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.
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
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Aurora, Colorado, 80045
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Azusa, California, 91702
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Bakersfield, California, 93308
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Baton Rouge, Louisiana, 70808
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Bethlehem, Pennsylvania, 18017
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Birmingham, Alabama, 35211
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Bluefield, West Virginia, 24701
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Brookhaven, Mississippi, 39601
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Brooklyn, New York, 11235
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Burlington, Vermont, 05401
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Chattanooga, Tennessee, 37408
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Cincinnati, Ohio, 45267
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College Point, New York, 11356
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Columbia, South Carolina, 29203
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Columbus, Mississippi, 39705
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Columbus, Ohio, 43215
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Cudahy, California, 90201
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Detroit, Michigan, 48236
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Dublin, Georgia, 31021
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Durham, North Carolina, 27704
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Eatontown, New Jersey, 07724
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Edinburg, Texas, 78539
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Fairfax, Virginia, 22033
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Granada Hills, California, 91344
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Great Neck, New York, 11021
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Gulfport, Mississippi, 39501
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Hampton, Virginia, 23666
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Highland Park, Illinois, 60035
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Houston, Texas, 77030
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Kansas City, Missouri, 64111
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Knoxville, Tennessee, 37923
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Las Vegas, Nevada, 89106
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Lincoln, Nebraska, 68510
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Los Angeles, California, 90022
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Los Angeles, California, 90048
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Mechanicsville, Virginia, 23116
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Meridian, Idaho, 83642
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Merrillville, Indiana, 46410
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Miami, Florida, 33150
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Michigan City, Indiana, 46360
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Mineola, New York, 11501
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New Bern, North Carolina, 28562
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Northridge, California, 91324
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Ocala, Florida, 34471
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Oklahoma City, Oklahoma, 73116
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Pembroke Pines, Florida, 33028
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Philadelphia, Pennsylvania, 19106
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Pontiac, Michigan, 48341
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Reno, Nevada, 89511
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Riverside, California, 92501
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Rosedale, New York, 11422
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San Antonio, Texas, 78229
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Simi Valley, California, 93065
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Springfield, Massachusetts, 01107
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Stamford, Connecticut, 06902
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Tampa, Florida, 33614
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The Bronx, New York, 10461
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Tupelo, Mississippi, 38801
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Vacaville, California, 95687
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Voorhees Township, New Jersey, 08043
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Westminster, Colorado, 80031
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Whittier, California, 90603
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Wichita, Kansas, 67214-2998
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Wilmington, North Carolina, 28401
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Yonkers, New York, 10704
Poland14 sites
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Gdansk, 80-952
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Golub-Dobrzyń, 87-400
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Katowice, 40-027
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Krakow, 31-501
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Lodz, 90-153
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Poznan, 60-355
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Poznan, 61-696
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Sieradz, 98-200
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Wadowice, 34-100
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Warsaw, 02-097
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Warsaw, 02-507
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Zabrze, 41-800
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Zamość, 87-100
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Żyrardów, 96-300
Spain14 sites
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Badajoz, Extremadura, 06080
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Barcelona, Catalonia, 08003
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Barcelona, Catalonia, 08025
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Barcelona, Catalonia, 08035
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Barcelona, Catalonia, 08036
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Córdoba, Andalusia, 14004
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Lleida, Catalonia, 25198
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Madrid, 28040
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Madrid, 28041
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Majadahonda, Madrid, 28222
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Pamplona, Navarre, 31008
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Santander, Cantabria, 39008
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Torrevieja, Valencia, 03186
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Valencia, Valencia, 46017
Hungary12 sites
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Baja, 6500
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Budapest, 1106
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Esztergom, 2500
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Győr, 9023
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Kaposvár, 7400
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Kistarcsa, 2143
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Miskolc, 3526
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Pécs, 7624
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Pécs, 7633
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Székesfehérvár, 8000
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Szigetvár, 7900
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Zalaegerszeg, 8900
Belgium11 sites
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Aalst, 9300
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Baudour, 7331
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Bonheiden, 2820
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Brussels, 1020
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Brussels, 1200
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Hasselt, 3500
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Kortrijk, 8500
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Leuven, 3000
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Liège, 4000
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Roeselare, 8800
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Tournai, 7500
Russia11 sites
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Mitishi, 141009
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Moscow, 129327
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Petrozavodsk, 185019
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Saint Petersburg, 191104
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Saint Petersburg, 193318
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Saint Petersburg, 195067
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Saint Petersburg, 195257
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Saint Petersburg, 196247
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Saint Petersburg, 197110
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Saint Petersburg, 198510
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Yaroslavl, 150062
Italy10 sites
