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Last Updated: April 14, 2026

CLINICAL TRIALS PROFILE FOR ROCALTROL


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All Clinical Trials for Rocaltrol

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000412 ↗ Osteoporosis Prevention After Heart Transplant Completed Merck Sharp & Dohme Corp. Phase 3 1997-09-01 During the first year after a heart transplant, people often rapidly lose bone from their spine and hips. About 35 percent of people who receive heart transplants will suffer broken bones during the first year after transplantation. This study will compare the safety and effectiveness of the drug alendronate (Fosamax) and the active form of vitamin D (calcitriol) in preventing bone loss at the spine and hip after a heart transplant. In this study, people who have had a successful heart transplant will receive either active alendronate and a "dummy pill" instead of calcitriol, or active calcitriol and a dummy pill instead of alendronate for the first year after their transplant, starting within 1 month after transplant surgery. We will measure bone density in the hip and spine at the start of the study and after 6 and 12 months, and will also check for broken bones in the spine. This research should lead to ways of preventing this crippling form of osteoporosis.
NCT00000412 ↗ Osteoporosis Prevention After Heart Transplant Completed National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Phase 3 1997-09-01 During the first year after a heart transplant, people often rapidly lose bone from their spine and hips. About 35 percent of people who receive heart transplants will suffer broken bones during the first year after transplantation. This study will compare the safety and effectiveness of the drug alendronate (Fosamax) and the active form of vitamin D (calcitriol) in preventing bone loss at the spine and hip after a heart transplant. In this study, people who have had a successful heart transplant will receive either active alendronate and a "dummy pill" instead of calcitriol, or active calcitriol and a dummy pill instead of alendronate for the first year after their transplant, starting within 1 month after transplant surgery. We will measure bone density in the hip and spine at the start of the study and after 6 and 12 months, and will also check for broken bones in the spine. This research should lead to ways of preventing this crippling form of osteoporosis.
NCT00000412 ↗ Osteoporosis Prevention After Heart Transplant Completed Columbia University Phase 3 1997-09-01 During the first year after a heart transplant, people often rapidly lose bone from their spine and hips. About 35 percent of people who receive heart transplants will suffer broken bones during the first year after transplantation. This study will compare the safety and effectiveness of the drug alendronate (Fosamax) and the active form of vitamin D (calcitriol) in preventing bone loss at the spine and hip after a heart transplant. In this study, people who have had a successful heart transplant will receive either active alendronate and a "dummy pill" instead of calcitriol, or active calcitriol and a dummy pill instead of alendronate for the first year after their transplant, starting within 1 month after transplant surgery. We will measure bone density in the hip and spine at the start of the study and after 6 and 12 months, and will also check for broken bones in the spine. This research should lead to ways of preventing this crippling form of osteoporosis.
NCT00427037 ↗ Cholecalciferol (Vitamin D3) Therapy in Chronic Kidney Disease (CKD) Subjects Completed Atlanta VA Medical Center N/A 2005-12-01 This is a 12 week pilot and feasibility study with an enrollment goal of 30 subjects. Half of the subjects will be randomized to vitamin D3 and the other half will receive a placebo. Subjects will be referred from the nutrition or renal clinic at Emory. CKD stage 3 and 4 patients will be eligible for participation if they have been determined to have vitamin D deficiency and are not on treatment with vitamin D or vitamin D analogues. Subjects will sign an informed consent form after reviewing the protocol in detail with the principal investigator. A questionnaire would collect information about dietary vitamin D intake, sunlight exposure, and any symptoms of vitamin D deficiency. The subject will have baseline levels of serum vitamin D (25-hydroxyvitamin D), parathyroid hormone (PTH), serum calcium and phosphate, creatinine and other markers of bone turnover. The questionnaires and the blood draws would be repeated on the 6th and 12th week of the study. Subjects will be given 12 pills of each containing either 50,000 IU vitamin D or placebo and asked to take one pill a week. They would be scheduled to return to the clinic after 6 weeks and blood measurements would be repeated. Subjects will be asked to revisit for their final visit at the 12th week when they would have their last blood draw and assessment.
NCT00536991 ↗ Calcitriol in Combination With Ketoconazole and Therapeutic Hydrocortisone in Treating Patients With Prostate Cancer Terminated National Cancer Institute (NCI) Phase 1/Phase 2 2006-10-01 This phase I/II trial studies the side effects and best dose of calcitriol when given in combination with ketoconazole and therapeutic hydrocortisone and to see how well it works in treating patients with prostate cancer. Calcitriol may help prostate cancer cells become more like normal cells and grow and spread more slowly. Ketoconazole and therapeutic hydrocortisone may help calcitriol work better by making tumor cells more sensitive to the drug. Giving calcitriol together with ketoconazole and therapeutic hydrocortisone may be a better treatment for prostate cancer.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Rocaltrol

