Secondary hyperparathyroidism in renal failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: on renal replacement therapy Corrected calcium >2.2 mmol/l Parathyroidhormone > 300pg/ml Age 18-75 yrs Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Contraindication to MR or CT scan Atrial fibrillation contraindication to cincalcet moderate to severe liver disease (ALT x3 normal)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Cinacalcet is a new calcium sensing receptor agonist already licensed for use in secondary hyperparathyroidism. Our patients have a 20% mortality due to cardiovascular disease. We want to see if this drug affects vascular calcification, cardiac structure and bone density and therefore may help improve the mortality of our patients. We think this may occur as calcium receptors are present throughout the body. As it is too expensive to use in the general renal population we want to randomise our patients to compare this to standard treatment alone. We are going to do this in 40 patients, 20 in each cohort. We are then going to study vascular stiffness and calcification with CT and pulse wave velocity, cardiac structure with cardiac magnetic resonance scans and bone density using DEXA and CT. We will be comparing the change in these factors to serological markers of calcification. The patients will have investigations at the beginning and end of the 1 year study.;Secondary Objective: ;Primary end point(s): Percentage change in vascular calcification score as determined by the CT scan. | — |
Countries
United Kingdom