At a glance
ClinicalIndex Comparison Record- ✓ESRD patients requiring maintenance dialysis (haemodialysis, haemodiafiltration, haemofiltration, or peritoneal dialysis) for at least 1 month
- ✓Mean of 2 iPTH determinations within 21 days before randomization (at least 2 days apart) ≥300 and <800 pg/mL; if biPTH, mean ≥150 and <410 pg/mL
- ✓Mean of 2 serum calcium determinations (corrected for albumin) ≥8.4 mg/dL on the same days as PTH determinations
- ✕Unstable medical condition, including hospitalization within 30 days (except for dialysis vascular access revision), or otherwise unstable per investigator judgment
- ✕Parathyroidectomy within 6 months before day 1
- ✕Vitamin D therapy for <21 days before day 1, or brand/dose change within 21 days before day 1; if not on vitamin D, must remain free of it for 21 days before day 1
- ✕Use of CYP2D6-metabolized medications with narrow therapeutic index (e.g., flecainide, vinblastine, thioridazine, most tricyclic antidepressants) within 21 days before day 1; amitriptyline permitted
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
An Open-Label, Randomised Study Using Cinacalcet to Improve Achievement of Kidney Disease Outcomes Quality Initiative (K/DOQI) Targets in Patients With ESRD
In Brief
A Phase 4 clinical trial evaluating cinacalcet and Standard of care for End Stage Renal Disease. Completed, enrolled 552 participants.
Detailed Summary
The purpose of this study is to evaluate the ability of a treatment strategy, that includes cinacalcet for the management of secondary hyperparathyroidism, to control parathyroid hormone (PTH) compared with the standard of care.
Study Details
Timeline
Interventions
Treatment with cinacalcet will be initiated at a dose of 30 mg/day. Possible daily doses of cinacalcet are 30, 60, 90, 120, and 180 mg.
Subjects randomised to the standard care arm are to receive appropriate therapy in accordance with the investigator's practice in an attempt to achieve the K/DOQI PTH, serum calcium, phosphorus, and Ca x P treatment targets.