Trial Outcomes & Findings for Healthy Combine Study (NCT NCT03136705)

NCT ID: NCT03136705

Last Updated: 2024-02-23

Results Overview

Longitudinal change in serum intact FGF23 levels from baseline visit through completion of study.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

39 participants

Primary outcome timeframe

Approximately 3 weeks.

Results posted on

2024-02-23

Participant Flow

Participant milestones

Participant milestones
Measure
Lanthanum + Nicotinamide
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate: Lanthanum Carbonate tablet
Lanthanum + Nicotinamide Placebo
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate: Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Lanthanum Placebo + Nicotinamide
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet
Lanthanum Placebo + Nicotinamide Placebo
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Overall Study
STARTED
9
10
10
10
Overall Study
COMPLETED
9
10
10
9
Overall Study
NOT COMPLETED
0
0
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Healthy Combine Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lanthanum + Nicotinamide
n=9 Participants
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate: Lanthanum Carbonate tablet
Lanthanum + Nicotinamide Placebo
n=10 Participants
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate: Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Lanthanum Placebo + Nicotinamide
n=10 Participants
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet
Lanthanum Placebo + Nicotinamide Placebo
n=10 Participants
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Total
n=39 Participants
Total of all reporting groups
Age, Continuous
37.8 years
STANDARD_DEVIATION 15.1 • n=93 Participants
27.1 years
STANDARD_DEVIATION 9.4 • n=4 Participants
29.4 years
STANDARD_DEVIATION 13.4 • n=27 Participants
26.6 years
STANDARD_DEVIATION 12.9 • n=483 Participants
30.0 years
STANDARD_DEVIATION 13 • n=36 Participants
Sex: Female, Male
Female
7 Participants
n=93 Participants
8 Participants
n=4 Participants
6 Participants
n=27 Participants
7 Participants
n=483 Participants
28 Participants
n=36 Participants
Sex: Female, Male
Male
2 Participants
n=93 Participants
2 Participants
n=4 Participants
4 Participants
n=27 Participants
3 Participants
n=483 Participants
11 Participants
n=36 Participants
Race/Ethnicity, Customized
Caucasian
5 Participants
n=93 Participants
9 Participants
n=4 Participants
7 Participants
n=27 Participants
6 Participants
n=483 Participants
27 Participants
n=36 Participants
Race/Ethnicity, Customized
African American
3 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
1 Participants
n=483 Participants
6 Participants
n=36 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=93 Participants
0 Participants
n=4 Participants
2 Participants
n=27 Participants
3 Participants
n=483 Participants
6 Participants
n=36 Participants
BMI
25.5 kg/m^2
STANDARD_DEVIATION 5.2 • n=93 Participants
