Trial Outcomes & Findings for Study for Secondary Hyperparathyroidism in Chronic Renal Insufficiency Patients (NCT NCT00042432)

NCT ID: NCT00042432

Last Updated: 2013-05-13

Results Overview

Reduction in mean intact parathyroid hormone (iPTH) of ≥ 30% within the participant during the efficacy assessment phase

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

54 participants

Primary outcome timeframe

Efficacy assessment phase (weeks 12-18)

Results posted on

2013-05-13

Participant Flow

Participants were enrolled from 28 June 2002 through 14 November 2002

Participant milestones

Participant milestones
Measure
Cinacalcet (AMG 073)
Cinacalcet administered orally once daily with dose titrated starting at 30 mg
Placebo
Placebo administered orally once daily
Overall Study
STARTED
27
27
Overall Study
COMPLETED
18
20
Overall Study
NOT COMPLETED
9
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Cinacalcet (AMG 073)
Cinacalcet administered orally once daily with dose titrated starting at 30 mg
Placebo
Placebo administered orally once daily
Overall Study
Adverse Event
4
1
Overall Study
Withdrawal by Subject
1
3
Overall Study
Death
0
2
Overall Study
Ineligibility determined
1
0
Overall Study
Initiation of maintenance dialysis
1
1
Overall Study
Other
2
0

Baseline Characteristics

Study for Secondary Hyperparathyroidism in Chronic Renal Insufficiency Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cinacalcet (AMG 073)
n=27 Participants
Cinacalcet administered orally once daily with dose titrated starting at 30 mg
Placebo
n=27 Participants
Placebo administered orally once daily
Total
n=54 Participants
Total of all reporting groups
Age Continuous
60.6 Years
STANDARD_DEVIATION 15.5 • n=5 Participants
61.9 Years
STANDARD_DEVIATION 15.2 • n=7 Participants
61.2 Years
STANDARD_DEVIATION 15.2 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
5 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
22 Participants
n=7 Participants
38 Participants
n=5 Participants
Race/Ethnicity, Customized
White
18 Participants
n=5 Participants
13 Participants
n=7 Participants
31 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
6 Participants
n=5 Participants
10 Participants
n=7 Participants
16 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Glomerular Filtration Rate (GFR) Stratification Factor
GFR ≥ 15 and < 25 ml/min/1.73 m^2
20 Participants
n=5 Participants
19 Participants
n=7 Participants
39 Participants
n=5 Participants
Glomerular Filtration Rate (GFR) Stratification Factor
GFR ≥ 25 and ≤ 50 ml/min/1.73 m^2
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Intact Parathyroid Hormone (iPTH)
243.3 pg/mL
STANDARD_DEVIATION 139.5 • n=5 Participants
236.1 pg/mL
STANDARD_DEVIATION 189.5 • n=7 Participants
239.7 pg/mL
STANDARD_DEVIATION 164.9 • n=5 Participants

PRIMARY outcome

Timeframe: Efficacy assessment phase (weeks 12-18)

Population: All randomized participants, using Last Value Carried Forward (LVCF) imputation

Reduction in mean intact parathyroid hormone (iPTH) of ≥ 30% within the participant during the efficacy assessment phase

Outcome measures

Outcome measures
Measure
Cinacalcet (AMG 073)
n=27 Participants
Cinacalcet administered orally once daily with dose titrated starting at 30 mg
Placebo
n=27 Participants
Placebo administered orally once daily
Reduction in Mean iPTH of ≥ 30% During the Efficacy Assessment Phase
15 Participants
5 Participants

SECONDARY outcome

Timeframe: Baseline, efficacy assessment phase (weeks 12-18)

Population: All randomized participants, using Last Value Carried Forward (LVCF) imputation

Percentage change from baseline in mean intact parathyroid hormone (iPTH) during the efficacy assessment phase

Outcome measures

Outcome measures
Measure
Cinacalcet (AMG 073)
n=27 Participants
Cinacalcet administered orally once daily with dose titrated starting at 30 mg
Placebo
n=27 Participants
Placebo administered orally once daily
Percentage Change From Baseline in Mean iPTH During the Efficacy Assessment Phase
-31.5 Percent change
Standard Error 6.70
5.8 Percent change
Standard Error 6.97

Adverse Events

Placebo

Serious events: 6 serious events
Other events: 20 other events
Deaths: 0 deaths

Cinacalcet

Serious events: 3 serious events
Other events: 25 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=27 participants at risk
Cinacalcet
n=27 participants at risk
Cardiac disorders
Atrial fibrillation
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Cardiac disorders
Cardiac failure congestive
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Cardiac disorders
Myocardial infarction
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Gastrointestinal disorders
Gastrointestinal pain
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
General disorders
Oedema peripheral
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Infections and infestations
Pneumonia
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Infections and infestations
Sepsis
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Metabolism and nutrition disorders
Hypocalcaemia
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Musculoskeletal and connective tissue disorders
Clubbing
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Renal and urinary disorders
Renal failure acute
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Vascular disorders
Hypertension
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.

Other adverse events

Other adverse events
Measure
Placebo
n=27 participants at risk
Cinacalcet
n=27 participants at risk
Gastrointestinal disorders
Abdominal pain
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
11.1%
3/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Gastrointestinal disorders
Diarrhoea
14.8%
4/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
22.2%
6/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Gastrointestinal disorders
Dry mouth
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Gastrointestinal disorders
Dyspepsia
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Gastrointestinal disorders
Flatulence
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
11.1%
3/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Gastrointestinal disorders
Nausea
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
33.3%
9/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Gastrointestinal disorders
Toothache
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Gastrointestinal disorders
Vomiting
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
14.8%
4/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
General disorders
Asthenia
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
General disorders
Chills
11.1%
3/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
General disorders
Fatigue
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
General disorders
Oedema peripheral
11.1%
3/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Infections and infestations
Gastroenteritis
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Infections and infestations
Nasopharyngitis
11.1%
3/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Infections and infestations
Upper respiratory tract infection
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
11.1%
3/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Metabolism and nutrition disorders
Anorexia
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Metabolism and nutrition disorders
Gout
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Metabolism and nutrition disorders
Hypocalcaemia
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
11.1%
3/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
11.1%
3/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Musculoskeletal and connective tissue disorders
Joint swelling
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Musculoskeletal and connective tissue disorders
Muscle spasms
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
22.2%
6/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Musculoskeletal and connective tissue disorders
Myalgia
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Musculoskeletal and connective tissue disorders
Pain in extremity
14.8%
4/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
18.5%
5/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Nervous system disorders
Dizziness
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Nervous system disorders
Dysgeusia
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
11.1%
3/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Nervous system disorders
Headache
14.8%
4/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Nervous system disorders
Hypoaesthesia
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Nervous system disorders
Paraesthesia
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Nervous system disorders
Tremor
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Psychiatric disorders
Insomnia
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Respiratory, thoracic and mediastinal disorders
Cough
14.8%
4/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
Skin and subcutaneous tissue disorders
Pruritus
7.4%
2/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.
3.7%
1/27 • 18 weeks
The table of Other Adverse Events summarizes the most frequent non-serious occurrences of adverse events.

Additional Information

Study Director

Amgen Inc.

Phone: 866-572-6436

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multi-center studies, the investigator agrees not to publish any results before the first multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER