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Hyperparathyroidism, SecondaryPhase 3NCT01785849

Efficacy and Safety of Etelcalcetide (AMG 416) in the Treatment of Secondary Hyperparathyroidism (SHPT) in Patients With Chronic Kidney Disease on Hemodialysis

A Phase 3 study testing Etelcalcetide in people with Hyperparathyroidism, Secondary, run by Amgen at 118 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is designed to assess the efficacy and safety of etelcalcetide compared with placebo in the treatment of SHPT in patients with chronic kidney disease (CKD) receiving hemodialysis. Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Hyperparathyroidism, Secondary
What is being tested?
Etelcalcetide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
508 participants
Where
118 sitesin 15 countries
Study dates
12 Mar 2013to 12 Jun 2014
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject understands the study procedures and agrees to participate in the study by giving written informed consent.
  • Subject is 18 years of age or older.
  • Subject must be receiving hemodialysis 3 times weekly for at least 3 months
  • Subject agrees to not participate in another study of an investigational agent during the study.
  • Other Inclusion Criteria may apply

Who cannot join

  • Currently receiving treatment in another investigational device or drug study, or ended treatment on another investigational device or drug study(s) within 8 weeks prior to screening.
  • Other investigational procedures while participating in this study are excluded.
  • Anticipated or scheduled parathyroidectomy during the study period.
  • Subject has received a parathyroidectomy within 3 months prior to dosing.
  • Anticipated or scheduled kidney transplant during the study period.
  • Subject has known sensitivity to any of the products or components to be administered during dosing.
Show all 10Show fewer
  • Subject has participated in a prior clinical trial of AMG 416 (also referred to as KAI-4169).
  • Subject has received cinacalcet within the 4 weeks prior to screening labs (treatment with cinacalcet is prohibited during the study).
  • Subject has an unstable medical condition based on medical history, physical examination, and routine laboratory tests, or is otherwise unstable in the judgment of the Investigator.
  • Other Exclusion Criteria may apply

Trial locations and contacts

118 sites in 15 countries.

