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Hyperparathyroidism, SecondaryPhase 3NCT01788046

Efficacy and Safety of Etelcalcetide (AMG 416) in the Treatment of Secondary Hyperparathyroidism (SHPT) in Patients With Chronic Kidney Disease (CKD) on Hemodialysis

A Phase 3 study testing Etelcalcetide in people with Hyperparathyroidism, Secondary, run by Amgen at 106 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is designed to assess the efficacy and safety of etelcalcetide (AMG 416) compared with placebo in the treatment of SHPT in CKD patients receiving hemodialysis. Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Hyperparathyroidism, Secondary
What is being tested?
Etelcalcetide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
515 participants
Where
106 sitesin 15 countries
Study dates
12 Mar 2013to 9 May 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 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject understands the study procedures and agrees to participate in the study by giving written informed consent.
  • Subject is 18 years of age or older.
  • Subject agrees to not participate in another study of an investigational agent during the study.
  • Subject must be receiving hemodialysis 3 times weekly for at least 3 months
  • Other Inclusion Criteria may apply

Who cannot join

  • Currently receiving treatment in another investigational device or drug study, or ended treatment on another investigational device or drug study(s) within 8 weeks prior to screening.
  • Other investigational procedures while participating in this study are excluded.
  • Anticipated or scheduled parathyroidectomy during the study period.
  • Subject has received a parathyroidectomy within 3 months prior to dosing.
  • Anticipated or scheduled kidney transplant during the study period.
  • Subject has known sensitivity to any of the products or components to be administered during dosing.
Show all 10Show fewer
  • Subject has participated in a prior clinical trial of AMG 416
  • Subject has an unstable medical condition based on medical history, physical examination, and routine laboratory tests, or is otherwise unstable in the judgment of the Investigator.
  • Subject has a history of any illness that, in the opinion of the Investigator, might confound the results of the study or pose additional risk to the subject.
  • Other Exclusion Criteria may apply

Trial locations and contacts

106 sites in 15 countries.

