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Evaluation of Treatment With Zemplar Capsules in the Therapy of Secondary Hyperparathyroidism (SHPT)

Evaluation of Treatment With Zemplar Capsules in the Therapy of Secondary Hyperparathyroidism (SHPT) in Subjects With Chronic Kidney Disease (CKD) Stage 3 or 4 in the Conditions of Routine Clinical Practice. A Multi-country, Multi-center Post Marketing Observational Study in Routine Clinical Use in Eastern European Countries.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01224782
Enrollment
994
Registered
2010-10-20
Start date
2010-10-31
Completion date
2013-08-31
Last updated
2014-09-15

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

Conditions

Chronic Kidney Disease, Secondary Hyperparathyroidism

Keywords

Zemplar capsules, Chronic kidney disease (CKD) stage 3 or 4, Secondary hyperparathyroidism (SHPT), Postmarketing observational study (PMOS)

Brief summary

The aims of this post-marketing observational study (PMOS) are to evaluate the time period needed to achieve \> 30% decrease of intact parathyroid hormone (iPTH) compared to the initial values and to provide data on the tolerability and compliance of treatment with Zemplar (paricalcitol) capsules in the therapy of secondary hyperparathyroidism (SHPT) in patients with chronic kidney disease (CKD) stage 3 or 4 in conditions of routine clinical practice.

Detailed description

This is a non-interventional, observational, open-label, multi-country, multicenter post-marketing study in which Zemplar (paricalcitol) is prescribed in the usual manner in accordance with the terms of the local marketing authorization. Follow up visits will occur 1, 3, 6, 9, and 12 months after screening.

Interventions

None listed

Sponsors

AbbVie (prior sponsor, Abbott)
Lead SponsorINDUSTRY

Eligibility

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

Inclusion criteria

* Patients 18 years of age or older * Patients with chronic kidney disease (CKD) stage 3 and 4 and secondary hyperparathyroidism (SHPT) * Patients with Intact Parathyroid Hormone (iPTH) \> 70 pg/mL and with chronic kidney disease (CKD) stage 3 or with Intact Parathyroid Hormone (iPTH) \> 110 pg/mL and with chronic kidney disease (CKD) stage 4 * Patients clinically indicated for treatment with Zemplar capsules * Patient must provide the authorization to use his/her data for statistical evaluation before entering to the post marketing observational study (PMOS). Local Law requirements are to be followed

Exclusion criteria

* Patients with clinically important hypercalcemia = Calcium \> 2.6 mmol/L (10.5 mg/dL) * Patients suffering from proved intoxication of vitamin D or patient with known hypersensitivity to paricalcitol or any other part of the product

Design outcomes

Primary

MeasureTime frameDescription
Time to Achieve a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH) ValuesFrom Baseline up to 12 MonthsMean time to achieve a \> 30% decrease in intact parathyroid hormone (iPTH) compared with the initial values at baseline (screening visit).
Percentage of Participants With Calcium x Phosphorus Product (CxP) Values > 65 mg˄2/dL˄2 or 5.24 mmol˄2/L˄2From Baseline up to 12 MonthsThe percentage of participants with Calcium x Phosphorus Product (CxP) values \> 65 mg˄2/dL˄2 or 5.24 mmol˄2/L˄2 at any timepoint during followup, up to 12 months.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Achieved a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH)From Baseline up to 12 MonthsThe percentage of participants with a decrease in iPTH levels \> 30% at any timepoint during followup, up to 12 months.
Percentage of Participants With HypercalcemiaFrom Baseline up to 12 monthsThe percentage of participants with hypercalcemia (Calcium \> 2.6 mmol/L \[10.5 mg/dL\]) at any timepoint during followup, up to 12 months.
Mean Weekly Dose of Zemplar (Paricalcitol)From Baseline up to 12 monthsCompliance was assessed using the mean weekly total dose of Zemplar (paricalcitol).
Number of Participants With Adverse Events (AEs)Adverse events were collected from the screening visit to month 12 (total 13 months); Serious Adverse Events were collected from the time that informed consent was obtained to 30 days after last dose of study drug (up to 13 months)An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. An Adverse Drug Reaction (ADR) is any noxious and undesired reaction related to an experimental drug or experiment. A serious adverse event (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. AEs were rated for severity as either Mild: transient and easily tolerated; Moderate: causes discomfort and interrupts usual activities; or Severe: causes considerable interference with usual activities, may be incapacitating or life-threatening. AEs related to Zemplar (paricalcitol) were assessed as being either probably or possibly related by the investigator.