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Ancona, 60126
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Florence, 50139
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Genova, 16132
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Lecco, 23900
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Lucca, 55100
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Milan, 20122
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Pavia, 27100
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Pisa, 56126
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Pordenone, 33170
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Verona, 37126
France9 sites
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Caen, 14000
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La Tronche, 38701
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Lille, 59800
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Marseille, 13253
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Paris, 75011
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Paris, 75014
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Reims, 51092
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Saint-Ouen, 93400
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Saint-Priest-en-Jarez, 42270
Germany9 sites
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Aachen, 52074
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Berlin, 12053
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Hamburg, 22297
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Langenhagen, 30853
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Minden, 32429
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München, 81675
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Villingen-Schwenningen, 78052
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Wiesbaden, 65191
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Zwickau, 08060
Czechia8 sites
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Hradec Králové, 500 05
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Nový Jičín, 741 01
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Pilsen, 301 00
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Prague, 140 21
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Prague, 169 00
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Praha 4 - Nusle, 140 00
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Slavkov u Brna, 684 01
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Ústí nad Orlicí, 562 18
Portugal8 sites
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Almada, 2800-455
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Aveiro, 3800-266
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Forte Da Casa, 2625-437
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Guimarães, 4810-273
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Lisbon, 1750-130
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Santo Tirso, 4780-383
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Setúbal, 2900-655
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Vila Franca de Xira, 2600-076
Switzerland7 sites
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Aarau, 5001
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Bern, 3010
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Geneva, 1211
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Lausanne, 1003
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Lausanne, 1011
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Locarno, 6600
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Zurich, 8091
Australia6 sites
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Adelaide, South Australia, 5000
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Brisbane, Queensland, 4102
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Clayton, Victoria, 3168
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Liverpool, New South Wales, 2170
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Prahan, Victoria, 3004
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Westmead, New South Wales, 2145
Canada6 sites
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Brampton, Ontario, L6R 3J7
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Edmonton, Alberta, T6G 2B7
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Greenfield Park, Quebec, J4V 2H1
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Montreal, Quebec, H4J 1C5
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Saint John, New Brunswick, E2L 4L2
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St. John's, Newfoundland and Labrador, A1B 3V6
Austria5 sites
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Feldkirch, 6807
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Graz, 8036
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Linz, 4020
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Vienna, 1090
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Vienna, 1220
Greece5 sites
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Alexandroupoli, 68100
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Larissa, 41110
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Nikaia, Piraeus, 18454
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Pátrai, 26500
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Thessaloniki, 54636
Israel5 sites
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Ashkelon, 78278
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Jerusalem, 91120
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Tel Aviv, 64239
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Tel HaShomer, 52621
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Tsrifin, 70300
Sweden5 sites
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Karlstad, 651 85
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Stockholm, 118 67
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Stockholm, 141 86
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Trollhättan, 467 85
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Uppsala, 751 85
Turkey (Türkiye)5 sites
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Ankara, 06230
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Ankara, 06810
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Istanbul, 34371
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Istanbul, 34890
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Izmir, 35100
Lithuania4 sites
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Alytus, 63351
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Kaunas, 50009
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Kaunas, 50169
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Ukmerge, 20184
Netherlands2 sites
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Rotterdam, 3079 DZ
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Venlo, 5912 BL
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.
- Conditions
- Hyperparathyroidism, Secondary
- 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 group | Role | What they receive |
|---|---|---|
| Etelcalcetide | Experimental | Participants 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.
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)
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
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
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
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.
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.
- First posted2 Apr 2014 (estimated)
- Study start25 Mar 2014
- Primary completion4 Nov 2016
- Study completion26 Jun 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Hyperparathyroidism, SecondaryStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT02102204
- Acronym / sponsor ID
- 20130213
- Conditions
- Hyperparathyroidism, Secondary
- Keywords
- Secondary Hyperparathyroidism (SHPT), chrominc kidney disease (CKD), hemodialysis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 902 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 25 Mar 2014 (actual)
- Primary completion
- 4 Nov 2016 (actual)
- Study completion
- 26 Jun 2017 (actual)
- First posted
- 2 Apr 2014 (estimated)
- Results
- Posted 17 Nov 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Etelcalcetide | Experimental | Drug: EtelcalcetideParticipants 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. |
Who may qualify
- Ages
- 18 to 110 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- 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
Key exclusion criteria (5 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EtelcalcetideAlso: KAI-4169, AMG 416, ParasabivEtelcalcetide was supplied as a sterile, preservative-free, ready-to-administer aqueous solution. | Drug | Etelcalcetide |
Primary outcome
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.
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.
5 secondary outcomes
Percentage of Participants With Parathyroid Hormone Levels Between Two to Nine-times the Upper Limit of Normal
Time frame: Months 6, 12, and 18
Percentage of Participants With Serum Phosphorus ≤ the ULN
Time frame: Months 6, 12, and 18
Percentage of Participants With Serum Corrected Calcium < 7.5 mg/dL
Time frame: From day 1 to months 6, 12, and 18
Number of Participants With Shifts From Baseline Grade 0 or 1 to Postbaseline Grade 3 or 4 for Laboratory Parameters
Time frame: Baseline to end of treatment; median duration of treatment was 563 days.
Number of Participants Who Developed Positive Binding Anti-Etelcalcetide Antibodies
Time frame: Baseline and every 6 months (up to 24 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Nov 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
MD study director
Amgen
228 sites in 24 countries: see every site and its status.
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.