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Effect of Lanthanum Carbonate in Patients Previously Treated With Calcium-based Phosphate Binder Therapy

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Shire
ClinicalTrials.gov Identifier:
NCT01130831
First received: May 20, 2010
Last updated: July 9, 2013
Last verified: July 2013
Results First Received: April 19, 2013  
Study Type: Observational
Study Design: Observational Model: Case-Only;   Time Perspective: Prospective
Condition: End Stage Renal Disease
Intervention: Drug: Lanthanum carbonate

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
Lanthanum Carbonate Lanthanum carbonate therapy after previous calcium-based phosphate binder therapy treatment for >=3 months.

Participant Flow:   Overall Study
    Lanthanum Carbonate
STARTED   66 
COMPLETED   52 
NOT COMPLETED   14 
Withdrawal by Subject                7 
Death                4 
Information was missing                3 



  Baseline Characteristics
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Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Safety Analysis Set included all screened subjects who took at least 1 dose of lanthanum carbonate and for whom 1 follow-up assessment was completed (n = 61).

Reporting Groups
  Description
Lanthanum Carbonate Lanthanum carbonate therapy after previous calcium-based phosphate binder therapy treatment for >=3 months.

Baseline Measures
   Lanthanum Carbonate 
Overall Participants Analyzed 
[Units: Participants]
 61 
Age 
[Units: Years]
Mean (Standard Deviation)
 66.0  (12.5) 
Age, Customized 
[Units: Participants]
 
>=18 years   61 
Gender 
[Units: Participants]
 
Female   22 
Male   39 
Region of Enrollment [1] 
[Units: Participants]
 
Germany   66 
[1] All screened subjects


  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Calcium-based Phosphate Binder Therapy   [ Time Frame: Baseline ]

2.  Primary:   Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Lanthanum Carbonate   [ Time Frame: 12 months ]

3.  Secondary:   Percent of Subjects That Achieved Controlled Serum Calcium Levels on Calcium-based Phosphate Binder Therapy   [ Time Frame: Baseline ]

4.  Secondary:   Percent of Subjects That Achieved Controlled Serum Calcium Levels on Lanthanum Carbonate Therapy   [ Time Frame: 12 months ]

5.  Secondary:   Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Calcium-based Phosphate Binder Therapy   [ Time Frame: Baseline ]

6.  Secondary:   Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy   [ Time Frame: 12 months ]

7.  Secondary:   Percent of Subjects That Maintained Control of Serum Phosphorous Levels on Lanthanum Carbonate   [ Time Frame: 12 months ]

8.  Secondary:   Percent of Subjects That Maintained Control of Serum Calcium Levels on Lanthanum Carbonate   [ Time Frame: 12 months ]

9.  Secondary:   Percent of Subjects That Maintained Control of Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy   [ Time Frame: 12 months ]

10.  Secondary:   Percent of Subjects That Maintained Control of Intact Parathyroid Hormone (iPTH) Levels on Lanthanum Carbonate Therapy   [ Time Frame: 12 months ]

11.  Secondary:   Percent Change From Baseline in Phosphorous Levels at 12 Months   [ Time Frame: Baseline and 12 months ]

12.  Secondary:   Percent Change From Baseline in Calcium Levels at 12 Months   [ Time Frame: Baseline and 12 months ]

13.  Secondary:   Percent Change From Baseline in Calcium-Phosphorous Product Levels at 12 Months   [ Time Frame: Baseline and 12 months ]

14.  Secondary:   Percent Change From Baseline in iPTH Levels at 12 Months   [ Time Frame: Baseline and 12 months ]

15.  Secondary:   Percent Change From Baseline in 25-Hydroxy Vitamin D Levels at 12 Months   [ Time Frame: Baseline and 12 months ]

16.  Secondary:   Percent Change From Baseline in 1,25-Hydroxy Vitamin D Levels at 12 Months   [ Time Frame: Baseline and 12 months ]

17.  Secondary:   Percent of Subjects With Hypocalcemic Events on Calcium-based Phosphate Binder Therapy   [ Time Frame: Baseline ]

18.  Secondary:   Percent of Subjects With Hypocalcemic Events on Lanthanum Carbonate   [ Time Frame: 12 months ]

19.  Secondary:   Percent of Subjects With Hypercalcemic Events on Calcium-based Phosphate Binder Therapy   [ Time Frame: Baseline ]

20.  Secondary:   Percent of Subjects With Hypercalcemic Events on Lanthanum Carbonate   [ Time Frame: 12 months ]

21.  Secondary:   Change From Baseline in Vitamin D Dose at 12 Months   [ Time Frame: Baseline and 12 months ]

22.  Secondary:   Change From Baseline in Mean Total Daily Dose of Calcium at 12 Months   [ Time Frame: Baseline and 12 months ]

23.  Secondary:   Number of Tablets Per Day   [ Time Frame: 12 months ]


  Serious Adverse Events


  Other Adverse Events


  Limitations and Caveats
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Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Results Point of Contact:  
Name/Title: Study Physician
Organization: Shire Development LLC
phone: +1 866 842 5335



Responsible Party: Shire
ClinicalTrials.gov Identifier: NCT01130831     History of Changes
Other Study ID Numbers: SPD405-702
Study First Received: May 20, 2010
Results First Received: April 19, 2013
Last Updated: July 9, 2013