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A Study of Roxadustat for the Treatment of Anemia in Participants With Chronic Kidney Disease and Not Receiving Dialysis

Primary Purpose

CKD Anemia

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Roxadustat
Placebo
Sponsored by
FibroGen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for CKD Anemia focused on measuring anemia, chronic kidney disease (CKD), non-dialysis, Hemoglobin (Hb), End-Stage Renal Disease, erythropoeitin, ASP1517, erythropoeisis stimulating-agent, AZD9941

Eligibility Criteria

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

Inclusion Criteria:

  • Chronic kidney disease Stages 3, 4, or 5 and not receiving dialysis
  • Anemia qualified by measurements of hemoglobin values during screening
  • Additional blood work must be in a safe range for study entry
  • Body weight 45 to 160 kilograms (kg)
  • Willingness to use contraception if of child-bearing potential

Exclusion Criteria:

  • Treatment with an erythropoiesis-stimulating agent (ESA) within 12 weeks prior to study participation
  • More than 1 dose of intravenous iron within 12 weeks prior to study participation
  • Blood transfusion within 8 weeks prior to study participation
  • Active infection
  • Chronic liver disease
  • Severe congestive heart failure, recent heart attack, stroke, seizure, or blood clot
  • Uncontrolled blood pressure within 2 weeks prior to study participation
  • Renal cell carcinoma
  • History of malignancy, including multiple myeloma or other myelodysplastic syndrome
  • Chronic inflammatory disease that could impact red blood cell production
  • Any prior organ transplant or a scheduled organ transplantation
  • Anticipated elective surgery that is expected to lead to significant blood loss or anticipated elective heart procedure
  • Gastrointestinal bleeding
  • Any prior treatment with roxadustat or a hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI)
  • Recent use of an investigational drug or treatment, or participation in an investigational study

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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Roxadustat

Placebo

Arm Description

Participants will receive roxadustat tablets orally 3 times a week (TIW). The initial dose will be according to the tiered weight-based approach, with starting roxadustat doses of 70 milligrams (mg) TIW to participants weighing <70 kilograms (kg) and roxadustat doses of 100 mg TIW to participants weighing ≥70 kg. Dose-titration (up to a maximum dose of 300 mg) will be performed based upon regular measurement of Hb levels until the participant achieves central Hb value of ≥11.0 grams/deciliter (g/dL) and Hb increase from baseline (BL) of ≥1.0 g/dL at 2 consecutive study visits, separated by at least 5 days. Once target Hb level is reached, the participant will enter the maintenance period during which roxadustat dosage will be adjusted every 4 weeks to maintain participant's Hb level within the target range of 10.0 g/dL and 12.0 g/dL. The maximum treatment duration will be up to 234.9 weeks.

Participants will receive roxadustat-matching placebo tablets orally TIW. The initial dose will be according to the tiered weight-based approach, with starting roxadustat-matching placebo doses of 70 mg TIW to participants weighing <70 kg and roxadustat-matching placebo doses of 100 mg TIW to participants weighing ≥70 kg. Dose-titration (up to a maximum dose of 300 mg) will be performed based upon regular measurement of Hb levels until the participant achieves central Hb value of ≥11.0 g/dL and Hb increase from BL of ≥1.0 g/dL at 2 consecutive study visits, separated by at least 5 days. Once target Hb level is reached, the participant will enter the maintenance period during which roxadustat dosage will be adjusted every 4 weeks to maintain participant's Hb level within the target range of 10.0 g/dL and 12.0 g/dL. The maximum treatment duration will be up to 208.1 weeks.

Outcomes

Primary Outcome Measures

United States (US FDA) Submission: Mean Change From Baseline in Hb (g/dL) Over Weeks 28 to 52 Regardless of Rescue Therapy
The change in Hb from baseline to the average level during the evaluation period (defined as Week 28 until Week 52) is reported. Hb values under the influence of a rescue therapy were not censored. The intermittent missing hemoglobin data were imputed for each treatment relying on non-missing data from all participants within each treatment group using the Monte Carlo Markov Chain (MCMC) imputation model, Monotone missing data were imputed by regression from its own treatment group. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study drug.
Ex-US Submission: Number (%) of Participants Who Achieved a Hb Response During the First 24-Weeks of Treatment Censoring for Rescue Therapy
The number of participants who achieved a Hb response at 2 consecutive visits at least 5 days apart during the first 24 weeks of treatment, without rescue therapy (that is, red blood cell [RBC] transfusion, erythropoiesis-stimulating agent [ESA], or intravenous [IV] iron) are reported. A Hb response is defined, using central laboratory values, as the following: Hb ≥11 g/dL and Hb increase from baseline by ≥1 g/dL in participants with baseline Hb >8 g/dL, or An increase in Hb by ≥2 g/dL in participants with baseline Hb ≤8.0 g/dL

