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Primary HyperparathyroidismPhase 2NCT03774771

Safety, Pharmacokinetics, and Clinical Effects of Cinacalcet (AMG 073) in Primary Hyperparathyroidism

A Phase 2 study testing Cinacalcet in people with Primary Hyperparathyroidism, run by Amgen.

Completed

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

Official record
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Trial summary

The primary objective was to assess the safety and tolerability of cinacalcet in adults with primary hyperparathyroidism (HPT) when administered as a single oral once daily doses for 6 consecutive weeks and twice daily for 15 consecutive days. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Primary Hyperparathyroidism
What is being tested?
Cinacalcet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
No sites listed yet
Study dates
29 Sep 1998to 13 Dec 1999
Phase
Phase 2
Are there results?
None posted in the registry

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females ≥ 18 years of age at screening. In Part 1, females must be postmenopausal (at least 12 months since last menstrual period) or surgically sterile.
  • In Part 2, all qualified females replacing a Part 1 subject (i.e., naïve subjects), regardless of reproductive status, may participate if, in the opinion of the principal investigator, an appropriate effective contraceptive method is used throughout the study. All females must have a negative serum pregnancy test within 28 days prior to Baseline (Parts 1 and 2).
  • Men and women participating in this study must agree to use, in the opinion of the principal investigator, highly effective contraceptive measures throughout the study. All females who are pregnant or breast-feeding are excluded. All subjects must notify the principal investigator if they or their partner suspects a pregnancy.
  • Diagnosis of primary HPT. A plasma intact PTH concentration ≥ 45 pg/mL on at least two occasions at least 1 week apart during the 12 months prior to baseline (at least one of these determinations should be made during screening), and a corrected total serum calcium concentration (for each 1 g/dL decrease in albumin level below 4.0 g/dL, the calcium value should be increased by 0.8 mg/dL) greater than the upper limit of normal, but no greater than 12.5 mg/dL.
  • Acceptable renal function, with an estimated creatinine clearance > 50 ml/min as determined by the Cockroft and Gault equation.
  • Acceptable hepatic function, defined as serum aspartate aminotransferase (AST), alanine aminotransferase (ALT), and total bilirubin < 2 times the upper limit of normal.
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  • Fasting (8 hours) serum glucose ≤ 130 mg/dL and hemoglobin Alc within the central laboratory's normal range.
  • Hematology panel, serum clinical chemistry and urinalysis results within normal ranges
  • Chest x-ray without evidence of active, infectious, inflammatory or malignant process.

Who cannot join

  • Any unstable medical condition, defined as having been hospitalized within 28 at prior to baseline, or otherwise unstable in the judgement of the investigator.
  • Received within 21 day prior to baseline, therapy with systemic glucocorticoids, lithium, tricyclic antidepressants, thioridazine, haloperidol, flecainide, or other drugs with a narrow therapeutic index that are primarily metabolized by hepatic cytochrome P450 CYP 2D6, drugs that affect renal tubular calcium handling (e.g. thiazide or loop diuretics), and drugs that affect bone metabolism (e.g. calcitonin, selective estrogen receptor modulators [SERMs])
  • Received, within 90 days prior to Baseline, chronic therapy with bisphosphonates or fluoride.
  • Known alcohol abuse, or use of illicit drugs, within 12 months prior to Baseline
  • Experienced a myocardial infarction (MI) within 6 months prior to Baseline
  • A ventricular rhythm disturbance requiring current treatment
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  • Received investigational drugs within 28 days prior to Baseline
  • A history of seizures within 12 months prior to Baseline
  • A history (within 5 years) of malignancy of any type, other than nonmelanomatous skin cancers or in situ cervical cancer
  • A gastrointestinal disorder that may be associated with impaired absorption of orally administered medications
  • A Body Mass Index (BMI) < 15 or > 40, obtained during screening
  • An inability to swallow capsules
  • Sarcoidosis, tuberculosis, or other diseases known to cause hypercalcemia
  • Fasting spot urine calcium/creatinine ratio (mg) < 0.05
  • A psychiatric disorder that would interfere with understanding and giving informed consent or compliance with protocol requirements
  • Any other condition that might reduce the chance of obtaining data (eg, known poor compliance) required by the protocol or that might compromise the ability to give truly informed consent.
  • For Part 2, a subject from Part 1 who discontinued treatment early

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Multicenter, 6-week Dose-Ranging Study to Assess the Safety, Pharmacokinetics, and Clinical Effects of an Oral Calcimimetic Agent (AMG 073) in Primary Hyperparathyroidism

The primary objective was to assess the safety and tolerability of cinacalcet in adults with primary hyperparathyroidism (HPT) when administered as a single oral once daily doses for 6 consecutive weeks and twice daily for 15 consecutive days.

