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Long-term Pre-dialysis Extension in Europe and Asia Pacific (DIALOGUE 3)

Primary Purpose

Anemia, Renal Insufficiency, Chronic

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Molidustat (BAY85-3934)
Darbepoetin
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anemia focused on measuring Anemia on CKD

Eligibility Criteria

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

Inclusion Criteria:

  • Men who agree to use adequate contraception when sexually active or women without childbearing potential
  • Not on dialysis at study entry
  • Serum ferritin levels ≥ 100 μg/L and < 1000 μg/L or transferrin saturation ≥ 20%
  • Inclusion criteria for inclusion into the Hb Stabilization (HbS) Phase: Requires Hb stabilization (at 10.0 to 12..0g/dL for a minimum of 4 weeks) as follows: Received BAY 85-3934 and reached a stopping event in Study 15141 or received placebo and reached a stopping event in Study 15141 or completed 16 weeks of treatment with BAY 85-3934 in Study 15141or 15261 but had mean Hb during the evaluation period outside the target range of 10.0 to 12.0 g/dL, or Completed 16 weeks of treatment with placebo in Study 15141 and was re-assessed at 4 weeks after end of study as eligible for Study 15653 (this study)
  • Inclusion criteria for inclusion into the Main Phase: Mean Hb concentration of 10.0 to 12.0 g/dL who completed 16 weeks of treatment (BAY85-3934 arm) in Study 15141, or completed 16 weeks of treatment (BAY-3934 or darbepoetin arm)in study 15261 without a dose suspension lasting > 6 consecutive weeks, or mean Hb concentration of 10.0 to 12.0g/dL during the HbS phase of Study 15653 for a minimum of 4 weeks after visit 3.

Exclusion Criteria:

  • A scheduled kidney transplant or any other organ transplant within the next 6 months (being on a waiting list does not exclude the subject)
  • Red blood cell (RBC) containing transfusion within the 8 weeks before baseline
  • Phosphodiesterase type 5 (PDE5) inhibitor (e.g., sildenafil, vardenafil, tadalafil) or nitrates
  • Sustained, poorly controlled arterial hypertension or hypotension at baseline, defined as blood pressure ≥ 180/110 mmHg or systolic blood pressure < 95 mmHg, respectively
  • Severe rhythm or conduction disorders (e.g., heart rate [HR] < 50 or > 110 bpm, atrial flutter, prolonged QT > 500 msec, second or third degree atrioventricular [AV] block), if not reacted with a pace marker)
  • New York Heart Association Class III or IV congestive heart failure
  • Severe hepatic insufficiency (defined as alanine aminotransferase [ALT], aspartate aminotransferase [AST]>3x the upper limit of normal [ULN], total bilirubin > 2 mg/dL, or Child Pugh B or C) or active hepatitis, in the investigator's opinion
  • An ongoing serious adverse event (SAE) from Study 15141 or Study 15261 that is assessed as related to study drug

Sites / Locations

  • Ankara Univ. Medical Faculty
  • Baskent University Medical Faculty
  • Sifa University Medical Faculty

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

BAY85-3934

Darbepoetin

Arm Description

Outcomes

Primary Outcome Measures

Change in local laboratory hemoglobin level from baseline
Number of participants with serious adverse events (SAEs) and adjucated adverse events as a measure of safety and tolerability
Number of participants with liver function-related AEs including abnormal liver function tests and any hospitalization

Secondary Outcome Measures

Time within hemoglobin target range (10.0 to 12.0 g/dL)
Duration of treatment exposure
Number of subjects requiring titration of dose
Change of reticulocyte count from baseline of this study
Change of red blood cell count from baseline of this study
Change of hematocrit from baseline of this study
Change of central laboratory hemoglobin level from baseline of this study
Responders in Hb levels
Number of subjects meeting specific Hb criteria
Number of subjects with Hb values >13 g/dL or having excessive Hb increase
Number of participants with non-serious adverse events
Change in heart rate (HR)
Change in blood pressure (BP)
Laboratory abnormalities

