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Efficacy and Safety of Etelcalcetide (AMG 416) in the Treatment of Secondary Hyperparathyroidism (SHPT) in Patients With Chronic Kidney Disease (CKD) on Hemodialysis

Primary Purpose

Hyperparathyroidism, Secondary

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Etelcalcetide
Placebo
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hyperparathyroidism, Secondary focused on measuring Secondary Hyperparathyroidism (SHPT), chronic kidney disease (CKD), hemodialysis, parathyroid hormone (PTH), hypocalcemia, bone and mineral metabolism

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject understands the study procedures and agrees to participate in the study by giving written informed consent.
  • Subject is 18 years of age or older.
  • Subject agrees to not participate in another study of an investigational agent during the study.
  • Subject must be receiving hemodialysis 3 times weekly for at least 3 months
  • Other Inclusion Criteria may apply

Exclusion Criteria:

  • Currently receiving treatment in another investigational device or drug study, or ended treatment on another investigational device or drug study(s) within 8 weeks prior to screening.
  • Other investigational procedures while participating in this study are excluded.
  • Anticipated or scheduled parathyroidectomy during the study period.
  • Subject has received a parathyroidectomy within 3 months prior to dosing.
  • Anticipated or scheduled kidney transplant during the study period.
  • Subject has known sensitivity to any of the products or components to be administered during dosing.
  • Subject has participated in a prior clinical trial of AMG 416
  • Subject has an unstable medical condition based on medical history, physical examination, and routine laboratory tests, or is otherwise unstable in the judgment of the Investigator.
  • Subject has a history of any illness that, in the opinion of the Investigator, might confound the results of the study or pose additional risk to the subject.
  • Other Exclusion Criteria may apply

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

Etelcalcetide

Arm Description

Participants received placebo administered by intravenous bolus injection at the end of each hemodialysis session, three times per week (TIW) for 26 weeks.

Participants received etelcalcetide administered by intravenous bolus injection at the end of each hemodialysis session TIW for 26 weeks.

Outcomes

Primary Outcome Measures

Percentage of Participants With > 30% Decrease From Baseline in Mean PTH During the Efficacy Assessment Phase
Participants who did not have any scheduled assessments during the EAP were considered non-responders.

Secondary Outcome Measures

Percentage of Participants With Mean Predialysis Parathyroid Hormone ≤ 300 pg/mL During the Efficacy Assessment Phase
Participants who had no scheduled assessments during the EAP were considered non-responders.
Percent Change From Baseline in Predialysis PTH During the Efficacy Assessment Phase
Percent Change From Baseline in Predialysis Corrected Calcium During the Efficacy Assessment Phase
Percent Change From Baseline in Predialysis Corrected Calcium Phosphorus Product (cCa x P) During the Efficacy Assessment Phase
Percent Change From Baseline in Predialysis Phosphorus During the Efficacy Assessment Phase

Full Information

First Posted
February 7, 2013
Last Updated
August 9, 2019
Sponsor
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT01788046
Brief Title
Efficacy and Safety of Etelcalcetide (AMG 416) in the Treatment of Secondary Hyperparathyroidism (SHPT) in Patients With Chronic Kidney Disease (CKD) on Hemodialysis
Official Title
A Randomized, Double-blind, Placebo-controlled, Phase 3 Study to Assess the Efficacy and Safety of AMG 416 in the Treatment of Secondary Hyperparathyroidism in Subjects With Chronic Kidney Disease on Hemodialysis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
March 12, 2013 (Actual)
Primary Completion Date
April 14, 2014 (Actual)
Study Completion Date
May 9, 2014 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is designed to assess the efficacy and safety of etelcalcetide (AMG 416) compared with placebo in the treatment of SHPT in CKD patients receiving hemodialysis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hyperparathyroidism, Secondary
Keywords
Secondary Hyperparathyroidism (SHPT), chronic kidney disease (CKD), hemodialysis, parathyroid hormone (PTH), hypocalcemia, bone and mineral metabolism

