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An Open-label Study of Combination of Cinacalcet and Active Vitamin D Analogue in the Management of Severe Secondary Hyperparathyroidism in Haemodialysis Patients
This is a single arm, open-labelled study to determine the effectiveness of combination Cinacalcet with Vitamin D analogue in the treatment of severe hyperparathyroidism in patients with ESRF on haemodialysis. Patients will be started on PO Cinacalcet 25mg OD + PO/IV active Vitamin D analogues adjusted by increments/decrements in steps of 1 mcg 3x per week every 1-4 weeks until the corrected calcium level is within 2.4-2.54 mmol/L. After iPTH has reached 2-9x ULN, patient enters maintenance phase. If serum calcium falls below 2.1mmol/L, active Vit D dose will be increased and if it is above 2.54 mmol/L, the dose will be decreased. Percentage reduction of iPTH levels from baseline at 6,12 and 24 months treatment and Percentage of patients achieving iPTH levels within the target range of 2-9x upper limit normal at 6, 12 and 24 months will be determined
Details
| Lead sponsor | Penang Hospital, Malaysia |
|---|---|
| Phase | Phase 4 |
| Status | UNKNOWN |
| Enrolment | 30 |
| Start date | 2015-01 |
| Completion | 2017-01 |
Conditions
- Secondary Hyperparathyroidism
Interventions
- Combination Cinacalcet with Vitamin D analogue
Primary outcomes
- Percentage reduction of iPTH levels from baseline at 6 months treatment — 6 months
Countries
Malaysia