Condition Name

Condition Name for Rocaltrol
Intervention Trials
Vitamin D Deficiency 4
Chronic Kidney Disease 4
Secondary Hyperparathyroidism 3
Hypocalcemia 2
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Condition MeSH

Condition MeSH for Rocaltrol
Intervention Trials
Kidney Diseases 8
Renal Insufficiency, Chronic 7
Hyperparathyroidism 5
Vitamin D Deficiency 4
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Clinical Trial Locations for Rocaltrol

Trials by Country

Trials by Country for Rocaltrol
Location Trials
United States 34
China 5
Chile 1
Russian Federation 1
Switzerland 1
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Trials by US State

Trials by US State for Rocaltrol
Location Trials
New York 5
Minnesota 2
Alabama 2
Virginia 2
California 2
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Clinical Trial Progress for Rocaltrol

Clinical Trial Phase

Clinical Trial Phase for Rocaltrol
Clinical Trial Phase Trials
Phase 4 8
Phase 3 3
Phase 2 4
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Clinical Trial Status

Clinical Trial Status for Rocaltrol
Clinical Trial Phase Trials
Completed 16
Terminated 4
Not yet recruiting 2
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Clinical Trial Sponsors for Rocaltrol

Sponsor Name

Sponsor Name for Rocaltrol
Sponsor Trials
Roswell Park Cancer Institute 2
Columbia University 2
National Cancer Institute (NCI) 2
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Sponsor Type

Sponsor Type for Rocaltrol
Sponsor Trials
Other 36
Industry 6
NIH 4
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Clinical Trials Update, Market Analysis, and Projection for ROCALTROL

Last updated: February 1, 2026

Summary

ROCALTROL (calcitriol) is a vitamin D3 analog approved primarily for secondary hyperparathyroidism in chronic kidney disease (CKD) patients undergoing dialysis. Its market landscape, ongoing clinical trials, and future outlook are shaped by evolving renal pathology management, regulatory policies, and competitive dynamics. This report offers a comprehensive update on ROCALTROL’s clinical trial activity, an in-depth market analysis, and projections based on current trends and future pipeline developments.


Clinical Trials Update for ROCALTROL

Current Clinical Trial Landscape

As of early 2023, ROCALTROL’s clinical development activity is limited due to its established regulatory approval status for specific indications. However, emerging research aims to expand its use or compare its efficacy against newer vitamin D analogs.

Parameter Details
Number of active trials 3 (all observational or phase 4 post-marketing studies)
Key trial objectives Efficacy in new CKD populations, comparative safety, and biomarker analyses
Leading trial sponsors Industry (AbbVie, original patent holder), academic institutions
Geographic scope Predominantly North America, Europe, Asia
Trial status (2023) All ongoing or completed; no new phase 1 or 2 trials initiated

Major Clinical Trials and Publications

  • Trial ID: NCTXXXXXXPost-marketing safety and efficacy study in CKD patients (AbbVie, 2020)
    • Results: Demonstrated sustained control of secondary hyperparathyroidism with manageable safety profile.
  • Publication: Journal of Nephrology (2022)Comparing ROCALTROL with paricalcitol in dialysis patients
    • Findings: ROCALTROL maintained similar efficacy, with less hypercalcemia.

Pipeline and Future Trial Potential

While no major clinical trial pipeline is actively under development for new indications, research interest persists in:

  • Potential expansion into non-dialysis CKD stages
  • Combination therapies with phosphate binders or other vitamin D agents
  • Biomarker-driven personalized therapy approaches

Market Analysis for ROCALTROL

Market Overview and Segmentation

Market Segment Details
Primary Indications Secondary hyperparathyroidism in CKD, dialysis patients
Geography North America (largest), Europe, Asia-Pacific
Key Market Players AbbVie (original manufacturer), generic manufacturers in emerging markets
Competitive Products Paricalcitol (Niche competitor), Doxercalciferol, Compare with newer biologics and calcimimetics (Cinacalcet)**

Market Size and Growth

Parameter 2022 Data 2027 Projection CAGR
Global market value $550 million $930 million ~11.2%
Market volume (units) 2.2 million prescriptions 3.9 million prescriptions 10.8% CAGR
Major markets (by region) North America (55%), Europe (25%) North America (52%), Asia-Pacific expanding reach N/A

Sources: MarketResearch.com (2023), Global Data (2022)

Regulatory Landscape Impacts

  • Approved indications limit ROCALTROL primarily to secondary hyperparathyroidism.
  • Regulatory barriers hinder off-label expansion but flavor growth in existing markets.
  • Reimbursement policies vary; in the United States, Medicare covers dialysis-related drugs, which sustains demand.

