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Secondary Hyperparathyroidism, Chronic Kidney DiseasePhase 3NCT02341417

Extension Study of Cinacalcet for Treatment of Secondary Hyperparathyroidism (SHPT) in Pediatric Patients With Chronic Kidney Disease on Dialysis

A Phase 3 study testing Cinacalcet in people with Secondary Hyperparathyroidism, Chronic Kidney Disease, run by Amgen at 33 sites in 11 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

The primary objective of this study was to characterize the long-term safety and tolerability of cinacalcet in pediatric patients with chronic kidney disease (CKD) receiving dialysis. Read more about this study

Who is it for?
Ages Up to 18 years
What is being tested?
Cinacalcet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
33 sitesin 11 countries
Study dates
10 Jun 2015to 15 Mar 2017
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 Up to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • All subjects:
  • Subject's legally acceptable representative has provided informed consent when the subject is legally too young to provide informed consent and the subject has provided written assent based on local regulations and/or guidelines prior to any Study 20140159 activities/procedures being initiated.
  • Dialysate calcium concentration ≥ 2.5 mEq/L at day 1
  • All subjects with > 14 days between the last study visit in Study 20130356 or Study 20110100 and screening for Study 20140159:
  • Subjects on anti-convulsant medication must be on a stable dose
  • All subjects from 20130356:
Show all 14Show fewer
  • Completed treatment through week 20 in the 20130356 study or on study at the time of Study 20130356 termination
  • Dry weight ≥ 12.5 kg at day 1 of Study 20140159
  • Subjects Randomized to the 20130356 Standard of Care Arm Only:
  • intact parathyroid hormone (iPTH) value ≥ 300 pg/mL (within 7 days of day 1 in Study 20140159)
  • Corrected calcium value ≥ 8.8 mg/dL within 7 days of day 1 in Study 20140159
  • All Subjects from 20110100:
  • Completed week 26 End of Study visit in the, 20110100 study or on study at the time of Study 20110100 termination
  • Dry weight ≥ 7 kg at day 1 of Study 20140159

Who cannot join

  • General (studies 20130356 and 20110100):
  • Currently receiving treatment in another investigational device or drug study, or less than 30 days since ending treatment on another investigational device or drug study(s), other than Amgen Studies 20130356 or 20110100.
  • Other investigational procedures while participating in this study are excluded.
  • Malignancy except non-melanoma skin cancers, cervical or breast ductal carcinoma in situ within the last 5 years.
  • Subject has known sensitivity to any of the products to be administered during dosing.
  • Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures (eg, electronic patient diary [ediary]) to the best of the subject and investigator's knowledge
Show all 25Show fewer
  • History or evidence of any other clinically significant disorder, condition or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
  • Subject previously has entered this study.
  • If sexually active, subject is not willing to use acceptable contraception during treatment and for at least 9 days after the end of treatment.
  • Subject is pregnant or breast feeding, or planning to become pregnant during the study or within 9 days after the end of treatment
  • History of congenital long QT syndrome, second or third degree heart block, ventricular tachyarrythmias, or other conditions associated with prolonged QT interval
  • A new onset of seizures or worsening of pre-existing seizure disorder
  • All Subjects with > 14 days between the last study visit in Study 20130356 or Study 20110100 and the screening visit in Study 20140159 will have the following exclusion criteria applied during screening and day 1:
  • Unstable chronic heart failure defined as worsening pulmonary edema or other signs and symptoms as per investigator assessment during screening
  • Received therapy with commercial cinacalcet after the last study visit in Study 20130356 or Study 20110100 before day 1 of Study 20140159
  • Scheduled date for kidney transplantation from a known living donor that makes completion of the study unlikely
  • Either new or recurrent cardiac ventricular arrhythmias requiring a change in treatment within 10 days prior to screening visit or day 1 of Study 20140159 screening
  • Hepatic impairment indicated by elevated levels of hepatic transaminase or bilirubin (aspartate aminotransferase [AST] ≥ 1.5 × upper limit of normal [ULN] OR alanine aminotransferase [ALT] ≥ 1.5 × ULN OR total bilirubin ≥ 1 × ULN per institutional laboratory range) during screening
  • All Subjects - Day 1 Study Visit:
  • Subject has an ongoing adverse event from Studies 20130356 or 20110100 that is considered related to investigational product and is ≥ Common Terminology Criteria for Adverse Events (CTCAE) (v 4.0) grade 3, and/or considered clinically significant in the opinion of the investigator
  • Central laboratory values were not obtained/are not available at day 1 in Study 20140159
  • Corrected QT Interval (QTc) > 500 ms, using Bazett's formula
  • QTc ≥ 450 to ≤ 500 ms, using Bazett's formula, unless written permission to enroll is provided by the investigator after consultation with a pediatric cardiologist
  • Use of grapefruit juice, herbal medications, CYP3A4 inhibitors (eg, erythromycin, clarithromycin, ketoconazole, itraconazole), or CYP2D6 substrates (eg, flecainide, propafenone, metoprolol, desipramine, nortriptyline, clomipramine)
  • Use of concomitant medications that may prolong the QTc interval (eg, ondansetron, albuterol)

