Efficacy

Efficacy

91% of patients achieved two consecutive >30% reductions from baseline iPTH vs placebo (P<0.001)

Mean iPTH values over 24 weeks comparing Zemplar Capsules and Placebo

Based upon three 24-week, double-blind, placebo-controlled, randomized, multicenter, phase 3 clinical studies in CKD stage 3 and 4 patients. Two studies used an identical 3x weekly dosing design, and one study used a once-daily dosing design (N=220). At each visit, change from baseline for subjects who had data at that time.

  • 13% of the placebo-treated patients achieved two consecutive >30% iPTH reductions from baseline
  • At week 9, a >30% mean reduction in iPTH was achieved and was sustained throughout the rest of the study

Calcium and phosphorus levels during study period

Mean calcium and phosphorus values over 24 weeks

Based upon three 24-week, double-blind, placebo-controlled, randomized, multicenter, phase 3 clinical studies in CKD stage 3 and 4 patients. Two studies used an identical 3x weekly dosing design, and one study used a once-daily dosing design (N=220). At each visit, change from baseline for subjects who had data at that time.

  • Zemplar (paricalcitol) Capsules-treated patients experienced no clinically significant changes in calcium or phosphorus levels over time (mean values)
  • Mean calcium (9.3-9.5 mg/dL) and phosphorus (4.0-4.3 mg/dL) levels remained within normal range throughout study
  • There were no treatment-related adverse events associated with hypercalcemia or hyperphosphatemia in the Zemplar Capsules-treated patients

Zemplar Capsules significantly reduced bone-specific alkaline phosphatase compared to placebo

Serum bone-specific alkaline phosphatase (mcg/L), % change in mean values baseline to final

Based upon three 24-week, double-blind, placebo-controlled, randomized, multicenter, phase 3 clinical studies in CKD stage 3 and 4 patients. Two studies used an identical 3x weekly dosing design, and one study used a once-daily dosing design (N=220). At each visit, change from baseline for subjects who had data at that time.

  • 46% reduction in mean serum bone-specific alkaline phosphatase ( P<0.001)

Paricalcitol was specifically designed to reduce PTH. Patient monitoring and individualized dose titration are required to maintain physiologic targets and optimum reduction/levels of PTH

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