Clinical Trials

Numerous clinical trials spanning Phase 1 through Phase 4 evaluate the therapeutic efficacy, safety, and pharmacokinetics of vadadustat. Sponsored by pharmaceutical companies such as Akebia Therapeutics alongside academic institutions like The University of Texas Health Science Center, Houston, these studies primarily focus on anemia in non-dialysis and dialysis-dependent chronic kidney disease, as well as secondary indications including drug interaction potentiation and coronavirus-associated acute respiratory distress syndrome. Recruitment statuses across these protocols encompass active, completed, suspended, and withdrawn studies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07086755 RECRUITING
Nonintubated Acute Respiratory Distress Syndrome (ARDS); Pathogen-associated Lung Injury
Paul Potnuru
2025-10-23 PHASE2; PHASE3
NCT07565701 NOT_YET_RECRUITING
Anemia Associated With Chronic Kidney Disease
Geoff Block
2026-04 PHASE3
NCT07537816 NOT_YET_RECRUITING
Renal Anemia
Mackay Memorial Hospital
2026-04-15 PHASE4
NCT06901505 COMPLETED
Anemia of Chronic Kidney Disease
Akebia Therapeutics
2025-07-24 PHASE3
NCT05082571 WITHDRAWN
Anemia of Chronic Kidney Disease
Akebia Therapeutics
2025-01 PHASE3
NCT05082584 WITHDRAWN
Anemia of Chronic Kidney Disease
Akebia Therapeutics
2025-01 PHASE3
NCT06520826 ACTIVE_NOT_RECRUITING
Anemia of Chronic Kidney Disease
USRC Kidney Research
2024-11-20 PHASE3
NCT05082584 Suspended
Anemia of Chronic Kidney Disease
Akebia Therapeutics
2025-01 Phase 3
NCT05082571 Suspended
Anemia of Chronic Kidney Disease
Akebia Therapeutics
2025-01 Phase 3
NCT04707768 COMPLETED
Anemia Associated With Chronic Kidney Disease (CKD)
Akebia Therapeutics
2021-06-18 PHASE3
NCT04478071 COMPLETED
Acute Respiratory Distress Syndrome; Coronavirus Infection
The University of Texas Health Science Center, Houston
2020-08-22 PHASE2
NCT04313153 COMPLETED
Anemia
Akebia Therapeutics
2020-05-27 PHASE3
NCT04299633 COMPLETED
Healthy Volunteers
Akebia Therapeutics
2020-06-15 PHASE1
NCT02680574 COMPLETED
Anemia; Non-Dialysis-Dependent Chronic Kidney Disease
Akebia Therapeutics
2016-02 PHASE3
NCT03799627 COMPLETED
Anemia; Dialysis-dependent Chronic Kidney Disease
Akebia Therapeutics
2019-01-31 PHASE2
NCT02648347 COMPLETED
Anemia; Non-Dialysis-Dependent Chronic Kidney Disease
Akebia Therapeutics
2015-12 PHASE3
NCT03992066 COMPLETED
Anemia Associated With Chronic Kidney Disease
Akebia Therapeutics
2019-05-28 PHASE1
NCT02865850 COMPLETED
Anemia; Dialysis-Dependent Chronic Kidney Disease
Akebia Therapeutics
2016-07 PHASE3
NCT02892149 COMPLETED
Anemia; Dialysis-Dependent Chronic Kidney Disease
Akebia Therapeutics
2016-08 PHASE3
NCT03992066 Completed
Anemia Associated With Chronic Kidney Disease
Akebia Therapeutics
2019-05-28 Phase 1
NCT03799627 Completed
Anemia|Dialysis-dependent Chronic Kidney Disease
Akebia Therapeutics
2019-01-31 Phase 2
NCT03801733 COMPLETED
Drug Interaction Potentiation
Akebia Therapeutics
2018-06-17 PHASE1
NCT03789032 COMPLETED
Drug Interaction Potentiation; Pharmacokinetics
Akebia Therapeutics
2018-10-03 PHASE1
NCT03799848 COMPLETED
Hepatic Impairment
Akebia Therapeutics
2018-06-12 PHASE1
NCT03657290 COMPLETED
Healthy
Akebia Therapeutics
2018-08-03 PHASE1
NCT03789032 Completed
Drug Interaction Potentiation|Pharmacokinetics
Akebia Therapeutics
2018-10-03 Phase 1
NCT03801759 COMPLETED
Drug Interaction Potentiation
Akebia Therapeutics
2018-07-20 PHASE1
NCT03801746 COMPLETED
Drug Interaction Potentiation
Akebia Therapeutics
2018-07-20 PHASE1
NCT03639155 COMPLETED
Healthy
Akebia Therapeutics
2018-04-12 PHASE1
NCT03140722 TERMINATED
Anemia; Dialysis-Dependent Chronic Kidney Disease
Akebia Therapeutics
2017-05-02 PHASE2
NCT03242967 WITHDRAWN
Anemia; Dialysis-Dependent Chronic Kidney Disease
Akebia Therapeutics
2017-08 PHASE3
NCT03054350 COMPLETED
Anemia; Dialysis Dependent Chronic Kidney Disease
Akebia Therapeutics
2016-12 PHASE2
NCT03054337 COMPLETED
Anemia; Non-dialysis Dependent Chronic Kidney Disease
Akebia Therapeutics
2016-10 PHASE2
NCT04707573 COMPLETED
Chronic Kidney Disease
Akebia Therapeutics
2010-07-08 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-08-10)

Check the Vadadustat product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Vadadustat is an oral hypoxia-inducible factor prolyl hydroxylase inhibitor that stabilizes hypoxia-inducible factor alpha subunits by preventing their hydroxylation and degradation, thereby activating the transcription of hypoxia-responsive genes. This molecular cascade promotes endogenous erythropoietin production and enhances iron utilization, stimulating erythropoiesis to restore hemoglobin levels in patients suffering from chronic kidney disease-associated anemia.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.