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Fractionated Dosing Study: Study to Evaluate Darbepoetin Alfa for the Treatment of Anemia in Subjects With Non-Myeloid Malignancies

Primary Purpose

Non-Myeloid Malignancies, Anemia, Cancer

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Darbepoetin alfa
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Myeloid Malignancies focused on measuring Non-myeloid malignancy, Chemotherapy-induced anemia, Oncology, Clinical Trials, Pharmacokinetics, Darbepoetin alfa, Aranesp, Amgen

Eligibility Criteria

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

Inclusion Criteria: Non-myeloid malignancy Currently receiving 3-week cyclic chemotherapy treatment with a minimum of 2 additional cycles of chemotherapy planned at the time of enrollment Anemia predominately due to cancer or chemotherapy (Hb >= 9.0 and < 11.0 g/dL) at the time of screening 18 years of age or older at the time of screening Eastern Cooperative Oncology Group (ECOG) score 0-2 Adequate liver and kidney function Exclusion Criteria: Known primary hematologic disorder, which could cause anemia, other than non-myeloid malignancies History of chronic myeloid leukemia (CML), acute myeloid leukemia (AML), myelodysplastic syndrome (MDS), acute lymphocytic leukemia (ALL), hairy cell leukemia, Burkitt's lymphoma, or lymphoblastic lymphoma Serum folate <= 2.0 ng/mL or vitamin B12 <= 200 pg/mL at screening (anemia related to nutritional deficiencies) Iron deficiency [transferrin saturation (TSAT) < 15% and serum ferritin < 10 ng/mL] at screening Other diagnoses not related to cancer or chemotherapy, which cause anemia (ie, hemolysis, bleeding, sickle cell anemia) Clinically significant inflammatory disease as determined by the investigator (eg, rheumatoid arthritis, Crohn's disease) Clinically significant co-morbid medical or psychiatric conditions that may impact subject safety or confound the ability to evaluate study endpoint as determined by the investigator Unstable or uncontrolled cardiac disease or condition (ie, angina, congestive heart failure, or cardiac arrhythmia) Diastolic blood pressure > 100 mmHg at screening Known hypersensitivity of erythropoietic-stimulating proteins (ESPs) or any excipients Known history of pure red cell aplasia Known positive antibody response to an ESP Use of investigational agents not approved or any indication during the previous 30 days prior to enrollment ESP therapy (i.e., recombinant human erythropoietin [rHuEPO] or darbepoetin alfa) within 21 days prior to screening or between screening and the first dose of study drug RBC transfusion(s) within 21 days prior to screening Pregnant or breast-feeding women - Previously enrolled in this study Known to be HIV, hepatitis B or C positive Any disorder that would compromise the ability of the subject to give written informed consent and comply with study requirements and procedures

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    test treatment period

    Arm Description

    Outcomes

    Primary Outcome Measures

    To characterize the PK of darbepoetin alfa administered at a SC dose of 0.45 mcg/kg TIW in the treatment of anemia in subjects with non-myeloid malignancies receiving multicycle chemotherapy

    Secondary Outcome Measures

    To assess the effect of darbepoetin alfa treatment on hematopoietic response, red blood cell (RBC) transfusion requirements, and the safety of darbepoetin alfa in subjects receiving multicycle chemotherapy

    Full Information

    First Posted
    October 13, 2005
    Last Updated
    March 4, 2010
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00239239
    Brief Title
    Fractionated Dosing Study: Study to Evaluate Darbepoetin Alfa for the Treatment of Anemia in Subjects With Non-Myeloid Malignancies
    Official Title
    An Open-label, Single-arm Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Darbepoetin Alfa Administered Three Times Per Week for the Treatment of Anemia in Subjects With Non-myeloid Malignancies Receiving Multicycle Chemotherapy
    Study Type
    Interventional

