UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000036702
Receipt number R000041815
Scientific Title Prescription change from cinacalcet hydrochloride to evocalcet in hemodialysis patients with secondary hyperparathyroidism
Date of disclosure of the study information 2019/05/10
Last modified on 2019/11/11 10:17:18

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Basic information

Public title

Prescription change from cinacalcet hydrochloride to evocalcet in hemodialysis patients

Acronym

Switching from cinacalcet hydrochloride to evocalcet

Scientific Title

Prescription change from cinacalcet hydrochloride to evocalcet in hemodialysis patients with secondary hyperparathyroidism

Scientific Title:Acronym

Switching from cinacalcet hydrochloride to evocalcet in hemodialysis patients with SHPT

Region

Japan


Condition

Condition

Chronic hemodialysis patients with secondary hyperparathyroidism

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the influences of prescription change from cinacalcet hydrochloride (cinacalcet) to evocalcet on serum parameters in real world.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Serum parathyroid hormone (PTH) levels for 12 months after the switching.

Key secondary outcomes

Evocalcet dose
Serum corrected calcium levels
Serum phosphate levels
Serum alkaline phosphatase levels
Questionnaire on GI symptoms and medication adherence
Concomitant medication


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Prescription change from cinacalcet hydrochloride (usual dose) to evocalcet (1 mg/day) and followed for 12 months.
Questionnaire on GI symptoms and medication adherence.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

95 years-old >

Gender

Male and Female

Key inclusion criteria

Chronic hemodialysis patients treated with cinacalcet hydrochloride

Key exclusion criteria

Patients not treated with cinacalcet hydrochloride
Patients without informed consent

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Nobuo
Middle name
Last name Nagano

Organization

Hidaka Hospital, Hidaka-kai

Division name

Kidney Disease and Dialysis Center

Zip code

370-0001

Address

886, Nakao-machi, Takasaki-shi, Gunma 370-0001, JAPAN

TEL

027-362-6201

Email

n_nagano@hidaka-kai.com


Public contact

Name of contact person

1st name Nobuo
Middle name
Last name Nagano

Organization

Hidaka Hospital, Hidaka-kai

Division name

Kidney Disease and Dialysis Center

Zip code

370-0001

Address

886, Nakao-machi, Takasaki-shi, Gunma 370-0001, JAPAN

TEL

027-362-6201

Homepage URL


Email

n_nagano@hidaka-kai.com


Sponsor or person

Institute

Kidney Disease and Dialysis Center, Hidaka Hospital, Hidaka-kai

Institute

Department

Personal name



Funding Source

Organization

Kidney Disease and Dialysis Center, Hidaka Hospital, Hidaka-kai

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

None

Name of secondary funder(s)

None


IRB Contact (For public release)

Organization

Hidaka Hospital, Hidaka-kai

Address

886, Nakao-machi, Takasaki-shi, Gunma 370-0001, JAPAN

Tel

027-362-6201

Email

renkei_2@hidaka-kai.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

日高病院、平成日高クリニック(群馬県)


Other administrative information

Date of disclosure of the study information

2019 Year 05 Month 10 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications

https://www.jstage.jst.go.jp/browse/jsdt/-char/ja/

Number of participants that the trial has enrolled

147

Results

PTH increased for several months, while Ca transiently increased. The cinacalcet dose just before the switch was positively correlated with change in the amplitudes of PTH and Ca. The change in the amplitude of PTH was positively correlated with the change in the amplitude of Ca, suggesting that the transient Ca elevation was derived from the bone. Some patients stopped taking drugs that stimulate GI motility. The proportion of patients with GI symptoms decreased and medication adherence increased.

Results date posted

2019 Year 11 Month 11 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2019 Year 10 Month 28 Day

Baseline Characteristics


Participant flow


Adverse events

Hypocalcemia
Decreased serum PTH levels (<60 pg/mL)

Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 08 Month 01 Day

Date of IRB

2019 Year 12 Month 26 Day

Anticipated trial start date

2018 Year 09 Month 03 Day

Last follow-up date

2019 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 05 Month 10 Day

Last modified on

2019 Year 11 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041815