Secondary Outcome Measures

Mean Change From Baseline in Hb Averaged Over Weeks 28 to 36 With Censoring for Rescue Therapy
For Ex-US submission only: Hb values under the influence of a rescue therapy were censored by mixed effect model of repeated measures (MMRM) for up to 6 weeks. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study drug.
Mean Change From Baseline in Hb Averaged Over Weeks 28 to 52 Regardless of Rescue Therapy in Participants With Baseline C-Reactive Protein (CRP) >Upper Limit of Normal (ULN)
Hb values under the influence of a rescue therapy were not censored in the analysis. The intermittent missing hemoglobin data were imputed for each treatment relying on non-missing data from all participants within each treatment group using the MCMC imputation model, Monotone missing data were imputed by regression from its own treatment group. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study treatment.
Number (%) of Participants With Hb ≥10 g/dL Averaged Over Weeks 28 to 36 With Censoring for Rescue Therapy
Hb values under the influence of a rescue therapy were censored by Cochran-Mantel-Haenszel Test for up to 6 weeks. Responder was defined as: Hb ≥10.0 g/dL, which was based on central laboratory values.
Mean Change From Baseline in Low-Density Lipoprotein (LDL) Cholesterol Averaged Over Weeks 12 to 28
Baseline LDL cholesterol was defined as the last LDL cholesterol value prior to the first dose of study drug.
Rate of Change in eGFR From Baseline up to 12 Months (Linear Random Coefficient Model With Observed Data)
Progression of chronic kidney disease was measured by rate of change in eGFR over time adjusted by baseline eGFR, with censoring for chronic dialysis or kidney transplant, using random slope and intercept model. Least Square Mean of change from baseline at 1 year was derived based on a random slopes and intercepts model using all available eGFR values (1 baseline and all post-treatment values up to end of treatment period + 7 days or start of dialysis) adjusted on treatment, baseline Hb, baseline eGFR, geographical region, cardiovascular events history at Baseline (yes vs. no), time (continuous value), the interaction terms of baseline eGFR by time, baseline Hb by time, and treatment by time as fixed effects, with random effects of intercept and linear slope of time. All assessments collected after the start of stable dialysis or kidney transplant were excluded from the analysis.
Number of Participants Who Received Blood/RBC Transfusion in the First 52 Weeks of Treatment
Participants with any use of blood/RBC transfusion were reported.
Number (%) of Participants Who Received Rescue Therapy in the First 24 Weeks and in the First 52 Weeks of Treatment
Rescue therapy included any use of RBC transfusion, ESA, or IV iron.
Change From Baseline in Short Form 36 (SF-36) Version 2 Physical Functioning Subscore and Vitality Subscore at Weeks 12 to 28
The SF-36 V2 consists of 36 questions covering 8 health domains: physical functioning, bodily pain, role limitations due to physical problems, role limitations due to emotional problems, general health perceptions, mental health, social function, and vitality. The physical functioning subscore and vitality subscore are reported. The scores ranged from 0 (worst) to 100 (Best). A higher score indicates a general improvement of life quality or well-being. Baseline score was defined as the last physical functioning value or vitality value, as applicable, prior to the first dose of study drug.
Number (%) of Participants Who Experienced Exacerbation of Hypertension
Exacerbation of hypertension was defined as an increase from baseline of ≥20 millimeter of mercury (mmHg) in systolic blood pressure (sBP) and sBP ≥170 mmHg or an increase from baseline of ≥15 mmHg in diastolic blood pressure (dBP) and dBP ≥110 mmHg.
Mean Change From Baseline in Mean Arterial Pressure (MAP) Averaged Over Weeks 20 to 28
Baseline MAP was defined as the last MAP value prior to the first dose of study drug.

