UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030392
Receipt number R000034259
Scientific Title Development of treatment strategy for CKD-MBD by multilateral mechanism of ethelcarcitrate hydrochloride
Date of disclosure of the study information 2018/01/01
Last modified on 2023/03/03 11:42:41

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Development of treatment strategy for CKD-MBD by multilateral mechanism of ethelcarcitrate hydrochloride

Acronym

The DUET study

Scientific Title

Development of treatment strategy for CKD-MBD by multilateral mechanism of ethelcarcitrate hydrochloride

Scientific Title:Acronym

The DUET study

Region

Japan


Condition

Condition

Secondary hyperparathyroidism

Classification by specialty

Medicine in general Endocrinology and Metabolism Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the efficacy of etelcalcetide in hemodialysis patients with secondary hyperparathyroidism

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Ratio of achievement of more than 50% reduction and under 240pg/dl in intact parathyroid hormone (iPTH) after 12 weeks of treatment

Key secondary outcomes

-Ratio of achievement of 60<=iPTH<=240 after 12 weeks of treatment
-Ratio of achievement of more than 30% reduction in iPTH after 12 weeks of treatment
-Ratio of achievement of more than 30% reduction and 60<=iPTH<=240 after 12 weeks of treatment
-Ratio of achievement of more than 50% reduction in iPTH after 12 weeks of treatment
-Change in iPTH after 2, 4, 6, 8, 10 and 12 weeks of treatment relative to the baseline
-Change in CalciProtein Particle (CPP) and Fibroblast Growth Factor 23 (FGF23) after 6 and 12 weeks of treatment relative to the baseline among treatment groups
-Change in Ca, P, CaXP and Mg after2, 4, 6, 8, 10 and 12 weeks relative to the baseline among treatment groups
-Change in Bone Specific Alkaline Phosphatase (BAP) and Tartrate-resistant Acid Phosphatase 5b (TRACP5b) after one year of treatment relative to the baseline among treatment groups
-Comparison of aortic calcification before and after observation
-Ca, P and iPTH levels after one year of treatment
-Comparison of normalized ratio of hypocalcemia between VitD and calcium preparations
-Adverse events


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Etelcalcetide+active Vitamin D for 12weeks

Interventions/Control_2

Etelcalcetide+oral calcium (calcium carbonate) for 12weeks

Interventions/Control_3

Control [active Vitamin D + oral calcium (calcium carbonate)] for 12weeks

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

1.patients on maintenance hemodialysis 3 times a week
2.patients with more than one-year hemodialysis vintage
3.patients who are judged stable
4.older than 20 years and younger than 100 years
5.iPTH >=240 pg/ml within 4 months
6.corrected Ca >=8.4mg/dl at enrollment
7.patients who are able to write informed consent

Key exclusion criteria

1.patients who have been prescribed etelcalcetide before
2.bisphosphonate users within 24 weeks
3.primary hyperparathyroidism
4.undergoing parathyroidectomy or intervention therapy to parathyroid within 90 days before enrollment
5.scheduled parathyroidectomy, intervention therapy to parathyroid or kidney plantation
6. pregnant or breast feeding
7. patients who are deemed unsuitable by a physician, for instance cancer, severe infection and severe complication
8. patients who are prescribed Maxacalcitol, over 10[micro]gx3/week at obtainment of IC
9. patients who are prescribed Calcitriol, over 0.75[micro]gx3/week at obtainment of IC
10. patients who are prescribed other active VitD, over half of maximum dose at obtainment of IC
11. patients who are prescribed precipitated calcium carbonate, over 3g/day at obtainment of IC

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Shoichi
Middle name
Last name Maruyama

Organization

Nagoya University Graduate School of Medicine, Internal Medicine

Division name

Nephrology

Zip code

4648550

Address

65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan

TEL

+81-52-744-2192

Email

marus@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Sawako
Middle name
Last name Kato

Organization

Nagoya University Graduate School of Medicine, Internal Medicine

Division name

Nephrology

Zip code

4648550

Address

65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan

TEL

+81-52-744-2192

Homepage URL


Email

Kato07@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University Graduate School of Medicine, Nephrology

Institute

Department

Personal name



Funding Source

Organization

ONO PHARMACEUTICAL CO., LTD.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya University

Address

65 Tsurumai Showa Nagoya

Tel

052-741-2111

Email

ethics@med.nagoya-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 01 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

120

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 01 Month 01 Day

Date of IRB

2018 Year 03 Month 01 Day

Anticipated trial start date

2018 Year 01 Month 01 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 12 Month 14 Day

Last modified on

2023 Year 03 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034259


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name