By Maria Armental 
 

Ardelyx Inc.'s investigational kidney disease drug tenapanor failed to meet the primary endpoint of a mid-stage clinical trial in patients with Stage 3 chronic kidney disease with Type 2 diabetes mellitus and albuminuria.

Ardelyx, which is developing the drug with AstraZeneca PLC (AZN), said it intends to launch in the fourth quarter a late-stage clinical trial looking at using tenapanor to treat patients with constipation-predominant irritable bowel syndrome, or IBS-C. The company reported positive results in October from a mid-stage clinical trial for that indication.

Under the terms of the agreement, AstraZeneca is to notify Ardelyx by June 29 whether it will continue the development of tenapanor.

If AstraZeneca pursues the development of the IBS-C indication, Ardelyx would receive a milestone payment of about $10 million, Ardelyx said. If AstraZeneca pursues the development of another indication or multiple indications, Ardelyx would be entitled to a $20 million milestone payment, it said.

Shares fell nearly 26% in late trading to $8.10, below the 52-week-low of $10.40 a share set on April 30 during regular trading.

Write to Maria Armental at maria.armental@wsj.com

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