Could a vitamin d pill help kids with kidney disease avoid dialysis?
NCT ID NCT02859896
First seen Jul 02, 2026 · Last updated Jul 02, 2026
Summary
This phase 3 trial compares two oral vitamin D therapies—Hectorol (doxercalciferol) and Rocaltrol (calcitriol)—in children aged 5 to 18 with chronic kidney disease stages 3 or 4 who have high parathyroid hormone levels but are not yet on dialysis. The main goal is to see if Hectorol can safely reduce parathyroid hormone by at least 30% over 12 weeks. The study also tracks side effects and how the drug moves through the body.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- doxercalciferol (Hectorol)
- What this could lead to
- If successful, this could offer a safer or more effective option to manage secondary hyperparathyroidism in children with chronic kidney disease, potentially delaying the need for dialysis.
- What could go wrong
- This is a small phase 3 trial with only 21 participants, so results may not apply broadly. The drug may cause side effects like high calcium or phosphorus levels, and it is not a cure for kidney disease.
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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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21 people
The number who actually took part.
- Started
-
Jan 2017
- Finished
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Jun 2025
- 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
-
5 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 : * Male or female aged 5 to 18 years old. * Weight ≥15 kg. * Chronic kidney disease (CKD) Stage 3 or 4 not on dialysis, defined as glomerular filtration rate (GFR) between 15 and 59 mL/min/1.73m\^2 (established by Schwartz equation) at Week -2 visit. * Intact parathyroid hormone (iPTH) value \>100 pg/mL for CKD Stage 3 or \>160 pg/mL for CKD Stage 4, at Week -2 visit. * Signed informed consent/assent form. Exclusion criteria: * The participant had a serum 25-hydroxyvitamin D level \<30 ng/mL at screening. * The participant had a corrected calcium ≥10 mg/dL at the Week -2 visit. * The participant had a serum phosphorus \>4.5 mg/dL for children 13 to 18 years of age; \>5.8 mg/dL for children 5 to 12 years of age at the Week -2 visit. * The participant was anticipated to require maintenance hemodialysis within 3 months. * The participant used cinacalcet or vitamin D sterol therapies such as calcitriol, doxercalciferol, or paricalcitol within 14 days prior to the baseline visit. * The participant had a history of, or active, symptomatic heart disease within 12 months prior to the baseline (Week 0) visit. * The participant had a chronic gastrointestinal disease (ie, malabsorption, severe chronic diarrhea, chronic ulcerative colitis, or ileostomy). * The participant had primary hyperparathyroidism or has had a total parathyroidectomy. * The participant had an active malignancy. * The participant was unable to swallow a capsule in size similar to the Hectorol® and Rocaltrol® capsules. * The participant had a history of sensitivity or allergy to doxercalciferol, calcitriol or other vitamin D analogs. * The participant used aluminum or magnesium-based binders. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical 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.
Contacts and locations
Locations
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Cedars-Sinai Medical Center- Site Number : 8400033
Los Angeles, California, 90048, United States
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Children's of Alabama- Site Number : 8400022
Birmingham, Alabama, 35233, United States
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Cohen Children's Medical Center- Site Number : 8400017
New Hyde Park, New York, 11040, United States
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Duke University Medical Center- Site Number : 8400034
Durham, North Carolina, 27710, United States
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East Carolina University- Site Number : 8400025
Greenville, North Carolina, 27858, United States
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Goryeb Chidlren's Hospital- Site Number : 8400016
Morristown, New Jersey, 07962, United States
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Greenville Memorial Hospital- Site Number : 8400027
Greenville, South Carolina, 29605, United States
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Hackensack Meridian Health - Hackensack University Medical Center- Site Number : 8400010
Hackensack, New Jersey, 07601, United States
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Investigational Site Number : 1520003
Santiago, Reg Metropolitana de Santiago, 7500539, Chile
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Investigational Site Number : 1520004
Concepción, Biobio, 4070038, Chile
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M Health Fairview University of Minnesota Medical Center - West Bank- Site Number : 8400014
Minneapolis, Minnesota, 55454, United States
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Marshfield Medical Center - Marshfield- Site Number : 8400001
Marshfield, Wisconsin, 54449, United States
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Nicklaus Children's Hospital - Miami - Southwest 62nd Avenue- Site Number : 8400008
Miami, Florida, 33155, United States
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Rush University Medical Center- Site Number : 8400020
Chicago, Illinois, 60612, United States
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Texas Children's Hospital- Site Number : 8400013
Houston, Texas, 77030, United States
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The Mount Sinai Hospital- Site Number : 8400007
New York, New York, 10029, United States
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UPMC Children's Hospital of Pittsburgh- Site Number : 8400028
Pittsburgh, Pennsylvania, 15224, United States
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University of California Davis Health- Site Number : 8400005
Sacramento, California, 95817, United States
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University of Miami Hospital- Site Number : 8400006
Miami, Florida, 33136, United States
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University of Utah Health Hospital- Site Number : 8400026
Salt Lake City, Utah, 84132, United States
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Vanderbilt University Medical Center- Site Number : 8400024
Nashville, Tennessee, 37292, United States
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Virginia Commonwealth University Medical Center- Site Number : 8400009
Richmond, Virginia, 23219, United States
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Yale University School of Medicine- Site Number : 8400029
New Haven, Connecticut, 06510, United States
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