Alfa: Vadadustat 450 mg
14
High Dose of Epoetin Alfa: Vadadustat 600 mg
13
High Dose of Epoetin Alfa: Epoetin Alfa
9
ESA Hyporesponder: Vadadustat 600 mg
5
ESA Hyporesponder: Epoetin Alfa
3
Number of Participants With Clinically Significant Changes From Baseline in Laboratory Parameter ValuesPrimary· Up to Week 24
Parameters assessed for laboratory values included hematology (excluding the primary and secondary efficacy endpoint results related to Hb), clinical chemistry, lipid profiles, and glucose. The investigator was responsible for reviewing laboratory results for clinically significant changes.
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
0
Low Dose of Epoetin Alfa: Vadadustat 450 mg
0
Low Dose of Epoetin Alfa: Epoetin Alfa
0
High Dose of Epoetin Alfa: Vadadustat 300 mg
0
High Dose of Epoetin Alfa: Vadadustat 450 mg
0
High Dose of Epoetin Alfa: Vadadustat 600 mg
0
High Dose of Epoetin Alfa: Epoetin Alfa
0
ESA Hyporesponder: Vadadustat 600 mg
0
ESA Hyporesponder: Epoetin Alfa
0
Number of Participants With Clinically Significant Changes From Baseline in Vital Sign ValuesPrimary· Up to Week 24
Parameters assessed for vital signs included sitting (at rest for a minimum of 5 minutes) heart rate, respiratory rate, body temperature, and blood pressure. The investigator was responsible for reviewing vital sign values for clinically significant changes.
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
0
Low Dose of Epoetin Alfa: Vadadustat 450 mg
0
Low Dose of Epoetin Alfa: Epoetin Alfa
0
High Dose of Epoetin Alfa: Vadadustat 300 mg
0
High Dose of Epoetin Alfa: Vadadustat 450 mg
0
High Dose of Epoetin Alfa: Vadadustat 600 mg
0
High Dose of Epoetin Alfa: Epoetin Alfa
0
ESA Hyporesponder: Vadadustat 600 mg
0
ESA Hyporesponder: Epoetin Alfa
0
Number of Participants Classified as Hb OutliersPrimary· Weeks 13 - 20
The target range for Hb was from 10.0 to 11.0 grams per deciliter (g/dL). Hb outliers included participants with a Hb increase of more than 12.0 g/dL or \<8.0 g/dL and decline in Hb ≥0.5 g/dL from Baseline, and a Hb increase to more than 1.0 g/dL within any 2-week interval during the Study Period.
Hb >12.0 g/dL
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
2
Low Dose of Epoetin Alfa: Vadadustat 450 mg
2
Low Dose of Epoetin Alfa: Epoetin Alfa
3
High Dose of Epoetin Alfa: Vadadustat 300 mg
0
High Dose of Epoetin Alfa: Vadadustat 450 mg
1
High Dose of Epoetin Alfa: Vadadustat 600 mg
0
High Dose of Epoetin Alfa: Epoetin Alfa
1
ESA Hyporesponder: Vadadustat 600 mg
0
ESA Hyporesponder: Epoetin Alfa
0
Hb >13.0 g/dL
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
1
Low Dose of Epoetin Alfa: Vadadustat 450 mg
0
Low Dose of Epoetin Alfa: Epoetin Alfa
1
High Dose of Epoetin Alfa: Vadadustat 300 mg
0
High Dose of Epoetin Alfa: Vadadustat 450 mg
0
High Dose of Epoetin Alfa: Vadadustat 600 mg
0
High Dose of Epoetin Alfa: Epoetin Alfa
0
ESA Hyporesponder: Vadadustat 600 mg
0
ESA Hyporesponder: Epoetin Alfa
0
Hb >14.0 g/dL
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
1
Low Dose of Epoetin Alfa: Vadadustat 450 mg
0
Low Dose of Epoetin Alfa: Epoetin Alfa
1
High Dose of Epoetin Alfa: Vadadustat 300 mg
0
High Dose of Epoetin Alfa: Vadadustat 450 mg
0
High Dose of Epoetin Alfa: Vadadustat 600 mg
0
High Dose of Epoetin Alfa: Epoetin Alfa
0
ESA Hyporesponder: Vadadustat 600 mg
0
ESA Hyporesponder: Epoetin Alfa
0
Hb <8.0 g/dL and decline in Hb ≥0.5 g/dL from Baseline
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
2
Low Dose of Epoetin Alfa: Vadadustat 450 mg
2
Low Dose of Epoetin Alfa: Epoetin Alfa
0
High Dose of Epoetin Alfa: Vadadustat 300 mg
1
High Dose of Epoetin Alfa: Vadadustat 450 mg
1
High Dose of Epoetin Alfa: Vadadustat 600 mg
3
High Dose of Epoetin Alfa: Epoetin Alfa
1
ESA Hyporesponder: Vadadustat 600 mg
1
ESA Hyporesponder: Epoetin Alfa
1
Hb increase >1.0 g/dL within any 2-week interval
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
4
Low Dose of Epoetin Alfa: Vadadustat 450 mg
8
Low Dose of Epoetin Alfa: Epoetin Alfa
4
High Dose of Epoetin Alfa: Vadadustat 300 mg
4
High Dose of Epoetin Alfa: Vadadustat 450 mg
2
High Dose of Epoetin Alfa: Vadadustat 600 mg
3
High Dose of Epoetin Alfa: Epoetin Alfa
6
ESA Hyporesponder: Vadadustat 600 mg
0
ESA Hyporesponder: Epoetin Alfa
2
Number of Participants With Hb Values Within the Target Range at the PEPSecondary· Week 10 to Week 12
The target range for Hb was from 10.0 to 11.0 g/dL, inclusive. The PEP was comprised of Week 10 to Week 12.
