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TREATMENT OF HYPERPARATHYROIDISM IN PATIENTS WITH MULTIPLE ENDOCRINE NEOPLASIA TYPE 1 (MEN1) WITH THE CALCIMIMETIC AGENT CINACALCET - ND

Conditions
Primary hyperparathyroidism in patients affected with multiple endocrine neoplasia syndrome type 1 (MEN1)
MedDRA version: 9.1Level: LLTClassification code 10027180
Registration Number
EUCTR2008-005055-23-IT
Lead Sponsor
OSPEDALE MAGGIORE DI MILANO (IRCCS)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

? Age > 18 years ? Total serum calcium > 10.4 mg/dl and < 13 mg/dl (at least 2 consecutive evaluations within the last 6 months) ? Ionized serum calcium > 1.32 mmol/L ? PTH > 65 pg/ml (at least 2 consecutive evaluations within the last 6 months) ? 25(OH)-vitamin D > 30 ng/ml
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

? Pregnancy ? Chronic kidney disease ? Chronic hepatic ? Treatment with drugs metabolized by hepatic cytochrome P450 2D6 (CPY2D6), inhibitors or inducers of CYP3A4 and/or CYP1A2 ? Treatment with biphosphonates or fluoride within (60 days before baseline) ? Treatment with anti convulsive drugs or positive history of epilepsy or convulsions. ? Secondary hyperparathyroidism ? Other causes of hypercalcemia

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To evaluate the efficacy and safety profile of cinacalcet, a second generation calcimimetic, in the treatment of primary hyperparathyroidism in patients with MEN 1 in whom surgery has failed or is not indicated.;Secondary Objective: To evaluate the effects of cinacalcet on renal function and complications, neuromuscular symptoms, neuropsychiatric and cognitive features, heart function, gastrointestinal symptoms and perceived quality of life.;Primary end point(s): To evaluate the efficacy and safety profile of cinacalcet, a second generation calcimimetic, in the treatment of primary HPT in patients with MEN 1 in whom surgery has failed or is not indicated, according to the NHI Consensus. The primary objective will be to assess the ability of the drug to reduce serum calcium, urinary calcium and PTH as well as to reduce/normalize bone metabolism alterations.
Secondary Outcome Measures
NameTimeMethod
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