Early Phase 1
N=11
7 Day Continuous Parathyroid Hormone IV Infusion
Osteoporosis · Bone Diseases, Endocrine · Hyperparathyroidism
Bottom Line
View on ClinicalTrials.gov: NCT00377312 ↗Enrolled (actual)
11
Serious AEs
0.0%
Results posted
Mar 2016
Primary outcome: Primary: Participants With Dose Limiting Toxicity — 0; 2 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Early Phase 1
- Interventions
- Parathyroid Hormone (1-34) (Drug)
- Age
- Adult · 24+ yrs
- Sex
- All
- Sponsor
- University of Pittsburgh
- Primary completion
- Dec 2007
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Participants With Dose Limiting Toxicity |
0; 2 | — |
| PRIMARY Total Serum Calcium |
9.33; 9.11; 9.56; 9.78; 9.74; 10.06 | <.0001 sig |
| PRIMARY Ionized Serum Calcium |
4.72; 4.52; 4.93; 4.54; 5.17; 5.04 | <.0001 sig |
| PRIMARY Serum Phosphorous |
3.51; 3.45; 4.16; 3.78; 3.78; 3.68 | >0.05 |
| SECONDARY 1,25 Vitamin D |
37.78; 39.18; 40.90; 42.72; 35.68; 41.74 | .01 sig |
| SECONDARY Parathyroid Hormone (1-84) |
20.90; 52.44; 3.86; 5.30; 3.00; 3.38 | <.05 sig |
| SECONDARY Fractional Excretion of Calcium |
3.38; 1.80; 2.83; 2.87; 4.28; 3.76 | .002 sig |
| SECONDARY 24 Hour Urine Calcium |
315.278845; 210.24827 | — |
| SECONDARY Tubular Maximum for Phosphorous |
3.80; 3.50; 3.28; 3.30; 3.37; 3.11 | .61 |
| SECONDARY Serum Amino-terminal of Collagen- (sNTX) |
0; 0; 61.8428952; 77.4709521; 85.7699521; 85.9288044 | <.008 sig |
| SECONDARY Serum Carboxy-terminal of Collagen- 1(sCTX) |
0; 0; 113.70; 104.07; 136.76; 112.11 | <.0001 sig |
| SECONDARY Amino-terminal Peptides of Procollagen- 1(P1NP) |
0; 0; -18.536953; -16.118573; -31.14427; -35.577655 | <.0001 sig |
| SECONDARY Bone Specific Alkaline Phosphatase (BSAP) |
0; 0; 7.35; 7.91; -5.61; 9.05 | >.05 |
Summary
Study consists of an eight day inpatient visit on the General Clinical Research Center. The investigators' specific aims are to:
1. To define the maximum safe dose of a seven day continuous administration of parathyroid hormone [PTH(1-34)] in healthy human volunteers.
2. To estimate the effect of a seven day continuous administration of parathyroid Hormone (PTH) in escalating doses on vitamin D metabolism, markers of bone turnover and fractional excretion of urine.
Eligibility Criteria
Inclusion Criteria
- Healthy Caucasian, Hispanic or Asian subjects
- Males and Females
- Non-smoker
- Ages 24 - 35 years old
- Subjects will be recruited either from the employee pool of the University of Pittsburgh or the University of Pittsburgh Medical Center (UPMC), or the general population living in the vicinity.
- Participation in this study by an employee or a potential employee at the University of Pittsburgh or UPMC has no effect on their employment or potential employment.
- Participants in the study will be required to discontinue all vitamins and health food supplements two weeks prior to the study.
Exclusion Criteria
- Cardiac, hypertensive, vascular, renal (serum creatinine of >1.5), pulmonary, endocrine, musculoskeletal, hepatic, hematologic or malignant or rheumatologic disease
- Body Mass Index (BMI) > 30,
- Anemia (hematocrit less than 36% in women, less than 40% in men),
- Pregnancy (all women will have a urine pregnancy test performed immediately before starting the study and must not be pregnant)
- Significant alcohol or drug abuse or
- Baseline hypotension (systolic blood pressure less than 90 mm/Hg).
- Subjects will be excluded for abnormal levels of any of the screening labs including: ionized and total serum calcium, phosphorus, creatinine, albumin, 25-hydroxyvitamin D, and PTH. Pregnancy
- Subjects taking any chronic medications except oral contraceptives and stable doses of thyroid hormone, or those who have received any investigational drug in past 90 days will be excluded from the study.
- Subjects may not participate in this study more than once.
- Any subject who has previously received PTH or PTHrP, a related peptide, may not participate in this study.
Minority Inclusion/Exclusion Statement: We will not include African-Americans because this group has been demonstrated by a number of investigators to display resistance to PTH, and may create wider statistical variation and a need for larger numbers of study subjects per group.
Data sourced from ClinicalTrials.gov (NCT00377312). 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.