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Pharmacodynamic Study of Two Lanthanum Carbonate Formulations in Healthy Adults

Primary Purpose

End Stage Renal Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Lanthanum carbonate Granule Formulation
Lanthanum carbonate Chewable Tablets (Fosrenol)
Sponsored by
Shire
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for End Stage Renal Disease focused on measuring End stage Renal disease

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria

  • Ability to provide informed consent to participate in the study.
  • Healthy volunteers, age 18-55 inclusive.
  • Subject must be willing to comply with applicable contraceptive requirements of the protocol
  • Female subjects must have a negative pregnancy test
  • Ability to chew and or swallow doses of the investigational products as prescribed in the protocol.
  • Ability to fully comply with all study procedures and restrictions, including consumption of all food provided while a resident in the CRC.

Exclusion Criteria

  • Current or relevant previous history of physical or psychiatric illness, any medical disorder that may require treatment or make the subject unlikely to fully complete the study, or any condition that presents undue risk from the investigational product or study procedures.
  • Clinically significant abnormal serum phosphate levels, outside of normal limits.
  • Current use of any medication with the exception of hormonal replacement therapy or hormonal contraceptives within 7 days of first dose of investigational product.
  • A known history of lactose intolerance or allergy to milk or other foods.
  • Clinically significant or multiple allergies as determined by an Investigator.
  • History of alcohol or other substance abuse within the last 6 months.
  • A positive screen for alcohol or drugs of abuse.
  • Male subjects who consume more than 21 units of alcohol per week or three units per day. Female subjects who consume more than 14 units of alcohol per week or two units per day.
  • A positive human immunodeficiency virus (HIV) antibody screen, Hepatitis B surface antigen (HBsAg) or Hepatitis C virus (HCV) antibody screen.
  • Female subjects who are pregnant (positive pregnancy test), lactating, or less than 90 days post-partum.
  • Subjects that have previously been randomized in this study.
  • Use of tobacco in any form or other nicotine-containing products in any form. Ex-users must report that they have stopped using tobacco for at least 60 days prior to receiving the first dose of investigational product.
  • Routine consumption of more than two units of caffeine per day or subjects who experience caffeine withdrawal headaches.
  • Donation of blood or blood products within 60 days prior to receiving the first dose of investigational product.
  • Plasma donation within 28 days prior to the first dose of the investigational product.
  • Use of another investigational product within 30 days prior to receiving the first dose of investigational product or active enrolment in another drug or vaccine clinical study.

Sites / Locations

  • West Coast Clinical Trials, LLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Lanthanum carbonate granules

Lanthanum carbonate chewable tablets (Fosrenol)

Arm Description

Lanthanum carbonate granulated formulation crossover to chewable tablet formulation

Lanthanum carbonate chewable table formulation crossover to granulated formulation

Outcomes

Primary Outcome Measures

Urinary Phosphate Excretion 3-Day Average

Secondary Outcome Measures

Urinary Phosphate Excretion on Day 4
Area Under the Steady-state Plasma Concentration-time Curve (AUC) of Lanthanum Carbonate
Maximum Plasma Concentration (Cmax) of Lanthanum Carbonate
Time of Maximum Plasma Concentration (Tmax) of Lanthanum Carbonate

Full Information

First Posted
April 13, 2009
Last Updated
June 4, 2021
Sponsor
Shire
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1. Study Identification

Unique Protocol Identification Number
NCT00880750
Brief Title
Pharmacodynamic Study of Two Lanthanum Carbonate Formulations in Healthy Adults
Official Title
A Phase I Pharmacodynamic Equivalence Study Comparing Urinary Phosphate Excretion and Plasma Lanthanum Pharmacokinetics for a Lanthanum Carbonate Granule Formulation and Chewable Tablets Administered to Healthy Adult Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Completed
Study Start Date
January 28, 2009 (Actual)
Primary Completion Date
June 22, 2009 (Actual)
Study Completion Date
June 22, 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shire

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is being conducted to assess any potential differences in the absorption and excretion between two lanthanum carbonate formulations. This study is also being done to assess the safety and tolerability of the two lanthanum carbonate formulations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
End Stage Renal Disease
Keywords
End stage Renal disease

