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Phase 2 N=110 Treatment

Bone Biopsy Study For Dialysis Patients With Secondary Hyperparathyroidism of End Stage Renal Disease

Secondary Hyperparathyroidism

Enrolled (actual)
110
Serious AEs
40.9%
Results posted
Dec 2013
Primary outcome: Primary: Change From Baseline to End of Study in Bone Formation Rate (BFR) — -488 μm^2/mm^2/day

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Sensipar (Cinacalcet HCl) (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Amgen
Primary completion
May 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline to End of Study in Bone Formation Rate (BFR)
-488
SECONDARY
Percent Change From Baseline in Serum Calcium During the Efficacy Assessment Phase (EAP)
-6.5
SECONDARY
Percent Change From Baseline in Serum Phosphorus During the Efficacy Assessment Phase (EAP)
-1.1
SECONDARY
Percent Change From Baseline in Ca x P During the Efficacy Assessment Phase (EAP)
-6.9
SECONDARY
Percent Change From Baseline in Bone Specific Alkaline Phosphatase (BALP) at Week 52
6.6
SECONDARY
Percent Change From Baseline in N - Telopeptide (NTx) at Week 52
-14.0
SECONDARY
Percent Change From Baseline in Parathyroid Hormone (PTH) During the Efficacy Assessment Phase (EAP)
-41.6
SECONDARY
Change From Baseline to End of Study in Osteoblast Perimeter (Osteoblast Perimeter/Osteoid Perimeter)
-4.3
SECONDARY
Change From Baseline to End of Study in Osteoclast Perimeter (Osteoclast Perimeter/Eroded Perimeter)
-2.7
SECONDARY
Change in Categorization From Baseline to End of Study in Fibrosis Area/Tissue Area
3; 3; 0; 0; 0; 17
SECONDARY
Change From Baseline to End of Study in Eroded Perimeter/Bone Perimeter
-3.4
SECONDARY
Percent Change From Baseline in Osteocalcin (OC) at Week 52
-21.8
SECONDARY
Percent Change From Baseline in Tartrate Resistant Acid Phosphatase(TRAP) at Week 52
-3.8

Summary

The purpose of this study is to evaluate the effects of cinacalcet on markers of bone turnover in patients with kidney disease who are receiving dialysis.

Eligibility Criteria

Inclusion Criteria: Subjects will be eligible for the study if they meet all of the following criteria:

  • One Intact Parathyroid Hormone (iPTH) determination obtained from the central laboratory must be >/= 300 pg/mL.
  • One serum calcium determination obtained from the central laboratory must be >/= 8.4 mg/dL (2.1 mmol/L).
  • One Bone Alkaline Phosphatase (BALP) determination obtained from the central laboratory must be >/= 20.9 ng/mL.
  • Positive histologic confirmation of high bone turnover disease as assessed by the central bone histology center.
  • Treated with dialysis >/= 1 month before the date of informed consent.

Exclusion Criteria: Subjects will be ineligible for the study if they:

  • Have an unstable medical condition in the judgment of the investigator.
  • Are pregnant or nursing women.
  • Had a parathyroidectomy in the 3 months before the date of informed consent.
  • For subjects prescribed vitamin D, have received vitamin D therapy for less than 30 days before day 1 or required a change in vitamin D brand or dose level within 30 days before day 1.
  • Ever received therapy with Sensipar®/Mimpara®
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00261950). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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