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Hectorol

Clinical Pharmacology
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Clinical Pharmacology

One hundred and six of the 138 patients who were treated with Hectorol during the 16-week open-label phase achieved iPTH levels ≤ 300 pg/mL. Ninety-four of these patients exhibited plasma iPTH levels ≤ 300 pg/mL on at least 3 occasions. Eighty-seven patients had plasma iPTH levels < 150 pg/mL on at least one occasion during the open-label phase of study participation.

Mean weekly doses during the 16-week open-label period in Study A ranged from 14.8 mcg to 28.7 mcg. In Study B, the mean weekly doses during the 16-week open-label period ranged from 19.2 mcg to 28 mcg.

Decreases in plasma iPTH from baseline values were calculated using as baseline the average of the last 3 values obtained during the 8-week washout phase and are displayed in the table below.

    iPTH (pg/mL)
means± s.d.(n*)
p Valuev. Baseline
p Value v. Placebo
Hectorol® Placebo
Study A Baseline 797.2 ± 443.8 (30)
n.a.
0.97
847.1 ± 765.5 (32)
Week 16 (open-label) 384.3 ± 397.8 (24)
< .001
0.72
526.5 ± 872.2 (29)
< .001
Week 24 (double-blind) 404.4 ± 262.9 (21)
< .001
0.008
672.6 ± 356.9 (24)
0.7
Study B Baseline 973.9 ± 567.0 (41)
n.a.
0.81
990.4 ± 488.3(35)
Week 16 (open-label) 476.1 ± 444.5 (37)
< .001
0.91
485.9 ± 443.4 (32)
< .001
Week 24 (double-blind) 459.8 ± 443.0 (35)
< .001
< .001
871.9 ± 623.6 (30)
< .065
*all subjects; last value carried to discontinuation

In both studies, iPTH levels increased progressively and significantly in 65.9% of the patients during the 8-week washout (control) period during which no vitamin D derivatives were administered. In contrast, Hectorol treatment resulted in a statistically significant reduction from baseline in mean iPTH levels during the 16-week open-label treatment period in more than 93.5% of the 138 treated patients. During the double-blind period (weeks 17 to 24), the reduction in mean iPTH levels was maintained in the Hectorol treatment group compared to a return to near baseline in the placebo group.

In the clinical trials, the values for iPTH varied widely from patient to patient and from week to week for individual patients. The following table shows the numbers of patients within each group who achieved and maintained iPTH levels below 300 pg/mL during the open-label and double-blind phases. Seventy-four of 138 patients (53.6%) had plasma iPTH levels within the target range (150-300 pg/mL) during Weeks 14-16.

  Number of times iPTH ≤ 300pg/mL
1 2 3
Hectorol® Placebo Hectorol® Placebo Hectorol® Placebo
Study A Weeks 1-16 (open-label) 2/30 2/32 0/30 0/32 22/30 23/32
  Weeks 17-24 (double-blind) 0/24 9/29 3/24 1/29 17/24 5/29
Study B Weeks 1-16 (open-label) 2/41 4/35 1/41 0/35 29/41 21/35
  Weeks 17-24 (double-blind) 2/37 6/32 1/37 4/32 26/37 4/32

Brand Name: Hectorol
Generic Name: Doxercalciferol Liquid Filled Capsule

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