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Safety, Tolerability and Pharmacokinetics of Etelcalcetide in Hemodialysis Patients With Secondary Hyperparathyroidism

A Double-Blind, Randomized, Placebo-Controlled Study to Assess the Safety and Tolerability of Single Ascending Doses of KAI-4169 in Hemodialysis Subjects With Secondary Hyperparathyroidism

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01134562
Enrollment
28
Registered
2010-06-02
Start date
2010-09-07
Completion date
2011-04-02
Last updated
2018-01-02

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

Conditions

Hyperparathyroidism, Secondary

Keywords

Clinical Trial, Phase 1, Renal Dialysis, Secondary Hyperparathyroidism, Parathyroid hormone

Brief summary

The purpose of this study is to characterize the safety and tolerability of single rising doses of etelcalcetide in hemodialysis patients with secondary hyperparathyroidism.

Interventions

DRUGPlacebo

Single IV injection.

Single IV injection. The initial dose was 5 mg and dose escalation proceeded with subsequent doses of 10 mg, 20 mg, 40 mg and 60 mg.

Sponsors

KAI Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

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

Inclusion criteria

* Subjects provides written informed consent. * Intact parathyroid hormone (iPTH) ≥ 400 pg/mL (≥ 300 and \< 1200 pg/ml for Cohorts 1-3). * Serum corrected calcium ≥ 9.0 mg/dL * Receiving hemodialysis three times per week for at least 3 months and had adequate hemodialysis with a delivered Kt/V (dialyzer clearance of urea \* dialysis time/ volume of distribution of urea) ≥ 1.2 or urea reduction ratio (URR) ≥ 65%. * Excepting chronic renal failure, subject is judged to be in stable medical condition based on medical history, physical examination, and routine laboratory tests

Exclusion criteria

* History or symptomatic ventricular dysrhythmias * History of angina pectoris or congestive heart failure * History of myocardial infarction, coronary angioplasty, or coronary artery bypass grafting within the past 6 months * History of or treatment for seizure disorder * Recent (3 months) parathyroidectomy

Design outcomes

Primary

MeasureTime frame
Number of Participants With Adverse EventsFor Cohorts 1 to 3, from administration of study drug up until 21 days after study drug administration; for Cohorts 4 and 5 from administration of study drug until 28 days after study drug administration.

Secondary

MeasureTime frame
Percent Change From Baseline in Serum Corrected CalciumBaseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, day 4 (discharge) and for Cohorts 4 and 5 only, days 8, 15 and 29
Percent Change From Baseline in Ionized CalciumBaseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, and day 4 (discharge).
Percent Change From Baseline in Serum PhosphorusBaseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, and day 4 (discharge).
Percent Change From Baseline in Calcium Phosphorus ProductBaseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, and day 4 (discharge).
Percent Change From Baseline in Serum Parathyroid Hormone (PTH)Baseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, day 4 (discharge) and for Cohorts 4 and 5 only, days 8, 15 and 29
Area Under the Concentration-time Curve From Time 0 to 65 Hours Post-dose for EtelcalcetidePre-dose and at 0.17, 0.5, 1, 4, 8, 18, 24, 32, and 48 hours after study drug administration and prior to discharge from the clinical research unit (~65 hours).
Observed Area Under the Concentration-time Curve Extrapolated to Infinity (AUCINFobs) for EtelcalcetidePre-dose and at 0.17, 0.5, 1, 4, 8, 18, 24, 32, and 48 hours after study drug administration and prior to discharge from the clinical research unit (~65 hours).
Percent AUC Extrapolated to Infinity (AUCINF) Resulting From Extrapolation From 65 Hours Onward for EtelcalcetidePre-dose and at 0.17, 0.5, 1, 4, 8, 18, 24, 32, and 48 hours after study drug administration and prior to discharge from the clinical research unit (~65 hours).
Maximum Observed Plasma Concentration (Cmax) of EtelcalcetidePre-dose and at 0.17, 0.5, 1, 4, 8, 18, 24, 32, and 48 hours after study drug administration and prior to discharge from the clinical research unit (~65 hours).

Countries

Australia, United States

Participant flow

Recruitment details

This study was conducted at 1 center in Australia and 2 centers in the United States from 07 September 2010 to 02 April 2011.

Pre-assignment details

Cohorts 1-3 were conducted with a two-period crossover design. Each cohort enrolled four participants randomized 1:1 to etelcalcetide followed by placebo or placebo followed by etelcalcetide. Cohorts 4 and 5 followed a parallel group design. Within each cohort eight participants were randomized 1:1 to receive placebo or etelcalcetide.

Participants by arm

ArmCount
Cohort 1: Placebo/Etelcalcetide 5 mg
Participants in Cohort 1 received single doses of 5 mg etelcalcetide and placebo in a crossover design, 7-14 days apart
4
Cohort 2: Placebo/Etelcalcetide 10 mg
Participants in Cohort 2 received single doses of 10 mg etelcalcetide and placebo in a crossover design, 7-14 days apart
4
Cohort 3: Placebo/Etelcalcetide 20 mg
Participants in Cohort 3 received single doses of 20 mg etelcalcetide and placebo in a crossover design, 7-14 days apart
4
Cohort 4: Placebo/Etelcalcetide 40 mg
Participants in Cohort 4 received a single dose of 40 mg etelcalcetide or placebo in a parallel group design.
8
Cohort 5: Placebo/Etelcalcetide 60 mg
Participants in Cohort 5 received a single dose of 60 mg etelcalcetide or placebo in a parallel group design.
8
Total28

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Overall StudyAdverse Event01000