118 sites in 15 countries

United States51 sites
  • Research Site

    Allentown, Pennsylvania, 18104

  • Research Site

    Amherst, New York, 14226

  • Research Site

    Austin, Texas, 78758

  • Research Site

    Azusa, California, 91702

  • Research Site

    Birmingham, Alabama, 35211

  • Research Site

    Bluefield, West Virginia, 24701

  • Research Site

    Brooklyn, New York, 11235

  • Research Site

    Chapel Hill, North Carolina, 27599

  • Research Site

    Columbia, Tennessee, 38401

  • Research Site

    Covina, California, 91723

  • Research Site

    Detroit, Michigan, 48236

  • Research Site

    Durham, North Carolina, 27704

  • Research Site

    Evanston, Illinois, 60201

  • Research Site

    Fairfax, Virginia, 22033

  • Research Site

    Fort Worth, Texas, 76105

  • Research Site

    Fort Worth, Texas, 76164

  • Research Site

    Grand Prairie, Texas, 75050

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Kalamazoo, Michigan, 49007

  • Research Site

    Kansas City, Missouri, 64111

  • Research Site

    Lakewood, California, 90712

  • Research Site

    Los Angeles, California, 90025

  • Research Site

    Lynwood, California, 90262

  • Research Site

    Mansfield, Texas, 76063

  • Research Site

    Mechanicsville, Virginia, 23116

  • Research Site

    Meridian, Idaho, 83642

  • Research Site

    Nashville, Tennessee, 37205

  • Research Site

    Norfolk, Virginia, 23502

  • Research Site

    Northridge, California, 91324

  • Research Site

    Ontario, California, 91762

  • Research Site

    Orangeburg, South Carolina, 29118

  • Research Site

    Panorama City, California, 91402

  • Research Site

    Pembroke Pines, Florida, 33028

  • Research Site

    Philadelphia, Pennsylvania, 19106

  • Research Site

    Philadelphia, Pennsylvania, 19118

  • Research Site

    Pine Bluff, Arkansas, 71603

  • Research Site

    Pontiac, Michigan, 48341

  • Research Site

    Reno, Nevada, 89511

  • Research Site

    Rosedale, New York, 11422

  • Research Site

    Sacramento, California, 95825

  • Research Site

    San Antonio, Texas, 78205

  • Research Site

    San Antonio, Texas, 78215

  • Research Site

    San Antonio, Texas, 78229

  • Research Site

    Southgate, Michigan, 48195

  • Research Site

    Springfield, Massachusetts, 01107

  • Research Site

    Sumter, South Carolina, 29150

  • Research Site

    The Bronx, New York, 10461

  • Research Site

    Tupelo, Mississippi, 38801

  • Research Site

    Tyler, Texas, 75701

  • Research Site

    Whittier, California, 90603

  • Research Site

    Yonkers, New York, 10704

Other trials in United States

United Kingdom7 sites
  • Research Site

    Cambridge, CB2 2QQ

  • Research Site

    Coventry, CV2 2DX

  • Research Site

    Glasgow, G11 6NT

  • Research Site

    London, NW3 2QG

  • Research Site

    Nottingham, NG5 1PB

  • Research Site

    Salford, M6 8HD

  • Research Site

    Sheffield, S5 7AU

Other trials in United Kingdom

Hungary6 sites
  • Research Site

    Baja, 6500

  • Research Site

    Budapest, 1037

  • Research Site

    Budapest, 1115

  • Research Site

    Győr, 9023

  • Research Site

    Kaposvár, 7400

  • Research Site

    Pécs, 7624

Other trials in Hungary

Poland6 sites
  • Research Site

    Bialystok, 15-540

  • Research Site

    Warsaw, 02-006

  • Research Site

    Warsaw, 02-097

  • Research Site

    Warsaw, 04-141

  • Research Site

    Wroclaw, 51-124

  • Research Site

    Zamość, 87-100

Other trials in Poland

Belgium5 sites
  • Research Site

    Aalst, 9300

  • Research Site

    Baudour, 7331

  • Research Site

    Brussels, 1020

  • Research Site

    Leuven, 3000

  • Research Site

    Liège, 4000

Other trials in Belgium

Czechia5 sites
  • Research Site

    Hradec Králové, 500 05

  • Research Site

    Prague, 169 00

  • Research Site

    Praha 4 - Nusle, 140 00

  • Research Site

    Slavkov u Brna, 684 01

  • Research Site

    Třinec, 739 61

Other trials in Czechia

France5 sites
  • Research Site

    Nantes, 44200

  • Research Site

    Poitiers, 86021

  • Research Site

    Reims, 51092

  • Research Site

    Saint-Ouen, 93400

  • Research Site

    Salouël, 80054

Other trials in France

Italy5 sites
  • Research Site

    Milan, 20122

  • Research Site

    Naples, 80131

  • Research Site

    Pavia, 27100

  • Research Site

    San Fermo Della Battaglia (CO), 22020

  • Research Site

    Verona, 37126

Other trials in Italy

Russia5 sites
  • Research Site

    Saint Petersburg, 191104

  • Research Site

    Saint Petersburg, 195067

  • Research Site

    Saint Petersburg, 195257

  • Research Site

    Saint Petersburg, 196247

  • Research Site

    Saint Petersburg, 198510

Other trials in Russia

Spain5 sites
  • Research Site

    Barcelona, Catalonia, 08003

  • Research Site

    Barcelona, Catalonia, 08025

  • Research Site

    Madrid, 28041

  • Research Site

    Madrid, 28046

  • Research Site