Full Information

First Posted
December 11, 2012
Last Updated
September 1, 2021
Sponsor
FibroGen
Collaborators
Astellas Pharma Europe B.V., AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT01750190
Brief Title
A Study of Roxadustat for the Treatment of Anemia in Participants With Chronic Kidney Disease and Not Receiving Dialysis
Official Title
A Phase 3, Randomized, Double-Blind, Placebo Controlled Study of the Efficacy and Safety of Roxadustat (FG-4592) for the Treatment of Anemia in Chronic Kidney Disease Patients Not on Dialysis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
November 5, 2012 (Actual)
Primary Completion Date
September 24, 2018 (Actual)
Study Completion Date
September 24, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
FibroGen
Collaborators
Astellas Pharma Europe B.V., AstraZeneca

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine whether roxadustat is safe and effective in the treatment of anemia in participants with chronic kidney disease and not on dialysis.
Detailed Description
There is a screening period of up to 6 weeks, a variable treatment period for individual participants. In order to complete the treatment period simultaneously for all study participants, the minimum treatment duration may be less than 52 weeks, with a maximum treatment duration of up to 3 years after the last participant is randomized, and a post-treatment follow-up period of 4 weeks. Participants who prematurely discontinued from treatment will be expected to complete the Early Termination (ET) and End of Study (EOS) visits. Such participants will be considered non-completers, but they will be expected to participate in long-term follow-up (LTFU) for cardiovascular events (CV) of interest, vital status, and hospitalizations until overall study closure unless the participant withdrew consent for this LTFU data collection. Participants were randomized in a 2:1 ratio to receive either roxadustat or placebo in a double-blind manner.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
CKD Anemia
Keywords
anemia, chronic kidney disease (CKD), non-dialysis, Hemoglobin (Hb), End-Stage Renal Disease, erythropoeitin, ASP1517, erythropoeisis stimulating-agent, AZD9941