    2. Study Status

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

    3. Sponsor/Collaborators

    Name of the Sponsor
    Amgen

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of this study is to characterize the pharmacokinetics/pharmacodynamics (PK/PD) of darbepoetin alfa administered at a subcutaneous (SC) dose of 0.45 mcg/kg three times weekly (TIW) in anemic patients with non-myeloid malignancies receiving multicycle chemotherapy.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Non-Myeloid Malignancies, Anemia, Cancer
    Keywords
    Non-myeloid malignancy, Chemotherapy-induced anemia, Oncology, Clinical Trials, Pharmacokinetics, Darbepoetin alfa, Aranesp, Amgen

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    44 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    test treatment period
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Darbepoetin alfa
    Intervention Description
    darbepoetin alfa SC dosing 0.45 mcg/kg 3 times per week through study day 40. Optional extended treatment period: 200 mcg Q2W through study day 110
    Primary Outcome Measure Information:
    Title
    To characterize the PK of darbepoetin alfa administered at a SC dose of 0.45 mcg/kg TIW in the treatment of anemia in subjects with non-myeloid malignancies receiving multicycle chemotherapy
    Time Frame
    18 weeks
    Secondary Outcome Measure Information:
    Title
    To assess the effect of darbepoetin alfa treatment on hematopoietic response, red blood cell (RBC) transfusion requirements, and the safety of darbepoetin alfa in subjects receiving multicycle chemotherapy
    Time Frame
    18 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Non-myeloid malignancy Currently receiving 3-week cyclic chemotherapy treatment with a minimum of 2 additional cycles of chemotherapy planned at the time of enrollment Anemia predominately due to cancer or chemotherapy (Hb >= 9.0 and < 11.0 g/dL) at the time of screening 18 years of age or older at the time of screening Eastern Cooperative Oncology Group (ECOG) score 0-2 Adequate liver and kidney function Exclusion Criteria: Known primary hematologic disorder, which could cause anemia, other than non-myeloid malignancies History of chronic myeloid leukemia (CML), acute myeloid leukemia (AML), myelodysplastic syndrome (MDS), acute lymphocytic leukemia (ALL), hairy cell leukemia, Burkitt's lymphoma, or lymphoblastic lymphoma Serum folate <= 2.0 ng/mL or vitamin B12 <= 200 pg/mL at screening (anemia related to nutritional deficiencies) Iron deficiency [transferrin saturation (TSAT) < 15% and serum ferritin < 10 ng/mL] at screening Other diagnoses not related to cancer or chemotherapy, which cause anemia (ie, hemolysis, bleeding, sickle cell anemia) Clinically significant inflammatory disease as determined by the investigator (eg, rheumatoid arthritis, Crohn's disease) Clinically significant co-morbid medical or psychiatric conditions that may impact subject safety or confound the ability to evaluate study endpoint as determined by the investigator Unstable or uncontrolled cardiac disease or condition (ie, angina, congestive heart failure, or cardiac arrhythmia) Diastolic blood pressure > 100 mmHg at screening Known hypersensitivity of erythropoietic-stimulating proteins (ESPs) or any excipients Known history of pure red cell aplasia Known positive antibody response to an ESP Use of investigational agents not approved or any indication during the previous 30 days prior to enrollment ESP therapy (i.e., recombinant human erythropoietin [rHuEPO] or darbepoetin alfa) within 21 days prior to screening or between screening and the first dose of study drug RBC transfusion(s) within 21 days prior to screening Pregnant or breast-feeding women - Previously enrolled in this study Known to be HIV, hepatitis B or C positive Any disorder that would compromise the ability of the subject to give written informed consent and comply with study requirements and procedures
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    MD
    Organizational Affiliation
    Amgen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Links:
    URL
    http://www.amgentrials.com
    Description
    AmgenTrials clinical trials website

    Learn more about this trial

    Fractionated Dosing Study: Study to Evaluate Darbepoetin Alfa for the Treatment of Anemia in Subjects With Non-Myeloid Malignancies

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