Trial locations and contacts

33 sites in 11 countries.

33 sites in 11 countries

United States18 sites
  • Research Site

    Baltimore, Maryland, 21287

  • Research Site

    Boston, Massachusetts, 02115

  • Research Site

    Cincinnati, Ohio, 45229

  • Research Site

    Cleveland, Ohio, 44195

  • Research Site

    Columbus, Ohio, 43205

  • Research Site

    Dallas, Texas, 75235

  • Research Site

    Greenville, North Carolina, 27834

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Jackson, Mississippi, 39216

  • Research Site

    Kansas City, Missouri, 64108

  • Research Site

    Los Angeles, California, 90027

  • Research Site

    Minneapolis, Minnesota, 55454

  • Research Site

    New York, New York, 10029

  • Research Site

    Oklahoma City, Oklahoma, 73104

  • Research Site

    Salt Lake City, Utah, 84113

  • Research Site

    St Louis, Missouri, 63110

  • Research Site

    Tucker, Georgia, 30084

  • Research Site

    West Orange, New Jersey, 07052

Other trials in United States

Germany3 sites
  • Research Site

    Hanover, 30625

  • Research Site

    Heidelberg, 69120

  • Research Site

    Marburg, 35043

Other trials in Germany

Russia3 sites
  • Research Site

    Moscow, 107014

  • Research Site

    Saint Petersburg, 198205

  • Research Site

    Samara, 443095

Other trials in Russia

Poland2 sites
  • Research Site

    Krakow, 30-663

  • Research Site

    Lodz, 93-338

Other trials in Poland

Belgium1 site
  • Research Site

    Brussels, 1020

Other trials in Belgium

Czechia1 site
  • Research Site

    Prague, 150 06

Other trials in Czechia

France1 site
  • Research Site

    Paris, 75015

Other trials in France

Greece1 site
  • Research Site

    Athens, 11527

Other trials in Greece

Hungary1 site
  • Research Site

    Szeged, 6720

Other trials in Hungary

Italy1 site
  • Research Site

    Genova, 16147

Other trials in Italy

Ukraine1 site
  • Research Site

    Kyiv, 01135

Other trials in Ukraine

About this study

Official title: A Multicenter Single-arm Extension Study to Characterize the Long-term Safety of Cinacalcet Hydrochloride in the Treatment of Secondary Hyperparathyroidism in Pediatric Subjects With Chronic Kidney Disease on Dialysis

The primary objective of this study was to characterize the long-term safety and tolerability of cinacalcet in pediatric patients with chronic kidney disease (CKD) receiving dialysis.

Read the detailed description

This extension study was designed to characterize the long-term safety and tolerability of cinacalcet in pediatric patients from Amgen Studies 20130356 (NCT02138838) and 20110100 (NCT01439867) who either had completed the parent study or were ongoing at the time an administrative decision was made to end the parent study. After enrolling into this study participants were administered cinacalcet for 28 weeks or until the time of renal transplant or parathyroidectomy, whichever occurred first. The treatment period was followed by a 4-week safety follow-up period.