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
12
Low Dose of Epoetin Alfa: Vadadustat 450 mg
13
Low Dose of Epoetin Alfa: Epoetin Alfa
15
High Dose of Epoetin Alfa: Vadadustat 300 mg
1
High Dose of Epoetin Alfa: Vadadustat 450 mg
4
High Dose of Epoetin Alfa: Vadadustat 600 mg
4
High Dose of Epoetin Alfa: Epoetin Alfa
6
ESA Hyporesponder: Vadadustat 600 mg
0
ESA Hyporesponder: Epoetin Alfa
0
Mean Change in Hb From the PEP to the Secondary Evaluation Period (SEP) in Participants Who Transitioned to Three Times Per Week (TIW) Vadadustat Dosing After Week 12Secondary· Week 10 to Week 12; Week 18 to Week 20
Change from PEP was calculated as the SEP value minus the PEP value. The PEP value was the average Hb value from Week 10 to Week 12. The SEP value was the average Hb value from Week 18 to Week 20. For the Main Study, analysis is presented per dose level according to the starting dose in TIW regimen, as well as being presented as a combined arm for "Vadadustat Total (TIW dosing regimen)". For the ESA Hyporesponder Parallel Study, a starting dose classification for TIW dosing regimen was not applicable due to no participants switching from Vadadustat QD to TIW dosing.
Group
Value
95% CI
Vadadustat 300 mg (Starting Dose in TIW Dosing Regimen)
-0.050
± NA
Vadadustat 450 mg (Starting Dose in TIW Dosing Regimen)
-1.021
± 1.0961
Vadadustat 600 mg (Starting Dose in TIW Dosing Regimen)
-0.360
± 0.4894
Vadadustat 750 mg (Starting Dose in TIW Dosing Regimen)
-0.103
± 1.9225
Vadadustat Total (TIW Dosing Regimen)
-0.422
± 1.1708
Mean Change in Hb Between Baseline and the SEPSecondary· Baseline; Week 18 to Week 20
Change from Baseline was calculated as the SEP value minus the Baseline value. The Baseline Hb value was defined as the average of the final two Hb values prior to start of dosing on Day 1. The SEP value was the average Hb value from Week 18 to Week 20.
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
-0.197
± 1.1597
Low Dose of Epoetin Alfa: Vadadustat 450 mg
-0.186
± 0.8703
Low Dose of Epoetin Alfa: Epoetin Alfa
0.070
± 0.9545
High Dose of Epoetin Alfa: Vadadustat 300 mg
0.114
± 1.0242
High Dose of Epoetin Alfa: Vadadustat 450 mg
-0.421
± 0.8370
High Dose of Epoetin Alfa: Vadadustat 600 mg
-0.545
± 0.9771
High Dose of Epoetin Alfa: Epoetin Alfa
0.343
± 0.8897
ESA Hyporesponder: Vadadustat 600 mg
-0.283
± 0.7371
ESA Hyporesponder: Epoetin Alfa
-0.400
± 1.0157
Number of Participants With Hb Values Within the Target Range at the SEPSecondary· Week 18 to Week 20
The target range for Hb was from 10.0 to 11.0 g/dL. The SEP was comprised of Week 18 to Week 20.
