A Study to Investigate the Influence of PTH-lowering by Etelcalcetide (Parsabiv®) on the Calcification Propensity of Serum in Dialysis Patients
NCT ID: NCT03795558
Last Updated: 2022-03-23
Study Results
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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COMPLETED
PHASE2
37 participants
INTERVENTIONAL
2019-05-01
2022-03-01
Brief Summary
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Detailed Description
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Study phases will begin and end on the day of the first hemodialysis session of the week.
The run-in phase will last 4 weeks. No calcimimetics will be prescribed during the run-in phase.
The treatment phase starts with a dose of etelcalcetide is 2.5mg thrice weekly. Etelcalcetide dose will be escalated every 4 weeks in 2.5mg/dialysis session increments to a maximum dose of 15mg thrice weekly.
The wash-out Phase starts after completion of the 15mg thrice-weekly phase or in case a pre-specified safety endpoint is reached, etelcalcetide will be discontinued and patients will be followed for additional 8 weeks to study any potential reversibility of PTH lowering on T50 results.
For the individual patient, the study duration will be 9 months
Conditions
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Study Design
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NON_RANDOMIZED
SEQUENTIAL
DIAGNOSTIC
NONE
Study Groups
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Etelcalcetide 2.5 mg
Etelcalcetide, starting dose of 2.5mg thrice weekly, dose will be escalated every 4 weeks in 2.5mg/dialysis session increments to a maximum dose of 15mg thrice weekly
Etelcalcetide
Up-Titration
Etelcalcetide 5 mg
Etelcalcetide, starting dose of 2.5mg thrice weekly, dose will be escalated every 4 weeks in 2.5mg/dialysis session increments to a maximum dose of 15mg thrice weekly
Etelcalcetide
Up-Titration
Etelcalcetide 7,5 mg
Etelcalcetide, starting dose of 2.5mg thrice weekly, dose will be escalated every 4 weeks in 2.5mg/dialysis session increments to a maximum dose of 15mg thrice weekly
Etelcalcetide
Up-Titration
Etelcalcetide 10 mg
Etelcalcetide, starting dose of 2.5mg thrice weekly, dose will be escalated every 4 weeks in 2.5mg/dialysis session increments to a maximum dose of 15mg thrice weekly
Etelcalcetide
Up-Titration
Etelcalcetide 12,5 mg
Etelcalcetide, starting dose of 2.5mg thrice weekly, dose will be escalated every 4 weeks in 2.5mg/dialysis session increments to a maximum dose of 15mg thrice weekly
Etelcalcetide
Up-Titration
Etelcalcetide 15 mg
Etelcalcetide, starting dose of 2.5mg thrice weekly, dose will be escalated every 4 weeks in 2.5mg/dialysis session increments to a maximum dose of 15mg thrice weekly
Etelcalcetide
Up-Titration
Interventions
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Etelcalcetide
Up-Titration
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Secondary hyperparathyroidism defined as PTH levels \> 9x ULN according to current KDIGO guidelines if therapy-naïve, or patients already treated with calcium receptor sensitizers with PTH \> 2x ULN
* Albumin corrected calcium ≥ 2,08 mmol/l
* Calcium concentrations of dialysate stable for at least 2 weeks prior to screening
Exclusion Criteria
* Current treatment with etelcalcetide (Parsabiv©) or treatment with etelcalcetide within 3 months prior to study inclusion
* Patient has known sensitivity to any of the products or components of Parsabiv©
* Patient has received a parathyroidectomy
* Parathyroidectomy planned or expected during the study period
* Elective kidney transplant scheduled during the study period
* Therapy with bisphosphonates within the past 12 months
* Therapy with denosumab within the past 6 months
* Antacids containing aluminum, calcium, magnesium or bicarbonate
* Patient has a history of symptomatic ventricular arrhythmias or Torsades de Pointes
* Patient has a history of myocardial infarction, coronary angioplasty, or coronary arterial bypass grafting within the past 6 months prior to screening.
* Pregnant or nursing (lactating) women
18 Years
ALL
No
Sponsors
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Amgen
INDUSTRY
Prim. Priv. Doz. Dr. Daniel Cejka
OTHER
Responsible Party
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Prim. Priv. Doz. Dr. Daniel Cejka
Head of Nephrology department
Principal Investigators
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Daniel Cejka, Md
Role: PRINCIPAL_INVESTIGATOR
Head of Nephrology
Locations
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Ordensklinikum Linz GmbH Elisabethinen
Linz, Upper Austria, Austria
Countries
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Other Identifiers
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Etelcalcetide-T50-CKD5D
Identifier Type: -
Identifier Source: org_study_id
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