Study to Assess Darbepoetin Alfa Dosing for the Correction of Anemia in Pediatric Patients With Chronic Kidney Disease
Anemia, Chronic Kidney Disease, Kidney Disease
About this trial
This is an interventional treatment trial for Anemia focused on measuring Chronic Kidney Disease, Dialysis, Anemia, Nephrology, Pediatric, Hemodialysis, Peritoneal Dialysis, Chronic Renal Insufficiency
Eligibility Criteria
Inclusion Criteria:
- Current diagnosis of Chronic Kidney Disease, either receiving or not receiving dialysis
- Anemic, with two consecutive screening hemoglobin values drawn at least 7 days apart < 11.0 g/dL
- Transferrin saturation (Tsat) greater than or equal to 20%
Exclusion Criteria:
- Any erythropoiesis stimulating agent (ESA) use within 12 weeks prior to randomization
- other hematologic disorders
- upper or lower gastrointenstinal bleeding within 6 months prior to randomization
- uncontrolled hypertension
- prior history (within 12 weeks prior to randomization) of acute myocardial ischemia, hospitalization for congestive heart failure, myocardial infarction, stroke or transient ischemic attack
- prior history (within 6 months prior to randomization) of thromboembolism
Sites / Locations
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Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Darbepoetin Alfa QW
Darbepoetin Alfa Q2W
Participants received darbepoetin alfa once a week (QW) for 24 weeks. The initial dose was 0.45 μg/kg; thereafter, active doses were administered to achieve and then maintain hemoglobin levels within a target range of 10.0 to 12.0 g/dL. Participants not on dialysis or who were receiving peritoneal dialysis were administered darbepoetin alfa subcutaneously; participants receiving hemodialysis were administered darbepoetin alfa intravenously.
Participants received darbepoetin alfa every 2 weeks (Q2W) and a placebo every other 2 weeks to maintain the blind for 24 weeks. The initial dose was 0.75 μg/kg; thereafter, active doses were administered to achieve and then maintain hemoglobin levels within a target range of 10.0 to 12.0 g/dL. Participants not on dialysis or who were receiving peritoneal dialysis were administered darbepoetin alfa subcutaneously; participants receiving hemodialysis were administered darbepoetin alfa intravenously.