Trial Outcomes & Findings for The COMBINE Study: The CKD Optimal Management With BInders and NicotinamidE (NCT NCT02258074)

NCT ID: NCT02258074

Last Updated: 2021-08-02

Results Overview

Change from baseline to 12 months in FGF23 level.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

205 participants

Primary outcome timeframe

Baseline to 12 months

Results posted on

2021-08-02

Participant Flow

Participant milestones

Participant milestones
Measure
Lanthanum Carbonate + Nicotinamide
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Lanthanum Carbonate
Lanthanum Carbonate + Nicotinamide Placebo
Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Lanthanum Carbonate Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide Placebo
One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Overall Study
STARTED
53
50
51
51
Overall Study
COMPLETED
52
50
51
51
Overall Study
NOT COMPLETED
1
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Lanthanum Carbonate + Nicotinamide
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Lanthanum Carbonate
Lanthanum Carbonate + Nicotinamide Placebo
Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Lanthanum Carbonate Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide Placebo
One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Overall Study
Withdrawal by Subject
1
0
0
0

Baseline Characteristics

The COMBINE Study: The CKD Optimal Management With BInders and NicotinamidE

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lanthanum Carbonate + Nicotinamide
n=53 Participants
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Lanthanum Carbonate
Lanthanum Carbonate + Nicotinamide Placebo
n=50 Participants
Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Lanthanum Carbonate Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide
n=51 Participants
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide Placebo
n=51 Participants
One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Total
n=205 Participants
Total of all reporting groups
Age, Continuous
69 years
STANDARD_DEVIATION 12 • n=5 Participants
67 years
STANDARD_DEVIATION 13 • n=7 Participants
70 years
STANDARD_DEVIATION 12 • n=5 Participants
69 years
STANDARD_DEVIATION 10 • n=4 Participants
69 years
STANDARD_DEVIATION 12 • n=21 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
22 Participants
n=7 Participants
17 Participants
n=5 Participants
18 Participants
n=4 Participants
77 Participants
n=21 Participants
Sex: Female, Male
Male
33 Participants
n=5 Participants
28 Participants
n=7 Participants
34 Participants
n=5 Participants
33 Participants
n=4 Participants
128 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
6 Participants
n=4 Participants
22 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
48 Participants
n=5 Participants
44 Participants
n=7 Participants
46 Participants
n=5 Participants
45 Participants
n=4 Participants
183 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
Asian
4 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
1 Participants
n=4 Participants
10 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
13 Participants
n=5 Participants
14 Participants
n=7 Participants
9 Participants
n=5 Participants
16 Participants
n=4 Participants
52 Participants
n=21 Participants
Race (NIH/OMB)
White
35 Participants
n=5 Participants
32 Participants
n=7 Participants
37 Participants
n=5 Participants
32 Participants
n=4 Participants
136 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Region of Enrollment
United States
53 participants
n=5 Participants
50 participants
n=7 Participants
51 participants
n=5 Participants
51 participants
n=4 Participants
205 participants
n=21 Participants
Diabetes Mellitus
31 Participants
