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Status unknownNCT02237534LAVALIERUpdated Feb 25, 2021

Lanthanum Versus Calcium Carbonate for Vascular Abnormalities in Patients With CKD and Hyperphosphatemia

A Phase 4 interventional study of Lanthanum carbonate and Calcium Carbonate in Renal Insufficiency, Chronic, Hyperphosphatemia and Bone Diseases, Metabolic, sponsored by Osaka University. Status unknown at 1 site in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2021-02-25.

Sponsored by Osaka University · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2021), so the status shown — last known as Enrolling by invitation — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare the effect of lanthanum carbonate and calcium carbonate on the progression of coronary calcification and vascular endothelial dysfunction.

02

Conditions studied

  • Renal Insufficiency, Chronic
  • Hyperphosphatemia
  • Bone Diseases, Metabolic

Keywords

  • Lanthanum
  • Calcium Carbonate
  • Vascular Calcification
03

In context

Bone Diseases

261 studies on the registry are indexed under Bone Diseases; 49 are open to participants now.

This study's planned enrollment of 60 is above the median of 54 across 148 interventional studies indexed under Bone Diseases.

Browse Bone Diseases studies →

Lead sponsor

Osaka University is the lead sponsor of 33 studies on the registry; 4 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Hyperphosphatemia (For patients without calcium carbonate, ≥4.5 mg/dL) (For patients with calcium carbonate, ≥4.0 mg/dL)
  • With written informed consent

Exclusion criteria

Exclusion Criteria:

  • History of cardiac surgery
  • With coronary artery stent
  • Polycystic kidney disease
  • Hypothyroidism
  • On treatment with lanthanum carbonate
  • History of admission within 3 months
  • History of ileus
  • Severe liver dysfunction
  • Severe gastrointestinal dysfunction
  • Allergy to lanthanum carbonate or calcium carbonate
  • Pregnant or breastfeeding women
  • Judged as ineligible by the investigator
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Calcium carbonate

    Start at a dose of 1,500 mg/day, and adjust it to lower serum phosphate concentration \<4.5 mg/dL. Maximum dose is 3,000 mg/day.

    Drug: Calcium Carbonate

  • Experimental
    Lanthanum carbonate

    Start at a dose of 750 mg/day, and adjust it to lower serum phosphate concentration \<4.5 mg/dL. Maximum dose is 1,500 mg/day. For patients with calcium carbonate at inclusion, calcium carbonate will be replaced with lanthanum carbonate of 750 mg/day.

    Drug: Lanthanum carbonate

Interventions

  • DrugLanthanum carbonate

    Also known as: FOSRENOL®

  • DrugCalcium Carbonate
06

What researchers measure

Primary outcomes

  1. Coronary artery calcification score

    Time frame: 1 year

Secondary outcomes

  1. Endothelial function

    Measured by EndoPAT™ (Itamar Medical Ltd.)

    Time frame: 3 months

  2. Serum bone metabolic markers

    Bone specific alkaline phosphatase (BAP) and Tartrate-resistant acid phosphatase 5b (TRACP5b)

    Time frame: 3 months

  3. Serum bone metabolic markers

    Bone specific alkaline phosphatase (BAP) and Tartrate-resistant acid phosphatase 5b (TRACP5b)

    Time frame: 1 year

  4. Serum concentrations of calcium, phosphate, intact parathyroid hormone, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D over time

    Time frame: Up to 1 year

  5. Estimated glomerular filtration rate over time

    Time frame: Up to 1 year

  6. Bone mineral density

    Time frame: 1 year

  7. Serum osteoprotegerin concentration

    Time frame: 3 month

  8. Serum osteoprotegerin concentration

    Time frame: 1 year

  9. Urinary alpha-Klotho to creatinine ratio

    Time frame: 3 months

  10. Urinary alpha-Klotho to creatinine ratio

    Time frame: 1 year

  11. Urinary liver-type fatty acid binding protein (L-FABP) to creatinine ratio

    Time frame: 3 months

  12. Urinary liver-type fatty acid binding protein (L-FABP) to creatinine ratio

    Time frame: 1 year

  13. End-stage renal disease requiring renal replacement therapy

    Time frame: Up to 1 year

  14. Cardiovascular event requiring hospitalization

    Acute myocardial infarction, angina pectoris, congestive heart failure, stroke, and peripheral vascular disease

    Time frame: Up to 1 year

  15. Death

    Time frame: Up to 1 year

Other outcomes

  1. Micro RNA array

    Time frame: 1 year

  2. Hypercalcemia

    Corrected serum calcium concentration ≥11.0 mg/dL

    Time frame: Up to 1 year

  3. Hypocalcemia

    Corrected serum calcium concentration \<8.5 mg/dL

    Time frame: Up to 1 year

07

Study locations

1 site
  • Osaka University Hospital
    Suita, Osaka 565-0871, Japan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 25, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02237534
Lead sponsor
Osaka University
Collaborators
Bayer
Responsible party
Takayuki Hamano (Endowed chair, Osaka University) — Principal investigator
First posted
Sep 11, 2014
Start date
Sep 2014
Primary completion
Mar 31, 2023 (estimated)
Completion
Sep 2023 (estimated)
Last update
Feb 25, 2021

Study contacts

Takayuki Hamano, MD, PhD
study chair · Department of Comprehensive Kidney Disease Research, Osaka University Graduate School of Medicine

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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