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
6
Low Dose of Epoetin Alfa: Vadadustat 450 mg
7
Low Dose of Epoetin Alfa: Epoetin Alfa
9
High Dose of Epoetin Alfa: Vadadustat 300 mg
2
High Dose of Epoetin Alfa: Vadadustat 450 mg
3
High Dose of Epoetin Alfa: Vadadustat 600 mg
2
High Dose of Epoetin Alfa: Epoetin Alfa
6
ESA Hyporesponder: Vadadustat 600 mg
1
ESA Hyporesponder: Epoetin Alfa
1
Number of Participants With Hb Values Within the Target Range at the SEP in Participants Who Transitioned to TIW Vadadustat DosingSecondary· Week 18 to Week 20
The target range for Hb was from 10.0 to 11.0 g/dL. The SEP was comprised of Week 18 to Week 20. For the Main Study, analysis is presented per dose level according to the starting dose in TIW regimen, as well as being presented as a combined arm for "Vadadustat Total (TIW dosing regimen)". For the ESA Hyporesponder Parallel Study, a starting dose classification for TIW dosing regimen was not applicable due to no participants switching from Vadadustat QD to TIW dosing.
Group
Value
95% CI
Vadadustat 300 mg (Starting Dose in TIW Dosing Regimen)
0
Vadadustat 450 mg (Starting Dose in TIW Dosing Regimen)
2
Vadadustat 600 mg (Starting Dose in TIW Dosing Regimen)
2
Vadadustat 750 mg (Starting Dose in TIW Dosing Regimen)
3
Vadadustat Total (TIW Dosing Regimen)
7
Number of Participants With a Mean Increase in Hb From Baseline to the PEP ≥0.5 g/dL or With Hb Values Within the Target Range at the PEPSecondary· Week 10 to Week 12
The target range for Hb was from 10.0 to 11.0 g/dL. The PEP was comprised of Week 10 to Week 12.
Group
Value
95% CI
Low Dose of Epoetin Alfa: Vadadustat 300 mg
14
Low Dose of Epoetin Alfa: Vadadustat 450 mg
19
Low Dose of Epoetin Alfa: Epoetin Alfa
18
High Dose of Epoetin Alfa: Vadadustat 300 mg
1
High Dose of Epoetin Alfa: Vadadustat 450 mg
6
High Dose of Epoetin Alfa: Vadadustat 600 mg
6
High Dose of Epoetin Alfa: Epoetin Alfa
8
ESA Hyporesponder: Vadadustat 600 mg
0
ESA Hyporesponder: Epoetin Alfa
1
Number of Participants With a Mean Increase in Hb From Baseline to the SEP ≥0.5 g/dL or With Hb Values Within the Target Range at the SEPSecondary· Week 18 to Week 20
The target range for Hb was from 10.0 to 11.0 grams per g/dL. The SEP was comprised of Week 18 to Week 20.
ESA Hyporesponder (Epoetin Alfa ≥300 U/kg/Week): Vadadustat 600 mg
1
ESA Hyporesponder (Epoetin Alfa ≥300 U/kg/Week): Epoetin Alfa
2
Adverse events — posted to ClinicalTrials.gov
Time frame: Up to Week 24 (from first dose of study drug to last dose + 4 weeks of follow-up).
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
This is a Phase 2 open-label efficacy, safety, and pharmacokinetic/pharmacodynamic (PK/PD) study to evaluate oral Vadadustat for the treatment of anemia in hemodialysis participants converting from Epoetin Alfa therapy.
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
NCT07537816 — Effects of Vadadustat on Anemia, Quality of Life, and Inflammation in Dialysis Patients
· Phase 4
· not yet recruiting
NCT06520826 — Vafseo Outcomes In-Center Experience
· Phase 3
· active not recruiting
NCT04707768 — Study Evaluating the Efficacy and Safety of Dose Conversion From a Long-acting Erythropoiesis-stimulating Agent (Mircera
· Phase 3
· completed
NCT04299633 — Study in Healthy Adult Subjects to Assess the Effect of Phosphate Binders on the Pharmacokinetics of a Single Dose of Va
· Phase 1
· completed
NCT04313153 — Trial Evaluating the Efficacy and Safety of Oral Vadadustat Once Daily (QD) and Three Times Weekly (TIW) for the Mainten
· Phase 3
· completed
Other recruiting trials for Anemia
Currently open trials in the same condition.
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Other Akebia Therapeutics trials
Trials by the same sponsor.
NCT04707768 — Study Evaluating the Efficacy and Safety of Dose Conversion From a Long-acting Erythropoiesis-stimulating Agent (Mircera
· Phase 3
· completed
NCT04299633 — Study in Healthy Adult Subjects to Assess the Effect of Phosphate Binders on the Pharmacokinetics of a Single Dose of Va
· Phase 1
· completed
NCT04313153 — Trial Evaluating the Efficacy and Safety of Oral Vadadustat Once Daily (QD) and Three Times Weekly (TIW) for the Mainten
· Phase 3
· completed
NCT03992066 — Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Vadadustat in Hemodialysis Subjects With Anemia
· Phase 1
· completed
NCT03789032 — Study to Evaluate the Effect of Rabeprazole on the Pharmacokinetics of Vadadustat
· Phase 1
· completed
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Akebia Therapeutics
Last refreshed: 29 September 2022
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03799627.