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A Study of PEG-EPO Injection (CHO Cells) for Maintenance Therapy of Patients With Renal Anemia .

Primary Purpose

Renal Anemia

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Recombinant human erythropoietin injection
Human erythropoietin injection
Sponsored by
Angde Biotech Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Anemia focused on measuring PEG-EPO

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male and female patients at the age of 18~75 (including critical value). Patients clinically diagnosed with renal anemia who have received dialysis for at least 12 weeks (hemodialysis≥3 times/week, total urea clearance index (Kt/V) ≥1.2 or urea reduction rate (URR) ≥65%; peritoneal dialysis≥4 times/day, weekly Kt/V≥1.7); Hb in screening period should be within the range of 100~130g/L (including both ends), and the deviation should not exceed 10g/L; Iron status (TSAT ≥20% or SF ferritin ≥100μg/L) during screening. Have been stably treated with short-acting EPO 1-3 times per week for at least 12 weeks before baseline; Consent to use reliable contraceptive methods and no family planning from the screening period to 3 months after the last administration; Voluntarily participate in the trial and sign the informed consent form. Exclusion Criteria: Patients with a history of severe allergies (including drug allergies), especially allergic to erythropoietin, or to any component of the test drug (e.g. polyethylene glycol); Have a history of kidney transplantation or plan to undergo kidney transplantation during the trial; Have any other disease that causes chronic anemia (e.g., sickle cell anemia, myelodysplastic syndrome, hematologic malignancy, myeloma, hemolytic anemia, pure red cell aplastic anemia) or PRCA following therapy of erythropoietin protein; Suffered from acute or chronic blood loss (such as gastrointestinal bleeding) or undergwent surgical procedures due to massive bleeding within 3 months before screening, or plan to have a surgery during the clinical trial (except for arteriovenous fistula or peritoneal dialysis tube adjustment); Have a history of malignant tumors within the past 5 years (excluding non-melanoma skin cancer or excised carcinoma in situ); Suffer from autoimmune diseases (such as rheumatoid arthritis or systemic lupus erythematosus) or diseases of endocrine system (such as poorly controlled diabetes mellitus complicated with peripheral vascular diseases, severe secondary hyperparathyroidism [parathyroid hormone > 800ng/L]); Received systemic antibiotic treatment or C-reactive protein ≥30mg/L within 4 weeks due to severe infection before screening; The following conditions occur during screening period: Hepatic dysfunction (AST or ALT>3 times ULN); Coagulation dysfunction (activated partial thrombin time > 1.5 times ULN); Folic acid or vitamin B12 deficiency (serum folic acid level <LLN, vitamin B12 <LLN); Positive for HBsAg, HBcAb, HIV-ABb, HCV-AbB or TP-Ab; Suffer from severe thromboembolic disease, poorly controlled severe hypertension (SBP before dialysis > 170mmHg or DBP ≥100mmHg) or hypotension (SBP before dialysis <90mmHg); Suffer from severe cardiovascular and cerebrovascular disease, severe or unstable coronary artery disease, heart failure (NYHA CLASS III or IV), or those who received coronary artery bypass grafting or percutaneous coronary intervention within 6 months, or those who had a history of myocardial infarction or stroke within 3 months; Received androgen therapy or blood transfusion within 8 weeks before screening period; Received long-acting ESAs within 3 months or HIF-PHI (e.g., rosalat) within 2 weeks before initial administration; Participated in other clinical trials as a subject within 4 weeks before screening period or the duration from the last administration to enrollment was shorter than the 5 half-lives of the drug; Have a history of epileptic seizures or mental illness; Alcoholism, drug abuse or drug addiction Pregnant or breastfeeding; Investigator considers not suitable to enter this trial.

Sites / Locations

  • The First Affiliated Hospitial,College of Medicine,Zhejiang UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Active Comparator

Arm Label

A1

B1

A2

B2

C

Arm Description

Recombinant human erythropoietin injection; Weekly dose of short-acting EPO (IU/kg)* 0.004 (conversion coefficient), Q2W for administration.

Recombinant human erythropoietin injection; Weekly dose of short-acting EPO (IU/kg)* 0.008 (conversion coefficient), Q2W for administration.

