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Calcimimetic
Etelcalcetide for Secondary Hyperparathyroidism
Phase 3
Recruiting
Research Sponsored by Amgen
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Age of 28 days or older and less than 18 years
SHPT not due to vitamin D deficiency, per investigator assessment
Must not have
Receipt of cinacalcet therapy within 30 days prior to screening assessments and through randomization
Subjects aged 28 days to 6 months of age who were born prematurely at < 36 weeks gestational age
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 10-30 minutes post dose on day 1 and 10-30 minutes post dose on weeks 5, 9, 13, 17, and 21
Awards & highlights
Pivotal Trial
No Placebo-Only Group
Summary
This trial is testing a new drug to treat secondary hyperparathyroidism (a condition caused by kidney disease) in children.
Who is the study for?
This trial is for children under 18 with chronic kidney disease (CKD) and secondary hyperparathyroidism (SHPT), who are on hemodialysis. They must weigh at least 7 kg, have specific levels of parathyroid hormone and calcium, and not be due to vitamin D deficiency. Kids can't join if they've had certain cancers, used etelcalcetide recently, or are taking conflicting medications.
What is being tested?
The study tests Etelcalcetide's effectiveness in treating SHPT in kids with CKD on hemodialysis. It's a Phase 3 trial which means it’s closer to potentially being approved for general use if successful.
What are the potential side effects?
While the side effects aren't listed here, similar drugs often cause issues like low blood calcium levels, nausea, vomiting, muscle twitching or spasms. The exact side effects will be monitored throughout the trial.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am older than 28 days and younger than 18 years.
Select...
My SHPT is not caused by a lack of vitamin D.
Select...
My vitamin D, phosphate binder, or calcium supplement dose hasn't changed by more than 50% in the last 2 weeks.
Select...
I have chronic kidney disease and secondary hyperparathyroidism, and I am currently on hemodialysis.
Select...
My blood calcium level is above the required minimum.
Select...
My dry weight is at least 7 kg.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have been taking cinacalcet for the last 30 days and will continue through the study.
Select...
My baby was born prematurely and is now between 28 days and 6 months old.
Select...
I have a history of serious heart rhythm problems.
Select...
I am expecting to have a kidney transplant soon.
Select...
I haven't had cancer, except for certain skin, cervical, or breast cancers, in the last 5 years.
Select...
I am scheduled for or might need a parathyroid gland surgery.
Select...
I am not currently in another drug study and it's been over 30 days or 5 half-lives since my last one.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 10-30 minutes post dose on day 1 and 10-30 minutes post dose on weeks 5, 9, 13, 17, and 21
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~10-30 minutes post dose on day 1 and 10-30 minutes post dose on weeks 5, 9, 13, 17, and 21
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Proportion of participants with ≥ 30% reduction from baseline in intact parathyroid hormone (iPTH) level during the efficacy assessment phase (EAP)
Secondary study objectives
Achievement of ≥ 30% reduction in iPTH from baseline on two consecutive visits
Change from baseline in diastolic blood pressure
Change from baseline in heart rate
+15 moreSide effects data
From 2017 Phase 3 trial • 902 Patients • NCT0210220428%
Blood calcium decreased
10%
Diarrhoea
9%
Hyperphosphataemia
8%
Muscle spasms
7%
Upper respiratory tract infection
7%
Nausea
7%
Pain in extremity
7%
Hypertension
7%
Hypotension
6%
Back pain
6%
Cough
6%
Dyspnoea
6%
Vomiting
5%
Pneumonia
3%
Sepsis
3%
Arteriovenous fistula thrombosis
2%
Cardiac arrest
2%
Atrial fibrillation
2%
Septic shock
2%
Hyperkalaemia
2%
Fluid overload
2%
Anaemia
1%
Myocardial infarction
1%
Bronchitis
1%
Vascular access complication
1%
Cholecystitis acute
1%
Hypoxia
1%
Hypertensive crisis
1%
Gastrointestinal haemorrhage
1%
Asthenia
1%
Cellulitis
1%
Pyrexia
1%
Urinary tract infection
1%
Pancreatitis acute
1%
Arthralgia
1%
Arteriovenous graft thrombosis
1%
Syncope
1%
Myocardial ischaemia
1%
Device related infection
1%
Fall
1%
Thrombosis in device
1%
Cerebral haemorrhage
1%
Peripheral ischaemia
1%
Non-cardiac chest pain
1%
Respiratory tract infection
1%
Endocarditis
1%
Mental status changes
1%
Osteomyelitis
1%
Angina pectoris
1%
Coronary artery disease
1%
Arteriovenous fistula site complication
1%
Pulmonary oedema
1%
Cerebrovascular accident
1%
Gangrene
1%
Gastroenteritis
1%
Lower gastrointestinal haemorrhage
1%
Upper gastrointestinal haemorrhage
1%
Chest pain
1%
Acute myocardial infarction
1%
Cardiac failure congestive
1%
Abdominal pain
100%
80%
60%
40%
20%
0%
Study treatment Arm
Etelcalcetide
Awards & Highlights
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: EtelcalcetideExperimental Treatment1 Intervention
Randomized in a 3:1 ratio to receive etelcalcetide in addition to standard of care
Group II: ControlActive Control1 Intervention
Randomized in a 3:1 ratio to receive etelcalcetide in addition standard of care alone (control arm)
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Etelcalcetide
2013
Completed Phase 3
~4590
Find a Location
Who is running the clinical trial?
AmgenLead Sponsor
1,434 Previous Clinical Trials
1,395,780 Total Patients Enrolled
MDStudy DirectorAmgen
972 Previous Clinical Trials
939,952 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- Your recent blood tests show high levels of certain liver enzymes, which may indicate liver problems.I have been taking cinacalcet for the last 30 days and will continue through the study.You have had high levels of calcium in your dialysis fluid for at least 4 weeks before screening and during the study.Your heart's QT interval is longer than 500 milliseconds when adjusted for your heart rate.Your heart's electrical activity (QTc) falls within a certain range, unless the doctor gets permission from a heart specialist.My baby was born prematurely and is now between 28 days and 6 months old.I am a woman able to have children and agree to use birth control during and for 3 months after treatment.I have a history of serious heart rhythm problems.I had surgery to remove my parathyroid gland within the last 6 months.I am not taking medications that affect heart rhythm.I have listed all herbal medicines, vitamins, and supplements I've taken in the last 30 days.I haven't taken any non-approved drugs for my kidney condition in the last 14 days or 5 half-lives.I am expecting to have a kidney transplant soon.I haven't had cancer, except for certain skin, cervical, or breast cancers, in the last 5 years.I am older than 28 days and younger than 18 years.My SHPT is not caused by a lack of vitamin D.My vitamin D, phosphate binder, or calcium supplement dose hasn't changed by more than 50% in the last 2 weeks.My lab tests show I have SHPT with high iPTH levels.My seizures have started or gotten worse in the last 60 days.I have been taking etelcalcetide for the last 6 months and will continue.I am scheduled for or might need a parathyroid gland surgery.I have chronic kidney disease and secondary hyperparathyroidism, and I am currently on hemodialysis.My blood calcium level is above the required minimum.I am not currently in another drug study and it's been over 30 days or 5 half-lives since my last one.My dry weight is at least 7 kg.
Research Study Groups:
This trial has the following groups:- Group 1: Etelcalcetide
- Group 2: Control
Awards:
This trial has 2 awards, including:- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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