Baseline characteristics

CharacteristicCohort 1: Placebo/Etelcalcetide 5 mgCohort 2: Placebo/Etelcalcetide 10 mgCohort 3: Placebo/Etelcalcetide 20 mgCohort 4: Placebo/Etelcalcetide 40 mgCohort 5: Placebo/Etelcalcetide 60 mgTotal
Age, Continuous54.3 years
STANDARD_DEVIATION 10.4
59.0 years
STANDARD_DEVIATION 14.5
52.8 years
STANDARD_DEVIATION 21.2
52.9 years
STANDARD_DEVIATION 14.6
47.5 years
STANDARD_DEVIATION 10.9
52.4 years
STANDARD_DEVIATION 13.6
Ethnicity
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity
Non-Hispanic or Latino
4 Participants4 Participants4 Participants8 Participants8 Participants28 Participants
Race
African American
2 Participants4 Participants3 Participants8 Participants7 Participants24 Participants
Race
Asian
1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race
White
1 Participants0 Participants1 Participants0 Participants1 Participants3 Participants
Sex: Female, Male
Female
1 Participants0 Participants1 Participants4 Participants2 Participants8 Participants
Sex: Female, Male
Male
3 Participants4 Participants3 Participants4 Participants6 Participants20 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
1 / 201 / 41 / 31 / 44 / 42 / 4
serious
Total, serious adverse events
1 / 200 / 40 / 30 / 40 / 40 / 4

Outcome results

Primary

Number of Participants With Adverse Events

Time frame: For Cohorts 1 to 3, from administration of study drug up until 21 days after study drug administration; for Cohorts 4 and 5 from administration of study drug until 28 days after study drug administration.

Population: All participants who were randomized and received any amount of study medication.

ArmMeasureGroupValue (NUMBER)
Pooled PlaceboNumber of Participants With Adverse EventsDeaths due to adverse events0 participants
Pooled PlaceboNumber of Participants With Adverse EventsSerious adverse events1 participants
Pooled PlaceboNumber of Participants With Adverse EventsAny adverse events2 participants
Pooled PlaceboNumber of Participants With Adverse EventsTreatment-related adverse events1 participants
Pooled PlaceboNumber of Participants With Adverse EventsWithdrawal due to adverse events1 participants
Etelcalcetide 5 mgNumber of Participants With Adverse EventsSerious adverse events0 participants
Etelcalcetide 5 mgNumber of Participants With Adverse EventsDeaths due to adverse events0 participants
Etelcalcetide 5 mgNumber of Participants With Adverse EventsAny adverse events1 participants
Etelcalcetide 5 mgNumber of Participants With Adverse EventsTreatment-related adverse events1 participants
Etelcalcetide 5 mgNumber of Participants With Adverse EventsWithdrawal due to adverse events0 participants
Etelcalcetide 10 mgNumber of Participants With Adverse EventsSerious adverse events0 participants
Etelcalcetide 10 mgNumber of Participants With Adverse EventsDeaths due to adverse events0 participants
Etelcalcetide 10 mgNumber of Participants With Adverse EventsTreatment-related adverse events1 participants
Etelcalcetide 10 mgNumber of Participants With Adverse EventsWithdrawal due to adverse events0 participants
Etelcalcetide 10 mgNumber of Participants With Adverse EventsAny adverse events1 participants
Etelcalcetide 20 mgNumber of Participants With Adverse EventsWithdrawal due to adverse events0 participants
Etelcalcetide 20 mgNumber of Participants With Adverse EventsAny adverse events1 participants
Etelcalcetide 20 mgNumber of Participants With Adverse EventsSerious adverse events0 participants
Etelcalcetide 20 mgNumber of Participants With Adverse EventsDeaths due to adverse events0 participants
Etelcalcetide 20 mgNumber of Participants With Adverse EventsTreatment-related adverse events0 participants
Etelcalcetide 40 mgNumber of Participants With Adverse EventsDeaths due to adverse events0 participants
Etelcalcetide 40 mgNumber of Participants With Adverse EventsAny adverse events4 participants
Etelcalcetide 40 mgNumber of Participants With Adverse EventsTreatment-related adverse events4 participants
Etelcalcetide 40 mgNumber of Participants With Adverse EventsSerious adverse events0 participants
Etelcalcetide 40 mgNumber of Participants With Adverse EventsWithdrawal due to adverse events0 participants
Etelcalcetide 60 mgNumber of Participants With Adverse EventsAny adverse events2 participants
Etelcalcetide 60 mgNumber of Participants With Adverse EventsDeaths due to adverse events0 participants
Etelcalcetide 60 mgNumber of Participants With Adverse EventsSerious adverse events0 participants
Etelcalcetide 60 mgNumber of Participants With Adverse EventsTreatment-related adverse events2 participants
Etelcalcetide 60 mgNumber of Participants With Adverse EventsWithdrawal due to adverse events0 participants
Secondary

Area Under the Concentration-time Curve From Time 0 to 65 Hours Post-dose for Etelcalcetide

Time frame: Pre-dose and at 0.17, 0.5, 1, 4, 8, 18, 24, 32, and 48 hours after study drug administration and prior to discharge from the clinical research unit (~65 hours).

Population: Participants who were randomized and received any amount of etelcalcetide with available data.

ArmMeasureValue (MEAN)Dispersion
Pooled PlaceboArea Under the Concentration-time Curve From Time 0 to 65 Hours Post-dose for Etelcalcetide1110 hr*μg/LStandard Deviation 182
Etelcalcetide 5 mgArea Under the Concentration-time Curve From Time 0 to 65 Hours Post-dose for Etelcalcetide2820 hr*μg/LStandard Deviation 458
Etelcalcetide 10 mgArea Under the Concentration-time Curve From Time 0 to 65 Hours Post-dose for Etelcalcetide4920 hr*μg/LStandard Deviation 1650
Etelcalcetide 20 mgArea Under the Concentration-time Curve From Time 0 to 65 Hours Post-dose for Etelcalcetide9560 hr*μg/LStandard Deviation 3340
Etelcalcetide 40 mgArea Under the Concentration-time Curve From Time 0 to 65 Hours Post-dose for Etelcalcetide15700 hr*μg/LStandard Deviation 5100
Secondary

Maximum Observed Plasma Concentration (Cmax) of Etelcalcetide

Time frame: Pre-dose and at 0.17, 0.5, 1, 4, 8, 18, 24, 32, and 48 hours after study drug administration and prior to discharge from the clinical research unit (~65 hours).