n=5 Participants
33 Participants
n=7 Participants
23 Participants
n=5 Participants
25 Participants
n=4 Participants
112 Participants
n=21 Participants
Systolic BP
126.0 mm Hg
STANDARD_DEVIATION 15.0 • n=5 Participants
129.2 mm Hg
STANDARD_DEVIATION 17.2 • n=7 Participants
129.7 mm Hg
STANDARD_DEVIATION 15.3 • n=5 Participants
129.3 mm Hg
STANDARD_DEVIATION 21.2 • n=4 Participants
128.5 mm Hg
STANDARD_DEVIATION 17.3 • n=21 Participants
Diastolic BP
70.2 mm Hg
STANDARD_DEVIATION 11.1 • n=5 Participants
71.1 mm Hg
STANDARD_DEVIATION 11.7 • n=7 Participants
72.0 mm Hg
STANDARD_DEVIATION 12.5 • n=5 Participants
71.5 mm Hg
STANDARD_DEVIATION 12.8 • n=4 Participants
71.2 mm Hg
STANDARD_DEVIATION 12.0 • n=21 Participants
Body Mass Index
33.2 kg / m^2
STANDARD_DEVIATION 8.5 • n=5 Participants
30.9 kg / m^2
STANDARD_DEVIATION 6.3 • n=7 Participants
32.5 kg / m^2
STANDARD_DEVIATION 8.1 • n=5 Participants
31.0 kg / m^2
STANDARD_DEVIATION 6.1 • n=4 Participants
31.9 kg / m^2
STANDARD_DEVIATION 7.3 • n=21 Participants
eGFR
32.2 (ml/min/1.73m^2)
STANDARD_DEVIATION 7.2 • n=5 Participants
33.0 (ml/min/1.73m^2)
STANDARD_DEVIATION 7.9 • n=7 Participants
32.1 (ml/min/1.73m^2)
STANDARD_DEVIATION 7.1 • n=5 Participants
32.3 (ml/min/1.73m^2)
STANDARD_DEVIATION 7.0 • n=4 Participants
32.4 (ml/min/1.73m^2)
STANDARD_DEVIATION 7.3 • n=21 Participants
Urine Albumin Creatinine Ratio
0.1 (g/g) (range is 10th and 90th pctl)
n=5 Participants
0.2 (g/g) (range is 10th and 90th pctl)
n=7 Participants
0.1 (g/g) (range is 10th and 90th pctl)
n=5 Participants
0.2 (g/g) (range is 10th and 90th pctl)
n=4 Participants
0.1 (g/g) (range is 10th and 90th pctl)
n=21 Participants
Calcitriol Use
8 Participants
n=5 Participants
10 Participants
n=7 Participants
13 Participants
n=5 Participants
10 Participants
n=4 Participants
41 Participants
n=21 Participants
Serum Phosphate
3.6 mg/dL
STANDARD_DEVIATION 0.5 • n=5 Participants
3.7 mg/dL
STANDARD_DEVIATION 0.6 • n=7 Participants
3.8 mg/dL
STANDARD_DEVIATION 0.5 • n=5 Participants
3.6 mg/dL
STANDARD_DEVIATION 0.5 • n=4 Participants
3.7 mg/dL
STANDARD_DEVIATION 0.6 • n=21 Participants
Serum FGF-23
104.0 pg/ml (range is 10th to 90th pctls)
n=5 Participants
94.8 pg/ml (range is 10th to 90th pctls)
n=7 Participants
103.5 pg/ml (range is 10th to 90th pctls)
n=5 Participants
96.4 pg/ml (range is 10th to 90th pctls)
n=4 Participants
98.8 pg/ml (range is 10th to 90th pctls)
n=21 Participants
Serum Calcium
9.5 mg/dL
STANDARD_DEVIATION 0.5 • n=5 Participants
9.5 mg/dL
STANDARD_DEVIATION 0.5 • n=7 Participants
9.5 mg/dL
STANDARD_DEVIATION 0.5 • n=5 Participants
9.5 mg/dL
STANDARD_DEVIATION 0.5 • n=4 Participants
9.5 mg/dL
STANDARD_DEVIATION 0.5 • n=21 Participants
Intact PTH
121.4 pg/ml
STANDARD_DEVIATION 88.7 • n=5 Participants
123.2 pg/ml
STANDARD_DEVIATION 75.8 • n=7 Participants
115.6 pg/ml
STANDARD_DEVIATION 80.4 • n=5 Participants
124.6 pg/ml
STANDARD_DEVIATION 94.7 • n=4 Participants
121.2 pg/ml
STANDARD_DEVIATION 84.8 • n=21 Participants
Urine Phosphorus
657.4 mg/24 hrs
STANDARD_DEVIATION 265.2 • n=5 Participants
658.5 mg/24 hrs
STANDARD_DEVIATION 267.9 • n=7 Participants
712.8 mg/24 hrs
STANDARD_DEVIATION 235.0 • n=5 Participants
644.4 mg/24 hrs
STANDARD_DEVIATION 245.2 • n=4 Participants
668.1 mg/24 hrs
STANDARD_DEVIATION 252.9 • n=21 Participants
Phosphorus/Creatinine Ratio
447.0 mg/g
STANDARD_DEVIATION 146.1 • n=5 Participants
451.6 mg/g
STANDARD_DEVIATION 120.9 • n=7 Participants
487.4 mg/g
STANDARD_DEVIATION 126.4 • n=5 Participants
462.9 mg/g
STANDARD_DEVIATION 130.7 • n=4 Participants
462.1 mg/g
STANDARD_DEVIATION 131.5 • n=21 Participants

PRIMARY outcome

Timeframe: Baseline to 12 months

Population: Adults with CKD

Change from baseline to 12 months in FGF23 level.