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
922 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Roxadustat
Arm Type
Experimental
Arm Description
Participants will receive roxadustat tablets orally 3 times a week (TIW). The initial dose will be according to the tiered weight-based approach, with starting roxadustat doses of 70 milligrams (mg) TIW to participants weighing <70 kilograms (kg) and roxadustat doses of 100 mg TIW to participants weighing ≥70 kg. Dose-titration (up to a maximum dose of 300 mg) will be performed based upon regular measurement of Hb levels until the participant achieves central Hb value of ≥11.0 grams/deciliter (g/dL) and Hb increase from baseline (BL) of ≥1.0 g/dL at 2 consecutive study visits, separated by at least 5 days. Once target Hb level is reached, the participant will enter the maintenance period during which roxadustat dosage will be adjusted every 4 weeks to maintain participant's Hb level within the target range of 10.0 g/dL and 12.0 g/dL. The maximum treatment duration will be up to 234.9 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive roxadustat-matching placebo tablets orally TIW. The initial dose will be according to the tiered weight-based approach, with starting roxadustat-matching placebo doses of 70 mg TIW to participants weighing <70 kg and roxadustat-matching placebo doses of 100 mg TIW to participants weighing ≥70 kg. Dose-titration (up to a maximum dose of 300 mg) will be performed based upon regular measurement of Hb levels until the participant achieves central Hb value of ≥11.0 g/dL and Hb increase from BL of ≥1.0 g/dL at 2 consecutive study visits, separated by at least 5 days. Once target Hb level is reached, the participant will enter the maintenance period during which roxadustat dosage will be adjusted every 4 weeks to maintain participant's Hb level within the target range of 10.0 g/dL and 12.0 g/dL. The maximum treatment duration will be up to 208.1 weeks.
Intervention Type
Drug
Intervention Name(s)
Roxadustat
Other Intervention Name(s)
FG-4592, ASP1517, AZD9941
Intervention Description
Oral tablets
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral tablets
Primary Outcome Measure Information:
Title
United States (US FDA) Submission: Mean Change From Baseline in Hb (g/dL) Over Weeks 28 to 52 Regardless of Rescue Therapy
Description
The change in Hb from baseline to the average level during the evaluation period (defined as Week 28 until Week 52) is reported. Hb values under the influence of a rescue therapy were not censored. The intermittent missing hemoglobin data were imputed for each treatment relying on non-missing data from all participants within each treatment group using the Monte Carlo Markov Chain (MCMC) imputation model, Monotone missing data were imputed by regression from its own treatment group. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study drug.
Time Frame
Baseline (Day 1, Week 0), Weeks 28 to 52
Title
Ex-US Submission: Number (%) of Participants Who Achieved a Hb Response During the First 24-Weeks of Treatment Censoring for Rescue Therapy
Description
The number of participants who achieved a Hb response at 2 consecutive visits at least 5 days apart during the first 24 weeks of treatment, without rescue therapy (that is, red blood cell [RBC] transfusion, erythropoiesis-stimulating agent [ESA], or intravenous [IV] iron) are reported. A Hb response is defined, using central laboratory values, as the following: Hb ≥11 g/dL and Hb increase from baseline by ≥1 g/dL in participants with baseline Hb >8 g/dL, or An increase in Hb by ≥2 g/dL in participants with baseline Hb ≤8.0 g/dL
Time Frame
Baseline up to Week 24
Secondary Outcome Measure Information:
Title
Mean Change From Baseline in Hb Averaged Over Weeks 28 to 36 With Censoring for Rescue Therapy
Description
For Ex-US submission only: Hb values under the influence of a rescue therapy were censored by mixed effect model of repeated measures (MMRM) for up to 6 weeks. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study drug.
Time Frame
Baseline (Day 1, Week 0), Weeks 28 to 36
Title
Mean Change From Baseline in Hb Averaged Over Weeks 28 to 52 Regardless of Rescue Therapy in Participants With Baseline C-Reactive Protein (CRP) >Upper Limit of Normal (ULN)
Description
Hb values under the influence of a rescue therapy were not censored in the analysis. The intermittent missing hemoglobin data were imputed for each treatment relying on non-missing data from all participants within each treatment group using the MCMC imputation model, Monotone missing data were imputed by regression from its own treatment group. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study treatment.
Time Frame
Baseline (Day 1, Week 0), Weeks 28 to 52
Title
Number (%) of Participants With Hb ≥10 g/dL Averaged Over Weeks 28 to 36 With Censoring for Rescue Therapy
Description
Hb values under the influence of a rescue therapy were censored by Cochran-Mantel-Haenszel Test for up to 6 weeks. Responder was defined as: Hb ≥10.0 g/dL, which was based on central laboratory values.
Time Frame
Weeks 28 to 36
Title
Mean Change From Baseline in Low-Density Lipoprotein (LDL) Cholesterol Averaged Over Weeks 12 to 28
Description
Baseline LDL cholesterol was defined as the last LDL cholesterol value prior to the first dose of study drug.
Time Frame
Baseline (Day 1, Week 0), Weeks 12 to 28
Title
Rate of Change in eGFR From Baseline up to 12 Months (Linear Random Coefficient Model With Observed Data)
Description
Progression of chronic kidney disease was measured by rate of change in eGFR over time adjusted by baseline eGFR, with censoring for chronic dialysis or kidney transplant, using random slope and intercept model. Least Square Mean of change from baseline at 1 year was derived based on a random slopes and intercepts model using all available eGFR values (1 baseline and all post-treatment values up to end of treatment period + 7 days or start of dialysis) adjusted on treatment, baseline Hb, baseline eGFR, geographical region, cardiovascular events history at Baseline (yes vs. no), time (continuous value), the interaction terms of baseline eGFR by time, baseline Hb by time, and treatment by time as fixed effects, with random effects of intercept and linear slope of time. All assessments collected after the start of stable dialysis or kidney transplant were excluded from the analysis.