Population: Participants who were randomized and received any amount of etelcalcetide.

ArmMeasureValue (MEAN)Dispersion
Pooled PlaceboMaximum Observed Plasma Concentration (Cmax) of Etelcalcetide145 μg/LStandard Deviation 64.8
Etelcalcetide 5 mgMaximum Observed Plasma Concentration (Cmax) of Etelcalcetide263 μg/LStandard Deviation 67.2
Etelcalcetide 10 mgMaximum Observed Plasma Concentration (Cmax) of Etelcalcetide511 μg/LStandard Deviation 230
Etelcalcetide 20 mgMaximum Observed Plasma Concentration (Cmax) of Etelcalcetide726 μg/LStandard Deviation 278
Etelcalcetide 40 mgMaximum Observed Plasma Concentration (Cmax) of Etelcalcetide1140 μg/LStandard Deviation 428
Secondary

Observed Area Under the Concentration-time Curve Extrapolated to Infinity (AUCINFobs) for Etelcalcetide

Time frame: Pre-dose and at 0.17, 0.5, 1, 4, 8, 18, 24, 32, and 48 hours after study drug administration and prior to discharge from the clinical research unit (~65 hours).

Population: Participants who were randomized and received any amount of etelcalcetide and with available data; The half-life associated with the terminal (log-linear) elimination phase values for the 40 mg dose level were not calculated due to poor log linear regression of the log concentration versus time profile during the terminal phase (r2 values \<0.7).

ArmMeasureValue (MEAN)Dispersion
Pooled PlaceboObserved Area Under the Concentration-time Curve Extrapolated to Infinity (AUCINFobs) for Etelcalcetide3180 hr*μg/LStandard Deviation 1350
Etelcalcetide 5 mgObserved Area Under the Concentration-time Curve Extrapolated to Infinity (AUCINFobs) for Etelcalcetide5280 hr*μg/LStandard Deviation 970
Etelcalcetide 10 mgObserved Area Under the Concentration-time Curve Extrapolated to Infinity (AUCINFobs) for Etelcalcetide16800 hr*μg/LStandard Deviation 4560
Etelcalcetide 40 mgObserved Area Under the Concentration-time Curve Extrapolated to Infinity (AUCINFobs) for Etelcalcetide43800 hr*μg/LStandard Deviation 16900
Secondary

Percent AUC Extrapolated to Infinity (AUCINF) Resulting From Extrapolation From 65 Hours Onward for Etelcalcetide

Time frame: Pre-dose and at 0.17, 0.5, 1, 4, 8, 18, 24, 32, and 48 hours after study drug administration and prior to discharge from the clinical research unit (~65 hours).

Population: Participants who were randomized and received any amount of etelcalcetide and with available data.

ArmMeasureValue (MEAN)Dispersion
Pooled PlaceboPercent AUC Extrapolated to Infinity (AUCINF) Resulting From Extrapolation From 65 Hours Onward for Etelcalcetide64.6 percentage of AUCINFStandard Deviation 11.4
Etelcalcetide 5 mgPercent AUC Extrapolated to Infinity (AUCINF) Resulting From Extrapolation From 65 Hours Onward for Etelcalcetide50.9 percentage of AUCINFStandard Deviation 9.55
Etelcalcetide 10 mgPercent AUC Extrapolated to Infinity (AUCINF) Resulting From Extrapolation From 65 Hours Onward for Etelcalcetide71.7 percentage of AUCINFStandard Deviation 5.96
Etelcalcetide 20 mgPercent AUC Extrapolated to Infinity (AUCINF) Resulting From Extrapolation From 65 Hours Onward for Etelcalcetide60.2 percentage of AUCINFStandard Deviation 25.8
Etelcalcetide 40 mgPercent AUC Extrapolated to Infinity (AUCINF) Resulting From Extrapolation From 65 Hours Onward for Etelcalcetide68.0 percentage of AUCINFStandard Deviation 8.24
Secondary

Percent Change From Baseline in Calcium Phosphorus Product

Time frame: Baseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, and day 4 (discharge).

