Status:

COMPLETED

Cinacalcet Versus Parathyroidectomy in Peritoneal Dialysis Patients

Lead Sponsor:

The University of Hong Kong

Conditions:

Kidney Failure

Secondary Hyperparathyroidism

Eligibility:

All Genders

18-75 years

Phase:

PHASE4

Brief Summary

This is a pilot, prospective randomized controlled study with the primary objective to evaluate and compare medical treatment of severe SHPT, namely oral cinacalcet versus surgical treatment, that is,...

Detailed Description

Patients with severe secondary hyperparathyroidism (SHPT) are frequently complicated with vascular calcification. There is some suggestion that subtotal parathyroidectomy may reduce or stabilize vascu...

Eligibility Criteria

Inclusion

  • ESRD patients on long-term peritoneal dialysis treatment, with elevated intact parathyroid hormone (iPTH) levels \> 800pg/mL.
  • Patients with parathyroid nodular or diffuse hyperplasia demonstrated on ultrasound imaging or radioisotope scan.
  • Patients with age between 18 - 75 years.

Exclusion

  • Patients with background valvular heart disease
  • Patients who are unfit for general anaesthesia
  • Patients with acute myocardial infarction within recent two months
  • Patients with poor general condition
  • Patients with plans for living related kidney transplant within 1 year
  • Patients with previous history of parathyroidectomy
  • Patients with underlying malignancy
  • Patients with hepatic dysfunction

Key Trial Info

Start Date :

May 10 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 22 2017

Estimated Enrollment :

67 Patients enrolled

Trial Details

Trial ID

NCT01447368

Start Date

May 10 2010

End Date

May 22 2017

Last Update

October 12 2021

Active Locations (1)

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1

Queen Mary Hospital and Tung Wah Hospital

Hong Kong, Hong Kong, 0000