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Study of Safety and Efficacy of Doxercalciferol in Patients With Chronic Kidney Disease, Stage 3 or 4, and Secondary Hyperparathyroidism

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

Condition(s) targeted: Secondary Hyperparathyroidism; Renal Failure; Chronic Renal Insufficiency

Intervention: Hectorol (doxercalciferol capsules), 0.5mcg (Drug)

Phase: Phase 4

Status: Completed

Sponsored by: Genzyme

Official(s) and/or principal investigator(s):
Ajay Duggal, M.D., Study Chair, Affiliation: Genzyme

Summary

The purpose of this study is to demonstrate the safety and effectiveness of Hectorol® (doxercalciferol) capsules in treating patients with Stage 3 or Stage 4 chronic kidney disease (CKD) with secondary hyperparathyroidism who have vitamin D levels in the normal range. Previous studies with doxercalciferol were conducted in patients who had low levels of vitamin D.

Clinical Details

Official title: A Phase 4, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Parallel Study to Assess the Efficacy and Safety of Doxercalciferol Capsules in Vitamin D-Replete Subjects With Chronic Kidney Disease (CKD) Stages 3 or 4 With Secondary Hyperparathyroidism (SHPT).

Study design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Laboratory measurement of intact parathyroid hormone (iPTH)

Secondary outcome: Laboratory measurement of serum bone markers

Eligibility

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

Criteria:

Inclusion Criteria:

- Plasma iPTH value above 110 pg/mL for CKD Stage 3 subjects or above 150 pg/mL for CKD

Stage 4

- Serum 25-hydroxyvitamin D level greater than or equal to 30 ng/mL

- CKD Stage 3 evidenced by a glomerular filtration rate (GFR) from the abbreviated MDRD

equation between 30-59 mL/min or CKD Stage 4 evidenced by a glomerular filtration rate (GFR) from the abbreviated MDRD equation between 15-29 mL/min

Exclusion Criteria:

- Serum cCa > 9. 5 mg/dL

- Serum P > 4. 6 mg/dL

- Abnormal liver functions

- Anticipated requirement for maintenance hemodialysis

- Use of active vitamin D sterol therapy

Locations and Contacts

Jose Cangiano, MD, San Juan 00918, Puerto Rico

Instituto Renal del Este, Caguas 00725, Puerto Rico

AKDHC Medical Research Services, Phoenix, Arizona 85012, United States

UCLA Diabetes Reseach Center, Alhambra, California, United States

Apex Research of Riverside, Riverside, California 92501, United States

George Washington University Hospital, Washington, District of Columbia 20037, United States

Nephrology Associates, Palm Beach Gardens, Florida 33410, United States

Discovery Medical Research Group, Ocala, Florida 34471, United States

Georgia Kidney Associates, Inc., Marietta, Georgia 30060, United States

Michigan Kidney Consultants, P.C., Pontiac, Michigan 48341, United States

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

Montefiore Medical Center, Bronx, New York, United States

University of Rochester Medical Center, Rochester, New York 14642, United States

Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States

Wake Nephrology Associates, PA, Raleigh, North Carolina, United States

Altru Health System Research Center, Grand Forks, North Dakota 58201, United States

Temple University, Philadelphia, Pennsylvania, United States

DaVita Lewiston Dialysis Center, Lewiston, Pennsylvania 17044, United States

Virginia Commonwealth University, Richmond, Virginia, United States

Additional Information

US FDA Approved Full Prescribing Information for Hectorol® Capsules

Starting date: July 2005
Ending date: October 2007
Last updated: December 21, 2007

Page last updated: June 20, 2008

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