Recombinant human erythropoietin injection; Weekly dose of short-acting EPO (IU/kg)* 0.004 (conversion coefficient), Q4W for administration.

Recombinant human erythropoietin injection; Weekly dose of short-acting EPO (IU/kg)* 0.008 (conversion coefficient), Q4W for administration.

Human erythropoietin injection;Refer to the product instructions.

Outcomes

Primary Outcome Measures

Change of mean hemoglobin compared to baseline during fixed treatment
Change of mean hemoglobin (Hb) content from baseline during fixed treatment (fixed treatment:week 1 to week 6)
Change of mean hemoglobin during dose adjustment period
Change of mean hemoglobin compared to baseline from week 13 to 18 during dose adjustment period (dose adjustment period: week 7 to week 18/week 20).

Secondary Outcome Measures

Proportion of patients with hemoglobin keeping within the target range
Proportion of patients with hemoglobin keeping within the target range (target range: the variation from baseline Hb is within ±10g/L, and HB is in the range of 100-130g/L) during treatment period (fixed treatment, week 13 to 18 during dose adjustment period).
Reticulocyte count, Hematocrit, Erythrocyte count
Changes of mean values of other evaluation indexes (including HCT, RET, RBC) between baseline and different stages of treatment (fixed treatment period, week 13 to 18 of dose adjustment period).
Proportion of patients receiving red blood cell transfusion and number of transfusions during the trial.
Number of iron deficiency, number of patients and proportion of patients with iron deficiency during the trial
Iron deficiency was defined as SF≤100μg/L and TSAT≤20% in peritoneal dialysis subjects; SF≤200μg/L and TSAT≤20% in hemodialysis subjects.
The number and proportion of patients with dose adjustments during the trial
Anti-drug antibody
The incidence of ADA and Nab
Adverse events
Any adverse event that occurred during the clinical trials of all patients.
Cmax
Maximum observed plasma concentration of EPO.
Tmax
Time to maximum observed plasma concentration of EPO.
AUC 0-t
Area under the plasma concentration-time curve from time 0 to the time of the last measurable concentration of EPO.
AUC 0-∞
Area under the plasma concentration-time curve from time 0 to infinity.
Emax
Maximal effect concentriation
Tmax of Emax
Time to maximal effect concentriation
AUE0-t
Area under the plasma effect-concentriation curve from time 0 to the time of the last measurable concentration of EPO.

Full Information

First Posted
June 27, 2022
Last Updated
November 17, 2022
Sponsor
Angde Biotech Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05629598
Brief Title
A Study of PEG-EPO Injection (CHO Cells) for Maintenance Therapy of Patients With Renal Anemia .
Official Title
A Phase Ⅱ Clinical Study on the Efficacy, Safety, Pharmacokinetics and Pharmacodynamics of Polyethylene Glycol Recombinant Human Erythropoietin Injection (CHO Cell) in Optimal Dose and Administration Regimen for Maintenance Therapy in Patients With Regular Dialysis Renal Anemia.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 13, 2022 (Actual)
Primary Completion Date
March 17, 2023 (Anticipated)
Study Completion Date
August 16, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Angde Biotech Pharmaceutical Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of the study is to explore the optimal dose and administration of the experimental drug, and to evaluate the safety and efficacy of the drug in patients with renal anemia. Patients with renal anemia on regular dialysis treatment are expected to be enrolled in this study.
Detailed Description
This study is a multi-center, randomized, open-label, positive controlled phase II clinical study. A total of 125 to 150 patients with renal anemia receiving regular dialysis were enrolled in this study. Those patients were randomly allocated to 5 treatment groups in a ratio of 1:1:1:1:1, with 25 to 30 patients in each group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Anemia
Keywords
PEG-EPO

