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Efficacy and Safety of Lanthanum Carbonate in Reducing Serum Phosphorus Levels in Subjects With Stage 3 and 4 Chronic Kidney Disease

Information source: Shire Pharmaceutical Development
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Kidney Diseases

Intervention: Lanthanum carbonate (Drug); Placebo (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Shire Pharmaceutical Development

Official(s) and/or principal investigator(s):
Dr. William F Finn, Principal Investigator, Affiliation: University of North Carolina

Summary

Chronic kidney disease (CKD) can result in a loss of ability to filter and excrete phosphate. The body's attempt to adjust to an increased level of phosphate in the blood can result in elevated levels of hormones and minerals resulting in serious clinical consequences. This study is being conducted to evaluate the safety and efficacy of lanthanum carbonate in lowering high levels of phosphorus in the blood in subjects with CKD Stages 3 and 4 compared to placebo.

Clinical Details

Official title: A Phase II, Double-Blind, Randomized, Placebo-Controlled Study to Assess the Efficacy and Safety of Lanthanum Carbonate for the Reduction of Serum Phosphorus in Subjects With Stage 3 and 4 Chronic Kidney Disease Who Have Elevated Serum Phosphorus Levels

Study design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Serum phosphorus levels at 8 weeks.

Secondary outcome: PTH levels, calcium-phosphorus product.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Under a physician's care for CKD for > 2 months and are not expected to begin dialysis

for 4 months

- Screening estimated GFR of 15-59 mL/1. 73 m2

- Serum phosphorus >= 4. 7 mg/d following washout

Exclusion Criteria:

- Requiring treatment with cinacalcet HCI or compounds containing phosphate, aluminum,

calcium or magnesium

- Rapidly progressing glomerulonephritis

- Cirrhosis or other clinically significant liver diseases

- Past or present uncontrolled peptic ulcer, Crohn's disease, malignancy or recent GI

bleed

Locations and Contacts

Barnett Research & Communications Medical Corporation, Torrance, California 90503, United States

VA Greater Los Angeles Health Care System, Los Angeles, California 90073, United States

Western Nephrology & Metabolic Bone Disease, PC, Thornton, Colorado 80260, United States

Outcomes Research International, Inc., Hudson, Florida 34667, United States

Twin Cities Clinical Research, Brooklyn Center, Minnesota 55430, United States

St. Louis University/Nephrology, St. Louis, Missouri 63110, United States

University of North Carolina, Chapel Hill, North Carolina 27599, United States

Northwest Renal Clinic, Portland, Oregon 97210, United States

Nephrology Associates, Nashville, Tennessee, United States

Kidney Associates, Houston, Texas 77030, United States

Additional Information

Starting date: October 2005
Ending date: June 2007
Last updated: May 14, 2008

Page last updated: June 20, 2008

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