106 sites in 15 countries

United States45 sites
  • Research Site

    Alexandria, Virginia, 22304

  • Research Site

    Arlington, Texas, 76015

  • Research Site

    Augusta, Georgia, 30901

  • Research Site

    Azusa, California, 91702

  • Research Site

    Bethesda, Maryland, 20817

  • Research Site

    Beverly Hills, California, 90211

  • Research Site

    Brookhaven, Mississippi, 39601

  • Research Site

    Brooklyn, New York, 11212

  • Research Site

    Charlotte, North Carolina, 28207

  • Research Site

    Chattanooga, Tennessee, 37408

  • Research Site

    Chicago, Illinois, 60616

  • Research Site

    Chula Vista, California, 91910

  • Research Site

    Cincinnati, Ohio, 45206

  • Research Site

    Columbia, South Carolina, 29203

  • Research Site

    Denver, Colorado, 80230

  • Research Site

    Detroit, Michigan, 48202

  • Research Site

    Eatontown, New Jersey, 07724

  • Research Site

    Fairfield, California, 94534

  • Research Site

    Fresh Meadows, New York, 11365

  • Research Site

    Ft. Washington, Maryland, 20744

  • Research Site

    Glendale, California, 91205

  • Research Site

    Great Neck, New York, 11021

  • Research Site

    Gurnee, Illinois, 60031

  • Research Site

    Houston, Texas, 77054

  • Research Site

    Knoxville, Tennessee, 37923

  • Research Site

    Las Vegas, Nevada, 89106

  • Research Site

    Lauderdale Lakes, Florida, 33313

  • Research Site

    Lincoln, Nebraska, 68510

  • Research Site

    Los Angeles, California, 90022

  • Research Site

    Lubbock, Texas, 79430

  • Research Site

    Macon, Georgia, 31217

  • Research Site

    Merrillville, Indiana, 46410

  • Research Site

    Miami, Florida, 33173

  • Research Site

    Mobile, Alabama, 36608

  • Research Site

    Morgantown, West Virginia, 26506-9165

  • Research Site

    New Bern, North Carolina, 28562

  • Research Site

    Northridge, California, 91324

  • Research Site

    Norwalk, California, 90650

  • Research Site

    Ocala, Florida, 34471

  • Research Site

    Riverside, California, 92501

  • Research Site

    Rutland, Vermont, 05701

  • Research Site

    Shreveport, Louisiana, 71101

  • Research Site

    Simi Valley, California, 93065

  • Research Site

    Stamford, Connecticut, 06902

  • Research Site

    Wichita, Kansas, 67214-2998

Other trials in United States

Belgium6 sites
  • Research Site

    Bonheiden, 2820

  • Research Site

    Brussels, 1090

  • Research Site

    Brussels, 1200

  • Research Site

    Liège, 4000

  • Research Site

    Roeselare, 8800

  • Research Site

    Tournai, 7500

Other trials in Belgium

France6 sites
  • Research Site

    Bordeaux, 33075

  • Research Site

    Caen, 14000

  • Research Site

    Grenoble, 38000

  • Research Site

    Marseille, 13253

  • Research Site

    Marseille, 13385

  • Research Site

    Perpignan, 66046

Other trials in France

Hungary6 sites
  • Research Site

    Budapest, 1076

  • Research Site

    Budapest, 1106

  • Research Site

    Esztergom, 2500

  • Research Site

    Kecskemét, 6000

  • Research Site

    Miskolc, 3526

  • Research Site

    Zalaegerszeg, 8900

Other trials in Hungary

Poland6 sites
  • Research Site

    Gdansk, 80-952

  • Research Site

    Golub-Dobrzyń, 87-400

  • Research Site

    Krakow, 31-501

  • Research Site

    Lodz, 90-153

  • Research Site

    Rybnik, 44-200

  • Research Site

    Warsaw, 04-749

Other trials in Poland

Canada5 sites
  • Research Site

    Edmonton, Alberta, T6G 2B7

  • Research Site

    Halifax, Nova Scotia, B3H 1V7

  • Research Site

    Montreal, Quebec, H4J 1C5

  • Research Site

    New Westminster, British Columbia, V3L 0A6

  • Research Site

    Toronto, Ontario, M5C 2T2

Other trials in Canada

Spain5 sites
  • Research Site

    Barcelona, Catalonia, 08035

  • Research Site

    Barcelona, Catalonia, 08036

  • Research Site

    Córdoba, Andalusia, 14004

  • Research Site

    Granada, Andalusia, 18012

  • Research Site

    Majadahonda, Madrid, 28222

Other trials in Spain

Australia4 sites
  • Research Site

    Adelaide, South Australia, 5000

  • Research Site

    Brisbane, Queensland, 4102

  • Research Site

    Clayton, Victoria, 3168

  • Research Site

    Westmead, New South Wales, 2145

Other trials in Australia

Czechia4 sites
  • Research Site

    Nový Jičín, 741 01

  • Research Site

    Pilsen, 301 00

  • Research Site

    Prague, 140 21

  • Research Site

    Ústí nad Orlicí, 562 18

Other trials in Czechia

Israel4 sites
  • Research Site

    Jerusalem, 91120

  • Research Site

    Kfar Saba, 44281

  • Research Site

    Tel HaShomer, 52621

  • Research Site

    Tsrifin, 70300

Other trials in Israel

Italy4 sites
  • Research Site

    Ancona, 60131

  • Research Site

    Lecco, 23900

  • Research Site

    Milan, 20142

  • Research Site

    Quartu Sant'Elena CA, 09045

Other trials in Italy

Netherlands4 sites
  • Research Site

    Amsterdam, 1081 HV

  • Research Site

    Enschede, 7511 JX

  • Research Site

    Rotterdam, 3079 DZ

  • Research Site

    Venlo, 5912 BL

Other trials in Netherlands

Russia3 sites
  • Research Site

    Moscow, 123183

  • Research Site

    Saint Petersburg, 197110

  • Research Site

    Yaroslavl, 150062

Other trials in Russia

Sweden3 sites
  • Research Site

    Karlstad, 651 85

  • Research Site

    Stockholm, 141 86

  • Research Site

    Uppsala, 751 85

Other trials in Sweden

Germany1 site
  • Research Site

    Erfurt, 99089

Other trials in Germany

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Phase 3 Study to Assess the Efficacy and Safety of AMG 416 in the Treatment of Secondary Hyperparathyroidism in Subjects With Chronic Kidney Disease on Hemodialysis

This study is designed to assess the efficacy and safety of etelcalcetide (AMG 416) compared with placebo in the treatment of SHPT in CKD patients receiving hemodialysis.