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
A1
Arm Type
Experimental
Arm Description
Recombinant human erythropoietin injection; Weekly dose of short-acting EPO (IU/kg)* 0.004 (conversion coefficient), Q2W for administration.
Arm Title
B1
Arm Type
Experimental
Arm Description
Recombinant human erythropoietin injection; Weekly dose of short-acting EPO (IU/kg)* 0.008 (conversion coefficient), Q2W for administration.
Arm Title
A2
Arm Type
Experimental
Arm Description
Recombinant human erythropoietin injection; Weekly dose of short-acting EPO (IU/kg)* 0.004 (conversion coefficient), Q4W for administration.
Arm Title
B2
Arm Type
Experimental
Arm Description
Recombinant human erythropoietin injection; Weekly dose of short-acting EPO (IU/kg)* 0.008 (conversion coefficient), Q4W for administration.
Arm Title
C
Arm Type
Active Comparator
Arm Description
Human erythropoietin injection;Refer to the product instructions.
Intervention Type
Biological
Intervention Name(s)
Recombinant human erythropoietin injection
Intervention Description
The dose of PEG-EPO (CHO cells) is converted according to the average weekly dose of short-acting EPO before randomization (4 weeks before randomization) multiplied by the corresponding conversion coefficient (low conversion coefficient is 0.004, High conversion coefficient is 0.008).
Intervention Type
Biological
Intervention Name(s)
Human erythropoietin injection
Intervention Description
Refer to the product instructions
Primary Outcome Measure Information:
Title
Change of mean hemoglobin compared to baseline during fixed treatment
Description
Change of mean hemoglobin (Hb) content from baseline during fixed treatment (fixed treatment:week 1 to week 6)
Time Frame
Day1-Day42
Title
Change of mean hemoglobin during dose adjustment period
Description
Change of mean hemoglobin compared to baseline from week 13 to 18 during dose adjustment period (dose adjustment period: week 7 to week 18/week 20).
Time Frame
Day85-Day126
Secondary Outcome Measure Information:
Title
Proportion of patients with hemoglobin keeping within the target range
Description
Proportion of patients with hemoglobin keeping within the target range (target range: the variation from baseline Hb is within ±10g/L, and HB is in the range of 100-130g/L) during treatment period (fixed treatment, week 13 to 18 during dose adjustment period).
Time Frame
Day1-Day42、Day85-Day126
Title
Reticulocyte count, Hematocrit, Erythrocyte count
Description
Changes of mean values of other evaluation indexes (including HCT, RET, RBC) between baseline and different stages of treatment (fixed treatment period, week 13 to 18 of dose adjustment period).
Time Frame
Day1-Day42、Day85-Day126
Title
Proportion of patients receiving red blood cell transfusion and number of transfusions during the trial.
Time Frame
Day1-Day126/140
Title
Number of iron deficiency, number of patients and proportion of patients with iron deficiency during the trial
Description
Iron deficiency was defined as SF≤100μg/L and TSAT≤20% in peritoneal dialysis subjects; SF≤200μg/L and TSAT≤20% in hemodialysis subjects.
Time Frame
Day1-Day126/140
Title
The number and proportion of patients with dose adjustments during the trial
Time Frame
Day1-Day126/140
Title
Anti-drug antibody
Description
The incidence of ADA and Nab
Time Frame
1,5, 9, 13, 17 weeks (before administration) and 28±2 days after the last administration (A2/B2group ,A1/B1 patients with intensive blood collection) or 14±2 days after the last administration (A1/B1 patients with sparse blood collection)
Title
Adverse events
Description
Any adverse event that occurred during the clinical trials of all patients.
Time Frame
Day1-Day126/140
Title
Cmax
Description
Maximum observed plasma concentration of EPO.
Time Frame
Day1-Day126/140
Title
Tmax
Description
Time to maximum observed plasma concentration of EPO.
Time Frame
Day1-Day126/140
Title
AUC 0-t
Description
Area under the plasma concentration-time curve from time 0 to the time of the last measurable concentration of EPO.
Time Frame
Day1-Day126/140
Title
AUC 0-∞
Description
Area under the plasma concentration-time curve from time 0 to infinity.
Time Frame
Day1-Day126/140
Title
Emax
Description
Maximal effect concentriation
Time Frame
Day1-Day126/140
Title
Tmax of Emax
Description
Time to maximal effect concentriation
Time Frame
Day1-Day126/140
Title
AUE0-t
Description
Area under the plasma effect-concentriation curve from time 0 to the time of the last measurable concentration of EPO.
Time Frame
Day1-Day126/140

