Evidence map›Paper›PMID 35236302›Full record

Trial reportBMC nephrology2022

An open-label phase 2 trial to assess the efficacy, safety and pharmacokinetics of lanthanum carbonate in hyperphosphatemic children and adolescents with chronic kidney disease undergoing dialysis.

Anna Wasilewska, Rose Ann Murray, Aimee Sundberg, Sharif Uddin, Heinrich Achenbach, Aleksey Shavkin, Tamás Szabó, Andrea Vergani, Obi Umeh

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in BMC nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01696279 (A 3-part Open-label Study to Assess the Pharmacokinetics of Lanthanum Carbonate, Compare the Efficacy, Safety and Tolerability of 8 Weeks of Treatment With Lanthanum Carbonate and Calcium Carbonate Using a Crossover Design and Investigate the Efficacy and Safety of 8 Months of Treatment With Lanthanum Carbonate in Hyperphosphataemic Children and Adolescents Aged 10 Years to <18 Years With Chronic Kidney Disease on Dialysis), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 56% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01696279 phase2completednot on this map

A 3-part Open-label Study to Assess the Pharmacokinetics of Lanthanum Carbonate, Compare the Efficacy, Safety and Tolerability of 8 Weeks of Treatment With Lanthanum Carbonate and Calcium Carbonate Using a Crossover Design and Investigate the Efficacy and Safety of 8 Months of Treatment With Lanthanum Carbonate in Hyperphosphataemic Children and Adolescents Aged 10 Years to <18 Years With Chronic Kidney Disease on Dialysis

TypeinterventionalSponsorShireRan2013 to 2018Enrolled63ConditionsChronic Kidney Disease, HyperphosphatemiaArmsLanthanum Carbonate, Calcium Carbonate
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 4 countries.

Anna WasilewskaDepartment of Pediatrics and Nephrology, Faculty of Medicine, Medical University of Bialystok, University Children's Clinical Hospital of Bialystok, Waszyngtona, Bialystok, Poland. anna.wasilewska@udsk.pl.
Rose Ann MurrayShire Human Genetic Therapies, Inc., a Takeda Company, Cambridge, MA, USA.
Aimee SundbergShire Human Genetic Therapies, Inc., a Takeda Company, Cambridge, MA, USA.
Sharif UddinTakeda Pharmaceuticals USA, Inc., Lexington, MA, USA.
Heinrich AchenbachShire Human Genetic Therapies, Inc., a Takeda Company, Zug, Switzerland.
Aleksey ShavkinSaint Petersburg State Budgetary Healthcare Institution, Children's City Multidisciplinary Clinical Specialized Center of High Medical Technologies, Saint Petersburg, Russia.
Tamás SzabóDepartment of Pediatrics, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Andrea VerganiShire Human Genetic Therapies, Inc., a Takeda Company, Cambridge, MA, USA.
Obi UmehShire Human Genetic Therapies, Inc., a Takeda Company, Cambridge, MA, USA.
Takeda (United States) · USMedical University of Białystok · PLTakeda (Switzerland) · CHUniversity of Debrecen · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study assessed the efficacy, tolerability and pharmacokinetics (PK) of lanthanum carbonate (LC) in hyperphosphatemic children and adolescents with chronic kidney disease (CKD) undergoing dialysis.

methodsThis was a three-part, multicenter, open-label study of LC (oral powder formulation) in patients 10 to < 18 years old with CKD undergoing dialysis. In part 1, the single-dose PK of LC (500 mg, ≤12 years old; 1000 mg, > 12 years old) were summarized. In part 2, patients received calcium carbonate (CC [chewable tablet formulation]) (1500-6500 mg [total daily dose]) followed by LC (powder formulation) (1500-3000 mg [total daily dose]), or LC only (1500-3000 mg [total daily dose]), each for 8 weeks. During part 3, patients received LC (1500-3000 mg [total daily dose]) for up to 6 months. The primary efficacy endpoint was the proportion of LC-treated patients achieving serum phosphorus control after 8 weeks during parts 2 and/or 3, defined as: ≤1.94 mmol/L, < 12 years old; ≤1.78 mmol/L, ≥12 years old. Secondary efficacy endpoints included: the proportion of patients who achieved serum phosphorus control after 8 weeks of treatment with CC followed by 8 weeks of treatment with LC (with a washout period between treatments). The safety of LC and CC was also evaluated.

resultsIn part 1, 20 patients received a single dose of LC. In part 2, 53 and 51 patients were treated with CC and LC for 8 weeks, respectively. During part 3, 42 patients received LC for up to 6 months. Most patients were white and male. For the primary efficacy endpoint, 50% (17/34) of patients who received LC for 8 weeks during parts 2 and/or 3 achieved serum phosphorus control. After 8 weeks of treatment with CC, 58.8% of patients achieved serum phosphorus control; after a subsequent washout period and 8 weeks of treatment with LC, 70.6% of patients achieved serum phosphorus control. T

conclusionsThese data support the use of LC to manage hyperphosphatemia in pediatric patients with CKD undergoing dialysis.

trial registrationClinicalTrials.gov identifier: NCT01696279; EudraCT identifier: 2012-000171-17. Date of registration: 01/10/2012.

Indexed as

Renal DialysisAdolescentChildFemaleHumansHyperphosphatemiaLanthanumMaleRenal Insufficiency, ChronicTreatment OutcomeLanthanumlanthanum carbonateChronic kidney diseaseEnd-stage renal diseaseLanthanum carbonatePediatricPharmacokinetics

Identifiers

PMID35236302
PMCPMC8892701
OpenAlexW4214892568

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.