Comparing Absorption of Dietary Phosphorus When Administering FOSRENOL® or RENVELA® in Healthy Adult Volunteers
Primary Purpose
Kidney Failure, Chronic
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Lanthanum Carbonate
Sevelamer
Sponsored by
About this trial
This is an interventional basic science trial for Kidney Failure, Chronic
Eligibility Criteria
Inclusion Criteria
- Ability to provide informed consent to participate in the study.
- Healthy volunteers, age 19-45 inclusive.
- Subject must be willing to comply with applicable contraceptive requirements of the protocol
- Female subjects must have a negative pregnancy test
- Satisfactory medical assessment with no clinically significant or relevant abnormalities in medical history, physical examination, vital signs, ECG and laboratory evaluation.
- Body Mass Index (BMI) between 20.0 and 29.9kg/m² inclusive.
- Serum 1.25 dihydroxy vitamin D3 >30pg/mL.
- Ability to chew or swallow a dose of the investigational products and mannitol solution as prescribed in the protocol.
- Ability and willingness to fast for up to 24 hours.
Exclusion Criteria
- Current or recurrent disease that could affect the action, absorption or disposition of the investigational products utilized in this study, or could affect clinical or laboratory assessments.
- 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.
- Significant illness within 2 weeks of the first dose of investigational product.
- Current use of any medication with the exception of hormonal replacement therapy or hormonal contraceptives within 14 days of first dose of investigational product.
- Known or suspected intolerance or hypersensitivity to the investigational product(s) or mannitol solution, closely related compounds or any of the stated ingredients.
- History of alcohol or other substance abuse within the last year.
- 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.
- 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 30 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.
- 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.
- An inability to follow a standardized diet and/or meal schedule, as required during the study.
- Substantial changes in eating habits within 30 days prior to receiving the first dose of investigational product, as assessed by the Investigator.
Sites / Locations
- West Coast Clinical Trials
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Active Comparator
No Intervention
No Intervention
Arm Label
Meal + Lanthanum
Meal + Sevelamer
Meal Only
Fasting
Arm Description
Outcomes
Primary Outcome Measures
Net Phosphorous Absorption
Net phosphorous absorption (Lanthanum carbonate period) = phosphorous ingested in meal minus (Rectal effluent phosphorous after Lanthanum carbonate + meal minus Rectal effluent phosphorous after fasting). Net phosphorous absorption (Sevelamer Carbonate period) = Phosphorous ingested in meal minus (Rectal effluent phosphorous after Sevelamer carbonate + meal minus Rectal effluent phosphorous after fasting). Net phosphorous absorption (Meal only period) = Phosphorous ingested in meal minus (Rectal effluent phosphorous after meal only minus Rectal effluent phosphorous after fasting).
Secondary Outcome Measures
Net Phosphorous Binding
Net Phosphorous Binding (Lanthanum carbonate period) = Rectal effluent phosphorous after Lanthanum carbonate + meal minus Rectal effluent phosphorous after meal only. Net Phosphorous Binding (Sevelamer carbonate period) = Rectal effluent phosphorous after Sevelamer carbonate + meal minus Rectal effluent phosphorous after meal only.
Net Calcium Absorption
Net Calcium Absorption (Lanthanum carbonate period) = Calcium ingested in meal minus (Rectal effluent calcium after Lanthanum carbonate + meal minus Rectal effluent calcium after fasting). Net Calcium Absorption (Sevelamer Carbonate period) = Calcium ingested in meal minus (Rectal effluent calcium after Sevelamer carbonate + meal minus Rectal effluent calcium after fasting). Net Calcium Absorption (Meal only period) = Calcium ingested in meal minus (Rectal effluent calcium after meal only minus Rectal effluent calcium after fasting).
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00875017
Brief Title
Comparing Absorption of Dietary Phosphorus When Administering FOSRENOL® or RENVELA® in Healthy Adult Volunteers
Official Title
An Open-label, Phase I, One-dose, One-meal, Balance Study Comparing the Absorption of Dietary Phosphorus When Administering FOSRENOL® (Lanthanum Carbonate) or RENVELA® (Sevelamer Carbonate) in Healthy Adult Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
May 2021
Overall Recruitment Status
Completed
Study Start Date
April 20, 2009 (Actual)
Primary Completion Date
June 16, 2009 (Actual)
Study Completion Date
June 16, 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
The purpose of this study is to compare the absorption of dietary phosphorus following a single dose with lanthanum carbonate (1000mg) and a single dose of sevelamer carbonate (2400mg).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Kidney Failure, Chronic
7. Study Design
Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
31 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Meal + Lanthanum
Arm Type
Experimental
Arm Title
Meal + Sevelamer
Arm Type
Active Comparator
Arm Title
Meal Only
Arm Type
No Intervention
Arm Title
Fasting
Arm Type
No Intervention
Intervention Type
Drug
Intervention Name(s)
Lanthanum Carbonate
Other Intervention Name(s)
Fosrenol
Intervention Description
1 x 1000mg tablet
Intervention Type
Drug
Intervention Name(s)
Sevelamer
Other Intervention Name(s)
Renvela
Intervention Description
3 x 800mg tablets
Primary Outcome Measure Information:
Title
Net Phosphorous Absorption
Description
Net phosphorous absorption (Lanthanum carbonate period) = phosphorous ingested in meal minus (Rectal effluent phosphorous after Lanthanum carbonate + meal minus Rectal effluent phosphorous after fasting). Net phosphorous absorption (Sevelamer Carbonate period) = Phosphorous ingested in meal minus (Rectal effluent phosphorous after Sevelamer carbonate + meal minus Rectal effluent phosphorous after fasting). Net phosphorous absorption (Meal only period) = Phosphorous ingested in meal minus (Rectal effluent phosphorous after meal only minus Rectal effluent phosphorous after fasting).
