Investigation of the Optimal Calcium Supplement Following Roux-en-Y Gastric Bypass
Investigation of the Optimal Calcium Supplement Following Roux-en-Y Gastric Bypass in Order to Treat Secondary Hyperparathyroidism: A Clinical Randomized Trial
This study investigates whether calcium citrate or calcium carbonate are the optimal supplement to treat secondary hyperparathyroidism following Roux-en-Y gastric bypass operation.
Half of the participants will be randomized to receive calcium citrate, while the other half will receive calcium carbonate. The study will be double blinded.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Aarhus, Denmark, 8000
- Department of Enodocrinology and Internal Medicine, Aarhus University Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Roux-en-Y gastric bypass operation ≥12 months ago
- Parathyroid hormone > 6.9 pmol/l
- Vitamin D > 50 nmol/l
- P-Calcium [1.18-1.32] mmol/l
Exclusion Criteria:
- Liver disease
- Renal disease
- Hypercalcemia
- Untreated thyroid disease
- Parathyroid disease except secondary hyperparathyroidism
- Use of diuretics, bisphosphonates, calcitonin, teriparatide, oral corticosteroids, anabolic steroids, calcimimetics, lithium, strontium, denosumab or anticonvulsants within 1 year of inclusion
- abusing alcohol
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Calcium Carbonate
1 tablet Unikalk Forte + 1 placebo tablet by mouth three times daily equal to 1200 mg elementary calcium and 57 µg Vitamin D3
|
Other Names:
Tablet manufactured to mimic a calcium carbonate tablet
Roux-en-Y gastric bypass surgery at least 12 months before study inclusion
|
|
Experimental: Calcium Citrate
2 tablets Unikalk Citrat by mouth three times daily equal to 1200 mg elementary calcium and 60 µg Vitamin D3
|
Roux-en-Y gastric bypass surgery at least 12 months before study inclusion
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Parathyroid Hormone
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Se-ion-calcium
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
P-magnesium
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
P-phosphate
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
P-25-OH-vitamin D
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
P-calcitriol
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
P-24,25-(OH)2-vitamin D
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
Vitamin D binding protein
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
Procollagen type 1 N-terminal propeptide (P1NP)
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
P-bone specific alkaline phosphatase
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
Cross-linked C-telopeptide (CTX)
Time Frame: Change from baseline at 6 weeks and 12 weeks
|
Change from baseline at 6 weeks and 12 weeks
|
|
24h U-calcium
Time Frame: Change from baseline at 12 weeks
|
Change from baseline at 12 weeks
|
|
24h U-phosphate
Time Frame: Change from baseline at 12 weeks
|
Change from baseline at 12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Endocrine System Diseases
- Parathyroid Diseases
- Neoplastic Processes
- Hyperparathyroidism
- Neoplasm Metastasis
- Hyperparathyroidism, Secondary
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Gastrointestinal Agents
- Bone Density Conservation Agents
- Calcium-Regulating Hormones and Agents
- Antacids
- Calcium
- Calcium, Dietary
- Calcium Carbonate
Other Study ID Numbers
Other Study ID Numbers
- 20160610
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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