Cinacalcet, effects on cardiovascular and bone health in chronic kidney disease (CKD)

ISRCTN ISRCTN81718275
DOI https://doi.org/10.1186/ISRCTN81718275
Protocol serial number 2006VAS23
Sponsor Salford Royal NHS Foundation Trust (UK)
Funders Amgen, educational grant (USA), University of Manchester, Translational Imaging Unit grant (UK)
Submission date
24/04/2008
Registration date
31/07/2008
Last edited
06/05/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Philip Kalra
Scientific

H4 Renal Department
Salford Royal NHS Foundation Trust
Stott Lane
Salford
M6 8HD
United Kingdom

Phone +44 (0)161 206 5998
Email philip.kalra@srft.nhs.uk

Study information

Primary study designInterventional
Study designMulti-centre randomised open-label interventional study
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleA randomised controlled trial to examine the effects of calcimimetic therapy on bone and cardiovascular health in end-stage renal disease
Study objectivesNull hypothesis: Cinacalcet will have no effect on the change of bone and cardiovascular parameters, compared to standard therapy, in haemodialysis patients over a 12 month period.
Ethics approval(s)Salford and Trafford Local Research Ethics Committee, approved in November 2005 (ref: 05/Q1404/216)
Health condition(s) or problem(s) studiedPatients with uncontrolled secondary hyperparathyroidism and who are on haemodialysis
InterventionIntervention arm: Cinacalcet (oral) alongside standard therapy. Dose of cinacalcet will be adjusted according to PTH and calcium, within the range of 30-180 mg daily.
Control arm: Standard therapy alone.

Standard therapy includes vitamin D analogues and all available phosphate binders.

Duration of interventions: 12 months
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Cinacalcet
Primary outcome measure(s)

The change of calcification score between the 2 cohorts at baseline and 12 months

Key secondary outcome measure(s)

The change in the following will be compared between the 2 arms at baseline and 12 months:
1. Vascular stiffness
2. Cardiac morphology
3. Cardiac function
4. Bone mineral density
5. Carotid Intima Media Thickness (CIMT)
6. Serum markers

Completion date01/07/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit75 Years
SexAll
Target sample size at registration40
Key inclusion criteria1. Age 18-75 at recruitment, both male and female
2. On haemodialysis for >90 days
3. Parathyroid hormone (PTH) >=300 pg/ml
4. Corrected calcium >=2.1 mmol/l
Key exclusion criteria1. Atrial fibrillation
2. Any contra-indications to magnetic resonance (MR) scan or ability to cooperate with scan
3. Any factors which will influence computed tomography (CT) scan e.g. artificial heart valves, previous sternotomy wires, stents
4. Contra-indication to cinacalcet e.g., pregnant, breast feeding, known reaction
5. Moderate to severe liver disease (alanine transaminase [ALT] >3x normal)
6. Have a poor record of compliance with medication
7. Have participated in a study involving an investigational drug during the 30 days prior to the first visit
8. Be involved in any other research study which exposes the patient to radiation above that of normal clinical practice
Date of first enrolment01/08/2006
Date of final enrolment01/07/2009

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

H4 Renal Department
Salford
M6 8HD
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

06/05/2016: No publications found, verifying study status with principal investigator.