23.3 kg/m^2
STANDARD_DEVIATION 2.7 • n=4 Participants
23.6 kg/m^2
STANDARD_DEVIATION 3.9 • n=27 Participants
23.2 kg/m^2
STANDARD_DEVIATION 2.7 • n=483 Participants
23.8 kg/m^2
STANDARD_DEVIATION 3.7 • n=36 Participants
Systolic blood pressure
109.3 mmHg
STANDARD_DEVIATION 10.6 • n=93 Participants
111.5 mmHg
STANDARD_DEVIATION 12.3 • n=4 Participants
115.8 mmHg
STANDARD_DEVIATION 6.9 • n=27 Participants
108.2 mmHg
STANDARD_DEVIATION 11.6 • n=483 Participants
111.3 mmHg
STANDARD_DEVIATION 10.6 • n=36 Participants
Serum Phosphate
3.4 mg/dL
STANDARD_DEVIATION 0.5 • n=93 Participants
3.6 mg/dL
STANDARD_DEVIATION 0.4 • n=4 Participants
3.4 mg/dL
STANDARD_DEVIATION 0.3 • n=27 Participants
3.6 mg/dL
STANDARD_DEVIATION 0.5 • n=483 Participants
3.5 mg/dL
STANDARD_DEVIATION 0.4 • n=36 Participants
Serum Creatinine
0.8 mg/dL
STANDARD_DEVIATION 0.2 • n=93 Participants
0.8 mg/dL
STANDARD_DEVIATION 0.2 • n=4 Participants
0.8 mg/dL
STANDARD_DEVIATION 0.2 • n=27 Participants
0.8 mg/dL
STANDARD_DEVIATION 0.1 • n=483 Participants
0.8 mg/dL
STANDARD_DEVIATION 0.2 • n=36 Participants
Urine 24 hour Phosphate total
511.8 mg
STANDARD_DEVIATION 210.7 • n=93 Participants
678.0 mg
STANDARD_DEVIATION 218.8 • n=4 Participants
799.0 mg
STANDARD_DEVIATION 265.1 • n=27 Participants
679.7 mg
STANDARD_DEVIATION 244.5 • n=483 Participants
671.1 mg
STANDARD_DEVIATION 248.7 • n=36 Participants
Urine 24 hour Creatinine total
1114.3 mg
STANDARD_DEVIATION 411.2 • n=93 Participants
1505.5 mg
STANDARD_DEVIATION 588.0 • n=4 Participants
1646.7 mg
STANDARD_DEVIATION 536.5 • n=27 Participants
1489.8 mg
STANDARD_DEVIATION 478.8 • n=483 Participants
1447.4 mg
STANDARD_DEVIATION 527.3 • n=36 Participants
Urine 24 hour Calcium total
59.6 mg
n=93 Participants
129.9 mg
n=4 Participants
175.2 mg
n=27 Participants
102.0 mg
n=483 Participants
118.5 mg
n=36 Participants
Urine 8 hour Phosphate total
280.9 mg
STANDARD_DEVIATION 135.0 • n=93 Participants
377.5 mg
STANDARD_DEVIATION 160.8 • n=4 Participants
407.3 mg
STANDARD_DEVIATION 184.8 • n=27 Participants
327.6 mg
STANDARD_DEVIATION 102.6 • n=483 Participants
350.4 mg
STANDARD_DEVIATION 149.8 • n=36 Participants
Urine 8 hour Creatinine total
478.5 mg
STANDARD_DEVIATION 218.1 • n=93 Participants
646.9 mg
STANDARD_DEVIATION 224.3 • n=4 Participants
687.1 mg
STANDARD_DEVIATION 225.3 • n=27 Participants
532.2 mg
STANDARD_DEVIATION 116.3 • n=483 Participants
591.8 mg
STANDARD_DEVIATION 209.5 • n=36 Participants
Urine 8 hour Calcium total
50.1 mg
n=93 Participants
60.2 mg
n=4 Participants
66.4 mg
n=27 Participants
57.3 mg
n=483 Participants
59.4 mg
n=36 Participants
Intact FGF23
68.0 pg/ml
n=93 Participants
66.9 pg/ml
n=4 Participants
54.2 pg/ml
n=27 Participants
72.3 pg/ml
n=483 Participants
66.2 pg/ml
n=36 Participants
C-terminal FG23
66.3 RU/ml
n=93 Participants
82.1 RU/ml
n=4 Participants
80.7 RU/ml
n=27 Participants
90.7 RU/ml
n=483 Participants
79.0 RU/ml
n=36 Participants

