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CompletedNCT01143987Updated Nov 13, 2013

Cincalcet and Vascular Arterial Stiffness Among Peritoneal Dialysis Patients With Secondary Hyperparathyroidism

A Phase 4 interventional study of Cinacalcet in Hyperparathyroidism and Arterial Stiffness, sponsored by Chinese University of Hong Kong. Completed at 1 site in Hong Kong. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-11-13.

Sponsored by Chinese University of Hong Kong · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
44
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Active parathyroid glands among renal dialysis patients contribute to calcified and hardened blood vessels. Such damage to the blood vessels, in turn, takes a significant toll in terms of cardiovascular disease. Calcimimetics has been suggested to lower the risk of vascular calcification. Role of cinacalcet was demonstrated in animal model but human data are lacking. The investigators designed an open label pilot study to evaluate the effect of cinacalcet in 20 peritoneal dialysis patients with inadequately controlled secondary hyperparathyroidism despite standard treatment. The primary outcome is the aortic pulse wave velocity at 26 and 52 months after cinacalcet treatment.

Read the detailed description

Mineral metabolism disturbance and hyperparathyroidism contribute to arterial stiffness and vascular calcification. The vascular damage, in turn, contributes to significant cardiovascular morbidity and mortality of end-stage renal disease patients. Calcimimetics has been suggested to lower the risk of vascular calcification. Role of cinacalcet was demonstrated in animal model but human data are lacking. We design an open label pilot study to evaluate the effect of cinacalcet in 20 peritoneal dialysis patients with inadequately controlled secondary hyperparathyroidism despite standard treatment. The primary outcome is the aortic pulse wave velocity at 26 and 52 months after cinacalcet treatment.

02

Conditions studied

  • Hyperparathyroidism
  • Arterial Stiffness

Keywords

  • hyperparathyroidism
  • pulse wave velocity
  • end-stage renal disease
  • arterial stiffness
03

In context

Hyperparathyroidism

309 studies on the registry are indexed under Hyperparathyroidism; 23 are open to participants now.

This study's enrollment of 44 is below the median of 55 across 205 interventional studies indexed under Hyperparathyroidism.

Browse Hyperparathyroidism studies →

Lead sponsor

Chinese University of Hong Kong is the lead sponsor of 1,446 studies on the registry; 467 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • plasma parathyroid hormone level of at least 300 pg/ml (31.8 pmol/L)
  • aged 18 or older on peritoneal dialysis for at least three months
  • willingness to give written consent and comply with the study protocol

Exclusion criteria

Exclusion Criteria:

  • evidence of cancer, active infection or diseases with limited life expectancy
  • diseases known to cause hypercalcaemia
  • adjusted serum calcium level below 2.1 mmol/L (8.4 mg/dL) after correction for albumin
  • participation in another interventional study within last 30 days of randomization
  • history of a psychological illness or condition that would interfere with the patient's ability to understand the requirement of the study and/or comply with the study procedures
  • patients receiving drugs with a narrow therapeutic index and metabolized by cytochrome P-450 2D6 (which is inhibited by cinacalcet): flecainide, thioridazine and most tricyclic antidepressants
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
44 participants (actual)

Study arms

  • Experimental
    Cinacalcet

    Oral cinacalcet

    Drug: Cinacalcet

Interventions

  • starting with 25 mg daily dose with titration, maximum dose 100 mg daily

    Also known as: Sensipar

06

What researchers measure

Primary outcomes

  1. Aortic pulse wave velocity after the cinacalcet treatment

    as before

    Time frame: change in aortic pulse wave velocity at 52 weeks from baseline

Secondary outcomes

  1. Percent change in the values for parathyroid hormone levels

    Blood samples will be stored before and after treatment with cinacalcet for further analysis.

    Time frame: within one year of treatment with cinacalcet

  2. Change in calcium levels

    as before

    Time frame: within one year of treatment with cinacalcet

  3. Aortic pulse wave velocity after the cinacalcet treatment

    as stated in the description of Primary Outcome Measure

    Time frame: change in aortic pulse wave velocity at 26 weeks from baseline

  4. Change in phosphorus levels

    as before

    Time frame: within one year of cinacalcet treatment

  5. Change in calcium-phosphorus product

    as before

    Time frame: within one year of cinacalcet treatment

07

Study locations

1 site
  • Prince of Wales Hospital, Chinese University of Hong Kong
    Shatin, New Territories SAR, Hong Kong
08

References and documents

Publications

  • Chow KM, Szeto CC, Kwan BC, Cheng PM, Pang WF, Leung CB, Li PK. Effect of cinacalcet treatment on vascular arterial stiffness among peritoneal dialysis patients with secondary hyperparathyroidism. Nephrology (Carlton). 2014 Jun;19(6):339-44. doi: 10.1111/nep.12223. PubMed 24589316 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 13, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01143987
Responsible party
Chow Kai Ming (Associate Consultant, Chinese University of Hong Kong) — Principal investigator
First posted
Jun 15, 2010
Start date
Jun 2010
Primary completion
Feb 2013
Completion
Feb 2013
Last update
Nov 13, 2013

Study contacts

Kai Ming Chow, MBChB
principal investigator · Chinese University of Hong Kong, Prince of Wales Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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