Population: Participants who were randomized and received any amount of study medication with available data at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product32 Hours87.730 percent changeStandard Deviation 51.888
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product18 Hours75.585 percent changeStandard Deviation 43.897
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus ProductDay 4-Discharge86.989 percent changeStandard Deviation 50.373
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product48 Hours86.563 percent changeStandard Deviation 54.601
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product24 Hours77.196 percent changeStandard Deviation 51.499
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product1 Hour10.828 percent changeStandard Deviation 14.55
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product30 Minutes6.658 percent changeStandard Deviation 13.202
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product4 Hours34.681 percent changeStandard Deviation 17.635
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product8 Hours53.138 percent changeStandard Deviation 26.86
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product42 Hours88.570 percent changeStandard Deviation 48.114
Pooled PlaceboPercent Change From Baseline in Calcium Phosphorus Product56 Hours88.531 percent changeStandard Deviation 59.1
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product56 Hours93.793 percent changeStandard Deviation 59.933
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product32 Hours62.691 percent changeStandard Deviation 32.631
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product8 Hours31.981 percent changeStandard Deviation 22.948
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product18 Hours57.263 percent changeStandard Deviation 23.373
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product4 Hours29.766 percent changeStandard Deviation 10.97
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus ProductDay 4-Discharge73.284 percent changeStandard Deviation 46.188
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product48 Hours60.665 percent changeStandard Deviation 40.658
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product42 Hours62.568 percent changeStandard Deviation 28.246
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product30 Minutes2.064 percent changeStandard Deviation 2.42
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product24 Hours50.020 percent changeStandard Deviation 23.032
Etelcalcetide 5 mgPercent Change From Baseline in Calcium Phosphorus Product1 Hour8.996 percent changeStandard Deviation 4.743
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product24 Hours-9.383 percent changeStandard Deviation 7.93
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product42 Hours5.055 percent changeStandard Deviation 11.224
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product32 Hours2.355 percent changeStandard Deviation 8.476
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product1 Hour-2.861 percent changeStandard Deviation 16.546
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product30 Minutes-2.929 percent changeStandard Deviation 14.665
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product4 Hours6.392 percent changeStandard Deviation 6.138
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product56 Hours5.483 percent changeStandard Deviation 15.538
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product8 Hours-2.240 percent changeStandard Deviation 9.168
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus ProductDay 4-Discharge13.653 percent changeStandard Deviation 8.448
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product48 Hours0.863 percent changeStandard Deviation 10.875
Etelcalcetide 10 mgPercent Change From Baseline in Calcium Phosphorus Product18 Hours0.424 percent changeStandard Deviation 6.565
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product56 Hours23.351 percent changeStandard Deviation 25.107
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product30 Minutes2.755 percent changeStandard Deviation 1.384
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product1 Hour9.236 percent changeStandard Deviation 4.347
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product4 Hours21.940 percent changeStandard Deviation 13.151
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product8 Hours17.850 percent changeStandard Deviation 11.838
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product18 Hours17.405 percent changeStandard Deviation 17.156
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product24 Hours17.795 percent changeStandard Deviation 29.202
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product32 Hours16.331 percent changeStandard Deviation 21.671
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product42 Hours19.449 percent changeStandard Deviation 29.865
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus Product48 Hours22.253 percent changeStandard Deviation 33.958
Etelcalcetide 20 mgPercent Change From Baseline in Calcium Phosphorus ProductDay 4-Discharge39.885 percent changeStandard Deviation 28.446
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product42 Hours30.694 percent changeStandard Deviation 30.875
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product4 Hours26.340 percent changeStandard Deviation 10.814
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus ProductDay 4-Discharge46.724 percent changeStandard Deviation 26.569
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product56 Hours31.825 percent changeStandard Deviation 42.108
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product48 Hours32.771 percent changeStandard Deviation 35.019
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product1 Hour6.825 percent changeStandard Deviation 4.17
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product18 Hours24.889 percent changeStandard Deviation 24.901
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product30 Minutes8.239 percent changeStandard Deviation 7.64
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product8 Hours23.291 percent changeStandard Deviation 26.675
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product32 Hours25.814 percent changeStandard Deviation 39.166
Etelcalcetide 40 mgPercent Change From Baseline in Calcium Phosphorus Product24 Hours14.095 percent changeStandard Deviation 38.924
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product24 Hours18.115 percent changeStandard Deviation 30.774
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus ProductDay 4-Discharge36.351 percent changeStandard Deviation 30.774
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product42 Hours25.046 percent changeStandard Deviation 36.401
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product18 Hours19.266 percent changeStandard Deviation 24.212
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product8 Hours26.854 percent changeStandard Deviation 17.662
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product48 Hours39.450 percent changeStandard Deviation 37.876
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product4 Hours17.068 percent changeStandard Deviation 5.053
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product1 Hour12.464 percent changeStandard Deviation 12.914
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product56 Hours44.582 percent changeStandard Deviation 33.182
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product30 Minutes7.789 percent changeStandard Deviation 10.252
Etelcalcetide 60 mgPercent Change From Baseline in Calcium Phosphorus Product32 Hours33.902 percent changeStandard Deviation 27.795
Secondary

Percent Change From Baseline in Ionized Calcium

Time frame: Baseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, and day 4 (discharge).

Population: Participants who were randomized and received any amount of study medication with available data at each time point