Outcome measures

Outcome measures
Measure
Lanthanum Carbonate + Nicotinamide
n=53 Participants
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Lanthanum Carbonate
Lanthanum Carbonate + Nicotinamide Placebo
n=50 Participants
Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Lanthanum Carbonate Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide
n=51 Participants
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide Placebo
n=51 Participants
One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
FGF23
.047 pg/ml
Interval -0.056 to 0.151
-.003 pg/ml
Interval -0.109 to 0.104
.193 pg/ml
Interval 0.085 to 0.303
.138 pg/ml
Interval 0.033 to 0.233

PRIMARY outcome

Timeframe: Baseline to 12 months

Change from Baseline to 12 months in serum phosphate level

Outcome measures

Outcome measures
Measure
Lanthanum Carbonate + Nicotinamide
n=53 Participants
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Lanthanum Carbonate
Lanthanum Carbonate + Nicotinamide Placebo
n=50 Participants
Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Lanthanum Carbonate Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide
n=51 Participants
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide Placebo
n=51 Participants
One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Serum Phosphate (mg/dl)
0.06 mg/dl
Interval -0.08 to 0.2
0.06 mg/dl
Interval -0.09 to 0.21
0.12 mg/dl
Interval -0.03 to 0.27
0.12 mg/dl
Interval -0.01 to 0.26

Adverse Events

Lanthanum Carbonate + Nicotinamide

Serious events: 18 serious events
Other events: 33 other events
Deaths: 1 deaths

Lanthanum Carbonate + Nicotinamide Placebo

Serious events: 14 serious events
Other events: 29 other events
Deaths: 0 deaths

Lanthanum Carbonate Placebo and Nicotinamide

Serious events: 14 serious events
Other events: 30 other events
Deaths: 1 deaths

Lanthanum Carbonate Placebo and Nicotinamide Placebo

Serious events: 14 serious events
Other events: 26 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Lanthanum Carbonate + Nicotinamide
n=53 participants at risk
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Lanthanum Carbonate
Lanthanum Carbonate + Nicotinamide Placebo
n=50 participants at risk
Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Lanthanum Carbonate Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide
n=51 participants at risk
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide Placebo
n=51 participants at risk
One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Cardiac disorders
Cardiovascular Hospitalizations
15.1%
8/53 • Number of events 12 • 1 year
8.0%
4/50 • Number of events 5 • 1 year
7.8%
4/51 • Number of events 6 • 1 year
11.8%
6/51 • Number of events 12 • 1 year
Gastrointestinal disorders
GI Hospitalizations
3.8%
2/53 • Number of events 2 • 1 year
10.0%
5/50 • Number of events 5 • 1 year
2.0%
1/51 • Number of events 1 • 1 year
0.00%
0/51 • 1 year
Hepatobiliary disorders
Hepatic Hospitalizations
1.9%
1/53 • Number of events 1 • 1 year
0.00%
0/50 • 1 year
0.00%
0/51 • 1 year
0.00%
0/51 • 1 year
Renal and urinary disorders
Reached ESRD (dialysis or transplant)
7.5%
4/53 • Number of events 4 • 1 year
2.0%
1/50 • Number of events 1 • 1 year
3.9%
2/51 • Number of events 2 • 1 year
2.0%
1/51 • Number of events 1 • 1 year
Infections and infestations
Infection-related Hospitalizations
5.7%
3/53 • Number of events 3 • 1 year
6.0%
3/50 • Number of events 3 • 1 year
5.9%
3/51 • Number of events 3 • 1 year
2.0%
1/51 • Number of events 1 • 1 year
Renal and urinary disorders
Renal Hospitalizations
9.4%
5/53 • Number of events 5 • 1 year
4.0%
2/50 • Number of events 2 • 1 year
2.0%
1/51 • Number of events 1 • 1 year
5.9%
3/51 • Number of events 3 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignancy
3.8%
2/53 • Number of events 2 • 1 year
2.0%
1/50 • Number of events 1 • 1 year
0.00%
0/51 • 1 year
0.00%
0/51 • 1 year
Surgical and medical procedures
Surgical and Medical Procedures
0.00%
0/53 • 1 year
0.00%
0/50 • 1 year
2.0%
1/51 • Number of events 1 • 1 year
0.00%
0/51 • 1 year
Nervous system disorders
Nervous System
3.8%
2/53 • Number of events 2 • 1 year
0.00%
0/50 • 1 year
2.0%
1/51 • Number of events 1 • 1 year
3.9%
2/51 • Number of events 2 • 1 year
Injury, poisoning and procedural complications
Injury
0.00%
0/53 • 1 year
0.00%
0/50 • 1 year
2.0%
1/51 • Number of events 1 • 1 year
0.00%
0/51 • 1 year
Respiratory, thoracic and mediastinal disorders
Respiratory
5.7%
3/53 • Number of events 3 • 1 year
0.00%
0/50 • 1 year
0.00%
0/51 • 1 year
0.00%
0/51 • 1 year
Musculoskeletal and connective tissue disorders
Musculoskeletal
1.9%
1/53 • Number of events 1 • 1 year
2.0%
1/50 • Number of events 1 • 1 year
3.9%
2/51 • Number of events 2 • 1 year
2.0%
1/51 • Number of events 1 • 1 year
Endocrine disorders
Endocrine
1.9%
1/53 • Number of events 1 • 1 year
0.00%
0/50 • 1 year
2.0%
1/51 • Number of events 2 • 1 year
3.9%
2/51 • Number of events 2 • 1 year

