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Chronic Kidney DiseasePhase 3NCT01277510

Pediatric Chronic Kidney Disease Safety and Efficacy

A Phase 3 study testing cinacalcet capsule in people with Chronic Kidney Disease and Hyperparathyroidism, run by Amgen at 51 sites in 10 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to assess the safety and efficacy of adding cinacalcet to the current treatment of secondary hyperparathyroidism in children currently receiving dialysis compared to a treatment regimen that does not include cinacalcet. Read more about this study

Who is it for?
Ages 6 to 17 years
What is being tested?
cinacalcet capsule
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
43 participants
Where
51 sitesin 10 countries
Study dates
28 Jun 2011to 30 Apr 2014
Phase
Phase 3
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 6 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Age 6 to less than 18 years at screening
  • Diagnosed with CKD and SHPT receiving hemodialysis or peritoneal dialysis for ≥ 2 months before randomization
  • Dry weight ≥ 12.5 kg at screening
  • iPTH obtained from the central laboratory must be > 300 pg/mL (31.8 pmol/L)
  • Serum calcium (corrected) obtained from the central laboratory must be ≥ 8.8 mg/dL (2.2 mmol/L)
  • Serum phosphorus obtained from the central laboratory ≥ 4.0 mg/dL (1.3 mmol/L) for children 6 to less than 12 years old, or ≥ 3.5 mg/dL (1.1 mmol/L) for children 12 to less than 18 years old
Show all 10Show fewer
  • Subjects already receiving vitamin D sterols (either calcitriol or a synthetic analog), a stable dose within the last 2 months prior to randomization
  • Subjects taking growth hormone, a stable dose defined as no change > than 20% in the last 2 months prior to randomization
  • Subjects on anti-convulsant medication must be on a stable dose for 3 months, and have a therapeutic blood level of the anti-convulsant at the time of randomization
  • Subjects must be on a dialysate calcium concentration of ≥ 2.5 mEq/L (1.25 mmol/L) for at least 2 months prior to randomization

Who cannot join

  • Underwent parathyroidectomy in the last 6 months
  • Anticipated parathyroidectomy within 6 months after randomization
  • Received therapy with cinacalcet (sensipar/mimpara) within the last month
  • A new onset of seizure or worsening of a pre-existing seizure disorder within the last 3 months
  • Scheduled date for kidney transplant from a known living donor that makes completion of the study unlikely

Trial locations and contacts

51 sites in 10 countries.

51 sites in 10 countries

United States18 sites
  • Research Site

    Baltimore, Maryland, 21287

  • Research Site

    Birmingham, Alabama, 35233

  • Research Site

    Boston, Massachusetts, 02115

  • Research Site

    Charlottesville, Virginia, 22908

  • Research Site

    Cincinnati, Ohio, 45229

  • Research Site

    Gainesville, Florida, 32610

  • Research Site

    Greenville, North Carolina, 27834

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Kansas City, Missouri, 64108