Time Frame
Baseline, Month 12
Title
Number of Participants Who Received Blood/RBC Transfusion in the First 52 Weeks of Treatment
Description
Participants with any use of blood/RBC transfusion were reported.
Time Frame
Baseline up to Week 52
Title
Number (%) of Participants Who Received Rescue Therapy in the First 24 Weeks and in the First 52 Weeks of Treatment
Description
Rescue therapy included any use of RBC transfusion, ESA, or IV iron.
Time Frame
Baseline (Day 1, Week 0) up to Week 24 and up to Week 52
Title
Change From Baseline in Short Form 36 (SF-36) Version 2 Physical Functioning Subscore and Vitality Subscore at Weeks 12 to 28
Description
The SF-36 V2 consists of 36 questions covering 8 health domains: physical functioning, bodily pain, role limitations due to physical problems, role limitations due to emotional problems, general health perceptions, mental health, social function, and vitality. The physical functioning subscore and vitality subscore are reported. The scores ranged from 0 (worst) to 100 (Best). A higher score indicates a general improvement of life quality or well-being. Baseline score was defined as the last physical functioning value or vitality value, as applicable, prior to the first dose of study drug.
Time Frame
Baseline (Day 1, Week 0), Weeks 12 to 28
Title
Number (%) of Participants Who Experienced Exacerbation of Hypertension
Description
Exacerbation of hypertension was defined as an increase from baseline of ≥20 millimeter of mercury (mmHg) in systolic blood pressure (sBP) and sBP ≥170 mmHg or an increase from baseline of ≥15 mmHg in diastolic blood pressure (dBP) and dBP ≥110 mmHg.
Time Frame
Baseline up to Week 52
Title
Mean Change From Baseline in Mean Arterial Pressure (MAP) Averaged Over Weeks 20 to 28
Description
Baseline MAP was defined as the last MAP value prior to the first dose of study drug.
Time Frame
Baseline, Weeks 20 to 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Chronic kidney disease Stages 3, 4, or 5 and not receiving dialysis Anemia qualified by measurements of hemoglobin values during screening Additional blood work must be in a safe range for study entry Body weight 45 to 160 kilograms (kg) Willingness to use contraception if of child-bearing potential Exclusion Criteria: Treatment with an erythropoiesis-stimulating agent (ESA) within 12 weeks prior to study participation More than 1 dose of intravenous iron within 12 weeks prior to study participation Blood transfusion within 8 weeks prior to study participation Active infection Chronic liver disease Severe congestive heart failure, recent heart attack, stroke, seizure, or blood clot Uncontrolled blood pressure within 2 weeks prior to study participation Renal cell carcinoma History of malignancy, including multiple myeloma or other myelodysplastic syndrome Chronic inflammatory disease that could impact red blood cell production Any prior organ transplant or a scheduled organ transplantation Anticipated elective surgery that is expected to lead to significant blood loss or anticipated elective heart procedure Gastrointestinal bleeding Any prior treatment with roxadustat or a hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI) Recent use of an investigational drug or treatment, or participation in an investigational study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark Eisner, MD, MPH
Organizational Affiliation
FibroGen
Official's Role
Study Chair
Facility Information:
Facility Name
Investigational Site
City
Huntsville
State/Province
Alabama
ZIP/Postal Code
35801
Country
United States
Facility Name
Investigational Site
City
Tempe
State/Province
Arizona
ZIP/Postal Code
85284
Country
United States
Facility Name
Investigational Site
City
Alhambra
State/Province
California
ZIP/Postal Code
91801
Country
United States
Facility Name
Investigational Site
City
Chula Vista
State/Province
California
ZIP/Postal Code
91910
Country
United States
Facility Name
Investigational Site
City
Inglewood
State/Province
California
ZIP/Postal Code
90301
Country
United States
Facility Name
Investigational Site
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Investigational Site
City
La Palma
State/Province
California
ZIP/Postal Code
91324
Country
United States
Facility Name
Investigational Site
City
Lynwood
State/Province
California
ZIP/Postal Code
90262
Country
United States
Facility Name
Investigational Site
City
Northridge
State/Province
California
ZIP/Postal Code
91325
Country
United States
Facility Name
Investigational Site
City
Paramount
State/Province
California
ZIP/Postal Code
90723
Country
United States
Facility Name
Investigational Site
City
Riverside
State/Province
California
ZIP/Postal Code
92503
Country
United States
Facility Name
Investigational Site
City
Roseville
State/Province
California
ZIP/Postal Code
95661
Country
United States
Facility Name
Investigational Site
City
San Dimas
State/Province
California
ZIP/Postal Code
91773
Country
United States
Facility Name
Investigational Site
City
Whittier
State/Province
California
ZIP/Postal Code
90603
Country
United States
Facility Name
Investigational Site
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33134
Country
United States
Facility Name
Investigational Site
City
Cutler Bay
State/Province
Florida
ZIP/Postal Code
33157
Country
United States
Facility Name
Investigational Site
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Facility Name
Investigational Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33015
Country
United States
Facility Name
Investigational Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33122
Country
United States
Facility Name
Investigational Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33135
Country
United States
Facility Name
Investigational Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33150