Full Information

First Posted
February 4, 2014
Last Updated
November 21, 2017
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT02055482
Brief Title
Long-term Pre-dialysis Extension in Europe and Asia Pacific
Acronym
DIALOGUE 3
Official Title
A Controlled, Parallel Group, Open-label, Multicenter Extension Study to Investigate Efficacy and Safety of Oral BAY85-3934 and Darbepoetin Alfa Comparator in the Long Term Treatment of Anemia in Pre-dialysis Subjects With Chronic Kidney Disease in Europe and Asia Pacific
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
June 24, 2014 (Actual)
Primary Completion Date
November 15, 2016 (Actual)
Study Completion Date
December 12, 2016 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
Anaemia is a condition in which blood has a lower than normal number of red blood cells. It can also occur if red blood cells do not contain enough haemoglobin, an oxygen carrying part of blood. Anaemia is common in patients with chronic kidney disease. Healthy kidneys produce a hormone called erythropoietin, which stimulates the bone marrow to produce the proper number of red blood cells needed to carry oxygen to vital organs. Chronic kidney disease is a general term that means that the kidneys are not functioning to their full potential. The study drug, BAY85-3934, is being evaluated as a drug to increase the body's ability to produce erythropoietin. The purpose of this extension study is to find out if the study drug, a tablet taken orally, is safe and effective for the treatment of anaemia associated with chronic kidney disease. The extension study will enroll up to 240 patients at multiple locations in Europe, Asia and Australia. Patients who participated in Studies 15141 or 15261 may be eligible to take part in the extension study. The study consists of the Haemoglobin (Hb) Stabilisation Phase and the Main Phase. The Hb Stabilisation Phase involves up to 10 study visits scheduled over 16 weeks. The Main Phase will last for at least 6 months and up to a maximum of 36 months, with visits every 4 weeks. During these scheduled visits patients will undergo a number of procedures to confirm efficacy and safety of the study drug, including measurement of heart rate and blood pressure, physical examination, Electrocardiogram and blood/urine sample collection for laboratory tests. The study will be conducted at 5 hospitals in the UK. Bayer HealthCare AG is funding this research. This study will include subjects who either completed the treatment period in their respective Phase 2 parent study (i.e., Study 15141 or Study 15261) or experienced a stopping event in the fixed dose parent study (Study 15141). As Study 15141 is a double-blind study, subjects will be unblinded as per the Study 15141 protocol prior to entry into the extension study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anemia, Renal Insufficiency, Chronic
Keywords
Anemia on CKD