Being tested
Cinacalcet
Keywords
Chronic Kidney Disease, Dialysis, Secondary Hyperparathyroidism, Pediatric
Medical subject headings
Hyperparathyroidism, Secondary, Renal Insufficiency, Chronic

What participants receive

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

  • CinacalcetDrug

    Also called Cinacalcet hydrochloride, Cinacalcet HCL, Sensipar®, Mimpara®

    Cinacalcet was provided as 5 mg capsules for sprinkling or as 30 mg film-coated tablets for swallowing. The protocol-specified doses were: 1, 2.5, 5, 7.5, 10, 15, 30, 60, 90, 120, and 180 mg.

Study groups in NCT02341417
Study groupRoleWhat they receive
CinacalcetExperimentalParticipants received cinacalcet daily for 24 weeks in this extension study. For participants who received standard of care (SOC) in parent study 20130356, the starting dose was 0.20 mg/kg/day. For participants who received SOC and cinacalcet in parent study 20130356 or 20110100 the starting dose was either the same as the last dose received in the parent study or 0.20 mg/kg/day if the last dose of cinacalcet in the parent study was received > 14 days before day 1 of this study. Dose adjustments and withholding were based on weekly assessments of ionized calcium as well as plasma intact parathyroid hormone (iPTH) and corrected serum calcium levels assessed monthly.
Receives: Drug: Cinacalcet

What is being measured

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

  1. Number of Participants With Adverse Events

    Adverse events (AEs) were graded according to the Common Terminology Criteria for Adverse Events (CTCAE, v4.0). The investigator assessed whether the adverse event was possibly related to the study drug as indicated by a "yes" or "no" response to the question: Is there a reasonable possibility that the event may have been caused by the study drug?

    Measured: From first dose of study drug in the extension study up to 4 weeks after the last dose; 32 weeks.

Secondary outcomes (13)
  1. Percentage of Participants Achieving ≥ 30% Reduction in iPTH From Baseline to Mean Value During Weeks 11 and 15

    This endpoint was analyzed in participants who received SOC only in parent study 20130356.

    Participants who had no iPTH values during weeks 11 or 15 were considered non-responders. Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Baseline (defined as the mean values of samples collected during the screening period and day 1 pre-dose in the extension study) and weeks 11 and 15

  2. Percentage of Participants Achieving ≥ 30% Reduction in iPTH From Baseline to Mean Value During Weeks 23 and 28

    This endpoint was analyzed in participants who received SOC only in parent study 20130356.

    For participants who had no values during week 23 and 28, the mean of the last 2 available post-baseline values collected in the dose-titration phase was used. If only 1 post-baseline value was available, this single value was used. If no post-baseline value was available, the participant was considered a non-responder. Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Extension study baseline and weeks 23 and 28

  3. Percent Change From Baseline in iPTH to the Mean Value During Weeks 23 and 28

    This endpoint was analyzed in participants who received SOC only in parent study 20130356.

    For participants who had no values during week 23 and week 28, the mean of the last 2 available post-baseline values collected in the dose-titration phase was used. If only 1 post-baseline value was available, this single value was used. If no post-baseline value was available, the participant was excluded from the analysis. Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Extension study baseline and weeks 23 and 28

  4. Percentage of Participants Who Achieved Mean iPTH ≤ 300 pg/mL During Weeks 23 and 28

    For participants who had no values during week 23 and 28, the mean of the last 2 available post-baseline values collected in the dose-titration phase was used. If only 1 post-baseline value was available, this single value was used. If no post-baseline value was available, the participant was considered a non-responder. Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Weeks 23 and 28

  5. Change From Baseline in Corrected Serum Calcium to the Mean Value During Weeks 23 to 28

    For participants who had no values during weeks 23 to 28, the mean of the last 2 available post-baseline values collected in the dose-titration phase was used. If only 1 post-baseline value was available, this single value was used. If no post-baseline value was available, the participant was excluded from the analysis. Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Extension study baseline and weeks 23 and 28

  6. Change From Baseline in Serum Phosphorus to the Mean Value During Weeks 23 to 28

    For participants who had no values during weeks 23 to 28, the mean of the last 2 available post-baseline values collected in the dose-titration phase was used. If only 1 post-baseline value was available, this single value was used. If no post-baseline value was available, the participant was excluded from the analysis. Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Extension study baseline and weeks 23 and 28

