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STIMULATE Study: Anemia Correction and Health-related Quality of Life (HRQoL) Outcomes in Elderly Chronic Kidney Disease (CKD) Patients

Primary Purpose

Anemia, Chronic Kidney Disease

Status
Terminated
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Darbepoetin alfa
Placebo
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anemia focused on measuring Quality of Life, Chronic Kidney Disease, Anemia

Eligibility Criteria

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

Inclusion Criteria: Stage 3-5 CKD not on dialysis Patients ≥ 70 years of age Haemoglobin < 110g/L at screening Transferrin saturation ≥ 15% at screening Exclusion Criteria: Clinical history of type 2 diabetes mellitus Anticipating or scheduled to go on renal replacement therapy in the next year, including renal transplant Uncontrolled hypertension on two separate measurements during screening Use of any erythropoietic protein within 12 weeks of screening

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Placebo Comparator

    Arm Label

    Darbepoetin alfa

    Placebo

    Arm Description

    Single-blind darbepoetin alfa administered by subcutaneous injection (SC) every other week until hemoglobin (Hgb) was stable (2 consecutive Hgb values between 120 and 135 g/L), then every month for up to 9 months.

    Single-blind placebo administered by subcutaneous injection (SC) every other week until week 16, then every month for up to 9 months.

    Outcomes

    Primary Outcome Measures

    Short Form 36 Health Survey Questionnaire (SF-36) Vitality Subscale Score at Week 24
    The SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The vitality sub-score assesses energy and fatigue, and ranges from 0 (worst) - 100 (best).

    Secondary Outcome Measures

    Number of Participants With Hemoglobin (Hb) ≥ 110 g/L
    Number of participants achieving a Hemoglobin (Hb) value ≥ 110 g/L during the evaluation period.
    Mean Hemoglobin During the Evaluation Period
    Euroqol 5 Dimension (EQ-5D) Utility Score at Week 24
    The EQ-5D is a patient-completed, multidimensional measure of health related quality of life. The instrument is applicable to a wide range of health conditions and treatments and results in a single index score. The EQ-5D descriptive health profile comprises five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Each dimension comprises three levels (no problems, some/moderate problems, extreme problems). A unique EQ-5D health state is defined by combining one level from each of the five dimensions. EQ-5D index values range from -0.59 to 1.00. Higher EQ-5D Index scores represent better health status.

    Full Information

    First Posted
    August 14, 2006
    Last Updated
    April 23, 2014
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00364845
    Brief Title
    STIMULATE Study: Anemia Correction and Health-related Quality of Life (HRQoL) Outcomes in Elderly Chronic Kidney Disease (CKD) Patients
    Official Title
    A Randomised Single-Blind Study to Improve Health-related Quality of Life as Measured by the Short-Form 36 (SF-36) Vitality Score by Correcting Anemia With Aranesp (Darbepoetin Alfa) in the Elderly.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2014
    Overall Recruitment Status
    Terminated
    Why Stopped
    The reason for the discontinuation of the study is difficulty with recruitment and timely enrolment and is not related to safety concerns
    Study Start Date
    September 2006 (undefined)
    Primary Completion Date
    December 2008 (Actual)
    Study Completion Date
    February 2009 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Amgen

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Treatment of anemia associated with chronic kidney disease (CKD) during 36 weeks with safety follow up phase of 52 weeks
    Detailed Description
    This is a multicentre, randomised, single-blind, placebo-controlled, two-arm parallel group study assessing the effect of anaemia correction and Hb maintenance with darbepoetin alfa in elderly CKD patients for 36 weeks.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Anemia, Chronic Kidney Disease
    Keywords
    Quality of Life, Chronic Kidney Disease, Anemia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    51 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Darbepoetin alfa
    Arm Type
    Active Comparator
    Arm Description
    Single-blind darbepoetin alfa administered by subcutaneous injection (SC) every other week until hemoglobin (Hgb) was stable (2 consecutive Hgb values between 120 and 135 g/L), then every month for up to 9 months.
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Single-blind placebo administered by subcutaneous injection (SC) every other week until week 16, then every month for up to 9 months.
    Intervention Type
    Drug
    Intervention Name(s)
    Darbepoetin alfa
    Other Intervention Name(s)
    Aranesp®
    Intervention Description
    Starting dose was calculated at 0.75 micrograms per kilogram (μg/kg) body weight at randomization, rounded to nearest prefilled syringe dose unit. Dose was titrated incrementally. Monthly dose was initially double the every 2 week dose at time of conversion.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Prefilled syringe placebo, to match active arm
    Primary Outcome Measure Information:
    Title
    Short Form 36 Health Survey Questionnaire (SF-36) Vitality Subscale Score at Week 24
    Description
    The SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The vitality sub-score assesses energy and fatigue, and ranges from 0 (worst) - 100 (best).
    Time Frame
    Week 24
    Secondary Outcome Measure Information:
    Title
    Number of Participants With Hemoglobin (Hb) ≥ 110 g/L
    Description
    Number of participants achieving a Hemoglobin (Hb) value ≥ 110 g/L during the evaluation period.
    Time Frame
    Evaluation Period (Weeks 22-36)
    Title
    Mean Hemoglobin During the Evaluation Period
    Time Frame
    Evaluation Period (Weeks 22-36)
    Title
    Euroqol 5 Dimension (EQ-5D) Utility Score at Week 24
    Description
    The EQ-5D is a patient-completed, multidimensional measure of health related quality of life. The instrument is applicable to a wide range of health conditions and treatments and results in a single index score. The EQ-5D descriptive health profile comprises five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression). Each dimension comprises three levels (no problems, some/moderate problems, extreme problems). A unique EQ-5D health state is defined by combining one level from each of the five dimensions. EQ-5D index values range from -0.59 to 1.00. Higher EQ-5D Index scores represent better health status.
    Time Frame
    Week 24

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Stage 3-5 CKD not on dialysis Patients ≥ 70 years of age Haemoglobin < 110g/L at screening Transferrin saturation ≥ 15% at screening Exclusion Criteria: Clinical history of type 2 diabetes mellitus Anticipating or scheduled to go on renal replacement therapy in the next year, including renal transplant Uncontrolled hypertension on two separate measurements during screening Use of any erythropoietic protein within 12 weeks of screening
    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

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