Status:
COMPLETED
A Double Blind Randomized Placebo Trial of Maintenance of Normal Serum Phosphorus in CKD
Lead Sponsor:
Denver Nephrologists, P.C.
Collaborating Sponsors:
Shire
Fresenius Medical Care North America
Conditions:
Chronic Kidney Disease
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The purpose of this study is to determine the ability of 3 commercially available phosphorus binders (calcium acetate, sevelamer carbonate, and lanthanum carbonate) to achieve and maintain a phosphoru...
Detailed Description
It is the specific aim of this pilot study to assess the feasibility of achieving and maintaining a serum P less than or equal to 3.5 mg/dL (1.13 mmol/L) in patients with eGFR \>20 and \<45 mL/min wit...
Eligibility Criteria
Inclusion
- Men or women \> 18 years of age;
- Has signed and dated the most recent informed consent form approved by an IRB;
- Will, in the opinion of the PI, be compliant with prescribed phosphate binder therapy;
- Must be able to communicate with the investigator, and be able to understand and comply with the requirements of the study;
- Has a life expectancy \>12 months;
- An eGFR rate (estimated by the MDRD equation) ≥ 20 and ≤ 45 mL/min/1.73m2 obtained by screening laboratory values and in the opinion of the investigator felt to have CKD without evidence of recent acute kidney injury or unexpected decline in renal function;
- A screening serum phosphorus value \> 3.5 mg/dL and ≤ 6.0 mg/dL;
- Must consume a minimum of 2 meals per day and be willing to avoid intentional changes in diet;
- Women of child bearing potential must be practicing an acceptable form of birth control.
Exclusion
- Receiving or has received an investigational drug (or is currently using an investigational device) within 30 days prior to baseline;
- Subject is pregnant, is breast feeding or is of child bearing potential and not using acceptable birth control measures;
- Has had a previous renal transplant;
- Has a chronic reliance on enemas or laxatives;
- Has a known sensitivity or previous intolerance to any of the products to be administered during the study;
- Clinical evidence of active malignancy and/or receiving systemic chemotherapy/radiotherapy with the exception of basal cell or squamous carcinoma of the skin;
- Currently has an active infection or is being treated with antibiotics (within 14 days prior to baseline);
- Has been hospitalized within 30 days prior to baseline (with the exception of hospitalizations due to vascular access procedures);
- Any surgical or medical condition which might significantly alter the function of phosphorus binders or which may jeopardize the subject in case of participation in the study. The investigator should be guided by evidence of any of the following: Severe gastrointestinal motility disorder,Bowel obstruction,Dysphagia or other disorders of swallowing, Acute peptic ulcer, Ulcerative colitis or Crohn's disease, History of major gastrointestinal tract surgery, Severe malabsorption;
- Currently taking any of the following within 14 days prior to baseline; Calcitriol or its analogs, Cinacalcet hydrochloride, Medications prescribed for the purpose of phosphorus binding;
- Screening serum intact PTH \>500 pg/mL;
- Screening corrected calcium \< 8.0 mg/dL or \> 10.4 mg/dL;
- Uncontrolled hyperlipidemia in the opinion of the PI;
- Initiation of chronic maintenance hemodialysis planned within 12 months;
- Relocation to another area planned within 12 months;
- Has a known history of immunodeficiency diseases, including a positive HIV test result;
- Active drug or alcohol dependence or abuse (excluding tobacco use) within the 12 months prior to dosing or evidence of such abuse;
- Evidence of active liver disease with AST or ALT levels greater than 3X the upper limit of normal;
- Has had a major cardiovascular event within 180 days of screening.
Key Trial Info
Start Date :
February 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2011
Estimated Enrollment :
148 Patients enrolled
Trial Details
Trial ID
NCT00785629
Start Date
February 1 2009
End Date
July 1 2011
Last Update
October 30 2012
Active Locations (1)
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1
Denver Nephrologists, PC
Denver, Colorado, United States, 80230