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A Study of Subcutaneous Mircera for the Treatment of Anemia in Dialysis Patients.

Primary Purpose

Anemia

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
epoetin alfa or beta
methoxy polyethylene glycol-epoetin beta (Mircera)
methoxy polyethylene glycol-epoetin beta (Mircera)
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anemia

Eligibility Criteria

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

Inclusion Criteria: adult patients >=18 years of age; chronic renal anemia; on dialysis therapy for at least 12 weeks before screening; receiving sc epoetin for at least 8 weeks before screening. Exclusion Criteria: women who are pregnant, breastfeeding or using unreliable birth control methods; administration of another investigational drug within 4 weeks before screening, or during the study period.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

RO0503821 (1x/2 Weeks)

RO0503821 (1x/4 Weeks)

Epoetin Reference

Arm Description

Eligible participants received RO0503821 (Mircera [methoxy polyethylene glycol-epoetin beta]) subcutaneously, once every two weeks for 52 weeks. Participants received a starting dose of RO0503821 60, 100, or 180 microgram (mcg) which was based on the epoetin dose of<8000, 8000-16000, or >16000 international units (IU)/week, administered during the week preceding the switch to the study drug.

Eligible participants received RO0503821 subcutaneously, once every four weeks for 52 weeks. Participants received a starting dose of RO0503821 120, 200, or 360 mcg which was based on the epoetin dose of<8000, 8000-16000, or >16000 IU/week administered during the week preceding the switch to the study drug.

Eligible participants received their ongoing weekly subcutaneous dose of epoetin alfa or beta one, two or three times weekly for 52 weeks .

Outcomes

Primary Outcome Measures

Mean Change in Hemoglobin Concentration From Baseline to Evaluation Periods
A time adjusted mean change in hemoglobin (Hb) concentration was calculated using an area under the curve (AUC) approach, for both periods separately. Change in Hb concentration between the baseline and evaluation periods was calculated by subtracting the calculated average baseline Hb value from the average evaluation period Hb value. All blood samples for Hb measurements were taken prior to study drug administration. Analysis used last observation carried forward (LOCF) for missing Hb values to correct for the impact of early dropouts. The baseline period is defined as Week -4 to Week -1. The evaluation period is defined as Week 29 to Week 36.

Secondary Outcome Measures

Number of Participants Maintaining Average Hb Concentration During the Evaluation Period Within +-1 g/dL of Their Average Baseline Hb Concentration
All mean Hb values recorded during the evaluation period were calculated and subtracted from the mean baseline Hb value for each participant. The number of participants maintaining their average Hb within +/- 1 g/dL of their average baseline hemoglobin concentration is given. The evaluation period is defined as Week 29 to Week 36.
Number of Participants With Red Blood Cell Transfusions
The number of participants who received RBC transfusions were reported.
Number of Participants With Any Adverse Events, Any Serious Adverse Events, and Deaths
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
Number of Participants With Marked Laboratory Abnormalities
A marked abnormality range was defined as above and/or below a value which was considered to be potentially clinically relevant. Marked laboratory abnormalities were analyzed according to the Roche specified limits for the reference range of the following laboratory parameters: White blood cells (WBC) (3.0- 18.0 10^9/L), platelets (100 - 550 10^9/L), alanine aminotransferase (ALAT) (0 - 110 units per liter [U/L]), alkaline phosphatase (ALP [0 - 220 U/L]), aspartate aminotransferase (ASAT) (0 - 80 U/L), albumin >= 30 g/L, phosphate (0.75 - 1.60 millimoles per liter [mmol/L]), potassium (2.9 - 5.8 mmol/L), glucose (2.80 - 11.10 mmol/L).
Change From Baseline in Systolic and Diastolic Blood Pressure - at Weeks 36 and 52 in Hemodialysis Participants
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) was measured in sitting position before and after dialysis session in haemodialysis participants.
Change From Baseline in Pulse Rate at Weeks 36 and 52 in Hemodialysis Participants
Pulse rate in beats per minute (BpM) was measured at each study visit, i.e., once a week during the dose titration and evaluation periods, once every two weeks during the long-term safety observation period and at the final visit. It was measured before blood sampling and RO0503821/epoetin administration and before the dialysis session in haemodialysis participants.
Change From Baseline in Systolic and Diastolic Blood Pressure at Weeks 36 and 52 in Peritoneal Dialysis Participants
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) was measured in sitting position before and after dialysis session in peritoneal dialysis participants.
Change From Baseline in Pulse Rate - Peritoneal Dialysis Participants
Pulse rate in BpM was measured at each study visit, i.e., once a week during the dose titration and evaluation periods, once every two weeks during the long-term safety observation period and at the final visit. It was measured before blood sampling and RO0503821/epoetin administration and before the dialysis session in peritoneal dialysis participants.