Being tested
Cinacalcet, Placebo
Medical subject headings
Hyperparathyroidism, Primary

What participants receive

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

  • CinacalcetDrug

    Also called AMG 073, Sensipar®, Mimpara®

    Capsule for oral administration

  • PlaceboDrug

    Capsules for oral administration

Study groups in NCT03774771
Study groupRoleWhat they receive
PlaceboPlacebo comparatorIn Part 1 participants received placebo capsules orally once a day for 6 weeks. In Part 2 participants received placebo capsules twice a day for 15 days.
Receives: Drug: Placebo
Cinacalcet 50 mg QDExperimentalIn Part 1 participants received 50 mg cinacalcet capsules orally once a day (QD) for 6 weeks. In Part 2 participants received 30 mg cinacalcet capsules twice a day for 15 days.
Receives: Drug: Cinacalcet
Cinacalcet 75 mg QDExperimentalIn Part 1 participants received 75 mg cinacalcet capsules orally once a day (QD) for 6 weeks. In Part 2 participants received 40 mg cinacalcet capsules twice a day for 15 days.
Receives: Drug: Cinacalcet
Cinacelcet 100 mg QDExperimentalIn Part 1 participants received 100 mg cinacalcet capsules orally once a day (QD) for 6 weeks. In Part 2 participants received 50 mg cinacalcet capsules twice a day for 15 days.
Receives: Drug: Cinacalcet

What is being measured

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

  1. Number of Participants with Adverse Events in Part 1 and Part 2

    Measured: 6 weeks in Part 1 and 15 days in Part 2

Secondary outcomes (34)
  1. Percent Change from Baseline in Serum Calcium Concentration

    Measured: Baseline and days 8, 15, 16, 29, 43, and 50 in Part 1 and days 1, 8, 15, and 22 in Part 2.

  2. Area Under the Serum Calcium Concentration-time Curve from 0 to 24 Hours After Dosing (AUC0-24) in Part 1

    Measured: Days 1, 8, and 43: Predose, 1, 2, 4, 8, 12, and 24 hours post dose

  3. Area Under the Serum Calcium Concentration-time Curve from 0 to 12 Hours After Dosing (AUC0-12) in Part 2

    Measured: Days 1 and 15: Predose, 1, 2, 4, 8, 12, 13, 14, 16, 20, and 24 hours postdose

  4. Minimum Serum Calcium Concentration in Part 1

    Measured: Days 1, 8, and 43: Predose, 1, 2, 4, 8, 12, and 24 hours postdose

  5. Minimum Serum Calcium Concentration in Part 2

    Measured: Days 1 and 15: Predose, 1, 2, 4, 8, 12, 13, 14, 16, 20, and 24 hours postdose

  6. Cumulative Time When Serum Calcium was Below Baseline During the 24-hour Dosing Interval in Part 1

    Measured: Days 1, 8, and 43: Predose, 1, 2, 4, 8, 12, and 24 hours post dose

  7. Cumulative Time When Serum Calcium was Below Baseline During the 12-hour Dosing Interval in Part 2

    Measured: Days 1 and 15: Predose, 1, 2, 4, 8, 12, 13, 14, 16, 20, and 24 hours postdose

  8. Cumulative Time Over the Day When Serum Calcium was ≤ 10.3 mg/dL In Part 1

    Measured: Days 1, 8, and 43: Predose, 1, 2, 4, 8, 12, and 24 hours post dose

  9. Cumulative Time Over the Day When Serum Calcium was ≤ 10.3 mg/dL In Part 2

    Measured: Days 1 and 15: Predose, 1, 2, 4, 8, 12, 13, 14, 16, 20, and 24 hours postdose

  10. Percent Change from Baseline in Plasma Intact parathyroid Hormone (iPTH) Concentration

    Measured: Baseline and days 8, 15, 16, 29, 43, and 50 in Part 1 and days 1, 8, 15, and 22 in Part 2.

  11. Area Under the Plasma iPTH Concentration-time Curve from 0 to 24 Hours After Dosing (AUC0-24) in Part 1

    Measured: Days 1, 8, and 43: Predose, 1, 2, 4, 8, 12, and 24 hours post dose

  12. Area Under the Plasma iPTH Concentration-time Curve from 0 to 12 Hours After Dosing (AUC0-12) in Part 2

    Measured: Days 1 and 15: Predose, 1, 2, 4, 8, 12, 13, 14, 16, 20, and 24 hours postdose

  13. Minimum iPTH Concentration in Part 1

    Measured: Days 1, 8, and 43: Predose, 1, 2, 4, 8, 12, and 24 hours postdose

  14. Minimum iPTH Concentration in Part 2

    Measured: Days 1 and 15: Predose, 1, 2, 4, 8, 12, 13, 14, 16, 20, and 24 hours postdose

  15. Time of Minimum iPTH Concentration in Part 1

    Measured: Days 1, 8, and 43: Predose, 1, 2, 4, 8, 12, and 24 hours postdose

  16. Time of Minimum iPTH Concentration in Part 2

    Measured: Days 1 and 15: Predose, 1, 2, 4, 8, 12, 13, 14, 16, 20, and 24 hours postdose