Time Frame
10 hours post-dose
Secondary Outcome Measure Information:
Title
Net Phosphorous Binding
Description
Net Phosphorous Binding (Lanthanum carbonate period) = Rectal effluent phosphorous after Lanthanum carbonate + meal minus Rectal effluent phosphorous after meal only. Net Phosphorous Binding (Sevelamer carbonate period) = Rectal effluent phosphorous after Sevelamer carbonate + meal minus Rectal effluent phosphorous after meal only.
Time Frame
10 hours post-dose
Title
Net Calcium Absorption
Description
Net Calcium Absorption (Lanthanum carbonate period) = Calcium ingested in meal minus (Rectal effluent calcium after Lanthanum carbonate + meal minus Rectal effluent calcium after fasting). Net Calcium Absorption (Sevelamer Carbonate period) = Calcium ingested in meal minus (Rectal effluent calcium after Sevelamer carbonate + meal minus Rectal effluent calcium after fasting). Net Calcium Absorption (Meal only period) = Calcium ingested in meal minus (Rectal effluent calcium after meal only minus Rectal effluent calcium after fasting).
Time Frame
10 hours post-dose
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria
Ability to provide informed consent to participate in the study.
Healthy volunteers, age 19-45 inclusive.
Subject must be willing to comply with applicable contraceptive requirements of the protocol
Female subjects must have a negative pregnancy test
Satisfactory medical assessment with no clinically significant or relevant abnormalities in medical history, physical examination, vital signs, ECG and laboratory evaluation.
Body Mass Index (BMI) between 20.0 and 29.9kg/m² inclusive.
Serum 1.25 dihydroxy vitamin D3 >30pg/mL.
Ability to chew or swallow a dose of the investigational products and mannitol solution as prescribed in the protocol.
Ability and willingness to fast for up to 24 hours.
Exclusion Criteria
Current or recurrent disease that could affect the action, absorption or disposition of the investigational products utilized in this study, or could affect clinical or laboratory assessments.
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.
Significant illness within 2 weeks of the first dose of investigational product.
Current use of any medication with the exception of hormonal replacement therapy or hormonal contraceptives within 14 days of first dose of investigational product.
Known or suspected intolerance or hypersensitivity to the investigational product(s) or mannitol solution, closely related compounds or any of the stated ingredients.
History of alcohol or other substance abuse within the last year.
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.
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 30 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.
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.
An inability to follow a standardized diet and/or meal schedule, as required during the study.
Substantial changes in eating habits within 30 days prior to receiving the first dose of investigational product, as assessed by the Investigator.
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
City
Cypress
State/Province
California
ZIP/Postal Code
90630
Country
United States
12. IPD Sharing Statement
Citations:
PubMed Identifier
21354682
Citation
Martin P, Wang P, Robinson A, Poole L, Dragone J, Smyth M, Pratt R. Comparison of dietary phosphate absorption after single doses of lanthanum carbonate and sevelamer carbonate in healthy volunteers: a balance study. Am J Kidney Dis. 2011 May;57(5):700-6. doi: 10.1053/j.ajkd.2010.11.028. Epub 2011 Feb 26.
Results Reference
result
PubMed Identifier
24197066
Citation
Behets GJ, Dams G, Damment SJ, Martin P, De Broe ME, D'Haese PC. Differences in gastrointestinal calcium absorption after the ingestion of calcium-free phosphate binders. Am J Physiol Renal Physiol. 2014 Jan 1;306(1):F61-7. doi: 10.1152/ajprenal.00219.2013. Epub 2013 Nov 6. Erratum In: Am J Physiol Renal Physiol. 2014 Mar 1;306(5):F568.
Results Reference
result
Links:
URL
http://www.fda.gov/opacom/7alerts.html
Description
FDA recall information
Learn more about this trial
Comparing Absorption of Dietary Phosphorus When Administering FOSRENOL® or RENVELA® in Healthy Adult Volunteers
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