search
Back to results

Study to Assess the Efficacy and Safety of HX575 in the Treatment of Chemotherapy Associated Anemia in Cancer Patients

Primary Purpose

Anemia

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
HX575, solution for injection (s.c.)
ERYPO®, Janssen-Cilag, solution for injection (s.c.)
Sponsored by
Sandoz
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anemia focused on measuring Chemotherapy associated anemia in cancer patients

Eligibility Criteria

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

Inclusion Criteria:

  • Patients with a confirmed diagnosis of solid tumors
  • Patients who receive cyclic palliative chemotherapy with a cycle duration of 1 -4 weeks (for at least 12 weeks) during the study
  • Patients with chemotherapy associated anemia (hemoglobin < 10.0 g/dl at screening)
  • Life expectancy of at least 6 months Age: > 18
  • Eastern Cooperative Oncology Group performance status of 0, 1 or 2
  • Serum ferritin greater or equal to 100 µg/l and/or saturated transferrin levels greater or equal to 20 %
  • Adequate renal function (serum creatinine below or equal to 2.0 mg/dl)
  • Adequate hepatic function (bilirubin < 1.5 times upper limit of normal range
  • Patients with ability to follow study instructions, likely to complete all required visits and able to perform the quality of life assessment
  • Written informed consent of the patient

Exclusion Criteria:

  • Patients who receive curative intended chemotherapy
  • Known primary or metastatic malignancy of the central nervous system
  • Known primary or metastatic malignancy of bone marrow
  • Primary hematologic disorder (e.g. myelodysplastic syndrome, sickle cell anemia, hematological malignancy, acute leukemia)
  • Thrombotic events during the last 6 months
  • Suspicion or known PRCA (pure red cell aplasia)
  • Transfusion of white blood cells or packed red blood cells (more than 2 packs) within 4 weeks and any transfusion of white blood cells or packed red blood cells within 2 weeks prior to randomization (visit 0)
  • Anemia due to overt bleeding or hemolysis within 2 weeks before screening
  • Erythropoietin or Darbepoietin therapy within 8 weeks before screening, including any investigational form of erythropoietin (e.g. gene-activated erythropoietin, novel erythropoiesis stimulating protein)
  • Radiation therapy during the study, radiation therapy induced anemia
  • Therapy with cyclosporine
  • Chemotherapy which causes predictable treatment with peripheral-blood progenitor therapy, e.g. G-CSF
  • Clinical evidence of current uncontrolled hyperparathyroidism (serum parathyroid hormone >1500 pg/mL)
  • Major surgery within 14 days prior to randomization
  • Treatment with antiepileptics within the last 5 years
  • Previously diagnosed HIV or acute hepatitis infection
  • Uncontrolled hypertension, defined as a diastolic blood pressure measurement >110mm Hg during the screening period
  • History of congestive heart failure (NYHA class III, IV)
  • Unstable angina pectoris, active cardiac disease, cardiac infarction during the last six months before screening
  • Evidence of acute infectious disease or serious active inflammatory disease within four weeks before screening (Visit -1) or during the screening/baseline period
  • Known allergy to one of the ingredients of the test or reference products or hypersensitivity to mammalian-derived products
  • Pregnancy, breastfeeding women or women not using adequate birth control measures
  • Patients who participate simultaneously in another clinical study or who have participated in a study in the month preceding the start of this study or previously randomized to this study (except studies with approved medications in an approved indication, with an approved dosing regimen including approved treatment combinations)
  • Suspicion of any non-compliance

Sites / Locations

  • Gemeinschaftspraxis Drs. Brudler, Heinrich, Bangerter
  • Gemeinschaftspraxis mit Schwerpunkt Hämatologie und Internistische Onkologie
  • Poliklinik am Paritätischen Krankenhaus
  • Schwerpunktpraxis für Brustkrankheiten und Gynäkologische Onkologie
  • Oskar-Helene-Heim
  • Praxis Drs. Marschner, Zeiss, Kirste
  • DRK-Krankenhaus
  • Praxis für Onkologie
  • Praxis Drs. Kowolik/Prechtl
  • Klinikum Nürnberg, 5. Medizinische Klinik Haus 12, Zimmer Nr. 13
  • Gemeinschaftspraxis
  • Robert-Bosch-Krankenhaus
  • Universitätsklinikum Tübingen Medizinische Klinik 1
  • Gemeinschaftspraxis für internistische Onkologie
  • Praxis für internistische Onkologie
  • Oncologic Institute
  • Country hospital Oradea
  • County Hospital Satu-Mare
  • Oncomed SRL Timisoara

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

HX575 epoetin alfa Hexal AG

ERYPO® Janssen-Cilag

Arm Description

HX575 (erythropoietin alfa of the Sponsor Hexal AG). Eligible patients to be randomized in ratio 2:1 and to be subcutaneously treated (solution for injection (s.c.)) for 12 weeks with HX575 in pre-filled syringes. The maximum weekly dose of HX575 was 300 IU/kg body weight to maintain hemoglobin levels in the therapeutic range. Application of the drug required at least once per week and allowed maximum three times per week.

