Status:

COMPLETED

Evaluation of the Effectiveness of Paricalcitol Versus Cinacalcet With Low-Dose Vitamin D

Lead Sponsor:

Abbott

Conditions:

Chronic Kidney Disease

Secondary Hyperparathyroidism

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Evaluates the effectiveness of on-label Paricalcitol versus Cinacalcet with Low-Dose Vitamin D.

Detailed Description

During a 4-week washout period, participants stopped taking cinacalcet or other vitamin D receptor activators (VDRAs). (Participants who were naive to cinacalcet or VDRAs did not have to wash out). At...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Male or female patients \>= 18 years old.
  • Patient was diagnosed with Stage 5 chronic kidney disease (CKD) and had been receiving intravenous (IV) or oral vitamin D receptor activators (VDRAs) or cinacalcet during the 8 weeks prior to the screening period or naïve patients who had not received VDRA or cinacalcet within 8 weeks of screening.
  • Patient was on maintenance HD (hemodialysis) 3 times weekly (TIW) for at least 3 months prior to screening and was expected to remain on HD for the duration of the study.
  • For entry into the Pre-Treatment Washout Period (for patients who were not naïve to VDRAs and cinacalcet), the patient had to have screening laboratory values of:
  • iPTH level 130 to 700 pg/mL
  • Serum Total Alkaline Phosphatase level \>= 40 U/L
  • Calcium level \<= 10.0 mg/dL (2.49 mmol/L)
  • Calcium-phosphorus product (CaxP) \<= 75 mg2/dL2 (US) and \<= 70 mg2/dL2 (non-US)
  • Exclusion Criteria
  • Patient had a history of parathyroidectomy.
  • Patient had a current malignancy (with the exception of basal or squamous cell carcinoma of the skin), or clinically significant liver disease, in the opinion of the investigator.
  • Use of known inhibitors (i.e., ketoconazole) or inducers (i.e., carbamazepine) of cytochrome P450 (including grapefruit and/or grapefruit juice) 3A (CYP3A) or drugs metabolized by cytochrome P450 2D6 (CYP2D6) (e.g., flecainide, vinblastine, thioridazine, and most tricyclic antidepressants) within 2 weeks prior to study drug administration. Commonly used beta blockers such as metoprolol and carvedilol are allowed but are metabolized by CYP2D6; thus, an adjustment to a lower dose may have been required.
  • Patient was known to be human immunodeficiency (HIV) positive.

Exclusion

    Key Trial Info

    Start Date :

    November 1 2009

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    May 1 2011

    Estimated Enrollment :

    272 Patients enrolled

    Trial Details

    Trial ID

    NCT00977080

    Start Date

    November 1 2009

    End Date

    May 1 2011

    Last Update

    June 20 2012

    Active Locations (83)

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    Page 1 of 21 (83 locations)

    1

    Site Reference ID/Investigator# 22781

    Tempe, Arizona, United States, 85284

    2

    Site Reference ID/Investigator# 24342

    Chula Vista, California, United States, 91910

    3

    Site Reference ID/Investigator# 21142

    Los Angeles, California, United States, 90033

    4

    Site Reference ID/Investigator# 22762

    Los Angeles, California, United States, 90048

    Evaluation of the Effectiveness of Paricalcitol Versus Cinacalcet With Low-Dose Vitamin D | DecenTrialz