FGF-23 Regulation in Chronic Kidney Disease
Recruitment status was Not yet recruiting
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
FGF-23 is a newly described protein that is an important regulator of phosphorus in the body. This protein increases in people with kidney disease and people who need dialysis have very high levels of FGF-23 in the blood. However, although some studies have indicated that FGF-23 levels go up with increased intake of phosphorus, no one knows if FGF-23 levels can be lowered in patients with kidney disease by preventing them from absorbing phosphorus from food. This study is designed to see what happens to levels of FGF-23 in the blood when patients with chronic kidney disease take medications to prevent phosphorus absorption. Since high levels of FGF-23 have been linked with increased rates of death in patients with advanced kidney disease, controlling the levels may, in the future, be a way to decrease heart disease in patients with kidney disease.
| Condition | Intervention |
|---|---|
|
Secondary Hyperparathyroidism |
Drug: Sevelamer Carbonate Other: Placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Prevention |
- Change in FGF-23 level [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- 1,25(OH)2vitamin D value [ Time Frame: 12 weekx ] [ Designated as safety issue: No ]
- Serum Phosphate Concentration [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 50 |
| Study Start Date: | October 2009 |
| Estimated Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Renvela
Daily renvela with meals for 12 weeks
|
Drug: Sevelamer Carbonate
Daily renvela (800 mg tid with meals) x 12 weeks
Other Name: Renvela
|
| Placebo Comparator: placebo |
Other: Placebo
1 inert tablet tid x 12 weeks
|
Eligibility| Ages Eligible for Study: | 6 Years to 21 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Inclusion criteria include pediatric patients, between the ages of 2 and 21 years, with CKD stages 2-4 (GFR 15-90 ml/min/1.73m2).
Exclusion Criteria:
- Exclusion criteria include: the use of phosphate binder therapy within the past 3 months, treatment with 25(OH)vitamin D or 1,25dihydroxyvitamin D, underlying metabolic bone disease, or underlying renal phosphate wasting disorder.
Contacts and Locations| Contact: Katherine Wesseling-Perry, MD | 310-206-6987 | kwesseling@mednet.ucla.edu |
| United States, California | |
| UCLA | Not yet recruiting |
| Los Angeles, California, United States, 90095 | |
| Contact: Katherine Wesseling-Perry, MD 310-206-6987 | |
More Information
No publications provided
| Responsible Party: | Katherine Wesseling-Perry, Univeristy of California, Los Angeles |
| ClinicalTrials.gov Identifier: | NCT00999037 History of Changes |
| Other Study ID Numbers: | 1K23DK080984-01A1 |
| Study First Received: | October 20, 2009 |
| Last Updated: | October 20, 2009 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Hyperparathyroidism Hyperparathyroidism, Secondary Renal Insufficiency, Chronic Parathyroid Diseases Endocrine System Diseases Renal Insufficiency |
Kidney Diseases Urologic Diseases Sevelamer Chelating Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 22, 2013