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Evaluation of a Cincalcet Suppression Test

Phase 4
Completed
Conditions
Parathyroid Hormone Suppression Test With Cinacalcet
Interventions
Registration Number
NCT01103206
Lead Sponsor
University Hospital, Rouen
Brief Summary

The aim of the study is to compare the results of a parathyroid hormone (PTH)suppression test using a single oral tablet of cinacalcet in two groups of subjects: 1- a group of healthy adults in whom the results of the test with cinacalcet will be compared with those of the standardized PTH suppression test with intravenous calcium loading; 2- a group of patients with proven primary hyperparathyroidism in whom the results of the test with cinacalcet will be compared with those obtained during the same test, in healthy controls.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Control group: healthy adult (>18 years), having signed informed consent, taking no treatment, with effective contraception in unmenopausal women, with normal clinical examination, with normal plasma PTH, calcium, phosphorus, 25 OH vitamin D levels, with normal renal function, with normal 24 hour calciuria.
  • Primary hyperparathyroidism group: adult patients (>18 years), having signed informed consent, with effective contraception in unmenopausal women, taking no treatment known to modify calcium-phosphorus status, with normal BMI, in which the diagnosis of primary hyperparathyroidism was confirmed on plasma PTH, calcium, phosphorus, 25 OH vitamin D levels, with normal renal function, with 24 hour calciuria higher than normal.
Exclusion Criteria
  • Control group: significant medical or surgical history, creatinine clearance <60 ml/min, liver insufficiency, arterial hypertension, psychiatric disorder able to modify the compliance to the study, tobacco intoxication, taking a treatment known to modify calcium-phosphorus status, severe known allergy, pregnant women, unmenopaused women without contraception.
  • Primary hyperparathyroidism group:secondary hyperparathyroidism, creatinine clearance <60 ml/min, liver insufficiency, psychiatric disorder able to modify the compliance to the study, tobacco intoxication, taking a treatment known to modify calcium-phosphorus status, severe known allergy, pregnant women.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Primary hyperparathyroidism dose IIcinacalcet dose 2Parathyroid hormone suppression test in primary hyperparathyroidism using cinacalcet (dose 2).
Control groupcinacalcetParathyroid hormone suppression tests using successively (each test will be separate for a two week period) an intravenous calcium loading or cinacalcet will be performed in a group of 12 healthy volunteers.
Primary hyperparathyroidism dose Icinacalcet dose 1Parathyroid hormone suppression test using the first dose of cinacalcet in patients with primary hyperparathyroidism.
Primary Outcome Measures
NameTimeMethod
Parathyroid hormone suppression test with cainacalcetRepeated PTH measurements for a period of 12 hours

Comparison of the plasma parathyroid hormone levels measured in healthy controls during two tests: a test using a single oral dose of cinacalcet and a test using a standardized intravenous calcium loading.

Secondary Outcome Measures
NameTimeMethod
Parathyroid hormone suppression test with cinacalcet in primary hyperparathyroidismRepeated plasma Parathyroid hormone levels for a period of 12 hours

Comparison of the results obtained in patients with primary hyperparathyroidism during a cinacalcet suppression test with those obtained using the same test in healthy controls.

Trial Locations

Locations (1)

University hospital

🇫🇷

Rouen, Haute Normandie, France

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