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Hyperparathyroidism, SecondaryPhase 3NCT02102204

Extension Study of Etelcalcetide for Treatment of Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease on Hemodialysis

A Phase 3 study testing Etelcalcetide in people with Hyperparathyroidism, Secondary, run by Amgen at 228 sites in 24 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 is a multicenter, single-arm, extension study to characterize the long-term safety and tolerability of etelcalcetide in the treatment of Secondary Hyperparathyroidism (SHPT) in adults with Chronic Kidney Disease (CKD) on hemodialysis. Read more about this study

Who is it for?
Ages 18 to 110 years
Conditions the study is for
Hyperparathyroidism, Secondary
What is being tested?
Etelcalcetide
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
902 participants
Where
228 sitesin 24 countries
Study dates
25 Mar 2014to 26 Jun 2017
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 110 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has provided informed consent prior to initiation of any study-specific activities/procedures
  • Subject has completed treatment in Study 20120231 (also known as KAI-4169-008) or Study 20120360, or has participated in Study 20120334 (also known as KAI-4169-005-01)
  • Female subjects who are: post-menopausal (post-menopausal is defined as no menses for the previous 1 year and over the age of 50 years), surgically sterilized, have a medical condition that prevents pregnancy, remain abstinent, or are willing to use an acceptable method of effective contraception during the study and for 3 months after the last dose. Women of child-bearing potential (WOCBP) must have a negative serum pregnancy test within 2 weeks prior to the first dose of AMG 416 in the current study
  • Subject must be receiving hemodialysis 3 or 4 times weekly for at least 3 months

Who cannot join

  • Currently receiving treatment in another investigational device or drug study (other than in one of the designated parent studies)
  • Subject has known sensitivity to any of the products or components to be administered during dosing
  • Subject has been prescribed cinacalcet by the primary nephrologist between the conclusion of the parent study and the start of dosing with AMG 416 in the current study
  • Subject is receiving dialysis prescription dialysate calcium concentration < 2.25 mEq/L
  • Subject is pregnant or nursing

Trial locations and contacts

228 sites in 24 countries.

228 sites in 24 countries

United States68 sites
  • Research Site

    Alhambra, California, 91801

  • Research Site

    Arlington, Texas, 76015

  • Research Site

    Augusta, Georgia, 30909

  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Azusa, California, 91702

  • Research Site

    Bakersfield, California, 93308

  • Research Site

    Baton Rouge, Louisiana, 70808

  • Research Site

    Bethlehem, Pennsylvania, 18017

  • Research Site

    Birmingham, Alabama, 35211

  • Research Site

    Bluefield, West Virginia, 24701

  • Research Site

    Brookhaven, Mississippi, 39601

  • Research Site

    Brooklyn, New York, 11235

  • Research Site

    Burlington, Vermont, 05401

  • Research Site

    Chattanooga, Tennessee, 37408

  • Research Site

    Cincinnati, Ohio, 45267

  • Research Site

    College Point, New York, 11356

  • Research Site

    Columbia, South Carolina, 29203

  • Research Site

    Columbus, Mississippi, 39705

  • Research Site

    Columbus, Ohio, 43215

  • Research Site

    Cudahy, California, 90201

  • Research Site

    Detroit, Michigan, 48236

  • Research Site

    Dublin, Georgia, 31021

  • Research Site

    Durham, North Carolina, 27704

  • Research Site

    Eatontown, New Jersey, 07724

  • Research Site

    Edinburg, Texas, 78539

  • Research Site

    Fairfax, Virginia, 22033

  • Research Site

    Granada Hills, California, 91344

  • Research Site

    Great Neck, New York, 11021

  • Research Site

    Gulfport, Mississippi, 39501

  • Research Site

    Hampton, Virginia, 23666

  • Research Site

    Highland Park, Illinois, 60035

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Kansas City, Missouri, 64111