  17. Cumulative Time When iPTH was Below Baseline During the 24-hour Dosing Interval in Part 1

    Measured: Days 1, 8, and 43: Predose, 1, 2, 4, 8, 12, and 24 hours post dose

  18. Cumulative Time When iPTH was Below Baseline During the 12-hour Dosing Interval in Part 2

    Measured: Days 1 and 15: Predose, 1, 2, 4, 8, 12, 13, 14, 16, 20, and 24 hours postdose

  19. Cumulative Time iPTH was Below 45 pg/mL in Part 1

    Measured: Days 1, 8, and 43: Predose, 1, 2, 4, 8, 12, and 24 hours post dose

  20. Cumulative Time iPTH was Below 45 pg/mL in Part 2

    Measured: Days 1 and 15: Predose, 1, 2, 4, 8, 12, 13, 14, 16, 20, and 24 hours postdose

  21. Percent Change from Baseline in Serum Calcitonin Concentration

    Measured: Baseline and days 8, 15, and 43 in Part 1

  22. Percentage of Participants with Serum Calcitonin Concentration Less than 10 pg/mL

    Measured: Baseline and days 8, 15 and 43 in Part 1

  23. Percent Change from Baseline in Bone-specific Alkaline Phosphatase (BALP) Concentration

    Measured: Baseline and days 15 and 43 in Part 1 and days 1, 8, and 15 in Part 2

  24. Percentage of Participants with BALP Concentration Within Normal Range

    Normal range of BALP is 2.9 to 20.1 ng/mL for men 20 to 79 years of age and and 3.7 to 20.9 ng/mL for women 20 to 79 years of age.

    Measured: Baseline and days 15 and 43 in Part 1 and days 1, 8, and 15 in Part 2

  25. Percent Change from Baseline in Serum N-telopeptide (NTx) Concentration

    Measured: Baseline and days 8 and 15 in Part 1

  26. Percentage of Participants with Serum NTx Concentration Within Normal Range

    Normal range of serum NTx is 5.4 to 24.2 nmoL bone collagen equivalents (BCE)/L for men, 6.2 to 19.0 nmoL BCE/L for premenopausal women, and 5.3 to 35.8 nmol BCE/L for postmenopausal women (≥ 55 years).

    Measured: Baseline and days 8 and 15 in Part 1

  27. Percent Change from Baseline in Urinary NTx Concentration

    Measured: Baseline and days 15 and 43 in Part 1 and days 1, 8, and 15 in Part 2

  28. Percentage of Participants with Urinary NTx Concentration Within Normal Range

    Normal range of urinary NTx is is 0.0 to 85.0 nmoL BCE/mmoL creatinine for men, 5.0 to 65.0 nmoL BCE/mmoL creatinine for premenopausal women, and 0.0 to 130.0 nmoL BCE/mmoL creatinine for postmenopausal women [≥ 55 years).

    Measured: Baseline and days 15 and 43 in Part 1 and days 1, 8, and 15 in Part 2

  29. Percent Change from Baseline in Urinary Calcium/Creatinine Ratio

    Measured: Baseline and days 8 and 15 in Part 1

  30. Percent Change from Baseline in Urinary Calcium Concentration

    Measured: Baseline and days 15 and 43 in Part 1 and days 1, 8, and 15 in Part 2

  31. Percentage of Participants with Urinary Calcium Concentration Within Normal Range

    Normal range of urinary calcium is 50 to 300 mg/24 hours.

    Measured: Baseline and days 15 and 43 in Part 1 and days 1, 8, and 15 in Part 2

  32. Percent Change from Baseline in 1,25-Dihydroxy Vitamin D

    Measured: Baseline and days 8 and 43 in Part 1 and days 1 and 15 in part 2

  33. Percentage of Participants with 1,25-Dihydroxy Vitamin D Concentration in the Normal Range

    The normal range for 1,25-dihydroxy vitamin D3 is 16.0 to 65.0 pg/mL.

    Measured: Baseline and days 8 and 43 in Part 1 and days 1 and 15 in part 2

  34. Percent Change from Baseline in Urinary and Serum Phosphorus Concentrations

    Measured: Baseline and days 8, 15, and 22 in Part 2

Timeline

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

  1. First posted13 Dec 2018
  2. Study start29 Sep 1998
  3. Primary completion13 Dec 1999
  4. Study completion13 Dec 1999

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03774771
Sponsor's protocol ID
00980125
Status last verified
Dec 2018
First submitted
11 Dec 2018
Last updated
13 Dec 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cinacalcet in people with Primary Hyperparathyroidism, run by Amgen.

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 9 inclusion and 17 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 13 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.

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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 in Part 1 and Part 2 (time frame: 6 weeks in Part 1 and 15 days in Part 2). 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 13 Dec 2018.

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