Activated charcoal to lower phosphate in adults on hemodialysis
Official title: Efficacy and Safety of Activated Charcoal on Mineral Bone Disorder in Chronic Kidney Disease Patients
Run by Mansoura University · NCT06906874 · Data updated 2026-11-12
This trial tests whether taking activated charcoal can lower blood phosphate in adults who receive regular hemodialysis.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Mansoura University Academic / other |
| Locations | 1 site (Al Mansurah, Please Select) |
| Status | Recruiting |
| Started | August 2025 |
| Main results expected | November 2025 |
| Study ends | November 2025 |
| Registry record updated | August 8, 2025 |
| Trial ID | NCT06906874 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with end-stage renal disease who have been on stable thrice-weekly hemodialysis for at least six months and are receiving phosphate binders per KDIGO are ideal candidates.
✕Probably not a fit
Patients who are severely malnourished, receive overnight dialysis, or have primary hyperparathyroidism or intact parathyroid hormone levels above 800 pg/mL are excluded and may not benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2 interventional trial enrolling adults with end-stage renal disease who have been on stable thrice-weekly hemodialysis for at least six months. Participants are already receiving phosphate binders per KDIGO guidance and will receive activated charcoal as the experimental intervention alongside or in place of conventional binders to study its effects. The trial focuses on whether oral activated charcoal improves serum phosphate control and has a favorable tolerability and safety profile compared with standard phosphate binders. Key eligibility criteria exclude severely malnourished patients, those treated with overnight dialysis, and patients with primary hyperparathyroidism or very high intact parathyroid hormone levels.
Why it matters
Potential benefit: If successful, activated charcoal could provide a better-tolerated, lower-cost option to control high blood phosphate in people on dialysis and might reduce phosphate-related vascular calcification risk.
How similar studies have gone: This specific use of activated charcoal for hyperphosphatemia in dialysis patients has not been the primary focus of prior clinical trials and remains largely untested in rigorous studies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Adult aged ≥18 years with ESRD. 2. Patients who had been on stable maintenance hemodialysis (3 times weekly) for at least 6 months. 3. Patients receiving phosphate binders according to standard protocols established by kidney disease: Improving Global Outcomes (KDIGO). Exclusion Criteria: 1. Severely malnourished (as diagnosed by the department's dietitian). 2. Treated with overnight dialysis. 3. Primary hyperparathyroidism or persistent serum levels of intact parathyroid hormone greater than 800 pg/mL.
Where it's running
-
Urology and Nephrology Center
Al Mansurah, Please Select, Egypt Recruiting
Study contacts
- Study coordinator: Basma M. Sayed Ahmed, M.Sc.
- Email: basma_mohamed@mans.edu.eg
- Phone: +201207753307
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.