A Phase 2 interventional study of Zemplar (paricalcitol ) capsules and Zemplar (paricalcitol) capsules in Diabetic Nephropathy and Chronic Kidney Disease, sponsored by Abbott. Completed at 72 sites in 10 countries. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2012-01-20.
Sponsored by Abbott · Phase 2, Interventional, and Treatment
The study objective was to evaluate the safety of paricalcitol capsules and the efficacy of paricalcitol capsules for albuminuria reduction in patients with Chronic Kidney Disease (CKD) who have Type 2 diabetic nephropathy and are receiving optimal angiotensin converting enzyme (ACE) inhibitor and/or angiotensin II receptor blocker (ARB) therapy.
544 studies on the registry are indexed under Diabetic Nephropathies; 107 are open to participants now.
This study's enrollment of 281 is above the median of 80 across 385 interventional studies indexed under Diabetic Nephropathies.
Browse Diabetic Nephropathies studies →Abbott is the lead sponsor of 361 studies on the registry; 1 is open to participants now.
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For entry into the Treatment Phase, the participant must satisfy the following criteria based on the Screening laboratory values:
Exclusion Criteria:
One paricalcitol 1 mcg capsule and one matching placebo capsule per dose
Drug: Zemplar (paricalcitol ) capsules
Two paricalcitol 1 mcg capsules per dose
Drug: Zemplar (paricalcitol) capsules
Two placebo capsules per dose
Drug: Placebo
Group 2 - paricalcitol 1 mcg capsules once daily (one paricalcitol 1 mcg capsule once daily and one matching placebo capsule once daily)
Also known as: ABT-358, paricalcitol, Zemplar
Group 3 - paricalcitol 2 mcg capsules once daily (two paricalcitol 1 mcg capsules once daily)
Also known as: ABT-358, paricalcitol, Zemplar
Group 1 - Placebo once daily (two placebo capsules once daily)
Change From Baseline to the Last On-treatment Measurement in Urine Albumin to Creatinine Ratio (UACR) Levels Determined From the First Morning Void (FMV) Urine Collections Comparing Placebo to the Combined Paricalcitol Treatment Groups (1 Mcg and 2 Mcg).
UACR is defined as the ratio: milligram of albumin per gram of creatinine. Baseline UACR was determined as the mean of the 3 UACR measurements from FMV urine collections obtained within 1 week prior to the day of the first dose of study drug. The last on-treatment measurement was the mean of the 3 UACR measurements obtained from FMV urine collections obtained within 1 week of the final week of treatment. The UACR data were log transformed prior to analysis.
Time frame: Baseline (within 1 week prior to first treatment) through 24 weeks of treatment
Number of Participants Achieving a 15% or Greater Reduction From Baseline to Last On-treatment Urine Albumin to Creatinine Ratio (UACR) Levels.
Number of participants whose last on-treatment albumin to creatinine ratio (UACR) value was reduced at least 15% from the baseline value. Albumin values were determined from 24-hour urine collections from the baseline and last on-treatment visits.
Time frame: Baseline (within 1 week prior to first treatment) through 24 weeks of treatment
Change From Baseline to the Last On-treatment Measurement in Albumin Levels Determined From 24-hour Urine Collection.
The change is mean change from baseline to the last on-treatment value, with the data being log transformed prior to analysis. Albumin values were determined from 24-hour urine collections from the baseline and last on-treatment visits.
Time frame: Baseline (within 1 week prior to first treatment) through 24 weeks of treatment
Change From Baseline to the Last On-treatment Observation in Intact Parathyroid Hormone (iPTH) Levels.
Change is mean change in picograms of iPTH per milliliter of serum.
Time frame: Baseline (screening period) through 24 weeks of treatment
| Milestone | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo |
|---|---|---|---|
| Started | 93 | 95 | 93 |
| Completed | 78 | 69 | 73 |
| Not completed | 15 | 26 | 20 |
| Withdrew: Adverse event | 4 | 9 | 2 |
| Withdrew: Lost to follow-up | 1 | 2 | 4 |
| Withdrew: Withdrawal by subject | 1 | 2 | 7 |
| Withdrew: Death | 0 | 3 | 0 |
| Withdrew: Required dialysis | 1 | 0 | 0 |
| Withdrew: Administrative | 2 | 0 | 0 |
| Withdrew: Did not satisfy entry criteria | 1 | 3 | 2 |
| Withdrew: Sponsor request | 1 | 0 | 3 |
| Withdrew: Protocol deviation | 4 | 7 | 2 |
UACR is defined as the ratio: milligram of albumin per gram of creatinine. Baseline UACR was determined as the mean of the 3 UACR measurements from FMV urine collections obtained within 1 week prior to the day of the first dose of study drug. The last on-treatment measurement was the mean of the 3 UACR measurements obtained from FMV urine collections obtained within 1 week of the final week of treatment. The UACR data were log transformed prior to analysis.
| log milligram/gram creatinine | Placebo | Combined Paricalcitol 1 Mcg and 2 Mcg | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg |
|---|---|---|---|---|
| Change From Baseline to the Last On-treatment Measurement in Urine Albumin to Creatinine Ratio (UACR) Levels Determined From the First Morning Void (FMV) Urine Collections Comparing Placebo to the Combined Paricalcitol Treatment Groups (1 Mcg and 2 Mcg). | -0.03 ± 0.61 | -0.18 ± 0.70 | -0.15 ± 0.72 | -0.22 ± 0.69 |
Number of participants whose last on-treatment albumin to creatinine ratio (UACR) value was reduced at least 15% from the baseline value. Albumin values were determined from 24-hour urine collections from the baseline and last on-treatment visits.
