UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054865
Receipt number R000062685
Scientific Title A study of hemodialysis cases in which etelcalcetide was switched to upacicalcet
Date of disclosure of the study information 2024/07/03
Last modified on 2025/08/21 17:35:41

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Basic information

Public title

A study of hemodialysis cases in which etelcalcetide was switched to upacicalcet

Acronym

A study of hemodialysis cases in which etelcalcetide was switched to upacicalcet

Scientific Title

A study of hemodialysis cases in which etelcalcetide was switched to upacicalcet

Scientific Title:Acronym

A study of hemodialysis cases in which etelcalcetide was switched to upacicalcet

Region

Japan


Condition

Condition

Secondary hyperparathyroidism

Classification by specialty

Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the effects on various test values when switching from Etelcalcetide to Upacicalcet in secondary hyperparathyroidism patients.

Basic objectives2

Others

Basic objectives -Others

To investigate the effects on various test values when switching from Etelcalcetide to Upacicalcet in secondary hyperparathyroidism patients.

Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Corrected serum calcium levels, serum phosphorus levels, iPTH levels, dialysate calcium concentration, dosage of phosphate binders(mg/day), and dosage of Vitamin D preparation (Maxacalcitol)(ug/week)3months and 6months after swtiching, compared with those at the time of swithcing.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who used Etelcalcetide for secondary hyperparathyroidism between May 2022 and June 2022 and switched to Upacicalcet
2) Patients who continued Upacicalcet for 6 months after switching to Upacicalcet and had test results obtained 6 months later

Key exclusion criteria

1) Patients who discontinued/withdrew UPA
2) Those who have refused to have their data used by opting out

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Eiichi
Middle name
Last name Sato

Organization

Medical Corporation Foundation Meirikai Shin-Matsudo Central General Hospital

Division name

Division of Nephrology,Department of Internal Medicine

Zip code

270-0034

Address

380 Shin-Matsudo 1-chome, Matsudo City, Chiba Prefecture

TEL

047-345-1111

Email

satou@db4.so-net.ne.jp


Public contact

Name of contact person

1st name Eiichi
Middle name
Last name Sato

Organization

Medical Corporation Foundation Meirikai Shin-Matsudo Central General Hospital

Division name

Medical Corporation Foundation Meirikai Shin-Matsudo Central General Hospital

Zip code

270-0034

Address

380 Shin-Matsudo 1-chome, Matsudo City, Chiba Prefecture

TEL

047-345-1111

Homepage URL


Email

satou@db4.so-net.ne.jp


Sponsor or person

Institute

Medical Corporation Foundation Meirikai Shin-Matsudo Central General Hospital

Institute

Department

Personal name



Funding Source

Organization

Sanwa Kagaku Research Institute Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The clinical research ethical review board of Shido. Inc.

Address

614, 3-13-2 Kameari, Katsushika-ku, Tokyo

Tel

03-4500-5075

Email

info@shido.co.jp


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

(医)財団明理会新松戸中央総合病院(千葉県)


Other administrative information

Date of disclosure of the study information

2024 Year 07 Month 03 Day


Related information

URL releasing protocol

N/A

Publication of results

Published


Result

URL related to results and publications

https://www.dustri.com/nc/article-response-page.html?artId=192304&doi=10.5414%2FCN111695

Number of participants that the trial has enrolled

37

Results

In the treatment of SHPT in hemodialysis patients, the serum corrected Ca level remained unchanged six months after switching from etelcalcetide to upacicalcet; however, a decrease in serum P levels and an increase in iPTH levels were observed. The reduction in the dose of maxacalcitol is thought to have contributed to the decrease in serum P levels. Switching from etelcalcetide to upacicalcet was considered to be a useful option particularly from the perspective of P control.

Results date posted

2025 Year 06 Month 23 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2025 Year 08 Month 20 Day

Baseline Characteristics

Patients who met all of the following criteria were included in this study:Hemodialysis patients with SHPT who used etelcalcetide from May 2022 to June 2022 and who switched to upacicalcet,Patients who continued upacicalcet for six months after switching to upacicalcet and for whom the blood test values at six months have been obtained.No washout period was provided for switching from etelcalcetide to upacicalcet.Patients who met any of the following criteria were excluded from this study:Patients who discontinued treatment with upacicalcet,Patients who refused the use of data through the opt-out policy


Participant flow

This study was a single-center retrospective study conducted in Japan. Only existing data were included in the analysis, and no new data were collected. The opt-out policy was adopted for the use of the existing data.

Adverse events

N/A

Outcome measures

The endpoints were set as the serum levels of corrected Ca, P, iPTH at the time of switching from etelcalcetide to upacicalcet, and at three and six months after switching, as well as the mean dose of maxacalcitol/week before switching, at two to four months after switching, and four to six months after switching. An analysis was also conducted on the factors relating to the change in iPTH at six months after switching.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2024 Year 02 Month 07 Day

Date of IRB

2024 Year 05 Month 23 Day

Anticipated trial start date

2024 Year 06 Month 17 Day

Last follow-up date

2024 Year 06 Month 24 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

N/A


Management information

Registered date

2024 Year 07 Month 03 Day

Last modified on

2025 Year 08 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062685