ERYPO® Janssen-Cilag, Germany. Eligible patients were treated subcutaneously (solution for injection (s.c.)) with ERYPO® (Janssen-Cilag, Germany) in pre-filled syringes for 12 weeks.The maximum weekly dose of HX575 was 300 IU/kg body weight to maintain hemoglobin levels in the therapeutic range. Application of the drug required at least once per week and allowed maximum three times per week.

Outcomes

Primary Outcome Measures

Efficacy of HX575 in the Treatment of Chemotherapy Associated Anemia
Proportion of patients with a change in hemoglobin levels more than 2 g/dL under treatment with HX575, estimated between weeks 5-12.

Secondary Outcome Measures

Full Information

First Posted
July 3, 2008
Last Updated
August 4, 2017
Sponsor
Sandoz
Collaborators
Hexal AG
search

1. Study Identification

Unique Protocol Identification Number
NCT00711958
Brief Title
Study to Assess the Efficacy and Safety of HX575 in the Treatment of Chemotherapy Associated Anemia in Cancer Patients
Official Title
Double-blind, Randomized, Multicenter, Clinical Phase III Study to Evaluate the Efficacy and Safety of HX575 for the Treatment of Chemotherapy Associated Anemia in Cancer Patients
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
November 2004 (undefined)
Primary Completion Date
July 2005 (Actual)
Study Completion Date
December 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sandoz
Collaborators
Hexal AG

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a randomized, double-blind, multicenter clinical phase III study involving about 105 cancer patients aged >18 years who are receiving palliative chemotherapy and who are suffering from chemotherapy associated anemia. A standard treatment group (ERYPO®) will be included to provide a reference reflecting current standard medical practice.
Detailed Description
Eligible patients were randomized to one of two different treatment groups (EPO HEXAL or ERYPO) in a 2:1 ratio. Patients received double-blind treatment for a period of 12 weeks. Following randomization the patients were treated subcutaneously with a dose of 150 IU/kg body weight of study drug three times per week. Dose adjustments to 300 IU/kg body weight three times per week were to be done if hemoglobin (Hb) increased <1.0 g/dL or the reticulocyte count increased <40,000 /μl after 4 weeks or if Hb increased <2.0 g/dL after 8 weeks of treatment. The primary endpoint was the Hb response in the EPO HEXAL group during weeks 5-12 of the study defined as absolute increase in Hb value of 2.0 g/dL from the mean value of the screening/baseline period in the absence of red blood cell transfusion during the preceding 4 weeks. For that purpose, Hb levels were measured at the weekly study visits by a central laboratory. Further parameters of treatment efficacy, safety and tolerability were recorded.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anemia
Keywords
Chemotherapy associated anemia in cancer patients