Being tested
Etelcalcetide, Placebo
Keywords
Secondary Hyperparathyroidism (SHPT), chronic kidney disease (CKD), hemodialysis, parathyroid hormone (PTH), hypocalcemia, bone and mineral metabolism
Medical subject headings
Hyperparathyroidism, Secondary, Renal Insufficiency, Chronic, Hypocalcemia

What participants receive

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

  • EtelcalcetideDrug

    Also called AMG 416

    Administered intravenously three times per week. The starting dose was 5 mg. The dose may have been increased at weeks 5, 9, 13, and 17 (4-week intervals) by 2.5 mg or 5 mg on the basis of the predialysis parathyroid hormone and corrected calcium concentrations obtained in the prior week. The minimum dose was 2.5 mg and the maximum dose was 15 mg.

  • PlaceboDrug

    Administered intravenously (IV) three times per week.

Study groups in NCT01788046
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received placebo administered by intravenous bolus injection at the end of each hemodialysis session, three times per week (TIW) for 26 weeks.
Receives: Drug: Placebo
EtelcalcetideExperimentalParticipants received etelcalcetide administered by intravenous bolus injection at the end of each hemodialysis session TIW for 26 weeks.
Receives: Drug: Etelcalcetide

What is being measured

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

  1. Percentage of Participants With > 30% Decrease From Baseline in Mean PTH During the Efficacy Assessment Phase

    Participants who did not have any scheduled assessments during the EAP were considered non-responders.

    Measured: Baseline and the efficacy assessment phase (EAP; defined as Weeks 20 to 27, inclusive).

Secondary outcomes (5)
  1. Percentage of Participants With Mean Predialysis Parathyroid Hormone ≤ 300 pg/mL During the Efficacy Assessment Phase

    Participants who had no scheduled assessments during the EAP were considered non-responders.

    Measured: Baseline and the efficacy assessment phase (Week 20 to Week 27)

  2. Percent Change From Baseline in Predialysis PTH During the Efficacy Assessment Phase

    Measured: Baseline and the Efficacy Assessment Phase (Week 20 to Week 27)

  3. Percent Change From Baseline in Predialysis Corrected Calcium During the Efficacy Assessment Phase

    Measured: Baseline and the efficacy assessment phase (Week 20 to Week 27)

  4. Percent Change From Baseline in Predialysis Corrected Calcium Phosphorus Product (cCa x P) During the Efficacy Assessment Phase

    Measured: Baseline and the efficacy assessment phase (Week 20 to Week 27)

  5. Percent Change From Baseline in Predialysis Phosphorus During the Efficacy Assessment Phase

    Measured: Baseline and the efficacy assessment phase (Week 20 to Week 27)

Timeline

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

  1. First posted11 Feb 2013 (estimated)
  2. Study start12 Mar 2013
  3. Primary completion14 Apr 2014
  4. Study completion9 May 2014

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
515 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01788046
Sponsor's protocol ID
20120230
Other IDs
KAI-4169-007, 2012-002806-31
Status last verified
Aug 2019
First submitted
7 Feb 2013
Last updated
20 Aug 2019
Data monitoring committee
Yes

Publications

  • Block GA, Bushinsky DA, Cunningham J, Drueke TB, Ketteler M, Kewalramani R, Martin KJ, Mix TC, Moe SM, Patel UD, Silver J, Spiegel DM, Sterling L, Walsh L, Chertow GM. Effect of Etelcalcetide vs Placebo on Serum Parathyroid Hormone in Patients Receiving Hemodialysis With Secondary Hyperparathyroidism: Two Randomized Clinical Trials. JAMA. 2017 Jan 10;317(2):146-155. doi: 10.1001/jama.2016.19456.