Country
United States
Facility Name
Investigational Site
City
Ocala
State/Province
Florida
ZIP/Postal Code
34471
Country
United States
Facility Name
Investigational Site
City
Pembroke Pines
State/Province
Florida
ZIP/Postal Code
33028
Country
United States
Facility Name
Investigational Site
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Investigational Site
City
Winter Park
State/Province
Florida
ZIP/Postal Code
32789
Country
United States
Facility Name
Investigational Site
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30909
Country
United States
Facility Name
Investigational Site
City
Caldwell
State/Province
Idaho
ZIP/Postal Code
83605
Country
United States
Facility Name
Investigational Site
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71101
Country
United States
Facility Name
Investigational Site
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21218
Country
United States
Facility Name
Investigational Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
Investigational Site
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Facility Name
Investigational Site
City
Flint
State/Province
Michigan
ZIP/Postal Code
48503
Country
United States
Facility Name
Investigational Site
City
Flint
State/Province
Michigan
ZIP/Postal Code
48532
Country
United States
Facility Name
Investigational Site
City
Pontiac
State/Province
Michigan
ZIP/Postal Code
48341
Country
United States
Facility Name
Investigational Site
City
Roseville
State/Province
Michigan
ZIP/Postal Code
48066
Country
United States
Facility Name
Investigational Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Investigational Site
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08903
Country
United States
Facility Name
Investigational Site
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87109
Country
United States
Facility Name
Investigational Site
City
Bronx
State/Province
New York
ZIP/Postal Code
10461
Country
United States
Facility Name
Investigational Site
City
Mineola
State/Province
New York
ZIP/Postal Code
11501
Country
United States
Facility Name
Investigational Site
City
Asheville
State/Province
North Carolina
ZIP/Postal Code
28801
Country
United States
Facility Name
Investigational Site
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27609
Country
United States
Facility Name
Investigational Site
City
Rocky Mount
State/Province
North Carolina
ZIP/Postal Code
27804
Country
United States
Facility Name
Investigational Site
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Investigational Site
City
Beaver
State/Province
Pennsylvania
ZIP/Postal Code
15009
Country
United States
Facility Name
Investigational Site
City
Orangeburg
State/Province
South Carolina
ZIP/Postal Code
29118
Country
United States
Facility Name
Investigational Site
City
Sumter
State/Province
South Carolina
ZIP/Postal Code
29150
Country
United States
Facility Name
Investigational Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Facility Name
Investigational Site
City
Arlington
State/Province
Texas
ZIP/Postal Code
76015
Country
United States
Facility Name
Investigational Site
City
Corsicana
State/Province
Texas
ZIP/Postal Code
75110
Country
United States
Facility Name
Investigational Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Investigational Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Investigational Site
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22033
Country
United States
Facility Name
Investigational Site
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26506
Country
United States
Facility Name
Investigational Site
City
Ciudad Evita
State/Province
Buenos Aires
ZIP/Postal Code
B1178IFA
Country
Argentina
Facility Name
Investigational Site
City
Moron
State/Province
Buenos Aires
ZIP/Postal Code
B1708DPN
Country
Argentina
Facility Name
Investigational Site
City
González Catán
State/Province
Provincia De Buenos Aires
ZIP/Postal Code
B1759LTF
Country
Argentina
Facility Name
Investigational Site
City
Junin
State/Province
Provincia De Buenos Aires
ZIP/Postal Code
B6000GMA
Country
Argentina
Facility Name
Investigational Site
City
Pergamino
State/Province
Provincia De Buenos Aires
ZIP/Postal Code
B2700CPM
Country
Argentina
Facility Name
Investigational Product
City
Villa Domínico
State/Province
Provincia De Buenos Aires
ZIP/Postal Code
B1874GBA
Country
Argentina
Facility Name
Investigational Site
City
Ciudad de Cordoba
State/Province
Provincia De Cordoba
ZIP/Postal Code
X5002HWE
Country
Argentina
Facility Name
Investigational Site
City
Buenos Aires
ZIP/Postal Code
B1852FZD
Country
Argentina
Facility Name
Investigational Site
City
Buenos Aires
ZIP/Postal Code
C1425BPJ
Country
Argentina
Facility Name
Investigational Site
City
Buenos Aires
ZIP/Postal Code
C1429BWN
Country
Argentina
Facility Name
Investigational Site
City
Cordoba
ZIP/Postal Code
5000
Country
Argentina
Facility Name
Investigational Site
City
Cordoba
ZIP/Postal Code
X5002AOQ
Country
Argentina
Facility Name
Investigational site
City
Cordoba
ZIP/Postal Code
X5016KET
Country
Argentina
Facility Name
Investigational Site
City
Corrientes
ZIP/Postal Code
3400
Country
Argentina
Facility Name
Investigational Site
City
Mendoza
ZIP/Postal Code
5500
Country
Argentina
Facility Name
Investigational Site
City
Salta
ZIP/Postal Code
A4402BGJ
Country
Argentina
Facility Name
Investigational Site
City
Santa Fe
ZIP/Postal Code
3000
Country
Argentina
Facility Name
Investigational Site
City
Liverpool
State/Province
New South Wales
ZIP/Postal Code
2170
Country
Australia
Facility Name
Investigational Site
City
Gosford
ZIP/Postal Code
2250
Country
Australia
Facility Name
Investigational Site
City
Hobart
ZIP/Postal Code
7000
Country
Australia
Facility Name
Investigational Site
City
Launceston
ZIP/Postal Code
7250
Country
Australia
Facility Name
Investigational Site
City
Melbourne
ZIP/Postal Code
3004
Country
Australia
Facility Name
Investigational Site
City
New Lambton Heights
ZIP/Postal Code
2305
Country
Australia
Facility Name
Investigational Site
City
Randwick
ZIP/Postal Code
2031
Country
Australia
Facility Name
Investigational Site
City
Temuco
State/Province
Region De La Araucania