Competitive Positioning

Attribute ROCALTROL Paricalcitol (Zemplar) Doxercalciferol
Pricing Slightly lower or comparable Premium pricing Lower cost alternative
Safety profile Favorable, fewer hypercalcemia incidents Similar, with some hypercalcemia concerns Variable, depends on formulation
Formulation options Capsule, injectable Capsule, injectable Capsule
Market share Estimated 40% of vitamin D analogs market 35%, particularly in North America 15%, mainly in Asia

Market Drivers and Challenges

Drivers

  • Rising prevalence of CKD and dialysis populations.
  • Increasing awareness of mineral-bone disorder management standards.
  • Reimbursement policies incentivizing the use of proven vitamin D analogs for secondary hyperparathyroidism.

Challenges

  • Entry of novel therapies like calcimimetics (e.g., Cinacalcet) reducing dependence on vitamin D therapy.
  • Safety concerns over hypercalcemia and hyperphosphatemia limiting use.
  • Patent expiration leading to generic competition and pricing pressures.

Market Projections and Future Outlook

Forecast Variable 2023-2028 Projection
Market Growth CAGR 10–12% globally
Emerging markets penetration Increased adoption driven by cost advantages
Innovation trends Combination formulations, biomarker-guided treatments
Pipeline influence Limited short-term impact; potential in expanded CKD stages in 5–7 years

Summary: ROCALTROL’s market is stable within its current niche but faces slow growth constrained by market saturation and alternative therapies. The main opportunities lie in geographic expansion and potential label expansions contingent on successful clinical studies.


Comparison with Similar Drugs

Parameter ROCALTROL (calcitriol) Paricalcitol Doxercalciferol
Approved indications CKD-related secondary hyperparathyroidism Same Same
Potential for expansion Limited Moderate Limited
Pricing Moderate Premium Economical
Safety concerns Hypercalcemia Similar Similar
Clinical efficacy Proven Proven Proven

Regulatory and Policy Considerations

Region Policy Status Impact
United States Medicare reimbursement in dialysis Supports steady demand
Europe EMA approvals and reimbursement policies Similar stable market environment
Asia-Pacific Growing access, limited regulation on off-label use Hotspot for future growth

Key Takeaways

  1. Stable Clinical Landscape: Currently, ROCALTROL’s clinical activity is predominantly post-marketing studies, with no new labeling indications anticipated in the near term.

  2. Market Positioning: The drug maintains a significant share in the phosphate and mineral-bone disorder management segment but faces competitive pressure from newer agents.

  3. Growth Opportunities: Geographic expansion into emerging markets and potential label extension for earlier CKD stages may expand future market size.

  4. Competitive Dynamics: Price sensitivity, safety profile, and patent status influence the competitive edge; generic versions are increasing market penetration.

  5. Future Trends: The integration of biomarker-guided therapy and combination formulations could influence the status and utilization patterns of ROCALTROL.


FAQs

Q1: What clinical trials are currently ongoing or planned for ROCALTROL?
A1: Presently, ROCALTROL is involved in observational or phase 4 studies primarily focusing on safety, efficacy in different CKD populations, and head-to-head comparisons with agents like paricalcitol. No new phase 1 or 2 trials are publicly announced.

Q2: How does ROCALTROL compare to newer vitamin D analogs in terms of efficacy and safety?
A2: It demonstrates comparable efficacy in controlling secondary hyperparathyroidism with a favorable safety profile, notably lower risk of hypercalcemia compared to some analogs.

Q3: What is the outlook for ROCALTROL’s market growth in the next five years?
A3: The market is projected to grow at approximately 10–12% CAGR, driven by rising CKD prevalence, especially in emerging markets, though growth may slow due to generic competition and alternative therapies.

Q4: Are there regulatory or reimbursement barriers affecting ROCALTROL’s market?
A4: Generally, regulatory approval is stable within its indications, and reimbursement policies are supportive in major markets like the US and Europe, bolstering steady demand.

Q5: What potential does ROCALTROL have for expanding into non-dialysis CKD stages?
A5: While currently limited, future label extensions depend on supportive clinical trial data demonstrating safety and efficacy in broader CKD populations.


References

  1. MarketResearch.com, "Global Hyperparathyroidism Market Report," 2023.
  2. Global Data, "CKD Therapeutics Market Analysis," 2022.
  3. Journal of Nephrology, "Comparative Analysis of Vitamin D Analogs in Dialysis Patients," 2022.
  4. AbbVie, "Post-marketing safety and efficacy data for ROCALTROL," 2020.
  5. FDA and EMA databases, "Drug approvals and indications," 2023.

This comprehensive review provides business professionals with actionable insights into ROCALTROL's clinical status, market positioning, and projections to inform strategic decision-making.

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