Inclusion Criteria |
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Age 18-80 years |
Chronic kidney disease stage 3 (estimated GFR 30-59 ml/min/1.73 m2) |
Office BP controlled to <140/90 mmHg for ≥12 months before entry |
Total cholesterol <5.5 mmol/L |
Exclusion Criteria |
Existing or previous treatment within the past year with a phosphate binder or vitamin D analogue |
Hyperphosphataemia (serum phosphate >1.8 mmol/L) |
Hypophosphataemia (serum phosphate <0.8 mmol/L) |
Uncontrolled secondary hyperparathyroidism (PTH >80 pg/ml) |
Diabetes mellitus |
Pregnancy |
Women of child-bearing age not on contraception |
Bowel obstruction |
Dysphagia or other swallowing disorder |
Severe gastrointestinal motility disorders including severe constipation |
Previous major gastrointestinal tract surgery |