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Effect of Lanthanum Carbonate in Patients Previously Treated With Calcium-based Phosphate Binder Therapy

A Phase IV, Multi-Centre, Non-interventional Study Evaluating the Effect of Lanthanum Carbonate in Patients Previously Treated With Calcium Based Phosphate Binder Therapy on Serum Phosphorous Control, Concomitant Vitamin D Therapy and Bone Related Biochemical Parameters in End Stage Renal Disease Patients on Hemodialysis

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01130831
Enrollment
66
Registered
2010-05-26
Start date
2010-04-26
Completion date
2012-06-12
Last updated
2021-06-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

End Stage Renal Disease

Brief summary

To assess the percentage of patients on lanthanum carbonate, that achieve Kidney Disease Outcome Quality Initiative (KDOQI) guideline suggested values for serum phosphorous in patients previously treated with calcium-based phosphate binder therapy.

Interventions

DRUGLanthanum carbonate

Sponsors

Shire
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patients meeting all of the criteria listed below may be included in the study: 1. Patients aged over 18 years 2. Patients with ESRD on haemodialysis who are willing and able to provide written informed consent. 3. Patients on: * Lanthanum carbonate monotherapy for ≥1 month * Lanthanum carbonate monotherapy for ≤3 months * Calcium-based monotherapy for ≥3 months immediately prior to lanthanum carbonate therapy. 4. Values recorded in medical records detailing serum phosphorous, serum calcium-phosphorus product, iPTH, and medication ≤6 months prior to commencing lanthanum carbonate therapy and whilst on a calcium-based monotherapy.

Exclusion criteria

Patients are excluded from the study if any of the following criteria are met at screening: 1. Known or suspected intolerance or hypersensitivity to lanthanum, or any of the stated ingredients 2. Patients with known hypophosphatemia (phosphate level below lower level of normal) 3. Patients with severe hepatic impairment 4. Patients with requirement for calcium supplementation for reasons other than CKD 5. Pregnant or lactating women and women planning to become pregnant over the next 12 months

Design outcomes

Primary

MeasureTime frameDescription
Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Calcium-based Phosphate Binder TherapyBaselinePhosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.
Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Lanthanum Carbonate12 monthsPhosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.

Secondary

MeasureTime frameDescription
Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Calcium-based Phosphate Binder TherapyBaselineCalcium-phosphorous product levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium-phosphorous product of \<55 mg\^2/dL\^2.
Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy12 monthsCalcium-phosphorous product levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium-phosphorous product of \<55 mg\^2/dL\^2.
Percent of Subjects That Maintained Control of Serum Phosphorous Levels on Lanthanum Carbonate12 monthsPhosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.
Percent of Subjects That Maintained Control of Serum Calcium Levels on Lanthanum Carbonate12 monthsCalcium levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium of 8.4-9.5 mg/dL.
Percent of Subjects That Maintained Control of Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy12 monthsCalcium-phosphorous product levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium-phosphorous product of \<55 mg\^2/dL\^2.
Percent of Subjects That Maintained Control of Intact Parathyroid Hormone (iPTH) Levels on Lanthanum Carbonate Therapy12 monthsiPTH levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for iPTH of 150-300 pg/mL
Percent Change From Baseline in Phosphorous Levels at 12 MonthsBaseline and 12 months
Percent Change From Baseline in Calcium Levels at 12 MonthsBaseline and 12 months
Percent Change From Baseline in Calcium-Phosphorous Product Levels at 12 MonthsBaseline and 12 months
Percent of Subjects That Achieved Controlled Serum Calcium Levels on Calcium-based Phosphate Binder TherapyBaselineCalcium levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium of 8.4-9.5 mg/dL.
Percent Change From Baseline in 25-Hydroxy Vitamin D Levels at 12 MonthsBaseline and 12 months
Percent Change From Baseline in 1,25-Hydroxy Vitamin D Levels at 12 MonthsBaseline and 12 months
Percent of Subjects With Hypocalcemic Events on Calcium-based Phosphate Binder TherapyBaselineHypocalcemia is defined as serum calcium levels below 8.02 mg/dL
Percent of Subjects With Hypocalcemic Events on Lanthanum Carbonate12 monthsHypocalcemia is defined as serum calcium levels below 8.02 mg/dL
Percent of Subjects With Hypercalcemic Events on Calcium-based Phosphate Binder TherapyBaselineHypercalcemia is defined as total serum calcium level above 11.22 mg/dL.
Percent of Subjects With Hypercalcemic Events on Lanthanum Carbonate12 monthsHypercalcemia defined as total serum calcium above 11.22 mg/dL
Change From Baseline in Vitamin D Dose at 12 MonthsBaseline and 12 months
Change From Baseline in Mean Total Daily Dose of Calcium at 12 MonthsBaseline and 12 months
Number of Tablets Per Day12 months
Percent Change From Baseline in iPTH Levels at 12 MonthsBaseline and 12 months
Percent of Subjects That Achieved Controlled Serum Calcium Levels on Lanthanum Carbonate Therapy12 monthsCalcium levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium of 8.4-9.5 mg/dL.

