A Study to Assess the Efficacy and Safety of Paricalcitol in the Treatment of Chronic Kidney Disease With Secondary Hyperparathyroidism
Primary Purpose
Secondary Hyperparathyroidism
Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Paricalcitol
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Secondary Hyperparathyroidism
Eligibility Criteria
Inclusion Criteria:
- Under care of physician at least 2 months for CKD
- Not on active Vitamin D and Calcimimetic therapy for at least 4 weeks prior
- If taking phosphate binders, on a stable regimen at least 4 weeks prior
For entry into Pretreatment Phase:
iPTH at least 120 pg/mL GFR of 15-60 mL/min and no dialysis expected for at least 6 months
- For entry into Treatment Phase:
Average of 2 consecutive iPTH values of at least 150 pg/mL, taken at least 1 day apart (all values not less than 120 pg/mL) 2 consecutive corrected serum calcium levels between 8.0-10.0 mg/dL 2 consecutive serum phosphorus levels of not more than 5.2 mg/mL
Exclusion Criteria:
- Subjects who had Primary hyperparathyroidism;
- Subjects with a history of acute renal failure;
- Subjects with chronic gastrointestinal disease or severe liver disease with clinical symptoms;
- Subjects with a history of unstable angina, grade III or IV congestive heart failure, and/or clinically meaningful arrhythmia;
- Subjects with serum albumin < 30g/L, serum hemaoglobin < 85g/L, or serum transaminase higher than 2.5 times the upper limit of nomal;
- Subjects with a history of malignancy;
- Subjects who plan to undergo surgery during the study period;
- Subjects with a history active granulomatous diseases;
- Subject with a history of alcohol abuse and drug abuse;
- Human immunodeficiency virus antibody (HIV-Ab), hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV-Ab) or Treponema pallidum antibody (TP-Ab) are positive;
- Subjects who are allergic to the test drug and its ingredients or excipients;
- Subjects who combined with systemic or systemic diseases that are not suitable for clinical trials;
- Subjects who have participated in clinical trials of other drugs or devices;
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Treatment group A/B
Treatment group C
Arm Description
Outcomes
Primary Outcome Measures
Percentage of participants with >30% decrease from basline at least twice in mean iPTH during the efficacy assessment phase.
Secondary Outcome Measures
The value of iPTH for each visit
The change from baseline of iPTH for each visit
The change percentage of iPTH for each visit;
The proportion of subjects whose iPTH has been reduced by more than 30% from baseline at least 4 consecutive times;
The change value in blood calcium from baseline;
The change value in blood phosphorus from baseline;
The change value in calcium-phosphorus product from baseline;
The change value of 24-hour urine calcium from baseline;
The change value of 24-hour urine phosphorus from baseline;
The change value of 24-hour creatinine clearance rate from baseline;
The change value of eGFR from baseline;
The change value in urine calcium/creatinine ratio from baseline.
Full Information
NCT ID
NCT04994080
First Posted
July 21, 2021
Last Updated
January 27, 2022
Sponsor
Chengdu Suncadia Medicine Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT04994080
Brief Title
A Study to Assess the Efficacy and Safety of Paricalcitol in the Treatment of Chronic Kidney Disease With Secondary Hyperparathyroidism
Official Title
A Multi-center, Randomized, Double-blind, Parallel Grouping, Placebo-controlled Phase 3 Study to Assess the Efficacy and Safety of Paricalcitol Soft Capsules in the Treatment of Secondary Hyperparathyroidism in Subjects With Stage 3 and Stage 4 Chronic Kidney Disease
Study Type
Interventional
2. Study Status
Record Verification Date
July 2021
Overall Recruitment Status
Unknown status
Study Start Date
February 1, 2022 (Anticipated)
Primary Completion Date
March 31, 2023 (Anticipated)
Study Completion Date
March 31, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chengdu Suncadia Medicine Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The study is being conducted to evaluate the efficacy, and safety of Paricalcitol for secondary hyperparathyroidism with stage 3 and stage 4 chronic kidney disease in adults.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Secondary Hyperparathyroidism
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
A multi-center, randomized, double-blind, parallel grouping, placebo-controlled phase 3 study
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
84 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Treatment group A/B
Arm Type
Experimental
Arm Title
Treatment group C
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Paricalcitol
Intervention Description
Paricalcitol QD Treatment
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo QD or TIW
Primary Outcome Measure Information:
Title
Percentage of participants with >30% decrease from basline at least twice in mean iPTH during the efficacy assessment phase.
Time Frame
0-24 weeks
Secondary Outcome Measure Information:
Title
The value of iPTH for each visit
Time Frame
0-24 weeks
Title
The change from baseline of iPTH for each visit
Time Frame
0-24 weeks
Title
The change percentage of iPTH for each visit;
Time Frame
0-24 weeks
Title
The proportion of subjects whose iPTH has been reduced by more than 30% from baseline at least 4 consecutive times;
Time Frame
0-24 weeks
Title
The change value in blood calcium from baseline;
Time Frame
0-24 weeks
Title
The change value in blood phosphorus from baseline;
Time Frame
0-24 weeks
Title
The change value in calcium-phosphorus product from baseline;
Time Frame
0-24 weeks
Title
The change value of 24-hour urine calcium from baseline;
Time Frame
0-24 weeks
Title
The change value of 24-hour urine phosphorus from baseline;
Time Frame
0-24 weeks
Title
The change value of 24-hour creatinine clearance rate from baseline;
Time Frame
0-24 weeks
Title
The change value of eGFR from baseline;
Time Frame
0-24 weeks
Title
The change value in urine calcium/creatinine ratio from baseline.
Time Frame
0-24 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Under care of physician at least 2 months for CKD
Not on active Vitamin D and Calcimimetic therapy for at least 4 weeks prior
If taking phosphate binders, on a stable regimen at least 4 weeks prior
For entry into Pretreatment Phase:
iPTH at least 120 pg/mL GFR of 15-60 mL/min and no dialysis expected for at least 6 months
For entry into Treatment Phase:
Average of 2 consecutive iPTH values of at least 150 pg/mL, taken at least 1 day apart (all values not less than 120 pg/mL) 2 consecutive corrected serum calcium levels between 8.0-10.0 mg/dL 2 consecutive serum phosphorus levels of not more than 5.2 mg/mL
Exclusion Criteria:
Subjects who had Primary hyperparathyroidism;
Subjects with a history of acute renal failure;
Subjects with chronic gastrointestinal disease or severe liver disease with clinical symptoms;
Subjects with a history of unstable angina, grade III or IV congestive heart failure, and/or clinically meaningful arrhythmia;
Subjects with serum albumin < 30g/L, serum hemaoglobin < 85g/L, or serum transaminase higher than 2.5 times the upper limit of nomal;
Subjects with a history of malignancy;
Subjects who plan to undergo surgery during the study period;
Subjects with a history active granulomatous diseases;
Subject with a history of alcohol abuse and drug abuse;
Human immunodeficiency virus antibody (HIV-Ab), hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV-Ab) or Treponema pallidum antibody (TP-Ab) are positive;
Subjects who are allergic to the test drug and its ingredients or excipients;
Subjects who combined with systemic or systemic diseases that are not suitable for clinical trials;
Subjects who have participated in clinical trials of other drugs or devices;
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yin Tong
Phone
+0518-82342973
Email
yin.tong@hengrui.com
12. IPD Sharing Statement
Learn more about this trial
A Study to Assess the Efficacy and Safety of Paricalcitol in the Treatment of Chronic Kidney Disease With Secondary Hyperparathyroidism
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