End Stage Renal DiseaseNCT01130831
Effect of Lanthanum Carbonate in Patients Previously Treated With Calcium-based Phosphate Binder Therapy
An observational study of End Stage Renal Disease, run by Shire at 31 sites in Germany.
Trial summary
To assess the percentage of patients on lanthanum carbonate, that achieve Kidney Disease Outcome Quality Initiative (KDOQI) guideline suggested values for serum phosphorous in patients previously treated with calcium-based phosphate binder therapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- End Stage Renal Disease
- What is being tested?
- Lanthanum carbonate
- How many people
- 66 participants
- Where
- 31 sitesGermany
- Study dates
- 26 Apr 2010to 12 Jun 2012
- Phase
- Observational
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Haemodialysis patients with hyperphosphataemia
Who may be able to join
- Patients meeting all of the criteria listed below may be included in the study:
- Patients aged over 18 years
- Patients with ESRD on haemodialysis who are willing and able to provide written informed consent.
- Patients on:
- Lanthanum carbonate monotherapy for ≥1 month
- Lanthanum carbonate monotherapy for ≤3 months
- Calcium-based monotherapy for ≥3 months immediately prior to lanthanum carbonate therapy.
- Values recorded in medical records detailing serum phosphorous, serum calcium-phosphorus product, iPTH, and medication ≤6 months prior to commencing lanthanum carbonate therapy and whilst on a calcium-based monotherapy.
Who cannot join
- Patients are excluded from the study if any of the following criteria are met at screening:
- Known or suspected intolerance or hypersensitivity to lanthanum, or any of the stated ingredients
- Patients with known hypophosphatemia (phosphate level below lower level of normal)
- Patients with severe hepatic impairment
- Patients with requirement for calcium supplementation for reasons other than CKD
- Pregnant or lactating women and women planning to become pregnant over the next 12 months
Trial locations and contacts
31 sites in 1 country.
31 sites in 1 country
Germany31 sites
Dialyse Alsfeld
Alsfeld, 36304
Nephrologische Praxis Altötting-Burghausen
Altötting, 84503
Dialyse am Treptower Park
Berlin, 12435
Dialyse Berlin
Berlin, 12627
Dialysezentrum Cochem
Cochem, 56812
Dialysezentrum Coesfeld
Coesfeld, 48653
MVZ Caspar-David-Friedrich-Str.
Dresden, 01217
Dialysezentrum Karlstraße
Düsseldorf, 40210
Dialysezentrum Süd
Düsseldorf, 40589
KfH-Nierenzentrum Eberswalde
Eberswalde, 16225
Arzt für Dialyse, Facharzt für Innere Medizin und Nephrologie
Essen, 45127
Dialysezentrum Lauerwald
Gera, 07548
Dialysezentrum Grevenbroich
Grevenbroich, 41516
Dialyse im Heidering
Hanover, 30625
Dialysepraxen Herne und Wanne-Eickel
Herne, 44623
Dialyse Herzberg
Herzberg, 04916
Patienten-Heimversorgung
Hildesheim, 31134
Dialysezentrum Facharzt für Innere Medizin und Nephrologie
Homberg (Ohm), Hesse, 34576
Universitätsklinik des Saarlandes
Homburg / Saar, 66421
Nierenzentrum Mannheim
Mannheim, 68309
Dialysepraxis
Meiningen, 98617
Dialyse Mettmann
Mettmann, 40822
Nierenzentrum Bogenhausen
München, 81925
Nephrologie Nettetal
Nettetal, 41334
Dialysenzentrum Peine
Peine, 31224
Facharzt für Innere Medizin und Nephrologie
Potsdam, 14482
Facharzt für Innere Medizin und Nephrologie
Quedlinburg, 6484
Nephrologische Praxis Schwetzingen
Schwetzingen, 68723
PHV-Dialysezentrum Siegen
Siegen, 57076
Nephrologisches Zentrum
Villingen-Schwenningen
Dialysezentrum Worms
Worms, 67547
About this study
Official title: A Phase IV, Multi-Centre, Non-interventional Study Evaluating the Effect of Lanthanum Carbonate in Patients Previously Treated With Calcium Based Phosphate Binder Therapy on Serum Phosphorous Control, Concomitant Vitamin D Therapy and Bone Related Biochemical Parameters in End Stage Renal Disease Patients on Hemodialysis
To assess the percentage of patients on lanthanum carbonate, that achieve Kidney Disease Outcome Quality Initiative (KDOQI) guideline suggested values for serum phosphorous in patients previously treated with calcium-based phosphate binder therapy.