| Participants | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo |
|---|---|---|---|
| Number of Participants Achieving a 15% or Greater Reduction From Baseline to Last On-treatment Urine Albumin to Creatinine Ratio (UACR) Levels. | 48 | 51 | 35 |
The change is mean change from baseline to the last on-treatment value, with the data being log transformed prior to analysis. Albumin values were determined from 24-hour urine collections from the baseline and last on-treatment visits.
| log milligrams of albumin per 24 hours | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo |
|---|---|---|---|
| Change From Baseline to the Last On-treatment Measurement in Albumin Levels Determined From 24-hour Urine Collection. | -0.10 ± 0.73 | -0.44 ± 0.90 | -0.08 ± 0.73 |
Change is mean change in picograms of iPTH per milliliter of serum.
| picogram/milliliter | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo |
|---|---|---|---|
| Change From Baseline to the Last On-treatment Observation in Intact Parathyroid Hormone (iPTH) Levels. | -26.7 ± 55.2 | -50.7 ± 63.1 | 18.3 ± 55.3 |
Collected over up to 24 weeks. Non-serious events are listed at a 3% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Paricalcitol 1 Mcg | — | 13/93 (14%) | 38/93 (40.9%) |
| Paricalcitol 2 Mcg | — | 19/95 (20%) | 46/95 (48.4%) |
| Placebo | — | 12/93 (12.9%) | 46/93 (49.5%) |
| Event | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo |
|---|---|---|---|
| GastritisGastrointestinal disorders | 0/93 | 0/95 | 2/93 |
| HypoglycaemiaMetabolism and nutrition disorders | 2/93 | 0/95 | 0/93 |
| Acute myocardial infarctionCardiac disorders | 0/93 | 2/95 | 0/93 |
| Fluid overloadMetabolism and nutrition disorders | 0/93 | 2/95 | 0/93 |
| Cerebrovascular accidentNervous system disorders | 0/93 | 2/95 | 0/93 |
| Renal failure acuteRenal and urinary disorders | 1/93 | 2/95 | 1/93 |
| HypotensionVascular disorders | 0/93 | 2/95 | 0/93 |
| AnaemiaBlood and lymphatic system disorders | 0/93 | 1/95 | 1/93 |
| Angina pectorisCardiac disorders | 1/93 | 0/95 | 0/93 |
| BradycardiaCardiac disorders | 0/93 | 0/95 | 1/93 |
| Event | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo |
|---|---|---|---|
| HypertensionVascular disorders | 5/93 | 8/95 | 11/93 |
| AnemiaBlood and lymphatic system disorders | 5/93 | 8/95 | 5/93 |
| DiarrhoeaGastrointestinal disorders | 3/93 | 1/95 | 6/93 |
| Urinary tract infectionInfections and infestations | 2/93 | 6/95 | 2/93 |
| Oedema peripheralGeneral disorders | 5/93 | 4/95 | 4/93 |
| Upper respiratory tract infectionInfections and infestations | 5/93 | 5/95 | 4/93 |
| Muscle spasmsMusculoskeletal and connective tissue disorders | 0/93 | 1/95 | 5/93 |
| CoughRespiratory, thoracic and mediastinal disorders | 5/93 | 0/95 | 3/93 |
| FatigueGeneral disorders | 1/93 | 5/95 | 1/93 |
| HyperkalaemiaMetabolism and nutrition disorders | 3/93 | 5/95 | 4/93 |
| Age, Categorical(Participants) | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo | Total |
|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 45 | 47 | 44 | 136 |
| >=65 years | 48 | 48 | 49 | 145 |
| Age Continuous(years) | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo | Total |
|---|---|---|---|---|
| Mean | 64.0 ± 10.15 | 64.7 ± 9.92 | 64.5 ± 11.23 | 64.4 ± 10.41 |
| Sex: Female, Male(Participants) | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo | Total |
|---|---|---|---|---|
| Female | 27 | 26 | 33 | 86 |
| Male | 66 | 69 | 60 | 195 |
| Region of Enrollment(participants) | Paricalcitol 1 Mcg | Paricalcitol 2 Mcg | Placebo | Total |
|---|---|---|---|---|
| Portugal | 2 | 2 | 0 | 4 |
| United States | 57 | 60 | 64 | 181 |
| Taiwan | 10 | 14 | 10 | 34 |
| Greece | 1 | 3 | 1 | 5 |
| Poland | 4 | 4 | 4 | 12 |
| Spain | 11 | 3 | 9 | 23 |
| Netherlands | 0 | 0 | 1 | 1 |
| Germany | 4 | 8 | 1 | 13 |
| Italy | 4 | 1 | 3 | 8 |
The record gives a start of Dec 2006, a primary completion of Jun 2009 and a completion of Jun 2009. It does not say whether these dates are actual or estimated.
Results were first posted in Sep 2010, 1 year 3 months after primary completion.
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This study is completed, as verified in Jan 2012. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Paricalcitol