PRIMARY outcome

Timeframe: Approximately 3 weeks.

Population: intention to treat

Longitudinal change in serum intact FGF23 levels from baseline visit through completion of study.

Outcome measures

Outcome measures
Measure
Lanthanum + Nicotinamide
n=9 Participants
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate: Lanthanum Carbonate tablet
Lanthanum + Nicotinamide Placebo
n=10 Participants
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate: Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Lanthanum Placebo + Nicotinamide
n=10 Participants
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet
Lanthanum Placebo + Nicotinamide Placebo
n=9 Participants
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Change in Intact FGF23
1.001 pg/ml
Interval 0.978 to 1.024
1.006 pg/ml
Interval 0.983 to 1.029
1.009 pg/ml
Interval 0.987 to 1.032
1.005 pg/ml
Interval 0.995 to 1.014

SECONDARY outcome

Timeframe: Approximately 3 weeks.

Population: intention to treat

Longitudinal change in plasma phosphorus levels from baseline visit through completion of study.

Outcome measures

Outcome measures
Measure
Lanthanum + Nicotinamide
n=9 Participants
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate: Lanthanum Carbonate tablet
Lanthanum + Nicotinamide Placebo
n=10 Participants
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate: Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Lanthanum Placebo + Nicotinamide
n=10 Participants
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet
Lanthanum Placebo + Nicotinamide Placebo
n=9 Participants
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Change in Plasma Phosphorus Level
0.0099 mg/dl
Interval -0.0407 to 0.0604
-0.0102 mg/dl
Interval -0.0596 to 0.0392
0.0099 mg/dl
Interval -0.0395 to 0.0593
0.0004 mg/dl
Interval -0.0202 to 0.021

SECONDARY outcome

Timeframe: Approximately 3 weeks.

Population: intention to treat

Longitudinal change in 24 hour urinary phosphorus levels from baseline visit through completion of study.

Outcome measures

Outcome measures
Measure
Lanthanum + Nicotinamide
n=9 Participants
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate: Lanthanum Carbonate tablet
Lanthanum + Nicotinamide Placebo
n=10 Participants
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate: Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Lanthanum Placebo + Nicotinamide
n=10 Participants
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet
Lanthanum Placebo + Nicotinamide Placebo
n=9 Participants
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Change in 24 Hour Urinary Phosphorus Level
-10.24 mg
Interval -33.94 to 13.47
-5.88 mg
Interval -29.13 to 17.37
1.29 mg
Interval -22.11 to 24.69
-10.85 mg
Interval -20.56 to -1.13

Adverse Events

Lanthanum + Nicotinamide

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

Lanthanum + Nicotinamide Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Lanthanum Placebo + Nicotinamide

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

Lanthanum Placebo + Nicotinamide Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Lanthanum + Nicotinamide
n=9 participants at risk
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate: Lanthanum Carbonate tablet
Lanthanum + Nicotinamide Placebo
n=10 participants at risk
Lanthanum Carbonate 1000mg orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate: Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Lanthanum Placebo + Nicotinamide
n=10 participants at risk
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide 750mg orally twice daily for 2 weeks Nicotinamide: Nicotinamide tablet Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet
Lanthanum Placebo + Nicotinamide Placebo
n=9 participants at risk
Lanthanum Carbonate Placebo orally three times daily with meals for 2 weeks and Nicotinamide Placebo orally twice daily for 2 weeks Lanthanum Carbonate Placebo: Sugar pill manufactured to look like Lanthanum Carbonate tablet Nicotinamide Placebo: Sugar pill manufactured to look like Nicotinamide tablet
Metabolism and nutrition disorders
Hypophosphatemia
0.00%
0/9 • Duration of the study, which with study visit windows was approximately 3 weeks
Adverse event reporting did not differ from what is described under clinicaltrials.gov.
10.0%
1/10 • Number of events 1 • Duration of the study, which with study visit windows was approximately 3 weeks
Adverse event reporting did not differ from what is described under clinicaltrials.gov.
0.00%
0/10 • Duration of the study, which with study visit windows was approximately 3 weeks
Adverse event reporting did not differ from what is described under clinicaltrials.gov.
0.00%
0/9 • Duration of the study, which with study visit windows was approximately 3 weeks
Adverse event reporting did not differ from what is described under clinicaltrials.gov.

Additional Information

Doctor

Northwestern University Feinberg School of Medicine

Phone: 312-503-6921

Results disclosure agreements

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