- Conditions
- End Stage Renal Disease
- Being tested
- Lanthanum carbonate
- Medical subject headings
- Kidney Failure, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lanthanum carbonateDrug
Also called Fosrenol
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Calcium-based Phosphate Binder Therapy
Phosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.
Measured: Baseline
Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Lanthanum Carbonate
Phosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.
Measured: 12 months
Secondary outcomes (21)
Percent of Subjects That Achieved Controlled Serum Calcium Levels on Calcium-based Phosphate Binder Therapy
Calcium levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium of 8.4-9.5 mg/dL.
Measured: Baseline
Percent of Subjects That Achieved Controlled Serum Calcium Levels on Lanthanum Carbonate Therapy
Calcium levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium of 8.4-9.5 mg/dL.
Measured: 12 months
Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Calcium-based Phosphate Binder Therapy
Calcium-phosphorous product levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium-phosphorous product of <55 mg^2/dL^2.
Measured: Baseline
Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy
Calcium-phosphorous product levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium-phosphorous product of <55 mg^2/dL^2.
Measured: 12 months
Percent of Subjects That Maintained Control of Serum Phosphorous Levels on Lanthanum Carbonate
Phosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.
Measured: 12 months
Percent of Subjects That Maintained Control of Serum Calcium Levels on Lanthanum Carbonate
Calcium levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium of 8.4-9.5 mg/dL.
Measured: 12 months
Percent of Subjects That Maintained Control of Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy
Calcium-phosphorous product levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium-phosphorous product of <55 mg^2/dL^2.
Measured: 12 months
Percent of Subjects That Maintained Control of Intact Parathyroid Hormone (iPTH) Levels on Lanthanum Carbonate Therapy
iPTH levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for iPTH of 150-300 pg/mL
Measured: 12 months
Percent Change From Baseline in Phosphorous Levels at 12 Months
Measured: Baseline and 12 months
Percent Change From Baseline in Calcium Levels at 12 Months
Measured: Baseline and 12 months
Percent Change From Baseline in Calcium-Phosphorous Product Levels at 12 Months
Measured: Baseline and 12 months
Percent Change From Baseline in iPTH Levels at 12 Months
Measured: Baseline and 12 months
Percent Change From Baseline in 25-Hydroxy Vitamin D Levels at 12 Months
Measured: Baseline and 12 months
Percent Change From Baseline in 1,25-Hydroxy Vitamin D Levels at 12 Months
Measured: Baseline and 12 months
Percent of Subjects With Hypocalcemic Events on Calcium-based Phosphate Binder Therapy
Hypocalcemia is defined as serum calcium levels below 8.02 mg/dL
Measured: Baseline
Percent of Subjects With Hypocalcemic Events on Lanthanum Carbonate
Hypocalcemia is defined as serum calcium levels below 8.02 mg/dL
Measured: 12 months
Percent of Subjects With Hypercalcemic Events on Calcium-based Phosphate Binder Therapy
Hypercalcemia is defined as total serum calcium level above 11.22 mg/dL.
Measured: Baseline
Percent of Subjects With Hypercalcemic Events on Lanthanum Carbonate
Hypercalcemia defined as total serum calcium above 11.22 mg/dL
Measured: 12 months
Change From Baseline in Vitamin D Dose at 12 Months
Measured: Baseline and 12 months
Change From Baseline in Mean Total Daily Dose of Calcium at 12 Months
Measured: Baseline and 12 months
Number of Tablets Per Day
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 May 2010 (estimated)
- Study start26 Apr 2010
- Primary completion12 Jun 2012
- Study completion12 Jun 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for End Stage Renal DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 66 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shire
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01130831
- Sponsor's protocol ID
- SPD405-702
- Status last verified
- Jun 2021
- First submitted
- 20 May 2010
- Last updated
- 28 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 28 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase IV, Multi-Centre, Non-interventional Study Evaluating the Effect of Lanthanum Carbonate in Patients Previously Treated With Calcium Based Phosphate Binder Therapy on Serum Phosphorous Control, Concomitant Vitamin D Therapy and Bone Related Biochemical Parameters in End Stage Renal Disease Patients on Hemodialysis
- ClinicalTrials.gov ID
- NCT01130831
- Acronym / sponsor ID
- SPD405-702
- Conditions
- End Stage Renal Disease
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 66 participants (actual)
- Lead sponsor
- ShireIndustry (pharma, biotech, devices)
- Study start
- 26 Apr 2010 (actual)
- Primary completion
- 12 Jun 2012 (actual)
- Study completion
- 12 Jun 2012 (actual)
- First posted
- 26 May 2010 (estimated)
- Results
- Posted 4 Jul 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To assess the percentage of patients on lanthanum carbonate, that achieve Kidney Disease Outcome Quality Initiative (KDOQI) guideline suggested values for serum phosphorous in patients previously treated with calcium-based phosphate binder therapy.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Haemodialysis patients with hyperphosphataemia
Key inclusion criteria (8 listed)
- Patients aged over 18 years
- Patients with ESRD on haemodialysis who are willing and able to provide written informed consent.