ZIP/Postal Code
4781151
Country
Chile
Facility Name
Investigational Site
City
Santiago
State/Province
Region Metropolitana
ZIP/Postal Code
8431657
Country
Chile
Facility Name
Investigational Site
City
Barranquilla
State/Province
Atlantico
Country
Colombia
Facility Name
Investigational Site
City
Bogota
State/Province
Cundinamarca
Country
Colombia
Facility Name
Investigational Site
City
Hong Kong
State/Province
Pokfulam
Country
Hong Kong
Facility Name
Investigational Site
City
Chai Wan
Country
Hong Kong
Facility Name
Investigational Site
City
Shatin
ZIP/Postal Code
852
Country
Hong Kong
Facility Name
Investigational Site
City
Tai Po
Country
Hong Kong
Facility Name
Investigational Site
City
Anyang-Si
State/Province
Gyeonggi-Do
ZIP/Postal Code
431-796
Country
Korea, Republic of
Facility Name
Investigational Site
City
Goyang-Si
State/Province
Gyeonggi-Do
ZIP/Postal Code
410-719
Country
Korea, Republic of
Facility Name
Investigational Site
City
Guri-Si
State/Province
Gyeonggi-Do
ZIP/Postal Code
471-701
Country
Korea, Republic of
Facility Name
Investigational Site
City
Seongnam-Si
State/Province
Gyeonggi-Do
ZIP/Postal Code
463-712
Country
Korea, Republic of
Facility Name
Investigational Site
City
Busan
ZIP/Postal Code
614-735
Country
Korea, Republic of
Facility Name
Investigational Site
City
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of
Facility Name
Investigational Site
City
Seoul
ZIP/Postal Code
130-872
Country
Korea, Republic of
Facility Name
Investigational Site
City
Seoul
ZIP/Postal Code
133-791
Country
Korea, Republic of
Facility Name
Investigational Site
City
Seoul
ZIP/Postal Code
134-727
Country
Korea, Republic of
Facility Name
Investigational Site
City
Seoul
ZIP/Postal Code
137-701
Country
Korea, Republic of
Facility Name
Investigational Site
City
Seoul
ZIP/Postal Code
143-729
Country
Korea, Republic of
Facility Name
Investigational Site
City
Seoul
Country
Korea, Republic of
Facility Name
Investigational Site
City
Alor Setar
ZIP/Postal Code
05460
Country
Malaysia
Facility Name
Investigational Site
City
Kajang
ZIP/Postal Code
43000
Country
Malaysia
Facility Name
Investigational Site
City
Kuala Lumpur
ZIP/Postal Code
50586
Country
Malaysia
Facility Name
Investigational Site
City
Kuala Lumpur
ZIP/Postal Code
59100
Country
Malaysia
Facility Name
Investigational Site
City
Kuching
ZIP/Postal Code
93586
Country
Malaysia
Facility Name
Investigational Site
City
Pulau Pinang
ZIP/Postal Code
10990
Country
Malaysia
Facility Name
Investigational Site
City
Sungai Petani
ZIP/Postal Code
080000
Country
Malaysia
Facility Name
Investigational Site
City
Taiping
ZIP/Postal Code
34000
Country
Malaysia
Facility Name
Investigational Site
City
Mexico City
State/Province
Distrito Federal
ZIP/Postal Code
06100
Country
Mexico
Facility Name
Investigational Site
City
Guadalajara
State/Province
Jalisco
ZIP/Postal Code
44280
Country
Mexico
Facility Name
Investigational Site
City
Monterrey
State/Province
Nuevo Leon
ZIP/Postal Code
64000
Country
Mexico
Facility Name
Investigational Site
City
Merida
State/Province
Yucatan
ZIP/Postal Code
97133
Country
Mexico
Facility Name
Investigational Site
City
Aguascalientes
ZIP/Postal Code
20128
Country
Mexico
Facility Name
Investigational Site
City
San Luis Potosi
ZIP/Postal Code
78240
Country
Mexico
Facility Name
Investigational Site
City
Auckland
Country
New Zealand
Facility Name
Investigational Site
City
Hamilton
ZIP/Postal Code
3240
Country
New Zealand
Facility Name
Investigational Site
City
Tauranga
ZIP/Postal Code
3143
Country
New Zealand
Facility Name
Investigational Site
City
Bellavista
State/Province
Callao
ZIP/Postal Code
Callao 2
Country
Peru
Facility Name
Investigational Site
City
San Martin de Porres
State/Province
Lima
ZIP/Postal Code
Lima 31
Country
Peru
Facility Name
Investigational site
City
Lima
ZIP/Postal Code
Lima 13
Country
Peru
Facility Name
Investigational Site
City
Lima
ZIP/Postal Code
Lima 1
Country
Peru
Facility Name
Investigational Site
City
Dasmarinas
State/Province
Cavite
ZIP/Postal Code
4114
Country
Philippines
Facility Name
Investigational Site
City
Davao City
State/Province
Davao
ZIP/Postal Code
8000
Country
Philippines
Facility Name
Investigational site
City
Pasig
Country
Philippines
Facility Name
Investigational Site
City
Quezon City
ZIP/Postal Code
1100
Country
Philippines
Facility Name
Investigational Site
City
Quezon City
ZIP/Postal Code
1102
Country
Philippines
Facility Name
Investigational Site
City
Ponce
ZIP/Postal Code
00716
Country
Puerto Rico
Facility Name
Investigational Site
City
San Juan
ZIP/Postal Code
00918
Country
Puerto Rico
Facility Name
Investigational Site
City
Singapore
ZIP/Postal Code
119074
Country
Singapore
Facility Name
Investigational Site
City
Singapore
ZIP/Postal Code
768828
Country
Singapore
Facility Name
Investigational Site
City
Singapore
Country
Singapore
Facility Name
Investigational Site
City
Changhua
ZIP/Postal Code
500
Country
Taiwan
Facility Name
Investigational Site
City
Hualien City
ZIP/Postal Code
970
Country
Taiwan
Facility Name
Investigational Site
City
Kaohsiung
ZIP/Postal Code
40705
Country
Taiwan
Facility Name
Investigational Site
City
Kaohsiung
ZIP/Postal Code
81362
Country
Taiwan
Facility Name
Investigational Site
City
Kaohsiung
ZIP/Postal Code
83301
Country
Taiwan
Facility Name
Investigational Site
City
Taichung
ZIP/Postal Code
40705
Country
Taiwan
Facility Name
Investigational Site
City
Taichung
ZIP/Postal Code
433
Country
Taiwan
Facility Name
Investigational Site
City
Tainan City
ZIP/Postal Code
433
Country
Taiwan
Facility Name
Investigational Site
City
Tainan
ZIP/Postal Code
704
Country
Taiwan
Facility Name
Investigational Site
City
Taipei
ZIP/Postal Code
10002
Country
Taiwan
Facility Name
Investigational Site
City
Taipei
ZIP/Postal Code
110
Country
Taiwan
Facility Name
Investigational Site
City
Taipei
ZIP/Postal Code
11490
Country
Taiwan
Facility Name
Investigational Site
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
Facility Name
Investigational Site
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
Facility Name
Investigational Site
City
Chiang Mai
ZIP/Postal Code
50200
Country
Thailand