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboPercent Change From Baseline in Ionized Calcium56 Hours5.991 percent changeStandard Deviation 7.704
Pooled PlaceboPercent Change From Baseline in Ionized Calcium18 Hours6.570 percent changeStandard Deviation 5.729
Pooled PlaceboPercent Change From Baseline in Ionized Calcium42 Hours8.157 percent changeStandard Deviation 8.08
Pooled PlaceboPercent Change From Baseline in Ionized Calcium48 Hours6.080 percent changeStandard Deviation 8.323
Pooled PlaceboPercent Change From Baseline in Ionized CalciumDay 4-Discharge6.152 percent changeStandard Deviation 8.162
Pooled PlaceboPercent Change From Baseline in Ionized Calcium24 Hours6.920 percent changeStandard Deviation 6.835
Pooled PlaceboPercent Change From Baseline in Ionized Calcium30 Minutes-0.118 percent changeStandard Deviation 2.92
Pooled PlaceboPercent Change From Baseline in Ionized Calcium4 Hours0.744 percent changeStandard Deviation 3.126
Pooled PlaceboPercent Change From Baseline in Ionized Calcium32 Hours5.925 percent changeStandard Deviation 7.251
Pooled PlaceboPercent Change From Baseline in Ionized Calcium8 Hours1.924 percent changeStandard Deviation 4.128
Pooled PlaceboPercent Change From Baseline in Ionized Calcium1 Hour-0.151 percent changeStandard Deviation 2.577
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium56 Hours0.612 percent changeStandard Deviation 5.53
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium42 Hours-0.456 percent changeStandard Deviation 3.392
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium1 Hour-1.406 percent changeStandard Deviation 3.173
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium48 Hours-1.376 percent changeStandard Deviation 4.136
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium18 Hours-2.168 percent changeStandard Deviation 4.508
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium4 Hours-3.436 percent changeStandard Deviation 4.124
Etelcalcetide 5 mgPercent Change From Baseline in Ionized CalciumDay 4-Discharge2.765 percent changeStandard Deviation 4.557
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium8 Hours-0.703 percent changeStandard Deviation 4.896
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium30 Minutes0.234 percent changeStandard Deviation 2.172
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium32 Hours0.918 percent changeStandard Deviation 3.431
Etelcalcetide 5 mgPercent Change From Baseline in Ionized Calcium24 Hours-0.663 percent changeStandard Deviation 3.64
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium56 Hours-3.780 percent changeStandard Deviation 4.981
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium32 Hours-2.830 percent changeStandard Deviation 5.873
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium1 Hour-1.394 percent changeStandard Deviation 3.841
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium30 Minutes-2.940 percent changeStandard Deviation 4.619
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium4 Hours-6.015 percent changeStandard Deviation 1.847
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium24 Hours-3.822 percent changeStandard Deviation 3.953
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium8 Hours-6.218 percent changeStandard Deviation 2.395
Etelcalcetide 10 mgPercent Change From Baseline in Ionized CalciumDay 4-Discharge-1.697 percent changeStandard Deviation 4.582
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium48 Hours-2.919 percent changeStandard Deviation 3.392
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium18 Hours-4.125 percent changeStandard Deviation 3.667
Etelcalcetide 10 mgPercent Change From Baseline in Ionized Calcium42 Hours-4.213 percent changeStandard Deviation 1.195
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium56 Hours-3.766 percent changeStandard Deviation 9.005
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium30 Minutes-0.122 percent changeStandard Deviation 2.4
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium1 Hour-0.442 percent changeStandard Deviation 4.233
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium4 Hours-3.550 percent changeStandard Deviation 4.054
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium8 Hours-7.160 percent changeStandard Deviation 6.947
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium18 Hours-6.571 percent changeStandard Deviation 5.425
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium24 Hours-7.093 percent changeStandard Deviation 8.308
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium32 Hours-4.044 percent changeStandard Deviation 11.718
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium42 Hours-5.980 percent changeStandard Deviation 8.479
Etelcalcetide 20 mgPercent Change From Baseline in Ionized Calcium48 Hours-5.282 percent changeStandard Deviation 9.031
Etelcalcetide 20 mgPercent Change From Baseline in Ionized CalciumDay 4-Discharge-1.174 percent changeStandard Deviation 9.134
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium18 Hours-3.949 percent changeStandard Deviation 5.644
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium4 Hours-3.759 percent changeStandard Deviation 11.275
Etelcalcetide 40 mgPercent Change From Baseline in Ionized CalciumDay 4-Discharge1.601 percent changeStandard Deviation 12.279
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium56 Hours-3.052 percent changeStandard Deviation 8.958
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium48 Hours-2.468 percent changeStandard Deviation 9.489
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium1 Hour-3.072 percent changeStandard Deviation 7.85
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium42 Hours-3.212 percent changeStandard Deviation 6.593
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium30 Minutes-0.934 percent changeStandard Deviation 2.007
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium32 Hours-5.090 percent changeStandard Deviation 10.317
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium8 Hours-3.867 percent changeStandard Deviation 10.572
Etelcalcetide 40 mgPercent Change From Baseline in Ionized Calcium24 Hours-5.395 percent changeStandard Deviation 11.404
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium24 Hours-10.916 percent changeStandard Deviation 4.793
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium18 Hours-12.139 percent changeStandard Deviation 5.122
Etelcalcetide 60 mgPercent Change From Baseline in Ionized CalciumDay 4-Discharge-12.798 percent changeStandard Deviation 3.424
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium42 Hours-12.00 percent changeStandard Deviation 3.337
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium8 Hours-8.652 percent changeStandard Deviation 3.231
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium48 Hours-13.449 percent changeStandard Deviation 3.961
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium4 Hours-1.514 percent changeStandard Deviation 3.049
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium1 Hour1.595 percent changeStandard Deviation 1.118
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium56 Hours-11.229 percent changeStandard Deviation 4.218
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium30 Minutes-3.300 percent changeStandard Deviation 5.716
Etelcalcetide 60 mgPercent Change From Baseline in Ionized Calcium32 Hours-7.627 percent changeStandard Deviation 2.563
Secondary

Percent Change From Baseline in Serum Corrected Calcium

Time frame: Baseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, day 4 (discharge) and for Cohorts 4 and 5 only, days 8, 15 and 29

