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CompletedNCT02133404Updated Nov 6, 2024

A Study to Evaluate the Effect of ASP7991 in Secondary Hyperparathyroidism Patients Undergoing Hemodialysis

A Phase 2 interventional study of ASP7991 and Cinacalcet in Secondary Hyperparathyroidism, sponsored by Astellas Pharma Inc. Completed at 6 sites in Japan. Open to participants aged 20 Years to 79 Years. Per ClinicalTrials.gov, last updated 2024-11-06.

Sponsored by Astellas Pharma Inc · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
20 Years to 79 Years
Sex
All
01

Study summary

To examine efficacy and safety after 12-week administration of ASP7991 in secondary hyperparathyroidism patients undergoing hemodialysis

Read the detailed description

This study is a multicenter, double-blind, randomized, Cinacalcet hydrochloride-controlled, parallel-group, dose-ascending study. Subjects judged to be eligible will be registered and randomized into either ASP7991 group (receiving ASP7991 and cinacalcet-placebo) or Cinacalcet group (receiving cinacalcet and ASP7991-placebo), and will receive 12-week (84 days) administration of study drug from first dialysis day in a week (treatment period), in a double-blind manner. The dose of the study drugs will be increased every 3 weeks in dose-ascending manner.

Follow-up assessment will be performed before starting first dialysis in a week, 1 week (7 days) after the completion of the treatment period.

02

Conditions studied

  • Secondary Hyperparathyroidism

Keywords

  • Mineral bone disease(MBD)
  • Chronic kidney disease(CKD)
  • secondary hyperparathyroidism(SHPT)
03

In context

Hyperparathyroidism, Secondary

188 studies on the registry are indexed under Hyperparathyroidism, Secondary; 15 are open to participants now.

This study's enrollment of 62 is close to the median of 62 across 146 interventional studies indexed under Hyperparathyroidism, Secondary.

Browse Hyperparathyroidism, Secondary studies →

Lead sponsor

Astellas Pharma Inc is the lead sponsor of 525 studies on the registry; 4 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 19 (68%) have results posted.

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

04

Who can participate

Ages eligible
20 Years to 79 Years
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

  • Patients who are on stable chronic maintenance dialysis who are receiving hemodialysis therapy 3 times/week since before 12-week (84 days) administration and are also scheduled to undergo the regimen of 3 times/week hemodialysis during the study period
  • Patients with secondary hyperparathyroidism
  • Patients whose serum iPTH concentration is >240 pg/mL and corrected serum Ca is ≥ 9.0 mg/dL
  • Patients who have had no changes in the following items ≥4-week (28 days).

    • Dosage and regimen, including new administration, of active vitamin D, calcitonin preparation, phosphate binder, and medication with phosphate absorption (including foods)
    • Ca concentration of the dialysate, membrane area of the dialyzer, and dialysis time of each week

Exclusion criteria

Exclusion Criteria:

  • Patients who underwent parathyroid intervention, such as parathyroidectomy (PTx) or percutaneous ethanol injection therapy (PEIT), within 24 weeks (168 days) prior to the administration
  • Patients who have primary hyperparathyroidism
  • Patients who received bisphosphonate, estrogen preparation, parathyroid hormone within 4 weeks (28 days)
  • Patients with uncontrolled hypertension (systolic blood pressure ≥ 180 mmHg and diastolic blood pressure ≥ 120 mmHg are observed at >2/3 of all confirmable measurements
  • Patients who are complicated by severe heart disorder [congestive cardiac failure ( classification III or higher), or wide range of old myocardial infarction], or having a history of hospitalization for cerebro-vascular disease or heart disorder within 12 weeks (84 days) before administration of the study drug
  • Patients with hepatic function abnormal ( or AST is >2× , or total (T-bil) is > 1.5 × ULN.)
  • Patients with a history of malignant tumor or the patient's condition is complicated by malignant tumor. (However, enrollment is acceptable if the tumor has not for 5 years or longer.)
  • Patients with a history of serious drug allergy including anaphylactic shock
  • Patients with a history of drug allergy to Cinacalcet hydrochloride
  • Female patients who are potentially child-bearing or lactating, or patients who do not comply with the instructed measures
  • Patients who were or are currently involved in trials for other drugs or medical devices, or clinical trial for post-marketing study drugs within 12 weeks (84 days) before the study
  • Patients who have received ASP7991 in the past
  • Patients who were judged ineligible to participate in the study by the

investigator / subinvestigator

Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Experimental
    ASP7991 group

    receiving ASP7991 and Cinacalcet-placebo

    Drug: ASP7991 · Drug: Placebo

  • Active comparator
    Cinacalcet group

    receiving Cinacalcet and ASP7991-placebo

    Drug: Cinacalcet · Drug: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Serum iPTH concentration

    iPTH: intact parathyroid hormone

    Time frame: Before and at 8, 15, 22, 24, 29, 36, 43, 45, 50, 57, 64, 66, 71, 78, 85 and 92 days after start of the treatment

Secondary outcomes

  1. Corrected serum Ca, Phosphate(P) concentration

    Ca x P will be calculated

    Time frame: Before and at 3, 8, 15, 22, 24, 29, 36, 43, 45, 50, 57, 64, 66, 71, 78, 85 and 92 days after start of the treatment

  2. serum vitamin D concentration

    Time frame: Before and at 22, 43, 64, 85 and 92 days after start of the treatment

  3. serum wPTH concentration

    wPTH: whole parathyroid hormone

    Time frame: Before and at 22, 43, 64, 85 and 92 days after start of the treatment

  4. Serum concentration of bone metabolism markers

    Bone metabolism markers will be BAP (Bone specific alkaline phosphatase) and TRACP5b (Tartrate-resistant acid phosphatase-5b)

    Time frame: Before and at 22, 43, 64, 85 and 92 days after start of the treatment

  5. Serum FGF23 concentration

    Time frame: Before and at 22, 43, 64, 85 and 92 days after start of the treatment

  6. Safety assessed by the incidence of adverse events, vital signs, laboratory tests and 12-lead ECGs

    Time frame: For 12 weeks after start of treatment

07

Study locations

6 sites
  • Chubu, Japan
  • Chugoku, Japan
  • Kanto, Japan
  • Kyushu, Japan
  • Shikoku, Japan
  • Tohoku, Japan
08

References and documents

Individual participant data

Plan to share: No — Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02133404
Responsible party
Sponsor
First posted
May 8, 2014
Start date
Mar 14, 2014
Primary completion
Nov 10, 2014
Completion
Nov 10, 2014
Last update
Nov 6, 2024

Study contacts

Medical Director
study director · Astellas Pharma Inc

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: ASP7991

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