  • Research Site

    Knoxville, Tennessee, 37923

  • Research Site

    Las Vegas, Nevada, 89106

  • Research Site

    Lincoln, Nebraska, 68510

  • Research Site

    Los Angeles, California, 90022

  • Research Site

    Los Angeles, California, 90048

  • Research Site

    Mechanicsville, Virginia, 23116

  • Research Site

    Meridian, Idaho, 83642

  • Research Site

    Merrillville, Indiana, 46410

  • Research Site

    Miami, Florida, 33150

  • Research Site

    Michigan City, Indiana, 46360

  • Research Site

    Mineola, New York, 11501

  • Research Site

    New Bern, North Carolina, 28562

  • Research Site

    Northridge, California, 91324

  • Research Site

    Ocala, Florida, 34471

  • Research Site

    Oklahoma City, Oklahoma, 73116

  • Research Site

    Pembroke Pines, Florida, 33028

  • Research Site

    Philadelphia, Pennsylvania, 19106

  • Research Site

    Pontiac, Michigan, 48341

  • Research Site

    Reno, Nevada, 89511

  • Research Site

    Riverside, California, 92501

  • Research Site

    Rosedale, New York, 11422

  • Research Site

    San Antonio, Texas, 78229

  • Research Site

    Simi Valley, California, 93065

  • Research Site

    Springfield, Massachusetts, 01107

  • Research Site

    Stamford, Connecticut, 06902

  • Research Site

    Tampa, Florida, 33614

  • Research Site

    The Bronx, New York, 10461

  • Research Site

    Tupelo, Mississippi, 38801

  • Research Site

    Vacaville, California, 95687

  • Research Site

    Voorhees Township, New Jersey, 08043

  • Research Site

    Westminster, Colorado, 80031

  • Research Site

    Whittier, California, 90603

  • Research Site

    Wichita, Kansas, 67214-2998

  • Research Site

    Wilmington, North Carolina, 28401

  • Research Site

    Yonkers, New York, 10704

Other trials in United States

Poland14 sites
  • Research Site

    Gdansk, 80-952

  • Research Site

    Golub-Dobrzyń, 87-400

  • Research Site

    Katowice, 40-027

  • Research Site

    Krakow, 31-501

  • Research Site

    Lodz, 90-153

  • Research Site

    Poznan, 60-355

  • Research Site

    Poznan, 61-696

  • Research Site

    Sieradz, 98-200

  • Research Site

    Wadowice, 34-100

  • Research Site

    Warsaw, 02-097

  • Research Site

    Warsaw, 02-507

  • Research Site

    Zabrze, 41-800

  • Research Site

    Zamość, 87-100

  • Research Site

    Żyrardów, 96-300

Other trials in Poland

Spain14 sites
  • Research Site

    Badajoz, Extremadura, 06080

  • Research Site

    Barcelona, Catalonia, 08003

  • Research Site

    Barcelona, Catalonia, 08025

  • Research Site

    Barcelona, Catalonia, 08035

  • Research Site

    Barcelona, Catalonia, 08036

  • Research Site

    Córdoba, Andalusia, 14004

  • Research Site

    Lleida, Catalonia, 25198

  • Research Site

    Madrid, 28040

  • Research Site

    Madrid, 28041

  • Research Site

    Majadahonda, Madrid, 28222

  • Research Site

    Pamplona, Navarre, 31008

  • Research Site

    Santander, Cantabria, 39008

  • Research Site

    Torrevieja, Valencia, 03186

  • Research Site

    Valencia, Valencia, 46017

Other trials in Spain

Hungary12 sites
  • Research Site

    Baja, 6500

  • Research Site

    Budapest, 1106

  • Research Site

    Esztergom, 2500

  • Research Site

    Győr, 9023

  • Research Site

    Kaposvár, 7400

  • Research Site

    Kistarcsa, 2143

  • Research Site

    Miskolc, 3526

  • Research Site

    Pécs, 7624

  • Research Site

    Pécs, 7633

  • Research Site

    Székesfehérvár, 8000

  • Research Site

    Szigetvár, 7900