Population: Participants who were randomized and received any amount of study medication and with available data at each time point. Only participants in Cohorts 4 and 5 had serum corrected calcium assessed on days 8, 15 and 29.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium56 Hours1.920 percent changeStandard Deviation 10.339
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium24 Hours3.853 percent changeStandard Deviation 8.667
Pooled PlaceboPercent Change From Baseline in Serum Corrected CalciumDay 80.632 percent changeStandard Deviation 10.506
Pooled PlaceboPercent Change From Baseline in Serum Corrected CalciumDay 153.827 percent changeStandard Deviation 8.196
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium48 Hours2.918 percent changeStandard Deviation 8.965
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium32 Hours3.079 percent changeStandard Deviation 9.187
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium4 Hours0.540 percent changeStandard Deviation 4.998
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium1 Hour-0.295 percent changeStandard Deviation 4.644
Pooled PlaceboPercent Change From Baseline in Serum Corrected CalciumDay 4-Discharge1.556 percent changeStandard Deviation 10.24
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium42 Hours3.209 percent changeStandard Deviation 9.716
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium8 Hours0.945 percent changeStandard Deviation 5.894
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium18 Hours3.669 percent changeStandard Deviation 7.885
Pooled PlaceboPercent Change From Baseline in Serum Corrected CalciumDay 294.228 percent changeStandard Deviation 9.346
Pooled PlaceboPercent Change From Baseline in Serum Corrected Calcium30 Minutes0.024 percent changeStandard Deviation 3.881
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium18 Hours-3.103 percent changeStandard Deviation 3.399
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium32 Hours-1.632 percent changeStandard Deviation 7.315
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium56 Hours-1.583 percent changeStandard Deviation 4.258
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium4 Hours-3.427 percent changeStandard Deviation 1.201
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium48 Hours-2.781 percent changeStandard Deviation 7.855
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium8 Hours-5.533 percent changeStandard Deviation 8.724
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium24 Hours-3.003 percent changeStandard Deviation 4.149
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium42 Hours-4.815 percent changeStandard Deviation 8.629
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected CalciumDay 4-Discharge-2.577 percent changeStandard Deviation 12.131
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium1 Hour0.256 percent changeStandard Deviation 1.043
Etelcalcetide 5 mgPercent Change From Baseline in Serum Corrected Calcium30 Minutes0.106 percent changeStandard Deviation 4.55
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium56 Hours-10.338 percent changeStandard Deviation 4.119
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium32 Hours-9.436 percent changeStandard Deviation 2.192
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium1 Hour-5.176 percent changeStandard Deviation 2.874
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected CalciumDay 4-Discharge-7.405 percent changeStandard Deviation 4.208
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium4 Hours-7.795 percent changeStandard Deviation 2.473
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium30 Minutes-2.883 percent changeStandard Deviation 2.457
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium42 Hours-9.049 percent changeStandard Deviation 3.745
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium8 Hours-10.697 percent changeStandard Deviation 4.257
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium18 Hours-8.018 percent changeStandard Deviation 6.15
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium48 Hours-9.115 percent changeStandard Deviation 0.28
Etelcalcetide 10 mgPercent Change From Baseline in Serum Corrected Calcium24 Hours-8.826 percent changeStandard Deviation 2.766
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium1 Hour-2.574 percent changeStandard Deviation 1.335
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium30 Minutes-2.589 percent changeStandard Deviation 1.665
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium4 Hours-5.515 percent changeStandard Deviation 1.939
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium8 Hours-7.685 percent changeStandard Deviation 2.633
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium18 Hours-9.560 percent changeStandard Deviation 4.703
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium24 Hours-11.436 percent changeStandard Deviation 5.463
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium32 Hours-10.644 percent changeStandard Deviation 8.525
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium42 Hours-11.700 percent changeStandard Deviation 8.151
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium48 Hours-9.458 percent changeStandard Deviation 7.873
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected Calcium56 Hours-9.227 percent changeStandard Deviation 6.946
Etelcalcetide 20 mgPercent Change From Baseline in Serum Corrected CalciumDay 4-Discharge-9.200 percent changeStandard Deviation 6.76
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium42 Hours-9.186 percent changeStandard Deviation 8.793
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium24 Hours-8.436 percent changeStandard Deviation 10.582
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium18 Hours-5.993 percent changeStandard Deviation 9.27
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium30 Minutes-0.572 percent changeStandard Deviation 2.126
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium48 Hours-8.174 percent changeStandard Deviation 9.005
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium8 Hours-5.895 percent changeStandard Deviation 5.393
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected CalciumDay 292.221 percent changeStandard Deviation 2.378
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium56 Hours-8.970 percent changeStandard Deviation 8.789
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium32 Hours-6.155 percent changeStandard Deviation 12.748
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium4 Hours-3.599 percent changeStandard Deviation 2.991
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected CalciumDay 4-Discharge-8.180 percent changeStandard Deviation 9.334
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected Calcium1 Hour-3.700 percent changeStandard Deviation 3.395
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected CalciumDay 8-3.985 percent changeStandard Deviation 12.631
Etelcalcetide 40 mgPercent Change From Baseline in Serum Corrected CalciumDay 15-0.238 percent changeStandard Deviation 8.371
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium42 Hours-9.082 percent changeStandard Deviation 7.392
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium1 Hour3.445 percent changeStandard Deviation 9.876
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium18 Hours-5.738 percent changeStandard Deviation 10.402
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected CalciumDay 293.620 percent changeStandard Deviation 7.196
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium32 Hours-7.146 percent changeStandard Deviation 10.382
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected CalciumDay 4-Discharge-13.186 percent changeStandard Deviation 9.781
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium48 Hours-10.911 percent changeStandard Deviation 9.479
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium8 Hours-4.057 percent changeStandard Deviation 10.732
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium24 Hours-5.688 percent changeStandard Deviation 9.762
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium4 Hours-1.258 percent changeStandard Deviation 10.241
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected CalciumDay 15-6.885 percent changeStandard Deviation 9.669
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected CalciumDay 8-8.859 percent changeStandard Deviation 3.74
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium56 Hours-12.300 percent changeStandard Deviation 9.491
Etelcalcetide 60 mgPercent Change From Baseline in Serum Corrected Calcium30 Minutes1.951 percent changeStandard Deviation 6.723
Secondary

Percent Change From Baseline in Serum Parathyroid Hormone (PTH)