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
515 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants received placebo administered by intravenous bolus injection at the end of each hemodialysis session, three times per week (TIW) for 26 weeks.
Arm Title
Etelcalcetide
Arm Type
Experimental
Arm Description
Participants received etelcalcetide administered by intravenous bolus injection at the end of each hemodialysis session TIW for 26 weeks.
Intervention Type
Drug
Intervention Name(s)
Etelcalcetide
Other Intervention Name(s)
AMG 416
Intervention Description
Administered intravenously three times per week. The starting dose was 5 mg. The dose may have been increased at weeks 5, 9, 13, and 17 (4-week intervals) by 2.5 mg or 5 mg on the basis of the predialysis parathyroid hormone and corrected calcium concentrations obtained in the prior week. The minimum dose was 2.5 mg and the maximum dose was 15 mg.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Administered intravenously (IV) three times per week.
Primary Outcome Measure Information:
Title
Percentage of Participants With > 30% Decrease From Baseline in Mean PTH During the Efficacy Assessment Phase
Description
Participants who did not have any scheduled assessments during the EAP were considered non-responders.
Time Frame
Baseline and the efficacy assessment phase (EAP; defined as Weeks 20 to 27, inclusive).
Secondary Outcome Measure Information:
Title
Percentage of Participants With Mean Predialysis Parathyroid Hormone ≤ 300 pg/mL During the Efficacy Assessment Phase
Description
Participants who had no scheduled assessments during the EAP were considered non-responders.
Time Frame
Baseline and the efficacy assessment phase (Week 20 to Week 27)
Title
Percent Change From Baseline in Predialysis PTH During the Efficacy Assessment Phase
Time Frame
Baseline and the Efficacy Assessment Phase (Week 20 to Week 27)
Title
Percent Change From Baseline in Predialysis Corrected Calcium During the Efficacy Assessment Phase
Time Frame
Baseline and the efficacy assessment phase (Week 20 to Week 27)
Title
Percent Change From Baseline in Predialysis Corrected Calcium Phosphorus Product (cCa x P) During the Efficacy Assessment Phase
Time Frame
Baseline and the efficacy assessment phase (Week 20 to Week 27)
Title
Percent Change From Baseline in Predialysis Phosphorus During the Efficacy Assessment Phase
Time Frame
Baseline and the efficacy assessment phase (Week 20 to Week 27)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject understands the study procedures and agrees to participate in the study by giving written informed consent. Subject is 18 years of age or older. Subject agrees to not participate in another study of an investigational agent during the study. Subject must be receiving hemodialysis 3 times weekly for at least 3 months Other Inclusion Criteria may apply Exclusion Criteria: Currently receiving treatment in another investigational device or drug study, or ended treatment on another investigational device or drug study(s) within 8 weeks prior to screening. Other investigational procedures while participating in this study are excluded. Anticipated or scheduled parathyroidectomy during the study period. Subject has received a parathyroidectomy within 3 months prior to dosing. Anticipated or scheduled kidney transplant during the study period. Subject has known sensitivity to any of the products or components to be administered during dosing. Subject has participated in a prior clinical trial of AMG 416 Subject has an unstable medical condition based on medical history, physical examination, and routine laboratory tests, or is otherwise unstable in the judgment of the Investigator. Subject has a history of any illness that, in the opinion of the Investigator, might confound the results of the study or pose additional risk to the subject. Other Exclusion Criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608
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United States
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Research Site
City
Azusa
State/Province
California
ZIP/Postal Code
91702
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United States
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Research Site
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Beverly Hills
State/Province
California
ZIP/Postal Code
90211
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United States
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Research Site
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Chula Vista
State/Province
California
ZIP/Postal Code
91910
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United States
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Fairfield
State/Province
California
ZIP/Postal Code
94534
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United States
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Glendale
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California
ZIP/Postal Code
91205
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United States
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Los Angeles
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California
ZIP/Postal Code
90022
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United States
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Northridge
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California
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91324
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United States
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Norwalk
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California
ZIP/Postal Code
90650
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United States
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Riverside
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California
ZIP/Postal Code
92501
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United States
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Simi Valley
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California
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93065
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United States
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Denver
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Colorado
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80230
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Stamford
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Connecticut
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06902
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United States
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Lauderdale Lakes
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Florida
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33313
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United States
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Miami
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Florida
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33173
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United States
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Ocala
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Florida
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34471
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Augusta
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30901
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Macon
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31217
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Chicago
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60616
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Gurnee
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60031
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46410
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67214-2998
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71101
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07724
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11212
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76015