  • Research Site

    Zalaegerszeg, 8900

Other trials in Hungary

Belgium11 sites
  • Research Site

    Aalst, 9300

  • Research Site

    Baudour, 7331

  • Research Site

    Bonheiden, 2820

  • Research Site

    Brussels, 1020

  • Research Site

    Brussels, 1200

  • Research Site

    Hasselt, 3500

  • Research Site

    Kortrijk, 8500

  • Research Site

    Leuven, 3000

  • Research Site

    Liège, 4000

  • Research Site

    Roeselare, 8800

  • Research Site

    Tournai, 7500

Other trials in Belgium

Russia11 sites
  • Research Site

    Mitishi, 141009

  • Research Site

    Moscow, 129327

  • Research Site

    Petrozavodsk, 185019

  • Research Site

    Saint Petersburg, 191104

  • Research Site

    Saint Petersburg, 193318

  • Research Site

    Saint Petersburg, 195067

  • Research Site

    Saint Petersburg, 195257

  • Research Site

    Saint Petersburg, 196247

  • Research Site

    Saint Petersburg, 197110

  • Research Site

    Saint Petersburg, 198510

  • Research Site

    Yaroslavl, 150062

Other trials in Russia

Italy10 sites
  • Research Site

    Ancona, 60126

  • Research Site

    Florence, 50139

  • Research Site

    Genova, 16132

  • Research Site

    Lecco, 23900

  • Research Site

    Lucca, 55100

  • Research Site

    Milan, 20122

  • Research Site

    Pavia, 27100

  • Research Site

    Pisa, 56126

  • Research Site

    Pordenone, 33170

  • Research Site

    Verona, 37126

Other trials in Italy

France9 sites
  • Research Site

    Caen, 14000

  • Research Site

    La Tronche, 38701

  • Research Site

    Lille, 59800

  • Research Site

    Marseille, 13253

  • Research Site

    Paris, 75011

  • Research Site

    Paris, 75014

  • Research Site

    Reims, 51092

  • Research Site

    Saint-Ouen, 93400

  • Research Site

    Saint-Priest-en-Jarez, 42270

Other trials in France

Germany9 sites
  • Research Site

    Aachen, 52074

  • Research Site

    Berlin, 12053

  • Research Site

    Hamburg, 22297

  • Research Site

    Langenhagen, 30853

  • Research Site

    Minden, 32429

  • Research Site

    München, 81675

  • Research Site

    Villingen-Schwenningen, 78052

  • Research Site

    Wiesbaden, 65191

  • Research Site

    Zwickau, 08060

Other trials in Germany

Czechia8 sites
  • Research Site

    Hradec Králové, 500 05

  • Research Site

    Nový Jičín, 741 01

  • Research Site

    Pilsen, 301 00

  • Research Site

    Prague, 140 21

  • Research Site

    Prague, 169 00

  • Research Site

    Praha 4 - Nusle, 140 00

  • Research Site

    Slavkov u Brna, 684 01

  • Research Site

    Ústí nad Orlicí, 562 18

Other trials in Czechia

Portugal8 sites
  • Research Site

    Almada, 2800-455

  • Research Site

    Aveiro, 3800-266

  • Research Site

    Forte Da Casa, 2625-437

  • Research Site

    Guimarães, 4810-273

  • Research Site

    Lisbon, 1750-130

  • Research Site

    Santo Tirso, 4780-383

  • Research Site

    Setúbal, 2900-655

  • Research Site

    Vila Franca de Xira, 2600-076

Other trials in Portugal

Switzerland7 sites
  • Research Site

    Aarau, 5001

  • Research Site

    Bern, 3010

  • Research Site

    Geneva, 1211

  • Research Site

    Lausanne, 1003

  • Research Site

    Lausanne, 1011

  • Research Site

    Locarno, 6600

  • Research Site

    Zurich, 8091

Other trials in Switzerland

Australia6 sites
  • Research Site

    Adelaide, South Australia, 5000

  • Research Site

    Brisbane, Queensland, 4102

  • Research Site

    Clayton, Victoria, 3168

  • Research Site

    Liverpool, New South Wales, 2170

