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CompletedNCT02542319MagiCal-CKDUpdated Sep 6, 2022

Effect of Oral Magnesium on Vascular Calcification in Chronic Kidney Disease

A Phase 2 interventional study of Mablet 360 mg and Placebo in Chronic Kidney Disease, Vascular Calcification and Uremic Osteodystrophy, sponsored by Nordsjaellands Hospital. Completed at 3 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-09-06.

Sponsored by Nordsjaellands Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
148
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Randomized placebo-controlled double-blinded interventional trial to investigate the effect of oral magnesium supplementation on vascular calcification in subjects with chronic kidney disease. We hypothesize that oral magnesium supplementation will reduce vascular calcification in subjects with chronic kidney disease while not decreasing bone mineral density.

Read the detailed description

Chronic kidney disease (CKD) is associated with increase cardiovascular morbidity and mortality independent of traditional cardiovascular risk factors due to increased vascular calcification. Epidemiological and experimental data suggest that hypermagnesemia and magnesium supplementation reduce vascular calcification in CKD by increasing calcium/phosphate solubility in serum, by inhibiting calcium influx into vascular smooth muscle cells (VSMC), by inhibiting intracellular pro-calcification enzymes in VSMC and by increasing activity of intracellular anti-calcification enzymes in VSMC. However, there have been concerns that any anti-calcification effect of magnesium might also reduce bone mineral density, in which case there might be an increased risk of bone fractures associated with magnesium supplementation in CKD. We wish to conduct a randomized placebo-controlled double-blinded interventional trial to examine whether oral magnesium supplementation will reduce vascular calcification in subjects with CKD while not decreasing bone mineral density.

02

Conditions studied

  • Chronic Kidney Disease
  • Vascular Calcification
  • Uremic Osteodystrophy
03

In context

Renal Insufficiency, Chronic

3,090 studies on the registry are indexed under Renal Insufficiency, Chronic; 698 are open to participants now.

This study's enrollment of 148 is above the median of 73 across 2,157 interventional studies indexed under Renal Insufficiency, Chronic.

Browse Renal Insufficiency, Chronic studies →

Lead sponsor

Nordsjaellands Hospital is the lead sponsor of 89 studies on the registry; 21 are open to participants now.

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

  • Estimated between 45 and 15 mL/min for > 3 months (i.e. CKD stage 3b-4).
  • Serum total magnesium \< 0,82 mmol/L and serum phosphate > 1,15 mmol/L on average of previous measurements.

or Serum total magnesium \< 0,92 mmol/L and serum phosphate > 1,30 mmol/L on average of previous measurements.

  • > 1 year.
  • Expected time until initiation of dialysis or transplantation > 1 year.
  • Women of childbearing age must be actively using therapy (p-pills, estrogen depots or intrauterine device) as well as have a negative pregnancy test.
  • Written .

Exclusion criteria

Exclusion Criteria:

  • Current hemodialysis or peritoneal dialysis treatment.
  • Kidney donor recipient.
  • Previous coronary artery bypass graft (CABG).
  • Parathyroid hormone > 600 ρmol/L.
  • Previous parathyroidectomy.
  • Current treatment with magnesium containing medication or supplements.
  • Any condition impairing magnesium absorption from the gastrointestinal tract (e.g. short bowel syndrome, chronic pancreatitis).
  • Active (basal or squamous cell skin carcinoma, localized prostate cancer and cancer with no signs of reoccurrence after 5 years are exempt from this).
  • Other diseases or conditions, which, in the opinion of the site investigator, would prevent participation in or completion of trial.
  • Pregnancy or breastfeeding.
  • Allergy towards contents of interventional medication.
  • Participation in other interventional trials.
Terms in these criteria, in plain language(5)

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
148 participants (actual)

Study arms

  • Experimental
    Magnesium

    Oral Magnesium Hydroxide (Mablet 360 mg) twice daily for 12 months.

    Dietary Supplement: Mablet 360 mg

  • Placebo comparator
    Placebo

    Matching placebo tablets twice daily for 12 months.

    Dietary Supplement: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Coronary Artery Calcification (CAC) score

    Agatston score assessed by CT scan.

    Time frame: 12 months

Secondary outcomes

  1. Bone Mineral Density (BMD)

    BMD assessed by quantitative CT.

    Time frame: 12 months

  2. Pulse Wave Velocity

    Time frame: 12 months.

  3. Serum Calcification Propensity

    Serum calcification propensity assessed by T50 analysis.

    Time frame: 12 months.

07

Study locations

3 sites
  • Herlev Hospital
    Herlev, 2730, Denmark
  • Nordsjællands Hospital
    Hillerød, 3400, Denmark
  • Akershus Universitetssykehus
    Lørenskog, 1478, Norway
08

References and documents

Publications

  • Bressendorff I, Hansen D, Schou M, Kragelund C, Brandi L. The effect of magnesium supplementation on vascular calcification in chronic kidney disease-a randomised clinical trial (MAGiCAL-CKD): essential study design and rationale. BMJ Open. 2017 Jun 23;7(6):e016795. doi: 10.1136/bmjopen-2017-016795. PubMed 28645983 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Nov 2015, a primary completion of Nov 2020 and a completion of Jul 2021. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 3, 2015
First posted
Sep 7, 2015
Start
Nov 2015
Primary completionActual
Nov 2020
CompletionActual
Jul 2021
Last update
Sep 6, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 6, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02542319
Lead sponsor
Nordsjaellands Hospital
Collaborators
Herlev Hospital
Responsible party
Sponsor
First posted
Sep 7, 2015
Start date
Nov 2015
Primary completion
Nov 2020
Completion
Jul 2021
Last update
Sep 6, 2022

Study contacts

Iain O Bressendorff, MD, PhD
principal investigator · Nordsjaellands Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: MABLET 360

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