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female patients at the age of 18~75 (including critical value). Patients clinically diagnosed with renal anemia who have received dialysis for at least 12 weeks (hemodialysis≥3 times/week, total urea clearance index (Kt/V) ≥1.2 or urea reduction rate (URR) ≥65%; peritoneal dialysis≥4 times/day, weekly Kt/V≥1.7); Hb in screening period should be within the range of 100~130g/L (including both ends), and the deviation should not exceed 10g/L; Iron status (TSAT ≥20% or SF ferritin ≥100μg/L) during screening. Have been stably treated with short-acting EPO 1-3 times per week for at least 12 weeks before baseline; Consent to use reliable contraceptive methods and no family planning from the screening period to 3 months after the last administration; Voluntarily participate in the trial and sign the informed consent form. Exclusion Criteria: Patients with a history of severe allergies (including drug allergies), especially allergic to erythropoietin, or to any component of the test drug (e.g. polyethylene glycol); Have a history of kidney transplantation or plan to undergo kidney transplantation during the trial; Have any other disease that causes chronic anemia (e.g., sickle cell anemia, myelodysplastic syndrome, hematologic malignancy, myeloma, hemolytic anemia, pure red cell aplastic anemia) or PRCA following therapy of erythropoietin protein; Suffered from acute or chronic blood loss (such as gastrointestinal bleeding) or undergwent surgical procedures due to massive bleeding within 3 months before screening, or plan to have a surgery during the clinical trial (except for arteriovenous fistula or peritoneal dialysis tube adjustment); Have a history of malignant tumors within the past 5 years (excluding non-melanoma skin cancer or excised carcinoma in situ); Suffer from autoimmune diseases (such as rheumatoid arthritis or systemic lupus erythematosus) or diseases of endocrine system (such as poorly controlled diabetes mellitus complicated with peripheral vascular diseases, severe secondary hyperparathyroidism [parathyroid hormone > 800ng/L]); Received systemic antibiotic treatment or C-reactive protein ≥30mg/L within 4 weeks due to severe infection before screening; The following conditions occur during screening period: Hepatic dysfunction (AST or ALT>3 times ULN); Coagulation dysfunction (activated partial thrombin time > 1.5 times ULN); Folic acid or vitamin B12 deficiency (serum folic acid level <LLN, vitamin B12 <LLN); Positive for HBsAg, HBcAb, HIV-ABb, HCV-AbB or TP-Ab; Suffer from severe thromboembolic disease, poorly controlled severe hypertension (SBP before dialysis > 170mmHg or DBP ≥100mmHg) or hypotension (SBP before dialysis <90mmHg); Suffer from severe cardiovascular and cerebrovascular disease, severe or unstable coronary artery disease, heart failure (NYHA CLASS III or IV), or those who received coronary artery bypass grafting or percutaneous coronary intervention within 6 months, or those who had a history of myocardial infarction or stroke within 3 months; Received androgen therapy or blood transfusion within 8 weeks before screening period; Received long-acting ESAs within 3 months or HIF-PHI (e.g., rosalat) within 2 weeks before initial administration; Participated in other clinical trials as a subject within 4 weeks before screening period or the duration from the last administration to enrollment was shorter than the 5 half-lives of the drug; Have a history of epileptic seizures or mental illness; Alcoholism, drug abuse or drug addiction Pregnant or breastfeeding; Investigator considers not suitable to enter this trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jianghua Chen, Master
Phone
0571-87236996
Email
zyct79@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Xiaoying Du, Master
Phone
0571-87236996
Email
zyct79@163.com
Facility Information:
Facility Name
The First Affiliated Hospitial,College of Medicine,Zhejiang University
City
Hanzhou
State/Province
Zhejiang
ZIP/Postal Code
310003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jianghua Chen, Master
Phone
0571-87236996
Email
zyct79@163.com
First Name & Middle Initial & Last Name & Degree
Xiaoying Du, Master
Phone
0571-87236996
Email
zyct79@163.com

12. IPD Sharing Statement

Learn more about this trial

A Study of PEG-EPO Injection (CHO Cells) for Maintenance Therapy of Patients With Renal Anemia .

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