Countries

Bulgaria, Czechia, Romania

Participant flow

Participants by arm

ArmCount
Chronic Kidney Disease, Secondary Hyperparathyroidism
All eligible participants with chronic kidney disease stage 3 and 4 and secondary hyperparathyroidism treated with Zemplar (paricalcitol) capsules according to the local marketing authorization
994
Total994

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event12
Overall StudyAdverse Reaction11
Overall StudyChange of Treatment1
Overall StudyDeath14
Overall StudyDeterioration1
Overall StudyFinancial Reasons1
Overall StudyImprovement13
Overall StudyLost to Follow-up177
Overall StudyNoncompliance10
Overall StudyOther4
Overall StudyStart of Dialysis3
Overall StudyTransplantation1
Overall StudyWithdrawal by Subject16

Baseline characteristics

CharacteristicChronic Kidney Disease, Secondary Hyperparathyroidism
Age, Continuous64.29 years
STANDARD_DEVIATION 13.14
Baseline Chronic Kidney Disease Stage
Chronic Kidney Disease Stage 3
40.8 percentage of participants
Baseline Chronic Kidney Disease Stage
Chronic Kidney Disease Stage 4
59.2 percentage of participants
Baseline Intact Parathyroid Hormone (iPTH)36.33 pmol/L
STANDARD_DEVIATION 53.7
Sex: Female, Male
Female
477 Participants
Sex: Female, Male
Male
517 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
66 / 994
serious
Total, serious adverse events
27 / 994

Outcome results

Primary

Percentage of Participants With Calcium x Phosphorus Product (CxP) Values > 65 mg˄2/dL˄2 or 5.24 mmol˄2/L˄2

The percentage of participants with Calcium x Phosphorus Product (CxP) values \> 65 mg˄2/dL˄2 or 5.24 mmol˄2/L˄2 at any timepoint during followup, up to 12 months.

Time frame: From Baseline up to 12 Months

Population: The primary analysis was conducted in the per-protocol (PP) population, which included all participants for whom all study criteria were fulfilled at the time of enrollment and who had no major protocol deviation occur in the course of the study.

ArmMeasureValue (NUMBER)
Chronic Kidney Disease, Secondary HyperparathyroidismPercentage of Participants With Calcium x Phosphorus Product (CxP) Values > 65 mg˄2/dL˄2 or 5.24 mmol˄2/L˄27.4 percentage of participants
Primary

Time to Achieve a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH) Values

Mean time to achieve a \> 30% decrease in intact parathyroid hormone (iPTH) compared with the initial values at baseline (screening visit).

Time frame: From Baseline up to 12 Months

Population: The primary analysis was conducted in the per-protocol (PP) population, which included all participants for whom all study criteria were fulfilled at the time of enrollment and who had no major protocol deviation occur in the course of the study, with a \> 30% decrease in iPTH compared with the initial values at baseline.

ArmMeasureValue (MEAN)Dispersion
Chronic Kidney Disease, Secondary HyperparathyroidismTime to Achieve a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH) Values3.82 monthsStandard Deviation 3.37
Secondary

Mean Weekly Dose of Zemplar (Paricalcitol)

Compliance was assessed using the mean weekly total dose of Zemplar (paricalcitol).