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
166 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BAY85-3934
Arm Type
Experimental
Arm Title
Darbepoetin
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Molidustat (BAY85-3934)
Intervention Description
BAY85-3934 will be titrated at the scheduled dose control visits to maintain the Hb in the target range of 10.0 to 12.0 g/dL. Available doses include 15, 25, 50, 75, 100, and 150 mg/day OD. Treatment will be for minimum of 6 months to up to a maximum of 36 months.
Intervention Type
Biological
Intervention Name(s)
Darbepoetin
Intervention Description
Darbepoetin will be administered according to the local label and titrated at the scheduled dose by intravenous injection. Treatment will be for a minimum of 6 months to up to a maximum of 36 months.
Primary Outcome Measure Information:
Title
Change in local laboratory hemoglobin level from baseline
Time Frame
Baseline up to 36 months
Title
Number of participants with serious adverse events (SAEs) and adjucated adverse events as a measure of safety and tolerability
Time Frame
Up to 36 months
Title
Number of participants with liver function-related AEs including abnormal liver function tests and any hospitalization
Time Frame
Up to 36 months
Secondary Outcome Measure Information:
Title
Time within hemoglobin target range (10.0 to 12.0 g/dL)
Time Frame
Up to 36 months
Title
Duration of treatment exposure
Time Frame
Up to 36 months
Title
Number of subjects requiring titration of dose
Time Frame
Up to 36 months
Title
Change of reticulocyte count from baseline of this study
Time Frame
Baseline up to 36 months
Title
Change of red blood cell count from baseline of this study
Time Frame
Baseline up to 36 months
Title
Change of hematocrit from baseline of this study
Time Frame
Baseline up to 36 months
Title
Change of central laboratory hemoglobin level from baseline of this study
Time Frame
Baseline up to 36 months
Title
Responders in Hb levels
Time Frame
Up to 36 months
Title
Number of subjects meeting specific Hb criteria
Time Frame
Baseline up to 36 months
Title
Number of subjects with Hb values >13 g/dL or having excessive Hb increase
Time Frame
Baseline up to 36 months
Title
Number of participants with non-serious adverse events
Time Frame
Up to 36 months
Title
Change in heart rate (HR)
Time Frame
Up to 36 months
Title
Change in blood pressure (BP)
Time Frame
Up to 36 months
Title
Laboratory abnormalities
Time Frame
Up to 36 months
Other Pre-specified Outcome Measures:
Title
Change of reticulocyte count from baseline of study 15141 or 15261
Time Frame
Baseline up to 36 months
Title
Change of red blood cell count from baseline of study 15141 or 15261
Time Frame
Baseline up to 36 months
Title
Change of hematocrit from baseline of study 15141 or 15261
Time Frame
Baseline up to 36 months
Title
Change of central laboratory hemoglobin level from baseline of study 15141 or 15261
Time Frame
Baseline up to 36 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men who agree to use adequate contraception when sexually active or women without childbearing potential Not on dialysis at study entry Serum ferritin levels ≥ 100 μg/L and < 1000 μg/L or transferrin saturation ≥ 20% Inclusion criteria for inclusion into the Hb Stabilization (HbS) Phase: Requires Hb stabilization (at 10.0 to 12..0g/dL for a minimum of 4 weeks) as follows: Received BAY 85-3934 and reached a stopping event in Study 15141 or received placebo and reached a stopping event in Study 15141 or completed 16 weeks of treatment with BAY 85-3934 in Study 15141or 15261 but had mean Hb during the evaluation period outside the target range of 10.0 to 12.0 g/dL, or Completed 16 weeks of treatment with placebo in Study 15141 and was re-assessed at 4 weeks after end of study as eligible for Study 15653 (this study) Inclusion criteria for inclusion into the Main Phase: Mean Hb concentration of 10.0 to 12.0 g/dL who completed 16 weeks of treatment (BAY85-3934 arm) in Study 15141, or completed 16 weeks of treatment (BAY-3934 or darbepoetin arm)in study 15261 without a dose suspension lasting > 6 consecutive weeks, or mean Hb