Overview

Efficacy and Safety of Paricalcitol on the Treatment of Secondary Hyperparathyroidism in Calcitriol Resistant Dialysis Subjects

Status:
Terminated
Trial end date:
2009-06-01
Target enrollment:
0
Participant gender:
All
Summary
The primary objective of this study is to evaluate the efficacy and safety of paricalcitol in participants with moderate to severe secondary hyperparathyroidism (SHPT) undergoing hemodialysis who are resistant to treatment with calcitriol.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Abbott
Collaborator:
Statistika Consultoria Ltda
Treatments:
Calcitriol
Ergocalciferols
Criteria
Inclusion Criteria:

- Male and female participants > 18 years of age, with chronic kidney disease (CKD)
stage V;

- Participants with diagnosis of calcitriol resistance defined as: Episodes of
hypercalcemia and/or hyperphosphatemia (defined as an episode of calcium or phosphorus
above Upper Limit of Normal or documented by medical history stating that the
treatment with calcitriol was discontinued due to hypercalcemia and/or
hyperphosphatemia) that precludes treatment continuation and/or persistent PTH above
600pg/mL during the calcitriol therapy;

- PTH value at screening visit between 600 pg/mL and 2,000 pg/mL;

- Stable clinical conditions;

- Participant has voluntarily consented to participate in the study, by signing and
dating an informed consent form, approved by an Institutional Review Board
(IRB)/Independent Ethics Committee (IEC), after the nature of the study has been
explained and all his questions about the study have been elucidated. The informed
consent must be signed before any study-specific procedures are performed.

Exclusion Criteria:

- Previous parathyroidectomy;

- Presence of hypercalcemia (corrected Ca > 10.5 mg/dL) and/or hyperphosphatemia (P >
6.0 mg/dL) and/or Ca x P product > 60, at screening visit (corrected Ca calculated by:
[4 - participant's serum albumin (g/dL)] x 0.8 + participant's serum Ca value);

- Severe and/or unstable clinical conditions, e.g., congestive heart failure, advanced
cancer, advanced HIV disease, severe endocrinopathies, uncompensated diabetes
mellitus, life-threatening cardiac arrhythmias, etc;

- Abnormal liver tests (> 1.5 times above upper limit of normal);

- Pregnant or breast-feeding women;

- Evidence of vitamin D toxicity;

- Known hypersensitivity to any study drug components.