Trial Outcomes & Findings for Pharmacodynamic Study of Two Lanthanum Carbonate Formulations in Healthy Adults (NCT NCT00880750)

NCT ID: NCT00880750

Last Updated: 2021-06-11

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

72 participants

Primary outcome timeframe

Continuous collection over 3 days

Results posted on

2021-06-11

Participant Flow

Participant milestones

Participant milestones
Measure
Lanthanum Carbonate Granules First
Granule formulation first at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4, a washout period, then chewable tablet formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4.
Lanthanum Carbonate Chewable Tablet First
Chewable tablet formulation first at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4, a washout period, then granule formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4.
First Intervention
STARTED
39
33
First Intervention
COMPLETED
30
32
First Intervention
NOT COMPLETED
9
1
Washout Period
STARTED
30
32
Washout Period
COMPLETED
30
32
Washout Period
NOT COMPLETED
0
0
Second Intervention
STARTED
30
32
Second Intervention
COMPLETED
26
30
Second Intervention
NOT COMPLETED
4
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Lanthanum Carbonate Granules First
Granule formulation first at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4, a washout period, then chewable tablet formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4.
Lanthanum Carbonate Chewable Tablet First
Chewable tablet formulation first at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4, a washout period, then granule formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4.
First Intervention
Adverse Event
1
0
First Intervention
Unable to collect urine
4
0
First Intervention
Non-compliance with meals
0
1
First Intervention
Withdrawal by Subject
2
0
First Intervention
Lost to Follow-up
2
0
Second Intervention
Withdrawal by Subject
2
2
Second Intervention
Protocol Violation
1
0
Second Intervention
Unable to collect urine
1
0

Baseline Characteristics

Pharmacodynamic Study of Two Lanthanum Carbonate Formulations in Healthy Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lanthanum Carbonate Granules First
n=39 Participants
Granule formulation first at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4, a washout period, then chewable tablet formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4.
Lanthanum Carbonate Chewable Tablet First
n=33 Participants
Chewable tablet formulation first at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4, a washout period, then granule formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4.
Total
n=72 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
39 Participants
n=93 Participants
33 Participants
n=4 Participants
72 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Continuous
31.5 years
STANDARD_DEVIATION 8.70 • n=93 Participants
31.3 years
STANDARD_DEVIATION 7.83 • n=4 Participants
31.4 years
STANDARD_DEVIATION 8.26 • n=27 Participants
Sex: Female, Male
Female
11 Participants
n=93 Participants
9 Participants
n=4 Participants
20 Participants
n=27 Participants
Sex: Female, Male
Male
28 Participants
n=93 Participants
24 Participants
n=4 Participants
52 Participants
n=27 Participants
Region of Enrollment
United States
39 Participants
n=93 Participants
33 Participants
n=4 Participants
72 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Continuous collection over 3 days

Population: Pharmacodynamic Set (PD) includes all subjects who completed all urine collections and consumed at least 95% of food in all treatment periods. Subjects who vomited from days -2 to 4 of any treatment period were excluded from the set.

Outcome measures

Outcome measures
Measure
Lanthanum Carbonate Granules
n=49 Participants
Granule formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Lanthanum Carbonate Chewable Tablet
n=49 Participants
Chewable tablet formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Urinary Phosphate Excretion 3-Day Average
16.01 mmol
Standard Error 0.485
17.35 mmol
Standard Error 0.484

SECONDARY outcome

Timeframe: Continuous collection on Day 4

Population: PD set

Outcome measures

Outcome measures
Measure
Lanthanum Carbonate Granules
n=49 Participants
Granule formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Lanthanum Carbonate Chewable Tablet
n=49 Participants
Chewable tablet formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Urinary Phosphate Excretion on Day 4
15.03 mmol
Standard Error 0.569
17.01 mmol
Standard Error 0.569

SECONDARY outcome

Timeframe: 3, 4, 5, 6, 8, 12, 18, 24, 36 and 48 hours post-dose on Day 4

Population: Pharmacokinetic set (PK) includes all subjects who had sufficient post-dose blood samples taken to estimate Cmax and AUC 0-48 hours after dosing on Day 4 in all treatment periods. Subjects who vomited between dosing and 10 hours post-dose on Day 4 of any treatment period were excluded from the PK set.

Outcome measures

Outcome measures
Measure
Lanthanum Carbonate Granules
n=62 Participants
Granule formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Lanthanum Carbonate Chewable Tablet
n=58 Participants
Chewable tablet formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Area Under the Steady-state Plasma Concentration-time Curve (AUC) of Lanthanum Carbonate
14.2 ng*h/ml
Standard Deviation 6.02
10.3 ng*h/ml
Standard Deviation 3.50

SECONDARY outcome

Timeframe: 3, 4, 5, 6, 8, 12, 18, 24, 36 and 48 hours post-dose on Day 4

Population: PK set

Outcome measures

Outcome measures
Measure
Lanthanum Carbonate Granules
n=64 Participants
Granule formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Lanthanum Carbonate Chewable Tablet
n=58 Participants
Chewable tablet formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Maximum Plasma Concentration (Cmax) of Lanthanum Carbonate
0.638 ng/ml
Standard Deviation 0.241
0.504 ng/ml
Standard Deviation 0.181

SECONDARY outcome

Timeframe: 3, 4, 5, 6, 8, 12, 18, 24, 36 and 48 hours post-dose on Day 4

Population: PK set

Outcome measures

Outcome measures
Measure
Lanthanum Carbonate Granules
n=64 Participants
Granule formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Lanthanum Carbonate Chewable Tablet
n=58 Participants
Chewable tablet formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Time of Maximum Plasma Concentration (Tmax) of Lanthanum Carbonate
4.00 hours
Full Range 0.0 • Interval 0.0 to 6.0
4.00 hours
Full Range 0.0 • Interval 0.0 to 8.0

Adverse Events

Lanthanum Carbonate Granules

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Lanthanum Carbonate Chewable Tablet

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Lanthanum Carbonate Granules
n=71 participants at risk
Granule formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Lanthanum Carbonate Chewable Tablet
n=61 participants at risk
Chewable tablet formulation at 1000 mg three times a day for 3 days and a single 1000 mg dose after breakfast on Day 4
Gastrointestinal disorders
Nausea
8.5%
6/71 • Number of events 7
Safety set (SS) consists of subjects who received at least 1 dose of the investigational medicinal product and had at least 1 post-dose safety assessment.
4.9%
3/61 • Number of events 3
Safety set (SS) consists of subjects who received at least 1 dose of the investigational medicinal product and had at least 1 post-dose safety assessment.
Nervous system disorders
Headache
5.6%
4/71 • Number of events 5
Safety set (SS) consists of subjects who received at least 1 dose of the investigational medicinal product and had at least 1 post-dose safety assessment.
4.9%
3/61 • Number of events 3
Safety set (SS) consists of subjects who received at least 1 dose of the investigational medicinal product and had at least 1 post-dose safety assessment.

Additional Information

Study Director

Shire

Phone: +1 866 842 5335

Results disclosure agreements

  • Principal investigator is a sponsor employee If a multicenter publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after Sponsor confirms there shall be no multicenter Study publication, the Institution and/or such Principal Investigator may publish the results from the Institution site individually.
  • Publication restrictions are in place

Restriction type: OTHER