Clinical trial • Phase IV • Musculoskeletal
INDAPAMIDE HEMIHYDRATE for Post-surgical hypoparathyroidism|Hypoparathyroidism
Phase IV trial of INDAPAMIDE HEMIHYDRATE for Post-surgical hypoparathyroidism|Hypoparathyroidism.
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Post-surgical hypoparathyroidism|Hypoparathyroidism
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 03-12-2024
- First CTIS Authorization Date
- 26-02-2025
Trial design
Placebo tablets (placebo comparator). Active treatment: Indapamide 1.5 mg once daily for 14 days (fixed dose) compared to placebo.-controlled, crossover Phase IV trial across 1 site in Denmark.
- Comparator
- Placebo tablets (placebo comparator). Active treatment: Indapamide 1.5 mg once daily for 14 days (fixed dose) compared to placebo.
- Crossover
- Yes
- Target Sample Size
- 24
Eligibility
Recruits 24 No vulnerable populations selected. Only adults (Age ≥ 18 years) are eligible. Participants must be able to read and understand Danish and be willing and able to sign the informed consent form. No assent processes or special consent for minors are mentioned..
- Pregnancy Exclusion
- Pregnancy, pregnancy plans, or breastfeeding < 1 year ago
- Vulnerable Population
- No vulnerable populations selected. Only adults (Age ≥ 18 years) are eligible. Participants must be able to read and understand Danish and be willing and able to sign the informed consent form. No assent processes or special consent for minors are mentioned.
Inclusion criteria
- {"criterion_text":"- Chronic post surgical hypoparathyroidism diagnosed > 1 year ago\n- Age ≥ 18 years\n- Require treatment with active vitamin D ≥ 1 µg/day\n- Ionized plasma calcium between 1.15-1.25 mmol/L\n- 25(OH)D vitamin ≥ 50 nmol/L\n- Plasma magnesium > 0.65 mmol/L\n- Able to read and understand Danish\n- Willing and able to sign the informed consent form"}
Exclusion criteria
- {"criterion_text":"- Estimated glomerular filtration rate (eGFR) < 30 ml/min/1.73 m3\n- Known allergy or sensitivity to Indapamide, its excipients or sulfonamides\n- Known galactosemia, lactase deficiency, or glucose-galactose malabsorption\n- Active cancer or former (except thyroid and basal cell skin) cancer treatment < 1 year ago\n- Pregnancy, pregnancy plans, or breastfeeding < 1 year ago\n- Abnormal arterial pressure at time of screening defined as symptomatic hypotension or systolic blood pressure < 100 mmHg\n- Plasma potassium < 3.5 mmol/L\n- Any current disease that might affect the calcium metabolism such as but not limited to: Recent prolonged immobility, untreated diabetes (HbA1c > 53 mmol/mol), severe liver disease or hepatic encephalopathy, untreated thyroid disease\n- Current disease that might affect gastrointestinal absorption\n- Use of medications such as lithium or diuretics within 4 weeks prior to start of treatment"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Changes in 24-hour urinary calcium excretion after 14 days of treatment\n- Changes in 24-hour urinary calcium excretion after 7 days of treatment","definition_or_measurement_approach":"Change in 24-hour urinary calcium excretion measured after 7 days and after 14 days of treatment (24-hour urine collection)."}
Secondary endpoints
- {"endpoint_text":"- Changes in plasma ionized calcium after 7 and 14 days of treatment\n- Changes in supplementation with active vitamin D and oral calcium after 7 and 14 days of treatment\n- Changes in plasma ionized calcium in the placebo period due to a sodium restrictive diet\n- Changes in 24-hour urinary calcium excretion in the placebo period due to a sodium restrictive diet","definition_or_measurement_approach":"Measurements include plasma ionized calcium at days 7 and 14, assessment of changes in supplementation with active vitamin D and oral calcium (use/amount) at days 7 and 14, and assessment of plasma ionized calcium and 24-hour urinary calcium excretion during the placebo period with a sodium-restrictive diet (24-hour urine collection and plasma ionized calcium measurements)."}
Recruitment
- Planned Sample Size
- 24
- Recruitment Window Months
- 21
- Consent Approach
- Informed consent obtained from adult participants (Age ≥ 18). Participants must be able to read and understand Danish and be willing and able to sign the informed consent form. Subject information and informed consent form documents for adults are provided (L1_SIS and ICF adults). No alternative language versions or assent procedures for minors are specified.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 24
Denmark
- Earliest CTIS Part Ii Submission Date
- 19-02-2025
- Latest Decision Or Authorization Date
- 26-02-2025
- Processing Time Days
- 7
- Number Of Sites
- 1
- Number Of Participants
- 24
Sites
- Site Name
- Aarhus University Hospital
- Department Name
- Endocrinology and Internal Medicin
- Principal Investigator Name
- Lars Rejnmark
- Principal Investigator Email
- lars.rejnmark@rm.dk
- Contact Person Name
- Lars Rejnmark
- Contact Person Email
- lars.rejnmark@rm.dk
- Number Of Participants
- 24
Sponsor
Primary sponsor
- Full Name
- Region Midtjylland
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Denmark
Third parties
- {"country":"Denmark","full_name":"Aarhus Universitet","duties_or_roles":"sponsorDuties codes: [1]; contact email: gcp@clin.au.dk","organisation_type":"Educational Institution"}
- {"country":"Denmark","full_name":"Dep. of Clinical Biochemistry","duties_or_roles":"sponsorDuties codes: [4]; contact email: biokemi@auh.rm.dk","organisation_type":"Health care"}
- {"country":"Denmark","full_name":"Regionsapoteket Midtjylland","duties_or_roles":"sponsorDuties codes: [14]; contact email: hospitalsapoteket@auh.rm.dk","organisation_type":"Health care"}
Investigational products
- Investigational Product Name
- INDAPAMIDE
- Active Substance
- INDAPAMIDE HEMIHYDRATE
- Modality
- Small molecule
- Routes Of Administration
- Oral
- Route
- Oral
- Authorisation Status
- euMpNumber: SCP128161; prodAuthStatus: 2
- Starting Dose
- 1.5 mg once daily
- Dose Levels
- 1.5 mg
- Frequency
- Once daily
- Maximum Dose
- 1.5 mg per day (maxTotalDoseAmount 21 mg)
- Investigational Product Name
- Placebo tablets
- Modality
- Other
- Routes Of Administration
- Oral
Related trials
Other published trials that may interest you.