- Patients on:
- Values recorded in medical records detailing serum phosphorous, serum calcium-phosphorus product, iPTH, and medication ≤6 months prior to commencing lanthanum carbonate therapy and whilst on a calcium-based monotherapy.
Key exclusion criteria (6 listed)
- Patients are excluded from the study if any of the following criteria are met at screening:
- Known or suspected intolerance or hypersensitivity to lanthanum, or any of the stated ingredients
- Patients with known hypophosphatemia (phosphate level below lower level of normal)
- Patients with severe hepatic impairment
- Patients with requirement for calcium supplementation for reasons other than CKD
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Lanthanum carbonateAlso: Fosrenol | Drug | – |
Primary outcome
Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Calcium-based Phosphate Binder Therapy
Time frame: Baseline
Phosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.
Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Lanthanum Carbonate
Time frame: 12 months
Phosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.
21 secondary outcomes
Percent of Subjects That Achieved Controlled Serum Calcium Levels on Calcium-based Phosphate Binder Therapy
Time frame: Baseline
Percent of Subjects That Achieved Controlled Serum Calcium Levels on Lanthanum Carbonate Therapy
Time frame: 12 months
Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Calcium-based Phosphate Binder Therapy
Time frame: Baseline
Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy
Time frame: 12 months
Percent of Subjects That Maintained Control of Serum Phosphorous Levels on Lanthanum Carbonate
Time frame: 12 months
Percent of Subjects That Maintained Control of Serum Calcium Levels on Lanthanum Carbonate
Time frame: 12 months
Percent of Subjects That Maintained Control of Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy
Time frame: 12 months
Percent of Subjects That Maintained Control of Intact Parathyroid Hormone (iPTH) Levels on Lanthanum Carbonate Therapy
Time frame: 12 months
Percent Change From Baseline in Phosphorous Levels at 12 Months
Time frame: Baseline and 12 months
Percent Change From Baseline in Calcium Levels at 12 Months
Time frame: Baseline and 12 months
Percent Change From Baseline in Calcium-Phosphorous Product Levels at 12 Months
Time frame: Baseline and 12 months
Percent Change From Baseline in iPTH Levels at 12 Months
Time frame: Baseline and 12 months
Percent Change From Baseline in 25-Hydroxy Vitamin D Levels at 12 Months
Time frame: Baseline and 12 months
Percent Change From Baseline in 1,25-Hydroxy Vitamin D Levels at 12 Months
Time frame: Baseline and 12 months
Percent of Subjects With Hypocalcemic Events on Calcium-based Phosphate Binder Therapy
Time frame: Baseline
Percent of Subjects With Hypocalcemic Events on Lanthanum Carbonate
Time frame: 12 months
Percent of Subjects With Hypercalcemic Events on Calcium-based Phosphate Binder Therapy
Time frame: Baseline
Percent of Subjects With Hypercalcemic Events on Lanthanum Carbonate
Time frame: 12 months
Change From Baseline in Vitamin D Dose at 12 Months
Time frame: Baseline and 12 months
Change From Baseline in Mean Total Daily Dose of Calcium at 12 Months
Time frame: Baseline and 12 months
Number of Tablets Per Day
Time frame: 12 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
Takeda
31 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of End Stage Renal Disease, run by Shire at 31 sites in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 4 Jul 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Calcium-based Phosphate Binder Therapy (time frame: Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jun 2021.