  • Research Site

    Prahan, Victoria, 3004

  • Research Site

    Westmead, New South Wales, 2145

Other trials in Australia

Canada6 sites
  • Research Site

    Brampton, Ontario, L6R 3J7

  • Research Site

    Edmonton, Alberta, T6G 2B7

  • Research Site

    Greenfield Park, Quebec, J4V 2H1

  • Research Site

    Montreal, Quebec, H4J 1C5

  • Research Site

    Saint John, New Brunswick, E2L 4L2

  • Research Site

    St. John's, Newfoundland and Labrador, A1B 3V6

Other trials in Canada

Austria5 sites
  • Research Site

    Feldkirch, 6807

  • Research Site

    Graz, 8036

  • Research Site

    Linz, 4020

  • Research Site

    Vienna, 1090

  • Research Site

    Vienna, 1220

Other trials in Austria

Greece5 sites
  • Research Site

    Alexandroupoli, 68100

  • Research Site

    Larissa, 41110

  • Research Site

    Nikaia, Piraeus, 18454

  • Research Site

    Pátrai, 26500

  • Research Site

    Thessaloniki, 54636

Other trials in Greece

Israel5 sites
  • Research Site

    Ashkelon, 78278

  • Research Site

    Jerusalem, 91120

  • Research Site

    Tel Aviv, 64239

  • Research Site

    Tel HaShomer, 52621

  • Research Site

    Tsrifin, 70300

Other trials in Israel

Sweden5 sites
  • Research Site

    Karlstad, 651 85

  • Research Site

    Stockholm, 118 67

  • Research Site

    Stockholm, 141 86

  • Research Site

    Trollhättan, 467 85

  • Research Site

    Uppsala, 751 85

Other trials in Sweden

Turkey (Türkiye)5 sites
  • Research Site

    Ankara, 06230

  • Research Site

    Ankara, 06810

  • Research Site

    Istanbul, 34371

  • Research Site

    Istanbul, 34890

  • Research Site

    Izmir, 35100

Other trials in Turkey (Türkiye)

Lithuania4 sites
  • Research Site

    Alytus, 63351

  • Research Site

    Kaunas, 50009

  • Research Site

    Kaunas, 50169

  • Research Site

    Ukmerge, 20184

Other trials in Lithuania

Denmark2 sites
  • Research Site

    Copenhagen, 2100

  • Research Site

    Fredericia, 7000

Other trials in Denmark

Netherlands2 sites
  • Research Site

    Rotterdam, 3079 DZ

  • Research Site

    Venlo, 5912 BL

Other trials in Netherlands

Latvia1 site
  • Research Site

    Riga, 1001

Other trials in Latvia

New Zealand1 site
  • Research Site

    Hamilton, 3240

Other trials in New Zealand

About this study

Official title: A Multicenter Single-arm Extension Study to Describe the Long-term Safety of AMG 416 in the Treatment of Secondary Hyperparathyroidism in Subjects With Chronic Kidney Disease on Hemodialysis

This is a multicenter, single-arm, extension study to characterize the long-term safety and tolerability of etelcalcetide in the treatment of Secondary Hyperparathyroidism (SHPT) in adults with Chronic Kidney Disease (CKD) on hemodialysis.

Read the detailed description

This is a multicenter, single-arm, extension study in which adults with secondary hyperparathyroidism currently receiving hemodialysis and previously treated in Amgen studies 20120231 (NCT01785875), 20120334 (NCT01576146), or 20120360 (NCT01896232) will continue to be treated with etelcalcetide until approximately 2.5 years after the first participant was enrolled.

Being tested
Etelcalcetide
Keywords
Secondary Hyperparathyroidism (SHPT), chrominc kidney disease (CKD), hemodialysis
Medical subject headings
Hyperparathyroidism, Secondary

What participants receive

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

  • EtelcalcetideDrug

    Also called KAI-4169, AMG 416, Parasabiv

    Etelcalcetide was supplied as a sterile, preservative-free, ready-to-administer aqueous solution.

