Efficacy and Safety of Lanthanum Carbonate in Reducing Serum Phosphorus Levels in Subjects With Stage 3 and 4 Chronic Kidney Disease
A Phase II, Double-blind, Randomized, Placebo-controlled Study to Assess the Efficacy and Safety of Lanthanum Carbonate for the Reduction of Serum Phosphorus in Subjects With Stage 3 and 4 Chronic Kidney Disease Who Have Elevated Serum Phosphorus Levels
1 other identifier
interventional
84
1 country
10
Brief Summary
Chronic kidney disease (CKD) can result in a loss of ability to filter and excrete phosphate. The body's attempt to adjust to an increased level of phosphate in the blood can result in elevated levels of hormones and minerals resulting in serious clinical consequences. This study is being conducted to evaluate the safety and efficacy of lanthanum carbonate in lowering high levels of phosphorus in the blood in subjects with CKD Stages 3 and 4 compared to placebo.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jan 2006
Shorter than P25 for phase_2
10 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 5, 2005
CompletedFirst Posted
Study publicly available on registry
October 7, 2005
CompletedStudy Start
First participant enrolled
January 11, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2007
CompletedJune 8, 2021
June 1, 2021
1.4 years
October 5, 2005
June 4, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Serum phosphorus levels at 8 weeks.
8 weeks
Secondary Outcomes (1)
PTH levels, calcium-phosphorus product.
8 weeks
Study Arms (2)
1
EXPERIMENTAL2
PLACEBO COMPARATORInterventions
Lanthanum carbonate 750mg/day, T.I.D. for 2 weeks; titrated at the next 3 weekly visits in order to achieve target serum phosphorus levels, up to a maximum dose of 3000mg/day; 4-week maintenance period where subject receives the final titrated daily dose established during the titration period.
Eligibility Criteria
You may qualify if:
- Under a physician's care for CKD for \> 2 months and are not expected to begin dialysis for 4 months
- Screening estimated GFR of 15-59 mL/1.73 m2
- Serum phosphorus \>= 4.7 mg/d following washout
You may not qualify if:
- Requiring treatment with cinacalcet HCI or compounds containing phosphate, aluminum, calcium or magnesium
- Rapidly progressing glomerulonephritis
- Cirrhosis or other clinically significant liver diseases
- Past or present uncontrolled peptic ulcer, Crohn's disease, malignancy or recent GI bleed
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Shirelead
Study Sites (10)
VA Greater Los Angeles Health Care System
Los Angeles, California, 90073, United States
Barnett Research & Communications Medical Corporation
Torrance, California, 90503, United States
Western Nephrology & Metabolic Bone Disease, PC
Thornton, Colorado, 80260, United States
Outcomes Research International, Inc.
Hudson, Florida, 34667, United States
Twin Cities Clinical Research
Brooklyn Center, Minnesota, 55430, United States
St. Louis University/Nephrology
St Louis, Missouri, 63110, United States
University of North Carolina
Chapel Hill, North Carolina, 27599, United States
Northwest Renal Clinic
Portland, Oregon, 97210, United States
Nephrology Associates
Nashville, Tennessee, United States
Kidney Associates
Houston, Texas, 77030, United States
Related Publications (2)
Sprague SM, Abboud H, Qiu P, Dauphin M, Zhang P, Finn W. Lanthanum carbonate reduces phosphorus burden in patients with CKD stages 3 and 4: a randomized trial. Clin J Am Soc Nephrol. 2009 Jan;4(1):178-85. doi: 10.2215/CJN.02830608. Epub 2008 Dec 3.
PMID: 19056618RESULTNatale P, Green SC, Ruospo M, Craig JC, Vecchio M, Elder GJ, Strippoli GF. Phosphate binders for preventing and treating chronic kidney disease-mineral and bone disorder (CKD-MBD). Cochrane Database Syst Rev. 2025 Jun 27;6(6):CD006023. doi: 10.1002/14651858.CD006023.pub4.
PMID: 40576086DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Study Director
Takeda
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 5, 2005
First Posted
October 7, 2005
Study Start
January 11, 2006
Primary Completion
June 1, 2007
Study Completion
June 1, 2007
Last Updated
June 8, 2021
Record last verified: 2021-06