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Houston
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77054
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79430
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05701
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Alexandria
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22304
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Morgantown
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26506-9165
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2145
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4102
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Adelaide
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Clayton
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Victoria
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Brussels
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1200
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Belgium
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Brussel
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1090
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Belgium
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Liege
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4000
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Belgium
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Roeselare
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8800
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Belgium
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Tournai
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Nova Scotia
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Ontario
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Quebec
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Novy Jicin
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741 01
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Plzen
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301 00
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Czechia
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City
Praha 4
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140 21
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Czechia
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City
Usti nad Orlici
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562 18
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Czechia
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Bordeaux Cedex
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33075
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France
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Caen
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14000
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France
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Grenoble
ZIP/Postal Code
38000
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France
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City
Marseille cedex 5
ZIP/Postal Code
13385
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France
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Research Site
City
Marseille
ZIP/Postal Code
13253
Country
France
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City
Perpignan Cedex
ZIP/Postal Code
66046
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France
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City
Erfurt
ZIP/Postal Code
99089
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Germany
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Budapest
ZIP/Postal Code
1076
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Hungary
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Budapest
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1106
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Hungary
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Esztergom
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2500
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Hungary
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Kecskemet
ZIP/Postal Code
6000
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Hungary
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Research Site
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Miskolc
ZIP/Postal Code
3526
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Hungary
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Research Site
City
Zalaegerszeg
ZIP/Postal Code
8900
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Hungary
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Jerusalem
ZIP/Postal Code
91120
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Israel
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City
Kfar-Saba
ZIP/Postal Code
44281
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Israel
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Research Site
City
Tel Hashomer
ZIP/Postal Code
52621
Country
Israel
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Research Site
City
Zerifin
ZIP/Postal Code
70300
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Israel
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Research Site
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Ancona
ZIP/Postal Code
60131
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Italy
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Research Site
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Lecco
ZIP/Postal Code
23900
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Italy
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Research Site
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Milano
ZIP/Postal Code
20142
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Italy
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Quartu Sant'Elena CA
ZIP/Postal Code
09045
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Italy
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Research Site
City
Amsterdam
ZIP/Postal Code
1081 HV
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Netherlands
Facility Name
Research Site
City
Enschede
ZIP/Postal Code
7511 JX
Country
Netherlands
Facility Name
Research Site
City
Rotterdam
ZIP/Postal Code
3079 DZ
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Netherlands
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Research Site
City
Venlo
ZIP/Postal Code
5912 BL
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Netherlands
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Research Site
City
Gdansk
ZIP/Postal Code
80-952
Country
Poland
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Research Site
City
Golub-Dobrzyn
ZIP/Postal Code
87-400
Country
Poland
Facility Name
Research Site
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
Facility Name
Research Site
City
Lodz
ZIP/Postal Code
90-153
Country
Poland
Facility Name
Research Site
City
Rybnik
ZIP/Postal Code
44-200
Country
Poland
Facility Name
Research Site
City
Warszawa
ZIP/Postal Code
04-749
Country
Poland
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Research Site
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Moscow
ZIP/Postal Code
123183
Country
Russian Federation
Facility Name
Research Site
City
Saint Petersburg
ZIP/Postal Code
197110
Country
Russian Federation
Facility Name
Research Site
City
Yaroslavl
ZIP/Postal Code
150062
Country
Russian Federation
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Research Site
City
Cordoba
State/Province
Andalucía
ZIP/Postal Code
14004
Country
Spain
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Research Site
City
Granada
State/Province
Andalucía
ZIP/Postal Code
18012
Country
Spain
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Research Site
City
Barcelona
State/Province
Cataluña
ZIP/Postal Code
08035
Country
Spain
Facility Name
Research Site
City
Barcelona
State/Province
Cataluña
ZIP/Postal Code
08036
Country
Spain
Facility Name
Research Site
City
Majadahonda
State/Province
Madrid
ZIP/Postal Code
28222
Country
Spain
Facility Name
Research Site
City
Karlstad
ZIP/Postal Code
651 85
Country
Sweden
Facility Name
Research Site
City
Stockholm
ZIP/Postal Code
141 86
Country
Sweden
Facility Name
Research Site
City
Uppsala
ZIP/Postal Code
751 85
Country
Sweden

