New hope for kids on dialysis: drug targets hormone imbalance
NCT ID NCT03633708
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial tests etelcalcetide (Parsabiv) in 56 children aged 28 days to under 18 years who have secondary hyperparathyroidism and chronic kidney disease and are on hemodialysis. The drug aims to lower parathyroid hormone levels and improve mineral balance. Participants receive either etelcalcetide or standard care (vitamin D, calcium, phosphate binders) to compare effectiveness and safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- etelcalcetide (Parsabiv)
- What this could lead to
- If it works, this could provide a new treatment option to better control hormone levels and mineral balance in children with kidney disease on dialysis.
- What could go wrong
- This is a relatively small trial (56 kids) and the drug is already approved for adults, but children may respond differently or have unexpected side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 56 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2019
- Expected to finish
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Jan 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 to 18 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria * Age of 28 days \< 18 years. * Dry weight ≥ 7 kg during screening. * Diagnosed with CKD and SHPT undergoing hemodialysis at the time of screening. * Diagnosis of SHPT with the mean of the 2 consecutive central laboratory iPTH values ≥ 300 pg/mL (32 pmol/L) during screening, on separate days and within 2 weeks of enrolment. * Serum corrected calcium (cCa) value ≥ 9.0 mg/dL (2.25 mmol/L) for participants ≥ 2 years of age and older and serum cCa value ≥ 9.6 mg/dL (2.4 mmol/L) for participants 28 days to \< 2 years of age obtained from the central laboratory during screening. * Dialysate Ca level ≥ 2.5 mEq/L during screening for at least 4 weeks prior to screening and throughout the duration of the trial. * No more than a maximum prescribed dose change of 50% for active vitamin D sterols/phosphate binders/Ca supplements within the 2 weeks prior to screening assessments and remain stable. * SHPT not due to vitamin D deficiency, per investigator assessment. Exclusion Criteria Disease Related * History of congenital long QT syndrome, second or third degree heart block, ventricular tachyarrhythmia's or other conditions associated with prolonged QT interval. * Anticipated or scheduled parathyroidectomy during the trial period. * Anticipated or scheduled kidney transplant during the trial period. * Participant has received a parathyroidectomy within 6 months prior to randomization. Other Medical Conditions • History of other malignancy, except non-melanoma skin cancers, cervical or breast ductal carcinoma in situ within the last 5 years. Prior/Concomitant Therapy * Use of concomitant medications that may prolong the corrected QT interval (eg, ondansetron, albuterol, sotalol, amiodarone, erythromycin, or clarithromycin). Refer to CredibleMeds.org for guidance. Certain medications may be allowed based on review by the medical monitor and require additional electrocardiogram (ECG) monitoring and potential electrolyte monitoring. * Receipt of cinacalcet therapy within 30 days prior to screening assessments and through randomization. * Receipt of etelcalcetide within 6 months prior to screening assessments and through randomization. * All herbal medicines (eg, St. John's wort), vitamins, and supplements consumed by the participant within the 30 days prior to randomization, and continuing use if applicable, will be reviewed by the Principal Investigator and the Amgen Medical Monitor. Written documentation of the review and Amgen acknowledgment is required for participant participation. * Use of any over-the-counter or prescription medications within the 14 days or 5 half-lives (whichever is longer) prior to randomization that are not established therapies for participants with renal disease or other conditions secondary to renal disease will be reviewed by the Principal Investigator and the Amgen Medical Monitor. Written documentation of the review and Amgen acknowledgment is required for participant participation. Paracetamol for analgesia will be allowed. Prior/Concurrent Clinical Trial Experience • Currently receiving treatment in another investigational device or drug trial, or less than 30 days or 5 half-lives (whichever is longer) since ending treatment on another investigational device or drug trial(s). Other investigational procedures while participating in this trial are excluded. Diagnostic Assessments During Screening * Participant has significant abnormalities on the most recent central laboratory test during the screening period prior to enrollment per the Investigator including but not limited to the following: a. Serum transaminase (alanine aminotransferase \[ALT\] or serum glutamic pyruvic transaminase \[SGPT\], aspartate aminotransferase \[AST\] or serum glutamic oxaloacetic transaminase \[SGOT\]) \> 2.0 times the upper limit of normal (ULN). * Corrected QT interval (QTc) \> 500 ms, using Bazett's formula. * QTc ≥ 450 to ≤ 500 ms, using Bazett's formula, unless written permission to enroll is provided by the investigator after consultation with a pediatric cardiologist. * Participant has a clinically significant ECG abnormality during screening that, in the opinion of the investigator, could pose a risk to participant safety or interfere with the trial evaluation. Within the 60 days prior to enrollment • New onset or worsening of a pre-existing seizure disorder. Other Exclusions * Participants aged 28 days to 6 months of age who were born prematurely at \< 36 weeks gestational age. * Female participant is pregnant or breastfeeding or planning to become pregnant or breastfeed during treatment and for an additional 3 months after the last dose of etelcalcetide. (Females of childbearing potential should only be included in the trial after a confirmed menstrual period and a negative highly sensitive serum pregnancy test within 7 days prior to the first dose of investigational product). * Female participants of childbearing potential unwilling to use 1 highly-effective or acceptable method of contraception during treatment and for an additional 3 months after the last dose of investigational product. * Participant has known sensitivity to etelcalcetide or excipients to be administered during dosing. * Participant likely to not be available to complete all protocol-required trial visits or procedures, and/or to comply with all required trial procedures (eg, to the best of the participant and investigator's knowledge). * History or evidence of any other clinically significant disorder, condition, or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to participant safety or interfere with the trial evaluation, procedures, or completion. * Participant has previously entered this trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