    PubMed 28097355
  • Kroenke MA, Weeraratne DK, Deng H, Sloey B, Subramanian R, Wu B, Serenko M, Hock MB. Clinical immunogenicity of the d-amino acid peptide therapeutic etelcalcetide: Method development challenges and anti-drug antibody clinical impact assessments. J Immunol Methods. 2017 Jun;445:37-44. doi: 10.1016/j.jim.2017.03.005. Epub 2017 Mar 6.

    PubMed 28274835
  • Stollenwerk B, Iannazzo S, Akehurst R, Adena M, Briggs A, Dehmel B, Parfrey P, Belozeroff V. A Decision-Analytic Model to Assess the Cost-Effectiveness of Etelcalcetide vs. Cinacalcet. Pharmacoeconomics. 2018 May;36(5):603-612. doi: 10.1007/s40273-017-0605-2.

    PubMed 29392552
  • Stollenwerk B, Iannazzo S, Cooper K, Belozeroff V. Exploring the potential value of improved care for secondary hyperparathyroidism with a novel calcimimetic therapy. J Med Econ. 2017 Oct;20(10):1110-1115. doi: 10.1080/13696998.2017.1360309. Epub 2017 Aug 14.

    PubMed 28803497
  • Chen P, Narayanan A, Wu B, Gisleskog PO, Gibbs JP, Chow AT, Melhem M. Population Pharmacokinetic and Pharmacodynamic Modeling of Etelcalcetide in Patients with Chronic Kidney Disease and Secondary Hyperparathyroidism Receiving Hemodialysis. Clin Pharmacokinet. 2018 Jan;57(1):71-85. doi: 10.1007/s40262-017-0550-4.

    PubMed 28508378
  • Block GA, Chertow GM, Sullivan JT, Deng H, Mather O, Tomlin H, Serenko M. An integrated analysis of safety and tolerability of etelcalcetide in patients receiving hemodialysis with secondary hyperparathyroidism. PLoS One. 2019 Mar 15;14(3):e0213774. doi: 10.1371/journal.pone.0213774. eCollection 2019.

    PubMed 30875390
  • Cunningham J, Block GA, Chertow GM, Cooper K, Evenepoel P, Iles J, Sun Y, Urena-Torres P, Bushinsky DA. Etelcalcetide Is Effective at All Levels of Severity of Secondary Hyperparathyroidism in Hemodialysis Patients. Kidney Int Rep. 2019 Apr 16;4(7):987-994. doi: 10.1016/j.ekir.2019.04.010. eCollection 2019 Jul.

    PubMed 31317120
  • Wolf M, Block GA, Chertow GM, Cooper K, Fouqueray B, Moe SM, Sun Y, Tomlin H, Vervloet M, Oberbauer R. Effects of etelcalcetide on fibroblast growth factor 23 in patients with secondary hyperparathyroidism receiving hemodialysis. Clin Kidney J. 2019 Apr 26;13(1):75-84. doi: 10.1093/ckj/sfz034. eCollection 2020 Feb.

    PubMed 32082556
  • Hain D, Tomlin H, Gibson C. Administration of Etelcalcetide for the Treatment of Secondary Hyperparathyroidism in Patients with CKD-MBD on Hemodialysis: A Nephrology Nursing Perspective. Nephrol Nurs J. 2019 May-Jun;46(3):315-290.

    PubMed 31199098

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Etelcalcetide in people with Hyperparathyroidism, Secondary, run by Amgen at 106 sites in 15 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 5 inclusion and 10 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 20 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 106 sites in United States, Belgium, France, Hungary, Poland and 10 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 27 Mar 2017). 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 With > 30% Decrease From Baseline in Mean PTH During the Efficacy Assessment Phase (time frame: Baseline and the efficacy assessment phase (EAP; defined as Weeks 20 to 27, inclusive).). 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 NCT01788046, which also lists 9 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 20 Aug 2019.

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