The primary objective was to characterize corrected serum calcium levels on treatment with cinacalcet in pediatric patients with secondary hyperparathyroidism (HPT).
This is a multicenter, 26-week, single-arm, open-label, safety study. Participants were to remain on study for 26 weeks or until time of kidney transplantation, whichever came first. The study and enrollment was placed on partial clinical hold in February 2013 which resulted in changes to the protocol. The study was restarted in April 2014 following these changes. Participants who completed the 26-week study or were on study when the study was closed in June 2016 were eligible to participate in an open-label extension study (Study 20140159; NCT02341417).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
18
Cinacalcet was provided as 5 mg capsules that were opened, and the contents were either sprinkled on soft food or suspended into a sucrose syrup to create a liquid suspension for administration. All doses were administered with food or shortly after a meal at the same time daily.
Standard of care may have included vitamin D sterols (25 OH vitamin D and/or 1-25 OH vitamin D and its analogs) at the discretion of the investigator.
Percentage of Participants With Hypocalcemia
Hypocalcemia was defined as corrected serum calcium levels \< 9.0 mg/dL (2.25 mmol/L) for participants aged 28 days to \< 2 years, and \< 8.4 mg/dL (2.1 mmol/L) for participants aged ≥ 2 years to \< 6 years at any time during the study.
Time frame: 26 weeks
Percentage of Participants With Corrected Serum Calcium Levels < 8.8 mg/dL (2.2 mmol/L) During the Study
Time frame: 26 weeks
Percent Change From Baseline in Intact Parathyroid Hormone (iPTH)
Time frame: Baseline and weeks 3, 7, 11, 15, 19, 22, and 24
Percent Change From Baseline in Corrected Serum Calcium
Time frame: Baseline and weeks 3, 7, 11, 15, 19, 22, and 24
Percent Change From Baseline in Serum Phosphorous
Time frame: Baseline and weeks 3, 7, 11, 15, 19, 22, and 24
Percent Change From Baseline in Calcium Phosphorus Product (Ca x P)
Time frame: Baseline and weeks 3, 7, 11, 15, 19, 22, and 24
Percentage of Participants Who Achieved > 30% Reduction in iPTH From Baseline at Any Two Consecutive Measurements
A participant was considered to have achieved \> 30% reduction in iPTH from baseline at any 2 consecutive measurements if percent change of any two consecutive post-baseline iPTH values were \< -30% regardless if there was a missing value in between.
Time frame: 26 weeks
Percentage of Participants Who Achieved ≥ 30% Reduction in iPTH From Baseline During the Study
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Research Site
Birmingham, Alabama, United States
Research Site
Little Rock, Arkansas, United States
Research Site
Los Angeles, California, United States
Research Site
Iowa City, Iowa, United States
Research Site
Louisville, Kentucky, United States
Research Site
Baltimore, Maryland, United States
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Ann Arbor, Michigan, United States
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Kansas City, Missouri, United States
Research Site
St Louis, Missouri, United States
Research Site
The Bronx, New York, United States
...and 32 more locations
A participant was considered to have achieved ≥ 30% reduction in iPTH if the percent change of any post-baseline iPTH value was ≤ -30% from baseline.
Time frame: 26 weeks
Percentage of Participants Who Achieved iPTH Values Between 200 and 300 pg/mL at Any Two Consecutive Measurements
A participant was considered to have achieved iPTH between 200 and 300 pg/mL (21.2 and 31.8 pmol/L) at any 2 consecutive measurements if any two consecutive post-baseline iPTH values were within the range regardless if there was a missing value in between. The analysis included all enrolled subjects with at least 1 post-baseline assessment.
Time frame: 26 weeks
Percentage of Participants Who Achieved iPTH Values < 300 pg/mL During the Study
A participant was considered to have achieved iPTH \< 300 pg/mL (31.8 pmol/L) during the study if any post-baseline iPTH value was \< 300 pg/mL.
Time frame: 26 weeks
Dose- and Weight-Normalized Maximum Plasma Concentration (Cmax) of Cinacalcet
Time frame: Week 12
Dose- and Weight-Normalized Area Under the Plasma Concentration-time Curve From Time 0 to the Time of Last Quantifiable Concentration (AUClast) for Cinacalcet
Time frame: Week 12