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CompletedNCT03451019Updated Jul 27, 2021

Different Effects of Non-calcium Phosphate Binders on Serum Calcium

A Phase 4 interventional study of Sevelamer Hydrochloride and Lanthanum Carbonate in Chronic Kidney Disease, sponsored by Medical University of Lodz. Completed at 1 site in Poland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-27.

Sponsored by Medical University of Lodz · Phase 4, Interventional, and Treatment

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Phase
Phase 4
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 20 studies testing sevelamer in Renal Insufficiency, Chronic — 1 open to participants now, 1 under way, none of them phase 3. Sevelamer · Renal Insufficiency, Chronic.

Enrollment
14th of 20
34 · median 67
Started
2018
the only one that year
Phase 4
3 of 20
1 open now
Registered
19th of 20
by date
Lead sponsor
1 of 20
Medical University of Lodz

Among the 20 studies testing sevelamer in Renal Insufficiency, Chronic, this one is the 14th largest by enrollment, is the only one that started in 2018, is one of 3 in phase 4, and was the 19th registered.

Renal Insufficiency, Chronic

3,095 studies on the registry are indexed under Renal Insufficiency, Chronic; 701 are open to participants now.

Browse Renal Insufficiency, Chronic studies →

Open to participants now

1 of the 20 studies testing sevelamer in Renal Insufficiency, Chronic is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About sevelamer

Sevelamer: first FDA approval 1998 (RENAGEL), first EMA approval 2000. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 435 Renal Insufficiency, Chronic studies recruiting now, 244 (56%) set no upper age limit and 111 (26%) stop at 75 or younger; 45 take children under 18; 80 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 20 studies testing sevelamer in Renal Insufficiency, Chronic, or all of them as a file.
02

Study summary

Sevelamer hydrochloride (SE) can increase intestinal calcium absorption in contrast to lanthanum carbonate (LA). Study compared effect of LA and SE on serum and urine phosphate and calcium, and hormones regulating mineral-bone metabolism.

Read the detailed description

Recent experimental studies have shown that a non-calcium based phosphate binder sevelamer hydrochloride can increase intestinal calcium absorption in contrast to lanthanum carbonate. It is unknown whether such the difference may have an effect on bone metabolism and/or modify the development of vascular calcification in patients with chronic kidney disease. The aim of the study was to compare the effect of a single dose of 1000 mg of lanthanum carbonate with 2,4 mg of sevelamer hydrochloride on serum and urine calcium following an oral load of 5 g of calcium carbonate given with a meal with standardized phosphate content.

03

Conditions studied

  • Chronic Kidney Disease

Keywords

  • chronic kidney disease - mineral bone disorder, phosphate-binders
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

  • adult patient
  • with ≤45 ml/min

Exclusion criteria

Exclusion Criteria:

  • hypercalcemia (>),
  • serum phosphate >1.2 times normal value
  • calcium-phosphate disturbances not associated with CKD, e.g. Paget disease, osteoporosis, any bone fracture within 6 months before study, multiple myeloma or any neoplastic disease, liver or biliary tract disease, primary hyperparathyroidism
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
34 participants (actual)

Study arms

  • Active comparator
    sevelamer hydrochloride

    the subject receive a single dose of 2,4 g

    Drug: Sevelamer Hydrochloride · Drug: Lanthanum Carbonate

  • Active comparator
    lanthanum carbonate

    the subject receive a single dose of 1.0 g

    Drug: Sevelamer Hydrochloride · Drug: Lanthanum Carbonate

Interventions

  • Single oral doses of lanthanum (1000 mg) or Sevelamer (2400 mg) were administered in random order 15 minutes after 5 g calcium carbonate with standardized meal

    Also known as: Renagel

  • Single oral doses of lanthanum (1000 mg)

    Also known as: Fosrenol

06

What researchers measure

Primary outcomes

  1. the change of serum calcium for 24 hours after each drug

    absolute change vs baseline and 24h area under the curve

    Time frame: 3, 6, 12 and 24 hours after administration of each drug

07

Study locations

1 site
  • Department of Nephrology, Hypertension and Kidney Transplantation
    Łódź, 90-153, Poland
08

References and documents

Publications

  • Makowka A, Nowicki M. Different Effect of Lanthanum Carbonate and Sevelamer Hydrochloride on Calcium Balance in Patients with Moderate to Advanced Chronic Kidney Disease. Ther Clin Risk Manag. 2021 Nov 2;17:1145-1151. doi: 10.2147/TCRM.S330649. eCollection 2021. PubMed 34754193 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Dec 2020, 33 months.

Of 100 non-industry phase 4 interventional studies under Renal Insufficiency, Chronic, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 67. This study's 33 months is below that.

Counting every sponsor, half of 116 studies reached it within 43 months; a quarter within 22 and three quarters within 67.

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

Registered
Feb 20, 2018
First posted
Mar 1, 2018
StartActual
Mar 1, 2018
Primary completionActual
Dec 15, 2020
CompletionActual
Dec 30, 2020
Last update
Jul 27, 2021
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 Jul 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03451019
Collaborators
Shire
Responsible party
Michal Nowicki (Prof, Medical University of Lodz) — Principal investigator
First posted
Mar 1, 2018
Start date
Mar 1, 2018
Primary completion
Dec 15, 2020
Completion
Dec 30, 2020
Last update
Jul 27, 2021

Study contacts

Michal Nowicki, Prof.MD PhD
principal investigator · Medical University of Lodz

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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Discussion

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Studies of the drugs tested here: Sevelamer · Lanthanum carbonate

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