Trial Outcomes & Findings for Long-term Effect of Lanthanum Carbonate on Bone (NCT NCT00557323)

NCT ID: NCT00557323

Last Updated: 2021-07-13

Results Overview

Recruitment status

COMPLETED

Target enrollment

34 participants

Primary outcome timeframe

5 years

Results posted on

2021-07-13

Participant Flow

Followed subjects from study SPD405-309 (NCT00150540) for 5 years.

Participant milestones

Participant milestones
Measure
5-Year Observational Period
Followed subjects previously exposed to lanthanum carbonate in study SPD405-309 (NCT00150540). Subjects were not issued investigational medicinal product. Subjects could be treated for hyperphosphatemia as prescribed by their physician during the study, although this was not required for participation. Treatment was not restricted by the protocol, and it could include treatment with lanthanum carbonate or any other phosphate binder as prescribed by the treating physician. Subjects were assessed every 6 months throughout the 5-year observational period. Data were collected on bone-related adverse events, serious adverse events and deaths.
Overall Study
STARTED
34
Overall Study
COMPLETED
27
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
5-Year Observational Period
Followed subjects previously exposed to lanthanum carbonate in study SPD405-309 (NCT00150540). Subjects were not issued investigational medicinal product. Subjects could be treated for hyperphosphatemia as prescribed by their physician during the study, although this was not required for participation. Treatment was not restricted by the protocol, and it could include treatment with lanthanum carbonate or any other phosphate binder as prescribed by the treating physician. Subjects were assessed every 6 months throughout the 5-year observational period. Data were collected on bone-related adverse events, serious adverse events and deaths.
Overall Study
Death
3
Overall Study
Withdrawal by Subject
2
Overall Study
Administrative change
2

Baseline Characteristics

Long-term Effect of Lanthanum Carbonate on Bone

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
5-Year Observational Period
n=34 Participants
Followed subjects previously exposed to lanthanum carbonate in study SPD405-309 (NCT00150540). Subjects were not issued investigational medicinal product. Subjects could be treated for hyperphosphatemia as prescribed by their physician during the study, although this was not required for participation. Treatment was not restricted by the protocol, and it could include treatment with lanthanum carbonate or any other phosphate binder as prescribed by the treating physician. Subjects were assessed every 6 months throughout the 5-year observational period. Data were collected on bone-related adverse events, serious adverse events and deaths.
Age, Continuous
54.1 Years
STANDARD_DEVIATION 13.3 • n=39 Participants
Sex: Female, Male
Female
9 Participants
n=39 Participants
Sex: Female, Male
Male
25 Participants
n=39 Participants
Region of Enrollment
United States
12 Participants
n=39 Participants
Region of Enrollment
Germany
18 Participants
n=39 Participants
Region of Enrollment
United Kingdom
4 Participants
n=39 Participants

PRIMARY outcome

Timeframe: 5 years

Population: Safety Set defined as all subjects who received at least one safety measurement during the study.

Outcome measures

Outcome measures
Measure
5-Year Observational Period
n=34 Participants
Followed subjects previously exposed to lanthanum carbonate in study SPD405-309 (NCT00150540). Subjects were not issued investigational medicinal product. Subjects could be treated for hyperphosphatemia as prescribed by their physician during the study, although this was not required for participation. Treatment was not restricted by the protocol, and it could include treatment with lanthanum carbonate or any other phosphate binder as prescribed by the treating physician. Subjects were assessed every 6 months throughout the 5-year observational period. Data were collected on bone-related adverse events, serious adverse events and deaths.
Number of Study-emergent Bone-related Adverse Events (AEs)
Osteoporosis
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Fracture (8 subjects)
9 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Arthralgia (1 subject)
2 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Hyperparathyroidism tertiary
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Flat feet
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Fracture nonunion
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Intervertebral disc protrusion
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Osteoarthritis
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Osteonecrosis
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Osteopenia
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Pain in extremity
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Renal osteodystrophy
1 Bone-related AEs
Number of Study-emergent Bone-related Adverse Events (AEs)
Tendonitis
1 Bone-related AEs

SECONDARY outcome

Timeframe: 5 years

Population: Safety Set

Outcome measures

Outcome measures
Measure
5-Year Observational Period
n=34 Participants
Followed subjects previously exposed to lanthanum carbonate in study SPD405-309 (NCT00150540). Subjects were not issued investigational medicinal product. Subjects could be treated for hyperphosphatemia as prescribed by their physician during the study, although this was not required for participation. Treatment was not restricted by the protocol, and it could include treatment with lanthanum carbonate or any other phosphate binder as prescribed by the treating physician. Subjects were assessed every 6 months throughout the 5-year observational period. Data were collected on bone-related adverse events, serious adverse events and deaths.
Number of Study-emergent Deaths
3 Participants

