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Follow-up Patients With End Stage Renal Disease Receiving Zemplar to Prevent and Treat Secondary Hyperparathyroidism

26. marts 2012 opdateret af: Abbott

A Two-year, Post-marketing Observational Study to Follow-up Patients With End Stage Renal Disease Undergoing Haemodialysis, Receiving Zemplar for Prevention and Treatment of Secondary Hyperparathyroidism

The aim of this post-marketing observational study is to obtain further data on the long term use, safety and efficacy of Zemplar as it is prescribed in the normal clinical setting and according to the approved Summary of Product Characteristics for the treatment of secondary hyperparathyroidism in hemodialysis patients in Greece.

Studieoversigt

Status

Afsluttet

Detaljeret beskrivelse

The primary objective of this study is to evaluate the safety of Zemplar® in the treatment of Secondary hyperparathyroidism (iParathormone>300 pg/mL) in subjects on hemodialysis treated in conditions of usual clinical care.

The primary safety endpoints of this study are to evaluate the safety of Zemplar by recording the number of hospitalizations and days hospitalized.

A secondary efficacy endpoint will be the proportion of subjects achieving therapeutic success. Therapeutic success with Zemplar® will be defined as:

  • 40% reduction in the base iPTH level is achieved, and/or;
  • serum iParathormone level < 300 pg/mL.

Additional secondary endpoints are the incidence (proportion of patients) of clinically meaningful hypercalcemia (defined as corrected serum calcium (Ca) > 11.0 mg/dL taken at 2 consecutive measurements), hyperphosphatemia (defined as serum phosphorous (P)>6.5 mg/dL taken at 2 consecutive measurements), and elevated Ca x P product (defined as serum Ca x P>65 mg^2/dL^2 taken at 2 consecutive measurements). Safety also will be assessed through adverse event monitoring and evaluation of laboratory variables and vital signs.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

237

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Athens, Grækenland, 11526
        • Site Reference ID/Investigator# 32055
      • Athens, Grækenland, 11528
        • Site Reference ID/Investigator# 32050
      • Athens, Grækenland, 11528
        • Site Reference ID/Investigator# 32051
      • Athens, Grækenland, 17237
        • Site Reference ID/Investigator# 32049
      • Athens, Grækenland
        • Site Reference ID/Investigator# 5283
      • Chalkida, Grækenland, 34100
        • Site Reference ID/Investigator# 32056
      • Chania, Grækenland, 73100
        • Site Reference ID/Investigator# 32057
      • Drama, Grækenland, 66100
        • Site Reference ID/Investigator# 32058
      • Holargos, Grækenland, 15562
        • Site Reference ID/Investigator# 32077
      • Katerini, Grækenland, 60100
        • Site Reference ID/Investigator# 32076
      • Kavala, Grækenland, 65201
        • Site Reference ID/Investigator# 32059
      • Komotini, Grækenland, 69100
        • Site Reference ID/Investigator# 32053
      • Lamia, Grækenland, 35100
        • Site Reference ID/Investigator# 32060
      • Lefkada, Grækenland, 31100
        • Site Reference ID/Investigator# 32061
      • Livadia, Grækenland, 32100
        • Site Reference ID/Investigator# 32062
      • Pireus, Grækenland
        • Site Reference ID/Investigator# 32048
      • Preveza, Grækenland, 48100
        • Site Reference ID/Investigator# 32054
      • Ptolemaida, Grækenland, 50200
        • Site Reference ID/Investigator# 32063
      • Volos, Grækenland, 38222
        • Site Reference ID/Investigator# 32075

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Hemodialysis patients with secondary hyperparathyoidism treated with IV Paricalcitol according to the approved Summary of Product Characteristics

Beskrivelse

Inclusion Criteria:

  • Subject is >= 18 years of age and diagnosed with secondary hyperparathyroidism and a pretreatment iParathormone > 300 pg/mL.
  • Subject is receiving chronic hemodialysis.
  • Subject for which treatment with Zemplar Injection is indicated clinically according to the criteria of participating investigator.
  • Subject has provided their informed consent to participate.