concentration of 10.0 to 12.0g/dL during the HbS phase of Study 15653 for a minimum of 4 weeks after visit 3. Exclusion Criteria: A scheduled kidney transplant or any other organ transplant within the next 6 months (being on a waiting list does not exclude the subject) Red blood cell (RBC) containing transfusion within the 8 weeks before baseline Phosphodiesterase type 5 (PDE5) inhibitor (e.g., sildenafil, vardenafil, tadalafil) or nitrates Sustained, poorly controlled arterial hypertension or hypotension at baseline, defined as blood pressure ≥ 180/110 mmHg or systolic blood pressure < 95 mmHg, respectively Severe rhythm or conduction disorders (e.g., heart rate [HR] < 50 or > 110 bpm, atrial flutter, prolonged QT > 500 msec, second or third degree atrioventricular [AV] block), if not reacted with a pace marker) New York Heart Association Class III or IV congestive heart failure Severe hepatic insufficiency (defined as alanine aminotransferase [ALT], aspartate aminotransferase [AST]>3x the upper limit of normal [ULN], total bilirubin > 2 mg/dL, or Child Pugh B or C) or active hepatitis, in the investigator's opinion An ongoing serious adverse event (SAE) from Study 15141 or Study 15261 that is assessed as related to study drug
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
City
Gosford
State/Province
New South Wales
ZIP/Postal Code
2250
Country
Australia
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3052
Country
Australia
City
Reservoir
ZIP/Postal Code
3073
Country
Australia
City
Burgas
ZIP/Postal Code
8000
Country
Bulgaria
City
Dobrich
ZIP/Postal Code
9300
Country
Bulgaria
City
Gabrovo
ZIP/Postal Code
5300
Country
Bulgaria
City
Karlovo
ZIP/Postal Code
4300
Country
Bulgaria
City
Lovech
ZIP/Postal Code
5500
Country
Bulgaria
City
Montana
ZIP/Postal Code
3400
Country
Bulgaria
City
Pazardjik
ZIP/Postal Code
4400
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1309
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1527
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1872
Country
Bulgaria
City
Stara Zagora
ZIP/Postal Code
6000
Country
Bulgaria
City
Veliko Tarnovo
ZIP/Postal Code
5000
Country
Bulgaria
City
Brest Cedex
ZIP/Postal Code
29609
Country
France
City
Grenoble Cedex 9
ZIP/Postal Code
38043
Country
France
City
Limoges Cedex1
ZIP/Postal Code
87042
Country
France
City
Pierre Benite Cedex
ZIP/Postal Code
69495
Country
France
City
Valenciennes
ZIP/Postal Code
59300
Country
France
City
Pirmasens
State/Province
Baden-Württemberg
ZIP/Postal Code
66953
Country
Germany
City
Villingen-Schwenningen
State/Province
Baden-Württemberg
ZIP/Postal Code
78052
Country
Germany
City
Bonn
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
53127
Country
Germany
City
Düsseldorf
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
40210
Country
Germany
City
Halle (Saale)
State/Province
Sachsen-Anhalt
ZIP/Postal Code
06097
Country
Germany
City
Berlin
ZIP/Postal Code
12053
Country
Germany
City
Wuppertal
ZIP/Postal Code
42283
Country
Germany
City
Baja
ZIP/Postal Code
6500
Country
Hungary
City
Budapest
ZIP/Postal Code
1036
Country
Hungary
City
Debrecen
ZIP/Postal Code
4032
Country
Hungary
City
Esztergom
ZIP/Postal Code
2500
Country
Hungary
City
Kaposvar
ZIP/Postal Code
7400
Country
Hungary
City
Pecs
ZIP/Postal Code
7624
Country
Hungary
City
Szigetvar
ZIP/Postal Code
7900
Country
Hungary
City
Ashkelon
ZIP/Postal Code
7827804
Country
Israel
City
Hadera
ZIP/Postal Code
3810101
Country
Israel
City
Jerusalem
ZIP/Postal Code
9112001
Country
Israel
City
Kfar Saba
ZIP/Postal Code
4428164
Country
Israel
City
Nahariya
ZIP/Postal Code
2210001
Country
Israel
City
Chieti
State/Province
Abruzzo
ZIP/Postal Code
66013
Country
Italy
City
Napoli
State/Province
Campania
ZIP/Postal Code
80138
Country
Italy
City
Modena
State/Province
Emilia-Romagna
ZIP/Postal Code
41100
Country
Italy
City
Brescia
State/Province
Lombardia
ZIP/Postal Code
25123
Country
Italy
City
Cremona
State/Province
Lombardia
ZIP/Postal Code
26100
Country
Italy
City
Lecco
State/Province
Lombardia
ZIP/Postal Code
23900
Country
Italy
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20132
Country
Italy
