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Evaluate Safety and Efficacy of Paricalcitol in Reducing Serum Intact Parathyroid Hormone in Chronic Kidney Disease

Primary Purpose

Chronic Kidney Disease

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
paricalcitol
Sponsored by
Abbott
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Kidney Disease focused on measuring Chronic Kidney Disease, Secondary hyperparathyroidism

Eligibility Criteria

20 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject is a Chinese male or female greater than or equal to 20 years old.
  2. Subject is diagnosed with Chronic Kidney Disease Stage 5 and must be on maintenance hemodialysis three times a week for at least 2 months prior to the Screening Visit and expected to remain on hemodialysis for the duration of the study.
  3. For entry into the Treatment Phase, the subject must have:

    • Intact parathyroid hormone greater than or equal to 300 pg/mL
    • Serum calcium less than 10.2 mg/dL (2.55 mmol/L)
    • Calcium-phosphorus product less than 65 mg^2/dL^2

Exclusion Criteria:

  1. Subject has a history of an allergic reaction or significant sensitivity to vitamin D or vitamin D related compounds.
  2. Subject received a partial parathyroidectomy within one year prior to the Screening Phase.
  3. Subject with New York Heart Association (NYHA) Class III or IV.
  4. Subject has taken aluminum-containing phosphate binders for greater than 3 weeks in the last 3 months prior to the Screening Phase, or requires such medications for greater than 3 weeks in the study.
  5. Subject has a current malignancy (with the exception of basal or squamous cell carcinoma of the skin), or clinically significant liver disease, in the opinion of the Investigator.
  6. Subject has a history of drug or alcohol abuse within 6 months prior to the Screening Phase.
  7. Subject is known to be human immunodeficiency virus (HIV) positive.
  8. Subject has evidence of poor compliance with diet, medication or hemodialysis that may interfere, in the Investigator's opinion, with adherence to the protocol.

Sites / Locations

  • Site Reference ID/Investigator# 23483
  • Site Reference ID/Investigator# 23485
  • Site Reference ID/Investigator# 23482
  • Site Reference ID/Investigator# 23484
  • Site Reference ID/Investigator# 23486
  • Site Reference ID/Investigator# 23488
  • Site Reference ID/Investigator# 37722
  • Site Reference ID/Investigator# 23490
  • Site Reference ID/Investigator# 25502
  • Site Reference ID/Investigator# 23489
  • Site Reference ID/Investigator# 23487
  • Site Reference ID/Investigator# 35822

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Group 1

Group 2

Arm Description

Initial dosing based on a formula of intact parathyroid hormone value/80 (where intact parathyroid hormone value is the baseline value in pg/mL).

Dose determined by US paricalcitol injection package insert dosing instructions (starting dose at 0.04 microgram/kg)

Outcomes

Primary Outcome Measures

The Achievement of Two Consecutive Greater Than or Equal to 30% Decreases From Baseline Intact Parathyroid Hormone Levels
The number of participants who achieved (Yes) or did not achieve (No) two consecutive decreases of greater than or equal to 30% from baseline in intact parathyroid hormone (iPTH) values

Secondary Outcome Measures

The Proportion of Subjects Achieving a Final Intact Parathyroid Hormone Value Between 150 and 300 pg/mL
The number of subjects with (Yes) or without (No) final intact parathyroid hormone (iPTH) values between 150 and 300 pg/mL
The Change From Baseline to the Final Observation in Intact Parathyroid Hormone Value
The Change From Baseline to the Final Observation in Calcium
The Change From Baseline to the Final Observation in Calcium-phosphorus Product
The Change From Baseline to the Final Observation in the Vital Sign of Systolic Blood Pressure
The Change From Baseline to the Final Observation in the Vital Sign of Diastolic Blood Pressure
The Change From Baseline to the Final Observation in the Vital Sign of Heart Rate
The Proportion of Subjects With 2 Consecutive Calcium Measurements Greater Than 11.0 mg/dL (2.75 mmol/L)
The number of subjects with (Yes) or without (No) two consecutive calcium measurements greater than 11.0 mg/dL (2.75 mmol/L)

Full Information

First Posted
November 25, 2009
Last Updated
December 20, 2011
Sponsor
Abbott
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1. Study Identification

Unique Protocol Identification Number
NCT01071070
Brief Title
Evaluate Safety and Efficacy of Paricalcitol in Reducing Serum Intact Parathyroid Hormone in Chronic Kidney Disease
Official Title
A Phase 3b, Randomized, Active-Controlled, Single-Blind, Multicenter Study to Evaluate the Safety and Efficacy of Paricalcitol Injection in Reducing Serum Intact Parathyroid Hormone Levels in Chronic Kidney Disease Stage 5 Subjects Receiving Hemodialysis
Study Type
Interventional

2. Study Status

Record Verification Date
December 2011
Overall Recruitment Status
Completed
Study Start Date
November 2009 (undefined)
Primary Completion Date
November 2010 (Actual)
Study Completion Date
November 2010 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

5. Study Description

Brief Summary
Evaluate Safety and Efficacy of Paricalcitol in Reducing Serum Intact Parathyroid Hormone in Chronic Kidney Disease
Detailed Description
Evaluate the safety and efficacy of paricalcitol injection with two different dosing regimens (currently approved dosing regimen used in the US package insert versus dosing based on a formula of iPTH/80 that was approved and used in the EU package insert) in Chronic Kidney Disease (CKD) Stage 5 subjects with secondary hyperparathyroidism receiving hemodialysis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Kidney Disease
Keywords
Chronic Kidney Disease, Secondary hyperparathyroidism