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
72 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lanthanum carbonate granules
Arm Type
Experimental
Arm Description
Lanthanum carbonate granulated formulation crossover to chewable tablet formulation
Arm Title
Lanthanum carbonate chewable tablets (Fosrenol)
Arm Type
Experimental
Arm Description
Lanthanum carbonate chewable table formulation crossover to granulated formulation
Intervention Type
Drug
Intervention Name(s)
Lanthanum carbonate Granule Formulation
Intervention Description
3x's per day for 3 days, 1 dose in the am for day 4. (A single dose equals 1000mg of lanthanum carbonate granule formulation. Dose is administered immediately after each meal.)
Intervention Type
Drug
Intervention Name(s)
Lanthanum carbonate Chewable Tablets (Fosrenol)
Other Intervention Name(s)
Fosrenol
Intervention Description
3x's per day for 3 days, 1 dose on day 4. (A single dose equals a 1000mg tablet of lanthanum carbonate. Dose is administered immediately after each meal.)
Primary Outcome Measure Information:
Title
Urinary Phosphate Excretion 3-Day Average
Time Frame
Continuous collection over 3 days
Secondary Outcome Measure Information:
Title
Urinary Phosphate Excretion on Day 4
Time Frame
Continuous collection on Day 4
Title
Area Under the Steady-state Plasma Concentration-time Curve (AUC) of Lanthanum Carbonate
Time Frame
3, 4, 5, 6, 8, 12, 18, 24, 36 and 48 hours post-dose on Day 4
Title
Maximum Plasma Concentration (Cmax) of Lanthanum Carbonate
Time Frame
3, 4, 5, 6, 8, 12, 18, 24, 36 and 48 hours post-dose on Day 4
Title
Time of Maximum Plasma Concentration (Tmax) of Lanthanum Carbonate
Time Frame
3, 4, 5, 6, 8, 12, 18, 24, 36 and 48 hours post-dose on Day 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Ability to provide informed consent to participate in the study. Healthy volunteers, age 18-55 inclusive. Subject must be willing to comply with applicable contraceptive requirements of the protocol Female subjects must have a negative pregnancy test Ability to chew and or swallow doses of the investigational products as prescribed in the protocol. Ability to fully comply with all study procedures and restrictions, including consumption of all food provided while a resident in the CRC. Exclusion Criteria Current or relevant previous history of physical or psychiatric illness, any medical disorder that may require treatment or make the subject unlikely to fully complete the study, or any condition that presents undue risk from the investigational product or study procedures. Clinically significant abnormal serum phosphate levels, outside of normal limits. Current use of any medication with the exception of hormonal replacement therapy or hormonal contraceptives within 7 days of first dose of investigational product. A known history of lactose intolerance or allergy to milk or other foods. Clinically significant or multiple allergies as determined by an Investigator. History of alcohol or other substance abuse within the last 6 months. A positive screen for alcohol or drugs of abuse. Male subjects who consume more than 21 units of alcohol per week or three units per day. Female subjects who consume more than 14 units of alcohol per week or two units per day. A positive human immunodeficiency virus (HIV) antibody screen, Hepatitis B surface antigen (HBsAg) or Hepatitis C virus (HCV) antibody screen. Female subjects who are pregnant (positive pregnancy test), lactating, or less than 90 days post-partum. Subjects that have previously been randomized in this study. Use of tobacco in any form or other nicotine-containing products in any form. Ex-users must report that they have stopped using tobacco for at least 60 days prior to receiving the first dose of investigational product. Routine consumption of more than two units of caffeine per day or subjects who experience caffeine withdrawal headaches. Donation of blood or blood products within 60 days prior to receiving the first dose of investigational product. Plasma donation within 28 days prior to the first dose of the investigational product. Use of another investigational product within 30 days prior to receiving the first dose of investigational product or active enrolment in another drug or vaccine clinical study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Takeda
Official's Role
Study Director
Facility Information:
Facility Name
West Coast Clinical Trials, LLC
City
Cypress
State/Province
California
ZIP/Postal Code
90630
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22657252
Citation
Pierce D, Hossack S, Robinson A, Zhang P, Martin P. Assessment of pharmacodynamic equivalence and tolerability of lanthanum carbonate oral powder and tablet formulations: a single-center, randomized, open-label, 2-period crossover study in healthy subjects. Clin Ther. 2012 Jun;34(6):1290-1300.e2. doi: 10.1016/j.clinthera.2012.05.003. Epub 2012 May 31.
Results Reference
result
Links:
URL
http://www.fda.gov/opacom/7alerts.html
Description
FDA recall information

Learn more about this trial

Pharmacodynamic Study of Two Lanthanum Carbonate Formulations in Healthy Adults

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