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20162
Country
Italy
City
Pavia
State/Province
Lombardia
ZIP/Postal Code
27100
Country
Italy
City
Livorno
State/Province
Toscana
ZIP/Postal Code
57023
Country
Italy
City
Kitakyushu
State/Province
Fukuoka
ZIP/Postal Code
802-8555
Country
Japan
City
Okawa
State/Province
Fukuoka
ZIP/Postal Code
831-0016
Country
Japan
City
Muroran
State/Province
Hokkaido
ZIP/Postal Code
050-0083
Country
Japan
City
Hakusan
State/Province
Ishikawa
ZIP/Postal Code
924-8588
Country
Japan
City
Morioka
State/Province
Iwate
ZIP/Postal Code
020-0066
Country
Japan
City
Fujisawa
State/Province
Kanagawa
ZIP/Postal Code
251-8550
Country
Japan
City
Kamakura
State/Province
Kanagawa
ZIP/Postal Code
247-8533
Country
Japan
City
Kuwana
State/Province
Mie
ZIP/Postal Code
511-0061
Country
Japan
City
Chiba
ZIP/Postal Code
260-8712
Country
Japan
City
Fukuoka
ZIP/Postal Code
810-8563
Country
Japan
City
Nagano
ZIP/Postal Code
388-8004
Country
Japan
City
Nara
ZIP/Postal Code
631-0846
Country
Japan
City
Bucheon-si
State/Province
Gyeonggido
ZIP/Postal Code
420-767
Country
Korea, Republic of
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
City
Seoul
ZIP/Postal Code
156-707
Country
Korea, Republic of
City
Seoul
ZIP/Postal Code
156-755
Country
Korea, Republic of
City
Bialystok
ZIP/Postal Code
15-540
Country
Poland
City
Poznan
ZIP/Postal Code
61-858
Country
Poland
City
Radom
ZIP/Postal Code
26-610
Country
Poland
City
Szczecin
ZIP/Postal Code
70-111
Country
Poland
City
Zyrardow
ZIP/Postal Code
96-300
Country
Poland
City
Brasov
ZIP/Postal Code
500152
Country
Romania
City
Bucharest
ZIP/Postal Code
010731
Country
Romania
City
Bucharest
ZIP/Postal Code
020475
Country
Romania
City
Bucharest
ZIP/Postal Code
050098
Country
Romania
City
Constanta
ZIP/Postal Code
900591
Country
Romania
City
Oradea
ZIP/Postal Code
410469
Country
Romania
City
Targu-Mures
ZIP/Postal Code
540103
Country
Romania
City
Santiago de Compostela
State/Province
A Coruña
ZIP/Postal Code
15706
Country
Spain
City
L'Hospitalet de Llobregat
State/Province
Barcelona
ZIP/Postal Code
08907
Country
Spain
City
San Sebastián de los Reyes
State/Province
Madrid
ZIP/Postal Code
28702
Country
Spain
City
Alicante
ZIP/Postal Code
03010
Country
Spain
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
City
Córdoba
ZIP/Postal Code
14004
Country
Spain
City
Madrid
ZIP/Postal Code
28007
Country
Spain
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Facility Name
Ankara Univ. Medical Faculty
City
Ankara
ZIP/Postal Code
06100
Country
Turkey
Facility Name
Baskent University Medical Faculty
City
Ankara
ZIP/Postal Code
06490
Country
Turkey
Facility Name
Sifa University Medical Faculty
City
Izmir
ZIP/Postal Code
03540
Country
Turkey
City
Reading
State/Province
Berkshire
ZIP/Postal Code
RG2 0TG
Country
United Kingdom
City
Cambridge
State/Province
Cambridgeshire
ZIP/Postal Code
CB2 0QQ
Country
United Kingdom
City
Dundee
State/Province
Dundee City
ZIP/Postal Code
DD1 9SY
Country
United Kingdom
City
Brighton
State/Province
East Sussex
ZIP/Postal Code
BN2 5BE
Country
United Kingdom
City
Salford
State/Province
Manchester
ZIP/Postal Code
M5 5AP
Country
United Kingdom
City
Hexham
State/Province
Northumberland
ZIP/Postal Code
NE46 1QJ
Country
United Kingdom
City
Doncaster
State/Province
South Yorkshire
ZIP/Postal Code
DN2 5LT
Country
United Kingdom
City
Leeds
State/Province
West Yorkshire
ZIP/Postal Code
WF3 4PX
Country
United Kingdom
City
Chorley
ZIP/Postal Code
PR7 7NA
Country
United Kingdom
City
Glasgow
ZIP/Postal Code
G20 OSP
Country
United Kingdom
City
Liverpool
ZIP/Postal Code
L22 0LG
Country
United Kingdom
City
Liverpool
ZIP/Postal Code
L7 8XP
Country
United Kingdom
City
London
ZIP/Postal Code
SE5 9RS
Country
United Kingdom
City
London
Country
United Kingdom
City
Manchester
ZIP/Postal Code
M15 6SX
Country
United Kingdom

12. IPD Sharing Statement

Links:
URL
http://www.clinicaltrialsregister.eu/
Description
Click here to find information about studies related to Bayer Healthcare products conducted in Europe.

Learn more about this trial

Long-term Pre-dialysis Extension in Europe and Asia Pacific

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