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Efficacy of Epoetin Alfa Deep Tank in Treatment of Anemia in Patients With Chronic Kidney Disease Receiving Hemodialysis

Primary Purpose

Nephrology

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Epoetin alfa RB
Epoetin alfa DT
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Nephrology focused on measuring anemia, chronic kidney disease, CKD, hemodialysis, epoetin, Epogen®

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: - Diagnosis of CKD and receiving hemodialysis for greater than or equal to 3 months before randomization - Mean HB level between 10 and 13 g/dL (inclusive) (mean of 2 values drawn at least 3 days apart during the screening period) - Currently receiving a stable dose of Epoetin alfa RB (i.e., EPOGEN® or PROCRIT®) for at least 6 weeks prior to randomization. Stable is defined as: less than or equal to 25% change in dose over 6 weeks, same frequency and route of administration with no more than 1 missed or withheld dose during each of the two three-week periods before randomization Exclusion Criteria: - Uncontrolled hypertension, defined as a pre-dialysis systolic BP greater than 180 and/or diastolic BP of greater than 110 during the screening period - Known history of severe hyperparathyroidism (PTH Greater than 1500 pg/ml within 3 months prior to enrollment) - Currently receiving immunosuppressive therapy

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Epoetin alfa RB

    Epoetin alfa DT

    Arm Description

    Outcomes

    Primary Outcome Measures

    Ratio of weekly dose at the evaluation period to the weekly dose at baseline
    Change in Heloglobin level between the screening period and the evaluation period

    Secondary Outcome Measures

    Change from baseline Hb at each measurement timepoint
    Maintaining Hemoglobin within range at each measurement timepoint
    Average Epoetin alfa dose over evaluation period
    Change from baseline dose at each measurement timepoint
    Epoetin alfa seroreactivity
    Subject incidence, nature and severity of adverse events
    Hemoglobin variability
    changes from baseline laboraotry and vital sign parameters

    Full Information

    First Posted
    September 6, 2005
    Last Updated
    February 25, 2010
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00146224
    Brief Title
    Efficacy of Epoetin Alfa Deep Tank in Treatment of Anemia in Patients With Chronic Kidney Disease Receiving Hemodialysis
    Official Title
    A Randomized, Double-Blind, Equivalence Study of the Efficacy of Epoetin Alfa Manufactured by Deep Tank Bioreactor Technology and Epoetin Alfa Manufactured by Roller-Bottle Technology for the Treatment of Anemia in Patients With Chronic Kidney Disease (CKD) Receiving Hemodialysis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2010
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2005 (undefined)
    Primary Completion Date
    January 2007 (Actual)
    Study Completion Date
    January 2007 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Amgen

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of this study is to evaluate whether the efficacy of Epoetin alfa DT is equivalent to that of Epoetin alfa RB for the treatment of anemia in patients with CKD receiving hemodialysis

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Nephrology
    Keywords
    anemia, chronic kidney disease, CKD, hemodialysis, epoetin, Epogen®

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    420 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Epoetin alfa RB
    Arm Type
    Active Comparator
    Arm Title
    Epoetin alfa DT
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Epoetin alfa RB
    Intervention Description
    Receive drug at same frequency and dose as at the time of randomization Change dose by+/- 25% in order to maintain Hb between 10.0 - 13.0 g/dL and within -1.0 to +1.5 g/dL of the subject's baseline Hb.
    Intervention Type
    Drug
    Intervention Name(s)
    Epoetin alfa DT
    Intervention Description
    Receive drug at same frequency and dose as at the time of randomization Change dose by+/- 25% in order to maintain Hb between 10.0 - 13.0 g/dL and within -1.0 to +1.5 g/dL of the subject's baseline Hb.
    Primary Outcome Measure Information:
    Title
    Ratio of weekly dose at the evaluation period to the weekly dose at baseline
    Time Frame
    Entire Study
    Title
    Change in Heloglobin level between the screening period and the evaluation period
    Time Frame
    Entire Study
    Secondary Outcome Measure Information:
    Title
    Change from baseline Hb at each measurement timepoint
    Time Frame
    Entire Study
    Title
    Maintaining Hemoglobin within range at each measurement timepoint
    Time Frame
    Entire Study
    Title
    Average Epoetin alfa dose over evaluation period
    Time Frame
    evaluation period (weeks 21 - 28)
    Title
    Change from baseline dose at each measurement timepoint
    Time Frame
    entire study
    Title
    Epoetin alfa seroreactivity
    Time Frame
    entire study
    Title
    Subject incidence, nature and severity of adverse events
    Time Frame
    entire study
    Title
    Hemoglobin variability
    Time Frame
    entire study
    Title
    changes from baseline laboraotry and vital sign parameters
    Time Frame
    entire study

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: - Diagnosis of CKD and receiving hemodialysis for greater than or equal to 3 months before randomization - Mean HB level between 10 and 13 g/dL (inclusive) (mean of 2 values drawn at least 3 days apart during the screening period) - Currently receiving a stable dose of Epoetin alfa RB (i.e., EPOGEN® or PROCRIT®) for at least 6 weeks prior to randomization. Stable is defined as: less than or equal to 25% change in dose over 6 weeks, same frequency and route of administration with no more than 1 missed or withheld dose during each of the two three-week periods before randomization Exclusion Criteria: - Uncontrolled hypertension, defined as a pre-dialysis systolic BP greater than 180 and/or diastolic BP of greater than 110 during the screening period - Known history of severe hyperparathyroidism (PTH Greater than 1500 pg/ml within 3 months prior to enrollment) - Currently receiving immunosuppressive therapy
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    MD
    Organizational Affiliation
    Amgen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    20077249
    Citation
    Lei L, Olson K. Evaluating statistical methods to establish clinical similarity of two biologics. J Biopharm Stat. 2010 Jan;20(1):62-74. doi: 10.1080/10543400903115082.
    Results Reference
    result
    Links:
    URL
    http://www.amgentrials.com
    Description
    AmgenTrials clinical trials website
    URL
    http://download.veritasmedicine.com/REGFILES/amgen/Amgen_results_disclaimer.pdf
    Description
    Notice regarding posted summaries of trial results
    URL
    http://download.veritasmedicine.com/REGFILES/amgen/08D_FDAMA_113_Posting_Summary_05_EPO_20050113.pdf
    Description
    To access clinical trial results information click on this link
    URL
    http://www.epogen.com/
    Description
    FDA-approved Drug Labeling

    Learn more about this trial

    Efficacy of Epoetin Alfa Deep Tank in Treatment of Anemia in Patients With Chronic Kidney Disease Receiving Hemodialysis

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