Treatment Adhesion in Dialysis Patients Treated With Cinacalcet

NCT ID: NCT01573520

Last Updated: 2016-01-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2011-11-30

Brief Summary

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Controlling secondary hyperparathyroidism (sHPT) in maintenance hemodialysis (MHD) patients is cumbersome, partly due to patient's non-adherence to prescribed drugs.

The main objective of this study was to assess whether an integrated care (IC) approach, in which adherence data are integrated in the decisional process, led to improved therapeutic control of secondary hyperparathyroidsm and higher percentages of bone metabolism targets as compared to a usual care (UC) approach, in which biological values represent the main stem of the decisional process.

The predefined hypothesis was that patients of the IC group should reach the iPTH targets using 25% less doses of cinacalcet at 6 months than those of the UC group.

Detailed Description

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Conditions

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Hyperparathyroidism Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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usual care

Group Type NO_INTERVENTION

No interventions assigned to this group

adherence intervention arm

Monitoring drug adherence to guide treatment

Group Type ACTIVE_COMPARATOR

Monitoring of drug adherence

Intervention Type OTHER

In the IC group, biological and drug adherence results are shown and discussed through a nephrologists leaded semi-structured motivation interviews at interval of 2 months.

Interventions

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Monitoring of drug adherence

In the IC group, biological and drug adherence results are shown and discussed through a nephrologists leaded semi-structured motivation interviews at interval of 2 months.

Intervention Type OTHER

Other Intervention Names

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Compliance monitoring

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years
* Patients on hemodialysis since more than 3 months
* Patients with secondary hyperparathyroidism treated with Cinacalcet-HCl at a stable dose (30mg/day or more) for at least 1 month before enrolment and indication to Cinacalcet-HCL therapy (iPTH in target values or over target values)
* Patients with secondary hyperparathyroidism with indication to be treated with Cinacalcet-HCL (iPTH ≥ locally pre-defined targets). In this case, patients should be treated at least 1 month with stable dose Cinacalcet-HCL before enrolment

Exclusion Criteria

* Intolerance to Cincalcet-HCL
* Inability to understand the protocol
* Mental diseases
* Patients suffering from cancer or having a short life expectancy (\<6 months)
* Patients planned for a parathyroidectomy
* Patients having had a parathyroidectomy
* Patient already enrolled in a Cinacalcet-HCL protocol
* Symptomatic hypocalcaemia or total serum calcium \< 1.87 mmol/l
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Michel Burnier

OTHER

Sponsor Role lead

Responsible Party

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Michel Burnier

Centre Hospitalier Universitaire Vaudois

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Michel Burnier, MD

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Universitaire Vaudois

Locations

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Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

Site Status

Countries

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Switzerland

Other Identifiers

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268/09

Identifier Type: -

Identifier Source: org_study_id

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