19 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Study contacts
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Contact
Email: •••••@•••••
Locations
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All India Institute of Medical Sciences
ACTIVE_NOT_RECRUITINGNew Delhi, National Capital Territory of Delhi, 110029, India
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Ankara Bilkent Sehir Hastanesi
RECRUITINGAnkara, 06800, Turkey (Türkiye)
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Asan Medical Center
TERMINATEDSeoul, 05505, South Korea
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Baskent Universitesi Ankara Hastanesi
RECRUITINGAnkara, 06490, Turkey (Türkiye)
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Centro Infantil Del Rinon
RECRUITINGSan Miguel de Tucumán, Tucumán Province, 4000, Argentina
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Childrens Hospital Colorado
TERMINATEDAurora, Colorado, 80045, United States
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Childrens Hospital of Los Angeles
RECRUITINGLos Angeles, California, 90027, United States
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Childrens Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Childrens Medical Center Dallas
TERMINATEDDallas, Texas, 75390, United States
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Childrens Mercy Hospital
RECRUITINGKansas City, Missouri, 64108, United States
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Cincinnati Childrens Hospital Medical Center
COMPLETEDCincinnati, Ohio, 45229, United States
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Cleveland Clinic Foundation
RECRUITINGCleveland, Ohio, 44195, United States
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Ege Universitesi Tip Fakultesi Hastanesi
RECRUITINGIzmir, 35040, Turkey (Türkiye)
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Erciyes Universitesi Tip Fakultesi Hastanesi
RECRUITINGKayseri, 38039, Turkey (Türkiye)
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Firat Universitesi Tip Fakultesi Hastanesi
RECRUITINGElâzığ, 23200, Turkey (Türkiye)
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Fortis Flt Lt Rajan Dhall Hospital
ACTIVE_NOT_RECRUITINGNew Delhi, National Capital Territory of Delhi, 110 070, India
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Fresenius Escobar
TERMINATEDBelen de Escobar, Buenos Aires, B1625DUG, Argentina
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Gazi Universitesi Saglik Arastirma ve Uygulama Merkezi Gazi Hastanesi
RECRUITINGAnkara, 06500, Turkey (Türkiye)
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Hacettepe Universitesi Tip Fakultesi Hastanesi
RECRUITINGAnkara, 06230, Turkey (Türkiye)
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Hospital Italiano
RECRUITINGCuidad Autonoma de Buenos Aires, Buenos Aires, C1199ABB, Argentina
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Hospital Raja Perempuan Zainab II
TERMINATEDKota Bharu, Kelantan, 15586, Malaysia
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Hospital TuanKu Jaafar
TERMINATEDSeremban, Negeri Sembilan, 70300, Malaysia
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Hospital Wanita Dan Kanak-Kanak Kuala Lumpur
TERMINATEDKuala Lumpur, Kuala Lumpur, 50300, Malaysia
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Istanbul Universitesi Cerrahpasa Tip Fakultesi
RECRUITINGIstanbul, 34098, Turkey (Türkiye)
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KLES Dr Prabhakar Kore Hospital and Medical Research Centre
ACTIVE_NOT_RECRUITINGBelagavi, Karnataka, 590010, India
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Kaohsiung Veterans General Hospital
TERMINATEDKaohsiung City, 81362, Taiwan
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Linkou Chang Gung Memorial Hospital
RECRUITINGTaoyuan, 33305, Taiwan
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Manipal Hospital
ACTIVE_NOT_RECRUITINGBangalore, Karnataka, 560 017, India
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Marmara Universitesi Tip Fakultesi Hastanesi
RECRUITINGIstanbul, 34890, Turkey (Türkiye)
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Mount Sinai Kidney Center - B1 Renal Treatment
COMPLETEDNew York, New York, 10029, United States
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NRS Medical College and Hospital
ACTIVE_NOT_RECRUITINGKolkata, West Bengal, 700014, India
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National Cheng Kung University Hospital
TERMINATEDTainan, 70403, Taiwan
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National Childrens Specializated Hospital Okhmadit
TERMINATEDKyiv, 01135, Ukraine
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National Taiwan University Hospital
RECRUITINGTaipei, 10041, Taiwan
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National University Hospital
RECRUITINGSingapore, 119074, Singapore
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Primary Childrens Hospital Outpatient Services
RECRUITINGSalt Lake City, Utah, 84113, United States
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Pusan National University Yangsan Hospital
TERMINATEDYangsan-si, Gyeongsangnam-do, 50612, South Korea
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SBHI Children's City Multidisciplinary Clinical Specialized Center of High Medical Technologies
COMPLETEDSaint Petersburg, 198205, Russia
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SBHI Pediatrics city clinical hospital of Saint Vladimir
TERMINATEDMoscow, 107014, Russia
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Seoul National University Hospital
TERMINATEDSeoul, 110-744, South Korea
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Sir Ganga Ram Hospital
ACTIVE_NOT_RECRUITINGNew Delhi, National Capital Territory of Delhi, 110060, India
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State Budgetary Healthcare Institution Samara Regional Clinical Hospital na V D Seredavin
TERMINATEDSamara, 443095, Russia
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The Childrens Hospital at Oklahoma University Medical Center
COMPLETEDOklahoma City, Oklahoma, 73104, United States
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