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.