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
HX575 epoetin alfa Hexal AG
Arm Type
Experimental
Arm Description
HX575 (erythropoietin alfa of the Sponsor Hexal AG). Eligible patients to be randomized in ratio 2:1 and to be subcutaneously treated (solution for injection (s.c.)) for 12 weeks with HX575 in pre-filled syringes. The maximum weekly dose of HX575 was 300 IU/kg body weight to maintain hemoglobin levels in the therapeutic range. Application of the drug required at least once per week and allowed maximum three times per week.
Arm Title
ERYPO® Janssen-Cilag
Arm Type
Active Comparator
Arm Description
ERYPO® Janssen-Cilag, Germany. Eligible patients were treated subcutaneously (solution for injection (s.c.)) with ERYPO® (Janssen-Cilag, Germany) in pre-filled syringes for 12 weeks.The maximum weekly dose of HX575 was 300 IU/kg body weight to maintain hemoglobin levels in the therapeutic range. Application of the drug required at least once per week and allowed maximum three times per week.
Intervention Type
Drug
Intervention Name(s)
HX575, solution for injection (s.c.)
Other Intervention Name(s)
Binocrit, Erythropoeitin alfa Hexal, Abseamed
Intervention Description
1000, 2000, 4000, 8000 and 10.000 IU of rh erythropoiethin
Intervention Type
Drug
Intervention Name(s)
ERYPO®, Janssen-Cilag, solution for injection (s.c.)
Other Intervention Name(s)
Eprex
Intervention Description
1000, 2000, 4000, 8000 and 10.000 IU of epoetin alfa
Primary Outcome Measure Information:
Title
Efficacy of HX575 in the Treatment of Chemotherapy Associated Anemia
Description
Proportion of patients with a change in hemoglobin levels more than 2 g/dL under treatment with HX575, estimated between weeks 5-12.
Time Frame
5-12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with a confirmed diagnosis of solid tumors Patients who receive cyclic palliative chemotherapy with a cycle duration of 1 -4 weeks (for at least 12 weeks) during the study Patients with chemotherapy associated anemia (hemoglobin < 10.0 g/dl at screening) Life expectancy of at least 6 months Age: > 18 Eastern Cooperative Oncology Group performance status of 0, 1 or 2 Serum ferritin greater or equal to 100 µg/l and/or saturated transferrin levels greater or equal to 20 % Adequate renal function (serum creatinine below or equal to 2.0 mg/dl) Adequate hepatic function (bilirubin < 1.5 times upper limit of normal range Patients with ability to follow study instructions, likely to complete all required visits and able to perform the quality of life assessment Written informed consent of the patient Exclusion Criteria: Patients who receive curative intended chemotherapy Known primary or metastatic malignancy of the central nervous system Known primary or metastatic malignancy of bone marrow Primary hematologic disorder (e.g. myelodysplastic syndrome, sickle cell anemia, hematological malignancy, acute leukemia) Thrombotic events during the last 6 months Suspicion or known PRCA (pure red cell aplasia) Transfusion of white blood cells or packed red blood cells (more than 2 packs) within 4 weeks and any transfusion of white blood cells or packed red blood cells within 2 weeks prior to randomization (visit 0) Anemia due to overt bleeding or hemolysis within 2 weeks before screening Erythropoietin or Darbepoietin therapy within 8 weeks before screening, including any investigational form of erythropoietin (e.g. gene-activated erythropoietin, novel erythropoiesis stimulating protein) Radiation therapy during the study, radiation therapy induced anemia Therapy with cyclosporine Chemotherapy which causes predictable treatment with peripheral-blood progenitor therapy, e.g. G-CSF Clinical evidence of current uncontrolled hyperparathyroidism (serum parathyroid hormone >1500 pg/mL) Major surgery within 14 days prior to randomization Treatment with antiepileptics within the last 5 years Previously diagnosed HIV or acute hepatitis infection Uncontrolled hypertension, defined as a diastolic blood pressure measurement >110mm Hg during the screening period History of congestive heart failure (NYHA class III, IV) Unstable angina pectoris, active cardiac disease, cardiac infarction during the last six months before screening Evidence of acute infectious disease or serious active inflammatory disease within four weeks before screening (Visit -1) or during the screening/baseline period Known allergy to one of the ingredients of the test or reference products or hypersensitivity to mammalian-derived products Pregnancy, breastfeeding women or women not using adequate birth control measures Patients who participate simultaneously in another clinical study or who have participated in a study in the month preceding the start of this study or previously randomized to this study (except studies with approved medications in an approved indication, with an approved dosing regimen including approved treatment combinations) Suspicion of any non-compliance
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Andrea Vetter, Dr.
Organizational Affiliation
Hexal AG
Official's Role
Study Chair
Facility Information:
Facility Name
Gemeinschaftspraxis Drs. Brudler, Heinrich, Bangerter
City
Augsburg
ZIP/Postal Code
86150
Country
Germany
Facility Name
Gemeinschaftspraxis mit Schwerpunkt Hämatologie und Internistische Onkologie
City
Bad Soden
ZIP/Postal Code
65812
Country
Germany
Facility Name
Poliklinik am Paritätischen Krankenhaus
City
Berlin
ZIP/Postal Code
10365
Country
Germany
Facility Name
Schwerpunktpraxis für Brustkrankheiten und Gynäkologische Onkologie
City
Berlin
ZIP/Postal Code
10367
Country
Germany
Facility Name
Oskar-Helene-Heim
City
Berlin
ZIP/Postal Code
14195
Country
Germany
Facility Name
Praxis Drs. Marschner, Zeiss, Kirste
City
Freiburg
ZIP/Postal Code
79106
Country
Germany
Facility Name
DRK-Krankenhaus
City
Luckenwalde
ZIP/Postal Code
14943
Country
Germany
Facility Name
Praxis für Onkologie
City
Munich
ZIP/Postal Code
80637
Country
Germany
Facility Name
Praxis Drs. Kowolik/Prechtl
City
Munich
ZIP/Postal Code
81925
Country
Germany
Facility Name
Klinikum Nürnberg, 5. Medizinische Klinik Haus 12, Zimmer Nr. 13
City
Nürnberg
ZIP/Postal Code
90419
Country
Germany
Facility Name
Gemeinschaftspraxis
City
Stuttgart
ZIP/Postal Code
70173
Country
Germany
Facility Name
Robert-Bosch-Krankenhaus
City
Stuttgart
ZIP/Postal Code
70376
Country
Germany
Facility Name
Universitätsklinikum Tübingen Medizinische Klinik 1
City
Tübingen
ZIP/Postal Code
72076
Country
Germany
Facility Name
Gemeinschaftspraxis für internistische Onkologie
City
Velbert
ZIP/Postal Code
42551
Country
Germany
Facility Name
Praxis für internistische Onkologie
City
Weiden
ZIP/Postal Code
92637
Country
Germany
Facility Name
Oncologic Institute
City
Cluj-Napoca
ZIP/Postal Code
400015
Country
Romania
Facility Name
Country hospital Oradea
City
Oradea
ZIP/Postal Code
410032
Country
Romania
Facility Name
County Hospital Satu-Mare
City
Satu-Mare
ZIP/Postal Code
440192
Country
Romania
Facility Name
Oncomed SRL Timisoara
City
Timisoara
ZIP/Postal Code
300239
Country
Romania

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study to Assess the Efficacy and Safety of HX575 in the Treatment of Chemotherapy Associated Anemia in Cancer Patients

We'll reach out to this number within 24 hrs