  7. Serum Corrected Calcium at Baseline, Week 11, and Week 28

    Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Extension study baseline, week 11 and week 28

  8. Serum Phosphorus at Baseline, Week 11, and Week 28

    Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Extension study baseline, week 11 and week 28

  9. Percentage of Participants Achieving ≥ 30% Reduction in iPTH From Day 1 of Cinacalcet Treatment to Mean Value During Weeks 11 and 15

    The percentage of participants who achieved ≥ 30% reduction in iPTH measured from the date the initial dose of cinacalcet was administered, in parent study 20130356 or 20110100 for participants who received cinacalcet in the parent study, or in the extension study for participants who received SOC only in parent study 20130356.

    Participants who had no iPTH values during weeks 11 and 15 were considered non-responders. Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Baseline and weeks 11 and 15, relative to day 1 of cinacalcet treatment.

  10. Percentage of Participants Achieving ≥ 30% Reduction in iPTH From Day 1 of Cinacalcet Treatment to Mean Value During Weeks 23 and 28

    The percentage of participants who achieved ≥ 30% reduction in iPTH measured from the date the initial dose of cinacalcet was administered, in parent study 20130356 or 20110100 for participants who received cinacalcet in the parent study, or in the extension study for participants who received SOC only in parent study 20130356.

    For participants who did not have an iPTH value during weeks 23 and 28, the mean of the last two available post-baseline values collected at protocol-specified visits was used. If only one post-baseline value was available, this single value was used. If no post-baseline value was available, the participant was considered a non-responder. Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Baseline and weeks 23 and 28, relative to day 1 of cinacalcet treatment.

  11. Percent Change From Day 1 of Cinacalcet Treatment in iPTH Over Time

    Percent change in iPTH measured from the date the initial dose of cinacalcet was administered, either in parent study 20130356 or 20110100, or in the extension study for participants who received SOC only in parent study 20130356.

    Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Baseline and weeks 3, 7, 11, 15, 17, 18, 19, 20, 23, 27, 31, 35, 39, 43, 48, 52, relative to day 1 of cinacalcet treatment, and at the end of treatment visit and end of study visit (4 weeks after the end of treatment visit).

  12. Change From Day 1 of Cinacalcet Treatment in Serum Corrected Calcium Over Time

    Change in corrected calcium measured from the date the initial dose of cinacalcet was administered, either in parent study 20130356 or 20110100, or in the extension study for participants who received SOC only in parent study 20130356.

    Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Baseline and weeks 3, 7, 11, 15, 17, 18, 19, 20, 23, 27, 31, 35, 39, 43, 48, 52, relative to day 1 of cinacalcet treatment, and at the end of treatment visit and end of study visit (4 weeks after the end of treatment visit).

  13. Change From Day 1 of Cinacalcet Treatment in Serum Phosphorus Over Time

    Change in phosphorus measured from the date the initial dose of cinacalcet was administered, either in parent study 20130356 or 20110100, or in the extension study for participants who received SOC only in parent study 20130356.

    Data collected more than 7 days after the last dose of study drug were excluded.

    Measured: Baseline and weeks 3, 7, 11, 15, 17, 18, 19, 20, 23, 27, 31, 35, 39, 43, 48, 52, relative to day 1 of cinacalcet treatment, and at the end of treatment visit and end of study visit (4 weeks after the end of treatment visit).

Timeline

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

  1. First posted19 Jan 2015 (estimated)
  2. Study start10 Jun 2015
  3. Primary completion15 Mar 2017
  4. Study completion15 Mar 2017

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02341417
Sponsor's protocol ID
20140159
Other IDs
2014-003563-38, 2014
Status last verified
Jun 2020
First submitted
2 Dec 2014
Last updated
29 Jun 2020
Data monitoring committee
No

Publications

  • 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 in people with Secondary Hyperparathyroidism, Chronic Kidney Disease, run by Amgen at 33 sites in 11 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 14 inclusion and 25 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 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 33 sites in United States, Germany, Russia, Poland, Belgium and 6 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. 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 18 May 2018). 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?

Number of Participants With Adverse Events (time frame: From first dose of study drug in the extension study up to 4 weeks after the last dose; 32 weeks.). 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 NCT02341417, which also lists 1 linked publication.

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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