Countries

Germany

Participant flow

Participants by arm

ArmCount
Lanthanum Carbonate
Lanthanum carbonate therapy after previous calcium-based phosphate binder therapy treatment for \>=3 months.
61
Total61

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath4
Overall StudyInformation was missing3
Overall StudyWithdrawal by Subject7

Baseline characteristics

CharacteristicLanthanum Carbonate
Age, Continuous66.0 years
STANDARD_DEVIATION 12.5
Age, Customized
>=18 years
61 Participants
Region of Enrollment
Germany
61 Participants
Sex: Female, Male
Female
22 Participants
Sex: Female, Male
Male
39 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
0 / 61
serious
Total, serious adverse events
0 / 61

Outcome results

Primary

Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Calcium-based Phosphate Binder Therapy

Phosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.

Time frame: Baseline

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Achieved Controlled Serum Phosphorous Levels on Calcium-based Phosphate Binder Therapy14.9 percentage of subjects
Primary

Percent of Subjects That Achieved Controlled Serum Phosphorous Levels on Lanthanum Carbonate

Phosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Achieved Controlled Serum Phosphorous Levels on Lanthanum Carbonate40.0 percentage of subjects
Secondary

Change From Baseline in Mean Total Daily Dose of Calcium at 12 Months

Time frame: Baseline and 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (MEAN)Dispersion
Calcium-based Phosphate Binder TherapyChange From Baseline in Mean Total Daily Dose of Calcium at 12 Months-178.6 mgStandard Deviation 437.6
Secondary

Change From Baseline in Vitamin D Dose at 12 Months

Time frame: Baseline and 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (MEAN)Dispersion
Calcium-based Phosphate Binder TherapyChange From Baseline in Vitamin D Dose at 12 Months-0.7 ngStandard Deviation 0.0075
Secondary

Number of Tablets Per Day

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior

ArmMeasureValue (MEAN)Dispersion
Calcium-based Phosphate Binder TherapyNumber of Tablets Per Day3.4 Number of TabletsStandard Deviation 1.3
Secondary

Percent Change From Baseline in 1,25-Hydroxy Vitamin D Levels at 12 Months

Time frame: Baseline and 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy. Note that there are a high number of missing values (n=38) for this outcome which does not allow for any meaningful comparison.

ArmMeasureValue (MEAN)Dispersion
Calcium-based Phosphate Binder TherapyPercent Change From Baseline in 1,25-Hydroxy Vitamin D Levels at 12 Months1.1 percent change in vitamin DStandard Deviation 28.6
Secondary

Percent Change From Baseline in 25-Hydroxy Vitamin D Levels at 12 Months

Time frame: Baseline and 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy. Note that there are a high number of missing values (n=36) for this outcome which does not allow for any meaningful comparison.

ArmMeasureValue (MEAN)Dispersion
Calcium-based Phosphate Binder TherapyPercent Change From Baseline in 25-Hydroxy Vitamin D Levels at 12 Months41.0 percent change in vitamin DStandard Deviation 48.6
Secondary

Percent Change From Baseline in Calcium Levels at 12 Months

Time frame: Baseline and 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (MEAN)Dispersion
Calcium-based Phosphate Binder TherapyPercent Change From Baseline in Calcium Levels at 12 Months-1.1 percent change in calcium levelsStandard Deviation 8.1
Secondary

Percent Change From Baseline in Calcium-Phosphorous Product Levels at 12 Months

Time frame: Baseline and 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (MEAN)Dispersion
Calcium-based Phosphate Binder TherapyPercent Change From Baseline in Calcium-Phosphorous Product Levels at 12 Months-8.7 percent change in calcium-phosphorousStandard Deviation 26.5
Secondary

Percent Change From Baseline in iPTH Levels at 12 Months

Time frame: Baseline and 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (MEAN)Dispersion
Calcium-based Phosphate Binder TherapyPercent Change From Baseline in iPTH Levels at 12 Months95.4 percent change in iPTH levelsStandard Deviation 393.4
Secondary

Percent Change From Baseline in Phosphorous Levels at 12 Months

Time frame: Baseline and 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (MEAN)Dispersion
Calcium-based Phosphate Binder TherapyPercent Change From Baseline in Phosphorous Levels at 12 Months-7.9 percent change in phosphorous levelsStandard Deviation 24.3
Secondary

Percent of Subjects That Achieved Controlled Serum Calcium Levels on Calcium-based Phosphate Binder Therapy

Calcium levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium of 8.4-9.5 mg/dL.