Other adverse events

Other adverse events
Measure
Lanthanum Carbonate + Nicotinamide
n=53 participants at risk
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Lanthanum Carbonate
Lanthanum Carbonate + Nicotinamide Placebo
n=50 participants at risk
Two lanthanum carbonate 500 mg capsules by mouth with each meal (3000 mg) for 12 months. One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Lanthanum Carbonate Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide
n=51 participants at risk
One nicotinamide 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Nicotinamide Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Lanthanum Carbonate Placebo and Nicotinamide Placebo
n=51 participants at risk
One Placebo (for nicotinamide) 750 mg capsule by mouth twice daily (1500 mg) for 12 months. Two Placebo (for lanthanum carbonate) 500 mg capsules by mouth with each meal (3000 mg) for 12 months. Placebo (for Nicotinamide): Sugar pill manufactured to mimic Nicotinamide 750 mg capsule Placebo (for lanthanum carbonate): Sugar pill manufactured to mimic Lanthanum Carbonate 500 mg capsule
Gastrointestinal disorders
Nausea (severe)
20.8%
11/53 • Number of events 20 • 1 year
18.0%
9/50 • Number of events 15 • 1 year
7.8%
4/51 • Number of events 9 • 1 year
7.8%
4/51 • Number of events 4 • 1 year
Gastrointestinal disorders
Heartburn (severe)
3.8%
2/53 • Number of events 3 • 1 year
6.0%
3/50 • Number of events 5 • 1 year
0.00%
0/51 • 1 year
7.8%
4/51 • Number of events 6 • 1 year
Gastrointestinal disorders
Diarrhea (severe)
22.6%
12/53 • Number of events 22 • 1 year
10.0%
5/50 • Number of events 8 • 1 year
15.7%
8/51 • Number of events 14 • 1 year
13.7%
7/51 • Number of events 15 • 1 year
Skin and subcutaneous tissue disorders
Flushing
1.9%
1/53 • Number of events 1 • 1 year
10.0%
5/50 • Number of events 14 • 1 year
7.8%
4/51 • Number of events 7 • 1 year
7.8%
4/51 • Number of events 8 • 1 year
Immune system disorders
Hives
1.9%
1/53 • Number of events 3 • 1 year
10.0%
5/50 • Number of events 5 • 1 year
17.6%
9/51 • Number of events 13 • 1 year
0.00%
0/51 • 1 year
Blood and lymphatic system disorders
Bruising
37.7%
20/53 • Number of events 57 • 1 year
32.0%
16/50 • Number of events 32 • 1 year
41.2%
21/51 • Number of events 55 • 1 year
35.3%
18/51 • Number of events 47 • 1 year
Blood and lymphatic system disorders
Bleeding
18.9%
10/53 • Number of events 18 • 1 year
26.0%
13/50 • Number of events 21 • 1 year
19.6%
10/51 • Number of events 22 • 1 year
13.7%
7/51 • Number of events 14 • 1 year
Renal and urinary disorders
Serum Phosphate >= 5.9 mg/dl
1.9%
1/53 • Number of events 2 • 1 year
2.0%
1/50 • Number of events 1 • 1 year
0.00%
0/51 • 1 year
0.00%
0/51 • 1 year
Renal and urinary disorders
Serum Phosphate < 1.5 mg/dl
1.9%
1/53 • Number of events 1 • 1 year
0.00%
0/50 • 1 year
0.00%
0/51 • 1 year
0.00%
0/51 • 1 year
Blood and lymphatic system disorders
Platelets < 100,000
1.9%
1/53 • Number of events 2 • 1 year
0.00%
0/50 • 1 year
0.00%
0/51 • 1 year
3.9%
2/51 • Number of events 4 • 1 year
Hepatobiliary disorders
Liver Function Abnormalities
0.00%
0/53 • 1 year
0.00%
0/50 • 1 year
0.00%
0/51 • 1 year
0.00%
0/51 • 1 year
Cardiac disorders
Creatine Kinase > 800 U/L
1.9%
1/53 • Number of events 1 • 1 year
0.00%
0/50 • 1 year
0.00%
0/51 • 1 year
0.00%
0/51 • 1 year

Additional Information

Jennifer J. Gassman, PhD

Cleveland Clinic Foundation

Phone: 216-444-9938

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place