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
Participant
Allocation
Randomized
Enrollment
216 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Active Comparator
Arm Description
Initial dosing based on a formula of intact parathyroid hormone value/80 (where intact parathyroid hormone value is the baseline value in pg/mL).
Arm Title
Group 2
Arm Type
Active Comparator
Arm Description
Dose determined by US paricalcitol injection package insert dosing instructions (starting dose at 0.04 microgram/kg)
Intervention Type
Drug
Intervention Name(s)
paricalcitol
Other Intervention Name(s)
ABT-358, Zemplar
Intervention Description
Initiation dosing based on 2 approved package inserts , followed by a dose adjusted by limited chemistry test value. See Arm Description for additional details.
Primary Outcome Measure Information:
Title
The Achievement of Two Consecutive Greater Than or Equal to 30% Decreases From Baseline Intact Parathyroid Hormone Levels
Description
The number of participants who achieved (Yes) or did not achieve (No) two consecutive decreases of greater than or equal to 30% from baseline in intact parathyroid hormone (iPTH) values
Time Frame
Baseline to 12 Weeks
Secondary Outcome Measure Information:
Title
The Proportion of Subjects Achieving a Final Intact Parathyroid Hormone Value Between 150 and 300 pg/mL
Description
The number of subjects with (Yes) or without (No) final intact parathyroid hormone (iPTH) values between 150 and 300 pg/mL
Time Frame
Baseline to 12 Weeks
Title
The Change From Baseline to the Final Observation in Intact Parathyroid Hormone Value
Time Frame
Baseline to 12 Weeks
Title
The Change From Baseline to the Final Observation in Calcium
Time Frame
Baseline to 12 Weeks
Title
The Change From Baseline to the Final Observation in Calcium-phosphorus Product
Time Frame
Baseline to 12 Weeks
Title
The Change From Baseline to the Final Observation in the Vital Sign of Systolic Blood Pressure
Time Frame
Baseline to 12 Weeks
Title
The Change From Baseline to the Final Observation in the Vital Sign of Diastolic Blood Pressure
Time Frame
Baseline to 12 Weeks
Title
The Change From Baseline to the Final Observation in the Vital Sign of Heart Rate
Time Frame
Baseline to 12 Weeks
Title
The Proportion of Subjects With 2 Consecutive Calcium Measurements Greater Than 11.0 mg/dL (2.75 mmol/L)
Description
The number of subjects with (Yes) or without (No) two consecutive calcium measurements greater than 11.0 mg/dL (2.75 mmol/L)
Time Frame
Baseline to 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is a Chinese male or female greater than or equal to 20 years old. Subject is diagnosed with Chronic Kidney Disease Stage 5 and must be on maintenance hemodialysis three times a week for at least 2 months prior to the Screening Visit and expected to remain on hemodialysis for the duration of the study. For entry into the Treatment Phase, the subject must have: Intact parathyroid hormone greater than or equal to 300 pg/mL Serum calcium less than 10.2 mg/dL (2.55 mmol/L) Calcium-phosphorus product less than 65 mg^2/dL^2 Exclusion Criteria: Subject has a history of an allergic reaction or significant sensitivity to vitamin D or vitamin D related compounds. Subject received a partial parathyroidectomy within one year prior to the Screening Phase. Subject with New York Heart Association (NYHA) Class III or IV. Subject has taken aluminum-containing phosphate binders for greater than 3 weeks in the last 3 months prior to the Screening Phase, or requires such medications for greater than 3 weeks in the study. Subject has a current malignancy (with the exception of basal or squamous cell carcinoma of the skin), or clinically significant liver disease, in the opinion of the Investigator. Subject has a history of drug or alcohol abuse within 6 months prior to the Screening Phase. Subject is known to be human immunodeficiency virus (HIV) positive. Subject has evidence of poor compliance with diet, medication or hemodialysis that may interfere, in the Investigator's opinion, with adherence to the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yue Kang, MD
Organizational Affiliation
Abbott (China)
Official's Role
Study Director
Facility Information:
Facility Name
Site Reference ID/Investigator# 23483
City
Beijing
ZIP/Postal Code
100034
Country
China
Facility Name
Site Reference ID/Investigator# 23485
City
Beijing
ZIP/Postal Code
100044
Country
China
Facility Name
Site Reference ID/Investigator# 23482
City
Beijing
ZIP/Postal Code
100730
Country
China
Facility Name
Site Reference ID/Investigator# 23484
City
Dalian City
ZIP/Postal Code
116011
Country
China
Facility Name
Site Reference ID/Investigator# 23486
City
Guangzhou City
ZIP/Postal Code
510080
Country
China
Facility Name
Site Reference ID/Investigator# 23488
City
Nanjing
ZIP/Postal Code
210029
Country
China
Facility Name
Site Reference ID/Investigator# 37722
City
Qingdao
ZIP/Postal Code
266003
Country
China
Facility Name
Site Reference ID/Investigator# 23490
City
Shanghai
ZIP/Postal Code
200001
Country
China
Facility Name
Site Reference ID/Investigator# 25502
City
Shanghai
ZIP/Postal Code
200001
Country
China
Facility Name
Site Reference ID/Investigator# 23489
City
Shanghai
ZIP/Postal Code
200025
Country
China
Facility Name
Site Reference ID/Investigator# 23487
City
Shanghai
ZIP/Postal Code
200092
Country
China
Facility Name
Site Reference ID/Investigator# 35822
City
Wenzhou
ZIP/Postal Code
325000
Country
China

12. IPD Sharing Statement

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Evaluate Safety and Efficacy of Paricalcitol in Reducing Serum Intact Parathyroid Hormone in Chronic Kidney Disease

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