12. IPD Sharing Statement

Citations:
PubMed Identifier
28097355
Citation
Block GA, Bushinsky DA, Cunningham J, Drueke TB, Ketteler M, Kewalramani R, Martin KJ, Mix TC, Moe SM, Patel UD, Silver J, Spiegel DM, Sterling L, Walsh L, Chertow GM. Effect of Etelcalcetide vs Placebo on Serum Parathyroid Hormone in Patients Receiving Hemodialysis With Secondary Hyperparathyroidism: Two Randomized Clinical Trials. JAMA. 2017 Jan 10;317(2):146-155. doi: 10.1001/jama.2016.19456.
Results Reference
background
PubMed Identifier
28274835
Citation
Kroenke MA, Weeraratne DK, Deng H, Sloey B, Subramanian R, Wu B, Serenko M, Hock MB. Clinical immunogenicity of the d-amino acid peptide therapeutic etelcalcetide: Method development challenges and anti-drug antibody clinical impact assessments. J Immunol Methods. 2017 Jun;445:37-44. doi: 10.1016/j.jim.2017.03.005. Epub 2017 Mar 6.
Results Reference
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PubMed Identifier
29392552
Citation
Stollenwerk B, Iannazzo S, Akehurst R, Adena M, Briggs A, Dehmel B, Parfrey P, Belozeroff V. A Decision-Analytic Model to Assess the Cost-Effectiveness of Etelcalcetide vs. Cinacalcet. Pharmacoeconomics. 2018 May;36(5):603-612. doi: 10.1007/s40273-017-0605-2.
Results Reference
background
PubMed Identifier
28803497
Citation
Stollenwerk B, Iannazzo S, Cooper K, Belozeroff V. Exploring the potential value of improved care for secondary hyperparathyroidism with a novel calcimimetic therapy. J Med Econ. 2017 Oct;20(10):1110-1115. doi: 10.1080/13696998.2017.1360309. Epub 2017 Aug 14.
Results Reference
background
PubMed Identifier
28508378
Citation
Chen P, Narayanan A, Wu B, Gisleskog PO, Gibbs JP, Chow AT, Melhem M. Population Pharmacokinetic and Pharmacodynamic Modeling of Etelcalcetide in Patients with Chronic Kidney Disease and Secondary Hyperparathyroidism Receiving Hemodialysis. Clin Pharmacokinet. 2018 Jan;57(1):71-85. doi: 10.1007/s40262-017-0550-4.
Results Reference
background
PubMed Identifier
30875390
Citation
Block GA, Chertow GM, Sullivan JT, Deng H, Mather O, Tomlin H, Serenko M. An integrated analysis of safety and tolerability of etelcalcetide in patients receiving hemodialysis with secondary hyperparathyroidism. PLoS One. 2019 Mar 15;14(3):e0213774. doi: 10.1371/journal.pone.0213774. eCollection 2019.
Results Reference
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PubMed Identifier
31317120
Citation
Cunningham J, Block GA, Chertow GM, Cooper K, Evenepoel P, Iles J, Sun Y, Urena-Torres P, Bushinsky DA. Etelcalcetide Is Effective at All Levels of Severity of Secondary Hyperparathyroidism in Hemodialysis Patients. Kidney Int Rep. 2019 Apr 16;4(7):987-994. doi: 10.1016/j.ekir.2019.04.010. eCollection 2019 Jul.
Results Reference
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PubMed Identifier
32082556
Citation
Wolf M, Block GA, Chertow GM, Cooper K, Fouqueray B, Moe SM, Sun Y, Tomlin H, Vervloet M, Oberbauer R. Effects of etelcalcetide on fibroblast growth factor 23 in patients with secondary hyperparathyroidism receiving hemodialysis. Clin Kidney J. 2019 Apr 26;13(1):75-84. doi: 10.1093/ckj/sfz034. eCollection 2020 Feb.
Results Reference
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PubMed Identifier
31199098
Citation
Hain D, Tomlin H, Gibson C. Administration of Etelcalcetide for the Treatment of Secondary Hyperparathyroidism in Patients with CKD-MBD on Hemodialysis: A Nephrology Nursing Perspective. Nephrol Nurs J. 2019 May-Jun;46(3):315-290.
Results Reference
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Links:
URL
http://www.amgentrials.com
Description
AmgenTrials clinical trials website

Learn more about this trial

Efficacy and Safety of Etelcalcetide (AMG 416) in the Treatment of Secondary Hyperparathyroidism (SHPT) in Patients With Chronic Kidney Disease (CKD) on Hemodialysis

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