Adverse Events

5-Year Observational Period

Serious events: 18 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
5-Year Observational Period
n=34 participants at risk
Followed subjects previously exposed to lanthanum carbonate in study SPD405-309 (NCT00150540). Subjects were not issued investigational medicinal product. Subjects could be treated for hyperphosphatemia as prescribed by their physician during the study, although this was not required for participation. Treatment was not restricted by the protocol, and it could include treatment with lanthanum carbonate or any other phosphate binder as prescribed by the treating physician. Subjects were assessed every 6 months throughout the 5-year observational period. Data were collected on bone-related adverse events, serious adverse events and deaths.
Musculoskeletal and connective tissue disorders
Osteoarthritis
2.9%
1/34 • Number of events 1
Safety Set
Musculoskeletal and connective tissue disorders
Fracture nonunion
2.9%
1/34 • Number of events 1
Safety Set
Blood and lymphatic system disorders
Pancytopenia
2.9%
1/34 • Number of events 1
Safety Set
Cardiac disorders
Angina pectoris
5.9%
2/34 • Number of events 2
Safety Set
Cardiac disorders
Aortic valve stenosis
2.9%
1/34 • Number of events 1
Safety Set
Cardiac disorders
Atrial fibrillation
2.9%
1/34 • Number of events 2
Safety Set
Cardiac disorders
Cardiac arrest
2.9%
1/34 • Number of events 1
Safety Set
Cardiac disorders
Cardiac failure
2.9%
1/34 • Number of events 1
Safety Set
Cardiac disorders
Coronary artery disease
2.9%
1/34 • Number of events 1
Safety Set
Cardiac disorders
Ventricular fibrillation
2.9%
1/34 • Number of events 1
Safety Set
Endocrine disorders
Hyperparathyroidism tertiary
2.9%
1/34 • Number of events 1
Safety Set
Gastrointestinal disorders
Diarrhea
2.9%
1/34 • Number of events 1
Safety Set
General disorders
Asthenia
2.9%
1/34 • Number of events 1
Safety Set
General disorders
General physical health deterioration
2.9%
1/34 • Number of events 1
Safety Set
General disorders
Malaise
2.9%
1/34 • Number of events 1
Safety Set
General disorders
Multi-organ failure
2.9%
1/34 • Number of events 1
Safety Set
General disorders
Pyrexia
2.9%
1/34 • Number of events 1
Safety Set
Infections and infestations
Bronchitis acute
2.9%
1/34 • Number of events 1
Safety Set
Infections and infestations
Diverticulitis
2.9%
1/34 • Number of events 1
Safety Set
Infections and infestations
Endocarditis
2.9%
1/34 • Number of events 1
Safety Set
Infections and infestations
Gangrene
2.9%
1/34 • Number of events 2
Safety Set
Infections and infestations
Gastroenteritis
2.9%
1/34 • Number of events 1
Safety Set
Infections and infestations
Sepsis
5.9%
2/34 • Number of events 2
Safety Set
Infections and infestations
Urinary tract infection
2.9%
1/34 • Number of events 1
Safety Set
Infections and infestations
Urosepsis
5.9%
2/34 • Number of events 2
Safety Set
Injury, poisoning and procedural complications
Pacemaker complication
2.9%
1/34 • Number of events 1
Safety Set
Injury, poisoning and procedural complications
Shunt stenosis
2.9%
1/34 • Number of events 1
Safety Set
Injury, poisoning and procedural complications
Shunt thrombosis
2.9%
1/34 • Number of events 3
Safety Set
Injury, poisoning and procedural complications
Subdural hematoma
2.9%
1/34 • Number of events 1
Safety Set
Investigations
Ejection fraction decreased
2.9%
1/34 • Number of events 1
Safety Set
Metabolism and nutrition disorders
Vitamin B12 deficiency
2.9%
1/34 • Number of events 1
Safety Set
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic renal cell carcinoma
2.9%
1/34 • Number of events 1
Safety Set
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma stage unspecified
2.9%
1/34 • Number of events 1
Safety Set
Nervous system disorders
Cerebrovascular accident
2.9%
1/34 • Number of events 1
Safety Set
Nervous system disorders
Reversible posterior leukoencephalopathy syndrome
2.9%
1/34 • Number of events 1
Safety Set
Renal and urinary disorders
Hematuria
2.9%
1/34 • Number of events 1
Safety Set
Renal and urinary disorders
Renal failure acute
2.9%
1/34 • Number of events 2
Safety Set
Renal and urinary disorders
Ureteric stenosis
5.9%
2/34 • Number of events 2
Safety Set
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
2.9%
1/34 • Number of events 2
Safety Set
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
2.9%
1/34 • Number of events 3
Safety Set
Vascular disorders
Aneurysm arteriovenous
2.9%
1/34 • Number of events 1
Safety Set
Vascular disorders
Arterial occlusive disease
2.9%
1/34 • Number of events 1
Safety Set
Vascular disorders
Peripheral occlusive disease
2.9%
1/34 • Number of events 1
Safety Set
Musculoskeletal and connective tissue disorders
Fracture
11.8%
4/34 • Number of events 4
Safety Set

Other adverse events

Other adverse events
Measure
5-Year Observational Period
n=34 participants at risk
Followed subjects previously exposed to lanthanum carbonate in study SPD405-309 (NCT00150540). Subjects were not issued investigational medicinal product. Subjects could be treated for hyperphosphatemia as prescribed by their physician during the study, although this was not required for participation. Treatment was not restricted by the protocol, and it could include treatment with lanthanum carbonate or any other phosphate binder as prescribed by the treating physician. Subjects were assessed every 6 months throughout the 5-year observational period. Data were collected on bone-related adverse events, serious adverse events and deaths.
Musculoskeletal and connective tissue disorders
Fracture
14.7%
5/34 • Number of events 5
Safety Set

Additional Information

Study Director

Shire

Phone: +1 866 842 5335

Results disclosure agreements

  • Principal investigator is a sponsor employee If a multicenter publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after Sponsor confirms there shall be no multicenter Study publication, the Institution and/or such Principal Investigator may publish the results from the Institution site individually.
  • Publication restrictions are in place

Restriction type: OTHER