Time frame: Baseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, day 4 (discharge) and for Cohorts 4 and 5 only, days 8, 15 and 29

Population: Participants who were randomized and received any amount of study medication with available data at each time point. Only participants in Cohorts 4 and 5 had PTH assessed on days 8, 15 and 29.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)30 Minutes1.381 percent changeStandard Deviation 20.429
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)48 Hours-21.664 percent changeStandard Deviation 28.956
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)56 Hours-15.484 percent changeStandard Deviation 33.626
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 15-33.993 percent changeStandard Deviation 44.928
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)4 Hours3.922 percent changeStandard Deviation 30.491
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 8-31.881 percent changeStandard Deviation 38.536
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)8 Hours4.014 percent changeStandard Deviation 25.061
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)18 Hours-13.552 percent changeStandard Deviation 25
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 29-31.394 percent changeStandard Deviation 47.249
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)24 Hours-16.888 percent changeStandard Deviation 30.497
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)1 Hour-0.540 percent changeStandard Deviation 17.092
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)32 Hours-16.434 percent changeStandard Deviation 34.774
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 4-Discharge-11.192 percent changeStandard Deviation 33.131
Pooled PlaceboPercent Change From Baseline in Serum Parathyroid Hormone (PTH)42 Hours-20.394 percent changeStandard Deviation 25.119
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)18 Hours-23.751 percent changeStandard Deviation 10.615
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)4 Hours-39.975 percent changeStandard Deviation 14.961
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)42 Hours-9.087 percent changeStandard Deviation 10.439
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)24 Hours-23.420 percent changeStandard Deviation 10.289
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)56 Hours-2.968 percent changeStandard Deviation 20.87
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)8 Hours-39.789 percent changeStandard Deviation 9.694
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)32 Hours-18.406 percent changeStandard Deviation 15.484
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 4-Discharge-7.428 percent changeStandard Deviation 15.016
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)30 Minutes-63.179 percent changeStandard Deviation 5.135
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)48 Hours-14.905 percent changeStandard Deviation 16.588
Etelcalcetide 5 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)1 Hour-64.094 percent changeStandard Deviation 4.547
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)4 Hours-51.734 percent changeStandard Deviation 23.294
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)32 Hours-32.987 percent changeStandard Deviation 26.492
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)8 Hours-52.075 percent changeStandard Deviation 16.841
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)18 Hours-48.744 percent changeStandard Deviation 15.46
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 4-Discharge13.264 percent changeStandard Deviation 23.682
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)24 Hours-46.642 percent changeStandard Deviation 18.136
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)48 Hours-36.142 percent changeStandard Deviation 24.957
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)1 Hour-73.060 percent changeStandard Deviation 7.959
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)56 Hours-21.994 percent changeStandard Deviation 34.015
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)30 Minutes-68.890 percent changeStandard Deviation 9.616
Etelcalcetide 10 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)42 Hours-34.912 percent changeStandard Deviation 22.835
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)1 Hour-70.309 percent changeStandard Deviation 9.601
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)48 Hours-43.145 percent changeStandard Deviation 43.175
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)30 Minutes-70.021 percent changeStandard Deviation 11.273
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)4 Hours-72.893 percent changeStandard Deviation 14.821
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)8 Hours-70.904 percent changeStandard Deviation 15.663
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)56 Hours-43.271 percent changeStandard Deviation 44.442
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)42 Hours-57.207 percent changeStandard Deviation 32.894
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)32 Hours-55.919 percent changeStandard Deviation 33.153
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)24 Hours-41.723 percent changeStandard Deviation 26.353
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)18 Hours-72.653 percent changeStandard Deviation 16.154
Etelcalcetide 20 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 4-Discharge-48.533 percent changeStandard Deviation 32.739
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)42 Hours-63.258 percent changeStandard Deviation 5.239
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)30 Minutes-72.435 percent changeStandard Deviation 11.176
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)1 Hour-75.898 percent changeStandard Deviation 11.333
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)4 Hours-74.627 percent changeStandard Deviation 13.479
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)8 Hours-77.031 percent changeStandard Deviation 8.236
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)18 Hours-78.332 percent changeStandard Deviation 7.393
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)24 Hours-77.206 percent changeStandard Deviation 4.005
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)32 Hours-69.795 percent changeStandard Deviation 4.812
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)48 Hours-55.486 percent changeStandard Deviation 1.761
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)56 Hours-48.128 percent changeStandard Deviation 3.74
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 4-Discharge-49.277 percent changeStandard Deviation 6.274
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 8-30.766 percent changeStandard Deviation 32.248
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 15-34.149 percent changeStandard Deviation 22.536
Etelcalcetide 40 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 29-14.750 percent changeStandard Deviation 28.303
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)24 Hours-84.845 percent changeStandard Deviation 6.208
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)18 Hours-85.547 percent changeStandard Deviation 6.056
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)8 Hours-84.184 percent changeStandard Deviation 6.461
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 15-58.510 percent changeStandard Deviation 15.169
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 4-Discharge-62.628 percent changeStandard Deviation 12.335
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)4 Hours-80.266 percent changeStandard Deviation 7.476
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)30 Minutes-77.471 percent changeStandard Deviation 5.979
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 8-61.093 percent changeStandard Deviation 5.804
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)1 Hour-78.757 percent changeStandard Deviation 4.921
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)48 Hours-71.268 percent changeStandard Deviation 11.557
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)42 Hours-76.096 percent changeStandard Deviation 9.079
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)Day 29-44.478 percent changeStandard Deviation 16.631
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)56 Hours-60.112 percent changeStandard Deviation 16.074
Etelcalcetide 60 mgPercent Change From Baseline in Serum Parathyroid Hormone (PTH)32 Hours-83.439 percent changeStandard Deviation 5.802
Secondary

Percent Change From Baseline in Serum Phosphorus

Time frame: Baseline and 30 minutes, 1, 4, 8, 18, 24, 32, 42, 48, and 56 hours post-dose, and day 4 (discharge).

