Clinical trial • Phase IV • Nephrology|Endocrinology

Cholecalciferol (colecalciferol) for Transient hypercalciuria

Phase IV trial of Cholecalciferol (colecalciferol) for Transient hypercalciuria.

Overview

Trial Therapeutic Area
Nephrology|Endocrinology
Trial Disease
Transient hypercalciuria
Trial Stage
Phase IV
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
10-10-2024
First CTIS Authorization Date
15-11-2024

Trial design

Randomised, open-label, two parallel arms: uvedose 100 000 ui, oral solution in ampoule — single high sequential dose (one 100,000 iu ampoule) versus adrigyl 10 000 ui/ml oral drops — 1,000 iu per day for 28 days (daily intake).-controlled Phase IV trial across 2 sites in France.

Randomised
Yes
Open Label
Yes
Comparator
Two parallel arms: UVEDOSE 100 000 UI, oral solution in ampoule — single high sequential dose (one 100,000 IU ampoule) versus ADRIGYL 10 000 UI/ml oral drops — 1,000 IU per day for 28 days (daily intake).
Target Sample Size
280
Trial Duration For Participant
28

Eligibility

Recruits 280 paediatric patients.

Vulnerable Population
The trial population is children aged 2 to 18 years (vulnerable). Consent must be obtained from parents for minors; adult subjects provide their own informed consent. Age-specific subject information documents and assent/consent materials are provided (documents for Children 2-6 years, Children 7-12 years, Children 13-17 years, parent information, and adult information). Genetic consent forms are available for adults and parents. Documents and consent materials are provided in French.

Inclusion criteria

  • {"criterion_text":"- Children aged 2 to 18 years included\n- Obtaining informed consent of the parents signed/the adult subject\n- Subjects covered by a social security scheme"}

Exclusion criteria

  • {"criterion_text":"- Subject who received a dose of vitamin D (80,000 or 100,000 units or more): Uvedose (Cholecalciferol) 5,000, 100,000 U, Zyma D 80,000 U (Cholécalciférol), 200,000 U, Stérogyl 15A or 15H (Ergocalciferol) within the three months prior to inclusion in the study\n- Subject treated with Uvesterol 5000 IU\n- Subject with a known condition that may affect calcium-phosphate metabolism: 1/ renal failure, chronic kidney disease, 2/endocrine disorder (thyroid, parathyroid, hypersensitivity to vitamin D, etc.), 3/ chronic liver and/or digestive disease, 4/congenital bone disease.\n- Subject receiving a treatment that induces hypercalciuria (systemic corticosteroids, diuretics)\n- Subject receiving calcium supplementation justified by a medical need\n- Subject with prolonged immobilization\n- Subject participating in another interventional research program."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Occurrence of hypercalciuria beyond the lithogenic threshold for age. This will be assessed by measuring the calcium/creatinine ratio in mmol/mmol in the first morning urine sample collected during at least one of the three measurements taken on day 7, day 14, and day 28.","definition_or_measurement_approach":"Measured by calcium/creatinine ratio in mmol/mmol on the first morning urine sample on at least one of the measurements at day 7, day 14 and day 28; threshold is the age-specific lithogenic threshold."}

Secondary endpoints

  • {"endpoint_text":"- Detection of calcium oxalate microcrystals in the first morning urine sample during at least one of the three crystalluria analyses conducted on day 7, day 14, and day 28.","definition_or_measurement_approach":"Crystalluria analysis on the first morning urine sample at J7, J14 and J28; analysis to be performed in the biochemistry laboratory of CHU de Montpellier."}
  • {"endpoint_text":"- Evaluation of tolerance: systematic collection of expected and unexpected adverse events.","definition_or_measurement_approach":"Systematic collection/recording of adverse events at each visit (expected and unexpected adverse events)."}

Recruitment

Planned Sample Size
280
Recruitment Window Months
103
Consent Approach
Parental informed consent is required for minors; adult subjects sign their own informed consent. Age-specific subject information/assent documents are provided for Children 2-6 years, Children 7-12 years, and Children 13-17 years. Separate parent information and consent forms and genetic consent forms for parents and adults are provided. Documents are available in French.

Methods

  • Recruitment brochure (document: 'Recruitment brochure_Clean_FP_DonneDvit') — materials prepared for participants/parents (France).
  • Recruitment poster (document: 'Recruitment poster_CLEAN_FP_DonneDvit') — poster materials for participants/parents (France).
  • Recruitment arrangements documents present ('Part-II_MissingDocuments_Transition_DONNEDVIT' and 'Recruitment Arrangements _DONNEDVIT_FR') indicating organised site-based recruitment at participating hospitals in France (CHU Montpellier, CHU Nimes).

Geography

Total Number Of Sites
2
Total Number Of Participants
280

France

Earliest CTIS Part Ii Submission Date
08-11-2024
Latest Decision Or Authorization Date
28-02-2025
Processing Time Days
112
Number Of Sites
2
Number Of Participants
280

Sites

Site Name
Centre Hospitalier Universitaire De Nimes
Department Name
Pediatrie
Contact Person Name
Tu-Anh TRAN
Contact Person Email
tu.anh.tran@chu-nimes.fr
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
Néphrologie et Endocrinologie pédiatrique
Contact Person Name
Denis MORIN
Contact Person Email
d-morin@chu-montpellier.fr

Sponsor

Primary sponsor

Full Name
Centre Hospitalier Universitaire De Montpellier
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"","full_name":"DGOS","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
ADRIGYL 10 000 UI/ml, solution buvable en gouttes
Active Substance
Cholecalciferol (colecalciferol)
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (marketing authorisation present)
Starting Dose
1000 IU per day
Dose Levels
1000 IU per day
Frequency
Once daily for 28 days
Maximum Dose
1000 IU/day; 28000 IU total over 28 days
Investigational Product Name
UVEDOSE 100 000 UI, solution buvable en ampoule
Active Substance
Cholecalciferol (colecalciferol)
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (marketing authorisation present)
Starting Dose
100000 IU (single dose)
Dose Levels
100000 IU (single dose)
Frequency
Single dose (one ampoule)
Maximum Dose
100000 IU (single dose)

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