Chronic Kidney Disease (CKD) Clinical Trial
Official title:
A Phase 3, Prospective, Open-Label, Multicenter Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Paricalcitol Oral Solution for the Treatment of Secondary Hyperparathyroidism in Pediatric Subjects Ages 0 to 9 Years With Stage 5 Chronic Kidney Disease Receiving Peritoneal Dialysis or Hemodialysis
The main objective of this study is to evaluate the safety, efficacy and pharmacokinetics of paricalcitol oral solution in pediatric participants of ages 0 to 9 years with SHPT associated with stage 5 CKD receiving Peritoneal Dialysis (PD) or Hemodialysis (HD). The 24-week study is divided into two 12-week dosing periods (Dosing Period 1 followed by Dosing Period 2).
Status | Recruiting |
Enrollment | 16 |
Est. completion date | October 30, 2026 |
Est. primary completion date | June 30, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 0 Years to 9 Years |
Eligibility | Inclusion Criteria: - Participant is currently diagnosed with and/or being treated for secondary hyperparathyroidism (SHPT). - Participant must be diagnosed with chronic kidney disease (CKD) stage 5 receiving peritoneal dialysis (PD) or hemodialysis (HD) for at least 30 days prior to initial Screening. - For entry into the Washout Period (for vitamin D receptor activator [VDRA] non-naive participants), the participant must meet the appropriate laboratory criteria based upon the participant's age as described in the protocol. - For entry into the Dosing Period (for VDRA-naive participants or VDRA non-naive participants who have completed the Washout Period), the participant must meet the appropriate laboratory criteria based upon the participant's age as described in the protocol. Exclusion Criteria: - Participant is scheduled to receive a living donor kidney transplant within 3 months of Screening or is a kidney transplant recipient. - Participant is expected to discontinue peritoneal dialysis (PD) or hemodialysis (HD) within 3 months of the initial Screening visit. - Participant has had a parathyroidectomy within 12 weeks prior to Screening. - Participant is taking maintenance calcitonin, bisphosphonates, glucocorticoids (in a dose equivalent to more than > 0.16 mg/kg/day or 5 mg prednisone/day, whichever is lower), 4 weeks prior to Dosing. - Participant is receiving calcimimetics at the time of Screening or is expected to initiate calcimimetics at any time throughout the study. - Participant is unable to take oral medications. |
Country | Name | City | State |
---|---|---|---|
Puerto Rico | School of Medicine University of Puerto Rico-Medical Science Campus /ID# 140663 | San Juan | |
United States | Emory University /ID# 140665 | Atlanta | Georgia |
United States | Boston Children's Hospital /ID# 162863 | Boston | Massachusetts |
United States | Levine Children's Specialty Center- Charlotte /ID# 216057 | Charlotte | North Carolina |
United States | University of Texas Southwestern Medical Center /ID# 210495 | Dallas | Texas |
United States | Arkansas Children's Hospital /ID# 225417 | Little Rock | Arkansas |
United States | Holtz Childrens Hospital, University of Miami /ID# 225636 | Miami | Florida |
United States | Nicklaus Children's Hospital /ID# 210517 | Miami | Florida |
United States | Children's Hospital of Philadelphia - Main /ID# 213802 | Philadelphia | Pennsylvania |
United States | Stanford University /ID# 252150 | Redwood City | California |
United States | University of Utah /ID# 140669 | Salt Lake City | Utah |
United States | Seattle Children's Hospital /ID# 162861 | Seattle | Washington |
United States | Children's National Medical Center /ID# 225991 | Washington | District of Columbia |
Lead Sponsor | Collaborator |
---|---|
AbbVie |
United States, Puerto Rico,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Percentage of Participants Who Achieve Positive Response During Dosing Period 1 | Positive response is defined as having two consecutive >= 30% reductions from baseline in intact parathyroid hormone (iPTH) or two consecutive iPTH values in the target range between 150 picograms (pg)/milliliters (mL) to 300 pg/mL (16.5-33.0 picomole[pmol]/L). | Up to Week 12 | |
Primary | Incidence of Hypercalcemia During Dosing Period 1 | Incidence of hypercalcemia is defined as two consecutive, post-baseline, corrected calcium measurements above the normal participants's age-specific upper limit. | Up to Week 12 | |
Secondary | Percentage of Participants Who Achieve a Positive Response During Dosing Period 2 | Positive response is defined as having two consecutive >= 30% reductions from baseline in iPTH or two consecutive iPTH values in the target range between 150 pg/mL to 300 pg/mL (16.5-33.0 picomole[pmol]/L). | Week 12 through Week 24 | |
Secondary | Percentage of Participants Who Achieve a Positive Response During Dosing Periods 1 and 2 Combined | Positive response is defined as having two consecutive >= 30% reductions from baseline in iPTH or two consecutive iPTH values in the target range between 150 pg/mL to 300 pg/mL (16.5-33.0 picomole[pmol]/L). | Up to Week 24 | |
Secondary | Percentage of Participants Who Achieve Two Consecutive >= 30% Reductions in iPTH From Baseline During Dosing Period 1 | Participants who achieve two consecutive >= 30% reductions in iPTH will be evaluated. | Up to Week 12 | |
Secondary | Percentage of Participants Who Achieve Two Consecutive >= 30% Reductions in iPTH From Baseline During Dosing Period 2 | Participants who achieve two consecutive >= 30% reductions in iPTH will be evaluated. | Week 12 through Week 24 | |
Secondary | Percentage of Participants Who Achieve Two Consecutive >= 30% Reductions in iPTH From Baseline During Dosing Periods 1 and 2 Combined | Participants who achieve two consecutive >= 30% reductions in iPTH will be evaluated. | Up to Week 24 | |
Secondary | Percentage of Participants Who Achieve Two Consecutive iPTH Values Between 150 pg/mL to 300 pg/mL (16.5 - 33.0 pmol/L) During Dosing Period 1 | Participants who achieve two consecutive iPTH values between 150 pg/mL to 300 pg/mL (16.5 - 33.0 pmol/L) will be evaluated. | Up to Week 12 | |
Secondary | Percentage of Participants Who Achieve Two Consecutive iPTH Values Between 150 pg/mL to 300 pg/mL (16.5 - 33.0 pmol/L) During Dosing Period 2 | Participants who achieve two consecutive iPTH values between 150 pg/mL to 300 pg/mL (16.5 - 33.0 pmol/L) will be evaluated. | Week 12 through Week 24 | |
Secondary | Percentage of Participants Who Achieve Two Consecutive iPTH Values Between 150 pg/mL to 300 pg/mL (16.5 - 33.0 pmol/L) During Dosing Periods 1 and 2 Combined | Participants who achieve two consecutive iPTH values between 150 pg/mL to 300 pg/mL (16.5 - 33.0 pmol/L) will be evaluated. | Up to Week 24 | |
Secondary | Incidence of Hypercalcemia During Dosing Period 2 | Incidence of hypercalcemia is defined as two consecutive, post-baseline, corrected calcium measurements above the normal participants's age-specific upper limit. | Week 12 through Week 24 | |
Secondary | Incidence of Hypercalcemia During Dosing Periods 1 and 2 Combined | Incidence of hypercalcemia is defined as two consecutive, post-baseline, corrected calcium measurements above the normal participants's age-specific upper limit. | Up to Week 24 |
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