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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
Chengdu Suncadia Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Secondary Hyperparathyroidism

Eligibility Criteria

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

Inclusion Criteria:

  1. Under care of physician at least 2 months for CKD
  2. Not on active Vitamin D and Calcimimetic therapy for at least 4 weeks prior
  3. If taking phosphate binders, on a stable regimen at least 4 weeks prior
  4. 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

  5. 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:

  1. Subjects who had Primary hyperparathyroidism;
  2. Subjects with a history of acute renal failure;
  3. Subjects with chronic gastrointestinal disease or severe liver disease with clinical symptoms;
  4. Subjects with a history of unstable angina, grade III or IV congestive heart failure, and/or clinically meaningful arrhythmia;
  5. Subjects with serum albumin < 30g/L, serum hemaoglobin < 85g/L, or serum transaminase higher than 2.5 times the upper limit of nomal;
  6. Subjects with a history of malignancy;
  7. Subjects who plan to undergo surgery during the study period;
  8. Subjects with a history active granulomatous diseases;
  9. Subject with a history of alcohol abuse and drug abuse;
  10. Human immunodeficiency virus antibody (HIV-Ab), hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCV-Ab) or Treponema pallidum antibody (TP-Ab) are positive;
  11. Subjects who are allergic to the test drug and its ingredients or excipients;
  12. Subjects who combined with systemic or systemic diseases that are not suitable for clinical trials;
  13. 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

    First Posted
    July 21, 2021
    Last Updated
    January 27, 2022
    Sponsor
    Chengdu Suncadia Medicine Co., Ltd.
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    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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