12. IPD Sharing Statement

Plan to Share IPD
Yes
Citations:
PubMed Identifier
36005278
Citation
Natale P, Palmer SC, Jaure A, Hodson EM, Ruospo M, Cooper TE, Hahn D, Saglimbene VM, Craig JC, Strippoli GF. Hypoxia-inducible factor stabilisers for the anaemia of chronic kidney disease. Cochrane Database Syst Rev. 2022 Aug 25;8(8):CD013751. doi: 10.1002/14651858.CD013751.pub2.
Results Reference
derived
PubMed Identifier
34362786
Citation
Provenzano R, Szczech L, Leong R, Saikali KG, Zhong M, Lee TT, Little DJ, Houser MT, Frison L, Houghton J, Neff TB. Efficacy and Cardiovascular Safety of Roxadustat for Treatment of Anemia in Patients with Non-Dialysis-Dependent CKD: Pooled Results of Three Randomized Clinical Trials. Clin J Am Soc Nephrol. 2021 Aug;16(8):1190-1200. doi: 10.2215/CJN.16191020.
Results Reference
derived
PubMed Identifier
33732977
Citation
Coyne DW, Roger SD, Shin SK, Kim SG, Cadena AA, Moustafa MA, Chan TM, Besarab A, Chou W, Bradley C, Eyassu M, Leong R, Lee TT, Saikali KG, Szczech L, Yu KP. Roxadustat for CKD-related Anemia in Non-dialysis Patients. Kidney Int Rep. 2020 Dec 5;6(3):624-635. doi: 10.1016/j.ekir.2020.11.034. eCollection 2021 Mar.
Results Reference
derived

Learn more about this trial

A Study of Roxadustat for the Treatment of Anemia in Participants With Chronic Kidney Disease and Not Receiving Dialysis

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