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Phase 1 N=39 Randomized Triple-blind Treatment

Healthy Combine Study

Healthy

Enrolled (actual)
39
Serious AEs
0.0%
Results posted
Feb 2024
Primary outcome: Primary: Change in Intact FGF23 — 1.001; 1.006; 1.009; 1.005 pg/ml — p=0.3738

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Nicotinamide (Drug); Lanthanum Carbonate (Drug); Lanthanum Carbonate Placebo (Drug); Nicotinamide Placebo (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Northwestern University
Primary completion
Dec 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Intact FGF23
1.001; 1.006; 1.009; 1.005 0.3738
SECONDARY
Change in Plasma Phosphorus Level
0.0099; -0.0102; 0.0099; 0.0004 0.854
SECONDARY
Change in 24 Hour Urinary Phosphorus Level
-10.24; -5.88; 1.29; -10.85 0.0648

Summary

STUDY SUMMARY Title: EFFECTS OF NICOTINAMIDE AND LANTHANUM CARBONATE ON PHOSPHORUS HOMEOSTASIS Protocol Number:STU00090161 Phase: Phase 1, detailed physiologic study Methodology: double blind, randomized, placebo-controlled, 2x2 factorial Study Duration: 12-18 months (to complete the entire study protocol) Study Center: Single-center Objectives: Define short-term effects of the interventions (lanthanum carbonate and nicotinamide) on indices of phosphate handling Number of Subjects: 80 Diagnosis and Main Inclusion Criteria: Healthy volunteers Study Product(s), Dose,Route, Regimen: Nicotinamide, 750 mg by mouth twice daily, Lanthanum carbonate, Fosrenol, 1000 mg by mouth three times daily with meals Duration of administration: 2 weeks (length of time study participants are enrolled in study) Reference therapy: reference is a placebo Statistical Methodology: Repeated measures analysis using mixed linear models

Eligibility Criteria

INCLUSION CRITERIA

Healthy volunteers

Age ≥ 18 years, at the time of screening

Normal renal function at screening, as defined by

  • eGFR > 60
  • no albuminuria
  • normal urinalysis
  • normotensive, defined as blood pressure 14 drinks/week
  • Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and/or alkaline phosphatase concentrations > 2 times the upper limit of the local laboratory reference range and/or total bilirubin concentration not within institutional limits.

Creatine kinase (CK) concentrations > 2 times the upper limit of the local laboratory reference range at screening

Major hemorrhagic event within the past six months from screening requiring inpatient admission.

Blood or platelet transfusion within the past six months from screening

History of primary hyperparathyroidism

Current, clinically significant malabsorption

Anemia (screening HCT 100 mg/day

Current or recent use of MVI containing niacin/nicotinamide > 100 mg/day

Current use of Tums (or calcium carbonate taken for indigestion) at a dose of >1000 mg daily

Current participation in another clinical trial or other interventional research

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03136705). 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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