Population: Participants who were randomized and received any amount of study medication with available data at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus48 Hours80.245 percent changeStandard Deviation 48.363
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus30 Minutes6.453 percent changeStandard Deviation 10.4
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus1 Hour10.907 percent changeStandard Deviation 10.912
Pooled PlaceboPercent Change From Baseline in Serum PhosphorusDay 4-Discharge83.535 percent changeStandard Deviation 44.193
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus8 Hours51.998 percent changeStandard Deviation 27.762
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus32 Hours81.616 percent changeStandard Deviation 48.245
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus4 Hours34.009 percent changeStandard Deviation 16.904
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus42 Hours82.478 percent changeStandard Deviation 44.276
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus56 Hours83.741 percent changeStandard Deviation 51.885
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus18 Hours69.207 percent changeStandard Deviation 41.794
Pooled PlaceboPercent Change From Baseline in Serum Phosphorus24 Hours69.676 percent changeStandard Deviation 45.038
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus4 Hours34.441 percent changeStandard Deviation 12.211
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus42 Hours72.340 percent changeStandard Deviation 35.38
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus8 Hours41.575 percent changeStandard Deviation 33.433
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus56 Hours98.775 percent changeStandard Deviation 67.669
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus32 Hours67.662 percent changeStandard Deviation 43.365
Etelcalcetide 5 mgPercent Change From Baseline in Serum PhosphorusDay 4-Discharge78.775 percent changeStandard Deviation 45.141
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus48 Hours66.536 percent changeStandard Deviation 45.455
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus30 Minutes2.080 percent changeStandard Deviation 4.235
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus24 Hours55.497 percent changeStandard Deviation 29.444
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus1 Hour8.750 percent changeStandard Deviation 5.519
Etelcalcetide 5 mgPercent Change From Baseline in Serum Phosphorus18 Hours62.681 percent changeStandard Deviation 26.476
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus30 Minutes-0.255 percent changeStandard Deviation 12.843
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus48 Hours10.970 percent changeStandard Deviation 11.808
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus18 Hours9.206 percent changeStandard Deviation 2.538
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus56 Hours17.867 percent changeStandard Deviation 18.308
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus8 Hours9.325 percent changeStandard Deviation 5.563
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus4 Hours15.334 percent changeStandard Deviation 4.08
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus1 Hour2.219 percent changeStandard Deviation 15.246
Etelcalcetide 10 mgPercent Change From Baseline in Serum PhosphorusDay 4-Discharge23.022 percent changeStandard Deviation 12.403
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus24 Hours-0.574 percent changeStandard Deviation 8.659
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus32 Hours12.914 percent changeStandard Deviation 6.547
Etelcalcetide 10 mgPercent Change From Baseline in Serum Phosphorus42 Hours15.357 percent changeStandard Deviation 8.616
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus42 Hours35.259 percent changeStandard Deviation 31.535
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus48 Hours34.452 percent changeStandard Deviation 31.33
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus56 Hours35.569 percent changeStandard Deviation 21.851
Etelcalcetide 20 mgPercent Change From Baseline in Serum PhosphorusDay 4-Discharge54.242 percent changeStandard Deviation 30.386
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus30 Minutes5.498 percent changeStandard Deviation 1.546
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus1 Hour12.164 percent changeStandard Deviation 5.483
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus4 Hours29.231 percent changeStandard Deviation 15.513
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus8 Hours27.684 percent changeStandard Deviation 12.52
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus18 Hours30.352 percent changeStandard Deviation 22.143
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus24 Hours32.376 percent changeStandard Deviation 28.527
Etelcalcetide 20 mgPercent Change From Baseline in Serum Phosphorus32 Hours29.678 percent changeStandard Deviation 15.174
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus48 Hours43.624 percent changeStandard Deviation 29.435
Etelcalcetide 40 mgPercent Change From Baseline in Serum PhosphorusDay 4-Discharge59.563 percent changeStandard Deviation 19.668
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus30 Minutes9.024 percent changeStandard Deviation 10.125
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus56 Hours43.033 percent changeStandard Deviation 33.634
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus42 Hours43.149 percent changeStandard Deviation 25.219
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus32 Hours32.705 percent changeStandard Deviation 28.481
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus18 Hours32.018 percent changeStandard Deviation 14.688
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus1 Hour11.018 percent changeStandard Deviation 5.492
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus24 Hours24.240 percent changeStandard Deviation 37.457
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus8 Hours30.640 percent changeStandard Deviation 24.248
Etelcalcetide 40 mgPercent Change From Baseline in Serum Phosphorus4 Hours30.927 percent changeStandard Deviation 8.124
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus8 Hours32.465 percent changeStandard Deviation 15.418
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus1 Hour8.621 percent changeStandard Deviation 4.78
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus18 Hours26.240 percent changeStandard Deviation 19.622
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus30 Minutes5.608 percent changeStandard Deviation 4.474
Etelcalcetide 60 mgPercent Change From Baseline in Serum PhosphorusDay 4-Discharge56.708 percent changeStandard Deviation 29.407
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus42 Hours36.299 percent changeStandard Deviation 31.742
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus24 Hours24.655 percent changeStandard Deviation 27.651
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus56 Hours63.990 percent changeStandard Deviation 28.031
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus32 Hours43.411 percent changeStandard Deviation 19.01
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus4 Hours19.261 percent changeStandard Deviation 9.807
Etelcalcetide 60 mgPercent Change From Baseline in Serum Phosphorus48 Hours55.718 percent changeStandard Deviation 35.112

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