Time frame: From Baseline up to 12 months

Population: Secondary analyses were conducted in the intent-to-treat (ITT) population, which included all participants who received at least 1 dose of study drug and with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Chronic Kidney Disease, Secondary HyperparathyroidismMean Weekly Dose of Zemplar (Paricalcitol)Screening to Month 1 (N=994)6.29 microgramsStandard Deviation 2.49
Chronic Kidney Disease, Secondary HyperparathyroidismMean Weekly Dose of Zemplar (Paricalcitol)Month 9 to Month 12 (N=737)5.77 microgramsStandard Deviation 3.31
Secondary

Number of Participants With Adverse Events (AEs)

An AE is any untoward medical occurrence, which does not necessarily have a causal relationship with treatment. An Adverse Drug Reaction (ADR) is any noxious and undesired reaction related to an experimental drug or experiment. A serious adverse event (SAE) is an AE that results in death, is life-threatening, results in or prolongs hospitalization, results in congenital anomaly, persistent or significant disability/incapacity, spontaneous or elective abortion, or requires intervention to prevent a serious outcome. AEs were rated for severity as either Mild: transient and easily tolerated; Moderate: causes discomfort and interrupts usual activities; or Severe: causes considerable interference with usual activities, may be incapacitating or life-threatening. AEs related to Zemplar (paricalcitol) were assessed as being either probably or possibly related by the investigator.

Time frame: Adverse events were collected from the screening visit to month 12 (total 13 months); Serious Adverse Events were collected from the time that informed consent was obtained to 30 days after last dose of study drug (up to 13 months)

Population: The safety population included all participants who received at least 1 dose of study drug and for whom safety data was collected after administration of the first dose of study drug .

ArmMeasureGroupValue (NUMBER)
Chronic Kidney Disease, Secondary HyperparathyroidismNumber of Participants With Adverse Events (AEs)Any AE141 participants
Chronic Kidney Disease, Secondary HyperparathyroidismNumber of Participants With Adverse Events (AEs)AEs Probably Not Related to Study Drug13 participants
Chronic Kidney Disease, Secondary HyperparathyroidismNumber of Participants With Adverse Events (AEs)AEs Not Related to Study Drug100 participants
Chronic Kidney Disease, Secondary HyperparathyroidismNumber of Participants With Adverse Events (AEs)Any Serious AE27 participants
Chronic Kidney Disease, Secondary HyperparathyroidismNumber of Participants With Adverse Events (AEs)Deaths14 participants
Chronic Kidney Disease, Secondary HyperparathyroidismNumber of Participants With Adverse Events (AEs)Adverse Events Probably Related14 participants
Chronic Kidney Disease, Secondary HyperparathyroidismNumber of Participants With Adverse Events (AEs)AEs Possibly Related to Study Drug14 participants
Secondary

Percentage of Participants Who Achieved a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH)

The percentage of participants with a decrease in iPTH levels \> 30% at any timepoint during followup, up to 12 months.

Time frame: From Baseline up to 12 Months

Population: Secondary analyses were conducted in the intent-to-treat (ITT) population, which included all participants who received at least 1 dose of study drug and with available data.

ArmMeasureValue (NUMBER)
Chronic Kidney Disease, Secondary HyperparathyroidismPercentage of Participants Who Achieved a > 30% Decrease From Baseline in Intact Parathyroid Hormone (iPTH)75.3 percentage of participants
Secondary

Percentage of Participants With Hypercalcemia

The percentage of participants with hypercalcemia (Calcium \> 2.6 mmol/L \[10.5 mg/dL\]) at any timepoint during followup, up to 12 months.

Time frame: From Baseline up to 12 months

Population: The safety population included all participants who received at least 1 dose of study drug and for whom safety data was collected after administration of the first dose of study drug.

ArmMeasureValue (NUMBER)
Chronic Kidney Disease, Secondary HyperparathyroidismPercentage of Participants With Hypercalcemia0.9 percentage of participants

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