CALCI-CINA: Study on the Use of Cinacalcet in Phosphocalcic Context.
Study Details
Study Description
Brief Summary
Currently, the indications used for MA (Marketing Authorization) Cinacalcet in France are hyperparathyroidism (hyperPTH) in adults, whether primary (for patients in whom parathyroidectomy is theoretically indicated but in whom it is contraindicated or not is not clinically appropriate) or secondary to a chronic kidney disease, and parathyroid carcinomas.
In pediatric patients, data on its use are restricted due to its recent marketing authorization (2017) and limited to dialysis patients suffering from secondary hyperPTH.
Nevertheless, some patients with phosphocalcic pathologies without renal insufficiency must be treated off-label by cinacalcet in the presence of severe hyperPTH, without any other chronic treatment available to date.
The objective of this study is therefore to evaluate the use in France of cinacalcet in phosphocalcic pathologies without renal insufficiency, in order to obtain efficacy and safety data in order to improve our knowledge on the management of these orphan diseases.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Cinacalcet Patients with primary or secondary hyperPTH resulting from phosphocalcic pathology treated by cinacalcet |
Other: Serum PTH concentrations results
To compare serum PTH concentrations results in patients with primary or secondary hyperPTH resulting from phosphocalcic pathology before and three months after initiation of cinacalcet therapy.
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Outcome Measures
Primary Outcome Measures
- Serum PTH concentration [3 months after treatment initiation]
Secondary Outcome Measures
- Serum PTH concentration [1 month after treatment initiation]
- Serum PTH concentration [6 months after treatment initiation]
- Serum PTH concentration [12 months after treatment initiation]
- Serum PTH concentration [3 years after treatment initiation]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with phosphocalcic pathology without end-stage renal failure
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Patients followed in one of the hospitals of the centers of reference and competence of the diseases of the metabolism of calcium and phosphate
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For children under 18: patient and parent (s) / parent having been informed of the study and having expressed their on-opposition
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For adults: patient / legal guardian of the patient under guardianship having been informed of the study and expressing his or her non opposition
Exclusion Criteria:
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Patient suffering from parathyroid cancer,
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Patient suffering from primary hyperPTH in whom parathyroidectomy would theoretically be indicated but contraindicated or clinically inappropriate,
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Patient suffering from hyperPTH secondary to end-stage renal failure
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No social security support
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Endocrinologie Diabète et Maladies Métaboliques - Hôpital Gabriel Montpied | Clermont-Ferrand | France | ||
2 | Service de Néphrologie Pédiatrique -Hôpital Jeanne de Flandre | Lille | France | 59037 | |
3 | Service d'Endocrinologie Pédiatrique - Hôpital de la mère et de l'Enfant | Limoges | France | 87042 | |
4 | Pole Femme Mère Enfant - Pédiatrie spécialisée - Centre Hospitalier Universitaire | Montpellier | France | 34090 | |
5 | Service de Néphrologie pédiatrique - Clinique Médicale Pédiatrique | Nantes | France | 44093 | |
6 | Service d'endocrinologie et Diabétologie Pédiatrique-Hôpital Robert Debré | Paris | France | 75019 | |
7 | Service de Diabétologie et endocrinologie pédiatriques - Centre Hospitalier Universitaire | Reims | France | 51100 | |
8 | Pôle Néphrologie-Urologie-Diabétologie-Endocrinologie | Strasbourg | France | 67091 | |
9 | Service d'Endocrinologie, Maladies Osseuses, Gynécologie, Génétique | Toulouse | France | 31059 | |
10 | Unité Endocrinologie, Nutrition, Diabétologie -Hôpital Bretonneau | Tours | France | 37044 |
Sponsors and Collaborators
- Hospices Civils de Lyon
Investigators
- Principal Investigator: Justine BACCHETTA, MD, Service de Néphrologie, Rhumatologie et Dermatologie Pédiatriques
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2019_CALCI-CINA