  • Research Site

    Livingston, New Jersey, 07039

  • Research Site

    Los Angeles, California, 90095

  • Research Site

    Philadelphia, Pennsylvania, 19104

  • Research Site

    Portland, Oregon, 97227

  • Research Site

    San Antonio, Texas, 78229

  • Research Site

    San Francisco, California, 94143

  • Research Site

    St Louis, Missouri, 63104

  • Research Site

    St Louis, Missouri, 63110

  • Research Site

    The Bronx, New York, 10467

Other trials in United States

Spain6 sites
  • Research Site

    Barakaldo, Basque Country, 48903

  • Research Site

    Barakaldo, PaÃ-s Vasco, 48903

  • Research Site

    Barcelona, Catalonia, 08035

  • Research Site

    Barcelona, Cataluña, 08035

  • Research Site

    Madrid, 28046

  • Research Site

    Valencia, Valencia, 46026

Other trials in Spain

Poland5 sites
  • Research Site

    Gdansk, 80-952

  • Research Site

    Gorzów Wielkopolski, 66-400

  • Research Site

    Lodz, 93-338

  • Research Site

    Warsaw, 00-576

  • Research Site

    Warsaw, 04-730

Other trials in Poland

Australia4 sites
  • Research Site

    Herston, Queensland, 4029

  • Research Site

    Parkville, Victoria, 3052

  • Research Site

    Randwick, New South Wales, 2031

  • Research Site

    Westmead, New South Wales, 2145

Other trials in Australia

Belgium4 sites
  • Research Site

    Brussels, 1020

  • Research Site

    Edegem, 2650

  • Research Site

    Ghent, 9000

  • Research Site

    Leuven, 3000

Other trials in Belgium

Hungary4 sites
  • Research Site

    Budapest, 1083

  • Research Site

    Debrecen, 4032

  • Research Site

    Pécs, 7623

  • Research Site

    Szeged, 6720

Other trials in Hungary

Russia3 sites
  • Research Site

    Moscow, 107014

  • Research Site

    Saint Petersburg, 198205

  • Research Site

    Samara, 443095

Other trials in Russia

Slovakia3 sites
  • Research Site

    Banská Bystrica, 974 09

  • Research Site

    Bratislava, 833 40

  • Research Site

    Košice, 040 11

Other trials in Slovakia

Germany2 sites
  • Research Site

    Heidelberg, 69120

  • Research Site

    Marburg, 35043

Other trials in Germany

Mexico2 sites
  • Research Site

    Aguascalientes, 20219

  • Research Site

    Mexico City, Mexico City, 04530

Other trials in Mexico

About this study

Official title: A Randomized, Double-blind, Placebo Controlled Study to Assess the Efficacy and Safety of Cinacalcet HCl in Pediatric Subjects With Chronic Kidney Disease and Secondary Hyperparathyroidism Receiving Dialysis

The purpose of this study is to assess the safety and efficacy of adding cinacalcet to the current treatment of secondary hyperparathyroidism in children currently receiving dialysis compared to a treatment regimen that does not include cinacalcet.

Read the detailed description

Secondary hyperparathyroidism (SHPT) is a condition that can develop early in patients with chronic kidney disease (CKD), usually gets worse over time, and is known to cause problems for patients on dialysis. Children on dialysis can have a wide range of bone and growth issues, and common treatments have a chance of making these things worse by increasing serum calcium and serum phosphorus. Cinacalcet has been shown to be effective in controlling parathyroid hormone (PTH), calcium and phosphorus in adults. The purpose of this study is to show that including cinacalcet in the treatment of SHPT will lower the levels of intact parathyroid hormone (iPTH) in a larger number of pediatric patients with CKD who are receiving dialysis, compared to a treatment regimen that does not include cinacalcet.

Being tested
cinacalcet capsule, placebo, Standard of Care
Keywords
dialysis, sensipar, mimpara, hemodialysis, peritoneal dialysis, renal, parathyroid hormone, pediatric
Medical subject headings
Renal Insufficiency, Chronic, Hyperparathyroidism, Hyperparathyroidism, Secondary, Kidney Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • cinacalcet capsuleDrug

    Also called Sensipar, Mimpara

    Cinacalcet was prepared for oral administration as both capsules for sprinkling and film coated tablets for swallowing.

  • placeboDrug

    Placebo tablets and capsules for sprinkling identical to active treatment.

  • Standard of CareDrug

    All participants, regardless of treatment assignment, will receive standard of care with vitamin D sterols (calcitriol and its analogs), as prescribed by the treating physician.

Study groups in NCT01277510
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received standard of care and placebo once daily for 30 weeks during the double-blind phase. During the open-label phase, participants received cinacalcet with standard of care for an additional 30 weeks. The starting dose of cinacalcet was ≤ 0.20 mg/kg based on dry weight, and could be titrated up according to plasma iPTH and serum calcium levels every 4 weeks up to Week 54 to a maximum dose of 4.2 mg/kg.
Receives: Drug: placebo; Drug: Standard of Care
CinacalcetExperimentalParticipants received standard of care and cinacalcet once daily for 30 weeks during the double-blind phase. The starting dose of cinacalcet was ≤ 0.20 mg/kg based on dry weight, and could be titrated up according to plasma iPTH and serum calcium levels every 4 weeks until Week 24 to a maximum dose of 4.2 mg/kg. During the open-label phase participants continued to receive cinacalcet with standard of care for an additional 30 weeks.
Receives: Drug: cinacalcet capsule; Drug: Standard of Care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Achieving ≥ 30% Reduction in Mean iPTH From Baseline to the Efficacy Assessment Phase

    The efficacy assessment value is based on the scheduled assessment(s) taken during the efficacy assessment phase (EAP; Weeks 25 - 30). When multiple assessments were available, the average of those was used. If an efficacy measurement during the EAP was missing, the mean of the last 2 available post-baseline values in the dose-titration phase was used. If only one post-baseline value was available, this single value was used.

    Measured: From Baseline to the Efficacy Assessment Phase, Weeks 25-30

Secondary outcomes (7)
  1. Percentage of Participants Achieving Mean iPTH ≤ 300 pg/mL (31.8 Pmol/L) During the Efficacy Assessment Phase

    The efficacy assessment value is based on the scheduled assessment(s) taken during the efficacy assessment phase. When multiple assessments were available, the average of those was used. If an efficacy measurement during the EAP was missing, the mean of the last 2 available postbaseline values in the dose-titration phase was used. If only one post-baseline value was available, this single value was used.