Time frame: Baseline

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Achieved Controlled Serum Calcium Levels on Calcium-based Phosphate Binder Therapy68.1 percentage of subjects
Secondary

Percent of Subjects That Achieved Controlled Serum Calcium Levels on Lanthanum Carbonate Therapy

Calcium levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium of 8.4-9.5 mg/dL.

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Achieved Controlled Serum Calcium Levels on Lanthanum Carbonate Therapy52.5 percentage of subjects
Secondary

Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Calcium-based Phosphate Binder Therapy

Calcium-phosphorous product levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium-phosphorous product of \<55 mg\^2/dL\^2.

Time frame: Baseline

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Calcium-based Phosphate Binder Therapy42.6 percentage of subjects
Secondary

Percent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy

Calcium-phosphorous product levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium-phosphorous product of \<55 mg\^2/dL\^2.

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Achieved Controlled Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy75.0 percentage of subjects
Secondary

Percent of Subjects That Maintained Control of Intact Parathyroid Hormone (iPTH) Levels on Lanthanum Carbonate Therapy

iPTH levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for iPTH of 150-300 pg/mL

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureGroupValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Intact Parathyroid Hormone (iPTH) Levels on Lanthanum Carbonate Therapy<=1 quarter81.6 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Intact Parathyroid Hormone (iPTH) Levels on Lanthanum Carbonate Therapy2 consecutive quarters10.5 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Intact Parathyroid Hormone (iPTH) Levels on Lanthanum Carbonate Therapy3 consecutive quarters2.6 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Intact Parathyroid Hormone (iPTH) Levels on Lanthanum Carbonate Therapy4 consecutive quarters5.3 percentage of subjects
Secondary

Percent of Subjects That Maintained Control of Serum Calcium Levels on Lanthanum Carbonate

Calcium levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium of 8.4-9.5 mg/dL.

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureGroupValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Calcium Levels on Lanthanum Carbonate<=1 quarter53.7 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Calcium Levels on Lanthanum Carbonate2 consecutive quarters22.0 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Calcium Levels on Lanthanum Carbonate3 consecutive quarters7.3 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Calcium Levels on Lanthanum Carbonate4 consecutive quarters17.1 percentage of subjects
Secondary

Percent of Subjects That Maintained Control of Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy

Calcium-phosphorous product levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum calcium-phosphorous product of \<55 mg\^2/dL\^2.

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureGroupValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy<=1 quarter47.5 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy2 consecutive quarters17.5 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy3 consecutive quarters5.0 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Calcium-Phosphorous Product Levels on Lanthanum Carbonate Therapy4 consecutive quarters30.0 percentage of subjects
Secondary

Percent of Subjects That Maintained Control of Serum Phosphorous Levels on Lanthanum Carbonate

Phosphorous levels are controlled if they meet the Kidney Disease Outcomes Quality Initiative (KDOQI) target for serum phosphorous of 3.5-5.5 mg/dL.

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureGroupValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Phosphorous Levels on Lanthanum Carbonate<=1 quarter73.8 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Phosphorous Levels on Lanthanum Carbonate2 consecutive quarters7.1 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Phosphorous Levels on Lanthanum Carbonate3 consecutive quarters7.1 percentage of subjects
Calcium-based Phosphate Binder TherapyPercent of Subjects That Maintained Control of Serum Phosphorous Levels on Lanthanum Carbonate4 consecutive quarters11.9 percentage of subjects
Secondary

Percent of Subjects With Hypercalcemic Events on Calcium-based Phosphate Binder Therapy

Hypercalcemia is defined as total serum calcium level above 11.22 mg/dL.

Time frame: Baseline

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects With Hypercalcemic Events on Calcium-based Phosphate Binder Therapy0.0 percentage of subjects
Secondary

Percent of Subjects With Hypercalcemic Events on Lanthanum Carbonate

Hypercalcemia defined as total serum calcium above 11.22 mg/dL

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects With Hypercalcemic Events on Lanthanum Carbonate0.0 percentage of subjects
Secondary

Percent of Subjects With Hypocalcemic Events on Calcium-based Phosphate Binder Therapy

Hypocalcemia is defined as serum calcium levels below 8.02 mg/dL

Time frame: Baseline

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects With Hypocalcemic Events on Calcium-based Phosphate Binder Therapy10.6 percentage of subjects
Secondary

Percent of Subjects With Hypocalcemic Events on Lanthanum Carbonate

Hypocalcemia is defined as serum calcium levels below 8.02 mg/dL

Time frame: 12 months

Population: Full Analysis Set included subjects of the Safety Analysis Set who had values for serum phosphorous, serum calcium, and intact parathyroid hormone (iPTH) while on prior calcium-based phosphate binder therapy.

ArmMeasureValue (NUMBER)
Calcium-based Phosphate Binder TherapyPercent of Subjects With Hypocalcemic Events on Lanthanum Carbonate22.5 percentage of subjects

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026