Study groups in NCT02102204
Study groupRoleWhat they receive
EtelcalcetideExperimentalParticipants received etelcalcetide three times a week (TIW) by bolus injection at the end of hemodialysis. The minimum etelcalcetide dose in this study was 2.5 mg and the maximum dose was 15 mg. Etelcalcetide dose was titrated to maintain parathyroid hormone levels within 2x to 9x the upper limit of normal based on the reference range of the assay used at the individual study center.
Receives: Drug: Etelcalcetide

What is being measured

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

  1. Number of Participants With Adverse Events

    A serious adverse event is an AE that met at least 1 of the following criteria:

    • fatal
    • life threatening
    • required in-patient hospitalization or prolongation of existing hospitalization
    • resulted in persistent or significant disability/incapacity
    • congenital anomaly/birth defect
    • other medically important serious event.

    The relationship of each AE to study treatment was assessed by the investigator.

    The following AE grading scale was used:

    Mild: Transient or mild discomfort; no limitation in activity; no medical intervention/therapy required Moderate: Mild to moderate limitation in activity-some assistance may be needed; no or minimal medical intervention/therapy required Severe: Marked limitation in activity, some assistance usually required; medical intervention/therapy required, hospitalization possible Life-threatening: Extreme limitation in activity, significant assistance required, significant medical intervention/therapy required, hospitalization probable.

    Measured: From the date of first dose of etelcalcetide (in the current study) and up to 30 days after the last dose; median duration of treatment was 563 days.

Secondary outcomes (5)
  1. Percentage of Participants With Parathyroid Hormone Levels Between Two to Nine-times the Upper Limit of Normal

    The percentage of participants who maintained plasma parathyroid hormone (PTH) levels within the Kidney Disease Improving Global Outcomes (KDIGO) recommended range of not less than 2x the upper limit of normal (ULN) and not greater than 9x the ULN at months 6, 12, and 18, with the ULN based on the reference range of the assay used at the individual clinical site.

    Measured: Months 6, 12, and 18

  2. Percentage of Participants With Serum Phosphorus ≤ the ULN

    Percentage of participants with serum phosphorus less than or equal to the upper limit of normal for the assay used.

    Measured: Months 6, 12, and 18

  3. Percentage of Participants With Serum Corrected Calcium < 7.5 mg/dL

    The percentage of participants with serum corrected calcium (cCa) reported for cumulative time intervals from day 1 through months 6, 12, and 18, using the participant's lowest recorded corrected calcium value during the time interval.

    If serum albumin was less than 4.0 g/dL, serum calcium was corrected according to the following formula:

    cCa (mg/dL) = total calcium (mg/dL) + (4 - albumin [g/dL])*0.8. If serum albumin was > 4.0 g/dL no correction was made.

    Measured: From day 1 to months 6, 12, and 18

  4. Number of Participants With Shifts From Baseline Grade 0 or 1 to Postbaseline Grade 3 or 4 for Laboratory Parameters

    The Common Terminology Criteria for Adverse Events (CTCAE) grades for laboratory parameter values were defined based on the upper/lower limit of normal from the local laboratories contracted by the study centers.

    Measured: Baseline to end of treatment; median duration of treatment was 563 days.

  5. Number of Participants Who Developed Positive Binding Anti-Etelcalcetide Antibodies

    The number of participants who were binding antibody positive post-baseline with a negative or no result at baseline (where baseline for participants previously treated with etelcalcetide is Day 1 of the first study in which they were exposed to etelcalcetide and for participants previously treated with cinacalcet is the ending time point for study 20120360).

    Measured: Baseline and every 6 months (up to 24 months)

Timeline

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

  1. First posted2 Apr 2014 (estimated)
  2. Study start25 Mar 2014
  3. Primary completion4 Nov 2016
  4. Study completion26 Jun 2017

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
902 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02102204
Sponsor's protocol ID
20130213
Other IDs
2013-004136-30, KAI-4169
Status last verified
Oct 2017
First submitted
3 Mar 2014
Last updated
17 Nov 2017
Data monitoring committee
No
FDA-regulated device
No

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 228 sites in 24 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 4 inclusion and 5 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 17 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 228 sites in United States, Poland, Spain, Hungary, Belgium and 19 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. 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 17 Nov 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?

Number of Participants With Adverse Events (time frame: From the date of first dose of etelcalcetide (in the current study) and up to 30 days after the last dose; median duration of treatment was 563 days.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 17 Nov 2017.

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