    Measured: From Baseline to the Efficacy Assessment Phase (EAP), Weeks 25-30

  2. Percent Change From Baseline in Mean Corrected Total Serum Calcium During the Efficacy Assessment Period

    Serum calcium was reported as a corrected value by the central laboratory based on calcium and albumin concentrations: Corrected total calcium (mg/dL) = measured total serum calcium (mg/dL) + 0.8 (4.0 - Serum albumin (g/dL)). The efficacy assessment value is based on the scheduled assessment(s) taken during the efficacy assessment phase. When multiple assessments were available, the average of those was used. If an efficacy measurement during the EAP was missing, the mean of the last 2 available postbaseline values in the dose-titration phase was used. If only one post-baseline value was available, this single value was used."

    Measured: From Baseline to the Efficacy Assessment Phase, Weeks 25-30.

  3. Percent Change From Baseline in Mean Serum Phosphorus During the Efficacy Assessment Phase

    The efficacy assessment value is based on the scheduled assessment(s) taken during the efficacy assessment phase. When multiple assessments were available, the average of those was used. If an efficacy measurement during the EAP was missing, the mean of the last 2 available postbaseline values in the dose-titration phase was used. If only one post-baseline value was available, this single value was used.

    Measured: From Baseline to the Efficacy Assessment Phase, Weeks 25-30.

  4. Percent Change From Baseline in Mean Phosphorous Product (Ca x P) During the Efficacy Assessment Phase

    The efficacy assessment value is based on the scheduled assessment(s) taken during the efficacy assessment phase. When multiple assessments were available, the average of those was used. If an efficacy measurement during the EAP was missing, the mean of the last 2 available postbaseline values in the dose-titration phase was used. If only one post-baseline value was available, this single value was used.

    Measured: From Baseline to end of Efficacy Assessment Period, assessed up to 30 weeks

  5. Growth Velocity From Baseline to End of Double-blind Phase

    Linear growth velocity (cm/year) = 52 x change in height (cm) / number of weeks between the two assessments. End of double-blind phase visit was at Week 30 by design but the last assessment in the double-blind phase was used due to the early termination of the study.

    Measured: From Baseline to end of Efficacy Assessment at Week 30

  6. Growth Velocity From End of Double-blind Phase to End of Open-label Phase

    Linear growth velocity (cm/year) = 52 x change in height (cm) / number of weeks between the two assessments. End of open-label phase visit was at Week 60 by design but the last assessment in the open-label phase was used due to the early termination of the study.

    Measured: End of double-blind phase (Week 30) until end of the open-label phase (Week 60)

  7. Percent Change From Baseline in Mean Ionized Calcium During the Efficacy Assessment Phase

    The efficacy assessment value is based on the scheduled assessment(s) taken during the efficacy assessment phase. When multiple assessments were available, the average of those was used. If an efficacy measurement during the EAP was missing, the mean of the last 2 available postbaseline values in the dose-titration phase was used. If only one post-baseline value was available, this single value was used.

    Measured: From Baseline to the Efficacy Assessment Phase, Weeks 25-30.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jan 2011 (estimated)
  2. Study start28 Jun 2011
  3. Primary completion30 Apr 2014

Why it stopped: Study was put on clinical hold on 30 Jan 2013 following a subject fatality. Study was never restarted and was closed.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
43 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01277510
Sponsor's protocol ID
20070208
Status last verified
Jun 2020
First submitted
13 Jan 2011
Last updated
29 Jun 2020
Data monitoring committee
Yes

Publications

  • Warady BA, Iles JN, Ariceta G, Dehmel B, Hidalgo G, Jiang X, Laskin B, Shahinfar S, Vande Walle J, Schaefer F. A randomized, double-blind, placebo-controlled study to assess the efficacy and safety of cinacalcet in pediatric patients with chronic kidney disease and secondary hyperparathyroidism receiving dialysis. Pediatr Nephrol. 2019 Mar;34(3):475-486. doi: 10.1007/s00467-018-4116-y. Epub 2018 Nov 30.

    PubMed 30506144
  • Warady BA, Ng E, Bloss L, Mo M, Schaefer F, Bacchetta J. Cinacalcet studies in pediatric subjects with secondary hyperparathyroidism receiving dialysis. Pediatr Nephrol. 2020 Sep;35(9):1679-1697. doi: 10.1007/s00467-020-04516-4. Epub 2020 May 4.

    PubMed 32367309

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing cinacalcet capsule in people with Chronic Kidney Disease and Hyperparathyroidism, run by Amgen at 51 sites in 10 countries.

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 10 inclusion and 5 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: stopped early, as of the sponsor's last update on 29 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in United States, Spain, Poland, Australia, Belgium and 5 more countries. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 May 2015). 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?

Percentage of Participants Achieving ≥ 30% Reduction in Mean iPTH From Baseline to the Efficacy Assessment Phase (time frame: From Baseline to the Efficacy Assessment Phase, Weeks 25-30). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01277510, which also lists 2 linked publications.

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 29 Jun 2020.

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