Exclusion Criteria:

  • Subject has a corrected serum calcium > 10.5 mg/dL, serum phosphorus >= 6.5 mg/dL or subjects with corrected Ca x P >= 65 mg^2/dl^2.
  • Subject has known hypersensitivity and/or toxicity to vitamin D metabolites and/or other product ingredients.
  • Subject has participated in clinical study within the last month.
  • Zemplar is contraindicated according to the Summary of Product Characteristics.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Chronic Kidney Disease
All eligible patients treated with IV Paricalcitol (Zemplar)

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Safety Evaluation of Paricalcitol by Recording the Number of Hospitalizations
Tidsramme: Baseline to Month 24 Visit
The number of participants who were hospitalized during the study and the number of hospitalizations are summarized.
Baseline to Month 24 Visit
Safety Evaluation of Paricalcitol by Recording the Number of Days Hospitalized
Tidsramme: Baseline to Month 24 Visit
The mean (average) number of days hospitalized per participant for those hospitalized during the study.
Baseline to Month 24 Visit

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The Proportion of Patients Achieving Therapeutic Success (Defined as 40% Reduction in Base Parathormone Level and/or Parathormone Level <300 pg/ml)
Tidsramme: Baseline to Month 24 Visit
Therapeutic success of paricalcitol treatment was defined as a 40% decrease from the baseline measurement in the level of intact parathyroid hormone (also known as iPTH or parathormone) and/or a serum intact parathyroid hormone level less than 300 picograms per milliliter (pg/mL) for at least 2 consecutive available measurements during the 24-month follow-up period.
Baseline to Month 24 Visit
The Incidence of Clinically Significant Hypercalcemia
Tidsramme: Baseline to Month 24 Visit
The number of participants with clinically significant hypercalcemia (too much calcium in the blood), defined as a corrected serum calcium level greater than 11.0 milligrams per deciliter (mg/dL) at 2 consecutive measurements.
Baseline to Month 24 Visit
The Incidence of Clinically Significant Hyperphosphatemia
Tidsramme: Baseline to Month 24 Visit
The number of participants with clinically significant hyperphosphatemia (too much phosphorous in the blood), defined as serum phosphorous levels greater than 6.5 milligrams per deciliter (mg/dL) at 2 consecutive measurements.
Baseline to Month 24 Visit
The Incidence of Clinically Significant Elevation of Calcium-phosphorous (Ca x P) Product
Tidsramme: Baseline to Month 24 Visit
The number of participants with clinically significant levels of calcium-phosphorous product (Ca x P), defined as serum calcium-phosphorous product levels greater than 65 milligrams squared per deciliters squared (mg^2/dL^2) at 2 consecutive measurements.
Baseline to Month 24 Visit
To Estimate the Incidence of (S)AEs/(S)ADRs
Tidsramme: Baseline to Month 24 Visit
The number of adverse events, serious adverse events (including death), adverse drug reactions, and serious adverse drug reactions experienced by participants during the study are summarized. Adverse events include any events reported regardless of whether or not they were considered related to the study drug. Adverse drug reactions include events where a causal relationship between the drug and the occurence of the event is suspected. For additional details see the Reported Adverse Events section.
Baseline to Month 24 Visit

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studiestol: Konstantinos Xynos, MD, Abbott Laboratories Hellas S.A.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. december 2006

Primær færdiggørelse (Faktiske)

1. februar 2011

Studieafslutning (Faktiske)

1. februar 2011

Datoer for studieregistrering

Først indsendt

27. februar 2010

Først indsendt, der opfyldte QC-kriterier

4. marts 2010

Først opslået (Skøn)

5. marts 2010

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

27. marts 2012

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

26. marts 2012

Sidst verificeret

1. marts 2012

Mere information

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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