    Santander, Cantabria, 39008

Other trials in Spain

Australia4 sites
  • Research Site

    Liverpool, New South Wales, 2170

  • Research Site

    Parkville, Victoria, 3050

  • Research Site

    Prahan, Victoria, 3004

  • Research Site

    St Leonards, New South Wales, 2065

Other trials in Australia

Canada4 sites
  • Research Site

    Brampton, Ontario, L6R 3J7

  • Research Site

    Greenfield Park, Quebec, J4V 2H1

  • Research Site

    Montreal, Quebec, H1T 2M4

  • Research Site

    Québec, Quebec, G1R 2J6

Other trials in Canada

Germany4 sites
  • Research Site

    Berlin, 12053

  • Research Site

    Dresden, 01307

  • Research Site

    Kiel, 24105

  • Research Site

    Villingen-Schwenningen, 78052

Other trials in Germany

Austria3 sites
  • Research Site

    Graz, 8036

  • Research Site

    Linz, 4010

  • Research Site

    Vienna, 1090

Other trials in Austria

Israel3 sites
  • Research Site

    Ashkelon, 78278

  • Research Site

    Nahariya, 22100

  • Research Site

    Tel Aviv, 64239

Other trials in Israel

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Phase 3 Study to Assess the Efficacy and Safety of AMG 416 in the Treatment of Secondary Hyperparathyroidism in Subjects With Chronic Kidney Disease on Hemodialysis

This study is designed to assess the efficacy and safety of etelcalcetide compared with placebo in the treatment of SHPT in patients with chronic kidney disease (CKD) receiving hemodialysis.

Being tested
Etelcalcetide, Placebo
Keywords
Secondary Hyperparathyroidism (SHPT), chronic kidney disease (CKD), hemodialysis, parathyroid hormone (PTH), hypocalcemia, bone and mineral metabolism
Medical subject headings
Hyperparathyroidism, Secondary, Renal Insufficiency, Chronic, Hypocalcemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EtelcalcetideDrug

    Also called AMG 416, KAI-4169

    Administered intravenously three times per week. The starting dose was 5 mg. The dose may have been increased at 4-week intervals by 2.5 mg or 5 mg on the basis of the predialysis parathyroid hormone and corrected calcium concentrations obtained in the prior week. The minimum dose was 2.5 mg and the maximum dose was 15 mg.

  • PlaceboDrug

    Administered intravenously (IV) three times per week.

Study groups in NCT01785849
Study groupRoleWhat they receive
EtelcalcetideExperimentalParticipants received etelcalcetide administered by intravenous bolus injection at the end of each hemodialysis session three times a week, for 26 weeks.
Receives: Drug: Etelcalcetide
PlaceboPlacebo comparatorParticipants received placebo administered by intravenous bolus injection at the end of each hemodialysis session, three times per week (TIW) for 26 weeks.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With a > 30% Decrease From Baseline in Mean PTH During the Efficacy Assessment Phase

    Participants who did not have any scheduled assessments during the EAP were considered non-responders.

    Measured: Baseline and the efficacy assessment phase (EAP; defined as Weeks 20 to 27, inclusive).

Secondary outcomes (5)
  1. Percentage of Participants With Mean Predialysis Parathyroid Hormone ≤ 300 pg/mL During the Efficacy Assessment Phase

    Participants who had no scheduled assessments during the EAP were considered non-responders.

    Measured: Baseline and the efficacy assessment phase (Week 20 to Week 27)

  2. Percent Change From Baseline in Predialysis PTH During the Efficacy Assessment Phase

    Measured: Baseline and the Efficacy Assessment Phase (Week 20 to Week 27)

  3. Percent Change From Baseline in Predialysis Corrected Calcium During the Efficacy Assessment Phase

    Measured: Baseline and the efficacy assessment phase (Week 20 to Week 27)

  4. Percent Change From Baseline in Predialysis Corrected Calcium Phosphorus Product During the Efficacy Assessment Phase

    Measured: Baseline and the efficacy assessment phase (Week 20 to Week 27)

  5. Percent Change From Baseline in Predialysis Phosphorus During the Efficacy Assessment Phase

    Measured: Baseline and the efficacy assessment phase (Week 20 to Week 27)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Feb 2013 (estimated)
  2. Study start12 Mar 2013
  3. Primary completion22 May 2014
  4. Study completion12 Jun 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
508 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01785849
Sponsor's protocol ID
20120229
Other IDs
KAI-4169-006, 2012-002805-23
Status last verified
Aug 2019
First submitted
5 Feb 2013
Last updated
26 Aug 2019
Data monitoring committee
Yes

Publications

  • Block GA, Bushinsky DA, Cunningham J, Drueke TB, Ketteler M, Kewalramani R, Martin KJ, Mix TC, Moe SM, Patel UD, Silver J, Spiegel DM, Sterling L, Walsh L, Chertow GM. Effect of Etelcalcetide vs Placebo on Serum Parathyroid Hormone in Patients Receiving Hemodialysis With Secondary Hyperparathyroidism: Two Randomized Clinical Trials. JAMA. 2017 Jan 10;317(2):146-155. doi: 10.1001/jama.2016.19456.

    PubMed 28097355
  • Kroenke MA, Weeraratne DK, Deng H, Sloey B, Subramanian R, Wu B, Serenko M, Hock MB. Clinical immunogenicity of the d-amino acid peptide therapeutic etelcalcetide: Method development challenges and anti-drug antibody clinical impact assessments. J Immunol Methods. 2017 Jun;445:37-44. doi: 10.1016/j.jim.2017.03.005. Epub 2017 Mar 6.

    PubMed 28274835
  • Stollenwerk B, Iannazzo S, Akehurst R, Adena M, Briggs A, Dehmel B, Parfrey P, Belozeroff V. A Decision-Analytic Model to Assess the Cost-Effectiveness of Etelcalcetide vs. Cinacalcet. Pharmacoeconomics. 2018 May;36(5):603-612. doi: 10.1007/s40273-017-0605-2.

    PubMed 29392552
  • Stollenwerk B, Iannazzo S, Cooper K, Belozeroff V. Exploring the potential value of improved care for secondary hyperparathyroidism with a novel calcimimetic therapy. J Med Econ. 2017 Oct;20(10):1110-1115. doi: 10.1080/13696998.2017.1360309. Epub 2017 Aug 14.

    PubMed 28803497
  • Chen P, Narayanan A, Wu B, Gisleskog PO, Gibbs JP, Chow AT, Melhem M. Population Pharmacokinetic and Pharmacodynamic Modeling of Etelcalcetide in Patients with Chronic Kidney Disease and Secondary Hyperparathyroidism Receiving Hemodialysis. Clin Pharmacokinet. 2018 Jan;57(1):71-85. doi: 10.1007/s40262-017-0550-4.

    PubMed 28508378
  • Block GA, Chertow GM, Sullivan JT, Deng H, Mather O, Tomlin H, Serenko M. An integrated analysis of safety and tolerability of etelcalcetide in patients receiving hemodialysis with secondary hyperparathyroidism. PLoS One. 2019 Mar 15;14(3):e0213774. doi: 10.1371/journal.pone.0213774. eCollection 2019.

    PubMed 30875390
  • Cunningham J, Block GA, Chertow GM, Cooper K, Evenepoel P, Iles J, Sun Y, Urena-Torres P, Bushinsky DA. Etelcalcetide Is Effective at All Levels of Severity of Secondary Hyperparathyroidism in Hemodialysis Patients. Kidney Int Rep. 2019 Apr 16;4(7):987-994. doi: 10.1016/j.ekir.2019.04.010. eCollection 2019 Jul.

    PubMed 31317120
  • Wolf M, Block GA, Chertow GM, Cooper K, Fouqueray B, Moe SM, Sun Y, Tomlin H, Vervloet M, Oberbauer R. Effects of etelcalcetide on fibroblast growth factor 23 in patients with secondary hyperparathyroidism receiving hemodialysis. Clin Kidney J. 2019 Apr 26;13(1):75-84. doi: 10.1093/ckj/sfz034. eCollection 2020 Feb.

    PubMed 32082556
  • Hain D, Tomlin H, Gibson C. Administration of Etelcalcetide for the Treatment of Secondary Hyperparathyroidism in Patients with CKD-MBD on Hemodialysis: A Nephrology Nursing Perspective. Nephrol Nurs J. 2019 May-Jun;46(3):315-290.

    PubMed 31199098

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Etelcalcetide in people with Hyperparathyroidism, Secondary, run by Amgen at 118 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 118 sites in United States, United Kingdom, Hungary, Poland, Belgium and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Mar 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With a > 30% Decrease From Baseline in Mean PTH During the Efficacy Assessment Phase (time frame: Baseline and the efficacy assessment phase (EAP; defined as Weeks 20 to 27, inclusive).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01785849, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Aug 2019.

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