Full Information

First Posted
February 10, 2004
Last Updated
April 26, 2016
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT00077623
Brief Title
A Study of Subcutaneous Mircera for the Treatment of Anemia in Dialysis Patients.
Official Title
A Randomized, Controlled, Open-Label, Multi- Center, Parallel-Group Study to Demonstrate the Efficacy and Safety of RO0503821 When Administered Subcutaneously for the Maintenance Treatment of Anemia in Patients With Chronic Kidney Disease Who Are on Dialysis
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
March 2004 (undefined)
Primary Completion Date
September 2005 (Actual)
Study Completion Date
September 2005 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

5. Study Description

Brief Summary
This study will assess the efficacy and safety of subcutaneous (sc) Mircera given as maintenance treatment for renal anemia in chronic kidney disease patients on dialysis who were previously receiving sc epoetin. The anticipated time on study treatment is 1-2 years and the target sample size is 100-500 individuals.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
572 (Actual)

8. Arms, Groups, and Interventions

Arm Title
RO0503821 (1x/2 Weeks)
Arm Type
Experimental
Arm Description
Eligible participants received RO0503821 (Mircera [methoxy polyethylene glycol-epoetin beta]) subcutaneously, once every two weeks for 52 weeks. Participants received a starting dose of RO0503821 60, 100, or 180 microgram (mcg) which was based on the epoetin dose of<8000, 8000-16000, or >16000 international units (IU)/week, administered during the week preceding the switch to the study drug.
Arm Title
RO0503821 (1x/4 Weeks)
Arm Type
Experimental
Arm Description
Eligible participants received RO0503821 subcutaneously, once every four weeks for 52 weeks. Participants received a starting dose of RO0503821 120, 200, or 360 mcg which was based on the epoetin dose of<8000, 8000-16000, or >16000 IU/week administered during the week preceding the switch to the study drug.
Arm Title
Epoetin Reference
Arm Type
Active Comparator
Arm Description
Eligible participants received their ongoing weekly subcutaneous dose of epoetin alfa or beta one, two or three times weekly for 52 weeks .
Intervention Type
Drug
Intervention Name(s)
epoetin alfa or beta
Intervention Description
iv 3 times weekly, as prescribed
Intervention Type
Drug
Intervention Name(s)
methoxy polyethylene glycol-epoetin beta (Mircera)
Intervention Description
60, 100 or 180 micrograms sc (starting dose) every 2 weeks
Intervention Type
Drug
Intervention Name(s)
methoxy polyethylene glycol-epoetin beta (Mircera)
Intervention Description
60, 100 or 180 micrograms sc (starting dose) every 4 weeks
Primary Outcome Measure Information:
Title
Mean Change in Hemoglobin Concentration From Baseline to Evaluation Periods
Description
A time adjusted mean change in hemoglobin (Hb) concentration was calculated using an area under the curve (AUC) approach, for both periods separately. Change in Hb concentration between the baseline and evaluation periods was calculated by subtracting the calculated average baseline Hb value from the average evaluation period Hb value. All blood samples for Hb measurements were taken prior to study drug administration. Analysis used last observation carried forward (LOCF) for missing Hb values to correct for the impact of early dropouts. The baseline period is defined as Week -4 to Week -1. The evaluation period is defined as Week 29 to Week 36.
Time Frame
Baseline (Week -4 to Week -1) and Evaluation period (Week 29 to Week 36)
Secondary Outcome Measure Information:
Title
Number of Participants Maintaining Average Hb Concentration During the Evaluation Period Within +-1 g/dL of Their Average Baseline Hb Concentration
Description
All mean Hb values recorded during the evaluation period were calculated and subtracted from the mean baseline Hb value for each participant. The number of participants maintaining their average Hb within +/- 1 g/dL of their average baseline hemoglobin concentration is given. The evaluation period is defined as Week 29 to Week 36.
Time Frame
Evaluation period (Week 29 to Week 36)
Title
Number of Participants With Red Blood Cell Transfusions
Description
The number of participants who received RBC transfusions were reported.
Time Frame
Up to Week 36
Title
Number of Participants With Any Adverse Events, Any Serious Adverse Events, and Deaths
Description
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
Time Frame
Up to week 52
Title
Number of Participants With Marked Laboratory Abnormalities
Description
A marked abnormality range was defined as above and/or below a value which was considered to be potentially clinically relevant. Marked laboratory abnormalities were analyzed according to the Roche specified limits for the reference range of the following laboratory parameters: White blood cells (WBC) (3.0- 18.0 10^9/L), platelets (100 - 550 10^9/L), alanine aminotransferase (ALAT) (0 - 110 units per liter [U/L]), alkaline phosphatase (ALP [0 - 220 U/L]), aspartate aminotransferase (ASAT) (0 - 80 U/L), albumin >= 30 g/L, phosphate (0.75 - 1.60 millimoles per liter [mmol/L]), potassium (2.9 - 5.8 mmol/L), glucose (2.80 - 11.10 mmol/L).
Time Frame
Up to week 52
Title
Change From Baseline in Systolic and Diastolic Blood Pressure - at Weeks 36 and 52 in Hemodialysis Participants
Description
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) was measured in sitting position before and after dialysis session in haemodialysis participants.
Time Frame
From Baseline (Week -4 to Week -1) to Week 36 and Week 52
Title
Change From Baseline in Pulse Rate at Weeks 36 and 52 in Hemodialysis Participants
Description
Pulse rate in beats per minute (BpM) was measured at each study visit, i.e., once a week during the dose titration and evaluation periods, once every two weeks during the long-term safety observation period and at the final visit. It was measured before blood sampling and RO0503821/epoetin administration and before the dialysis session in haemodialysis participants.
Time Frame
From Baseline (Week -4 to Week -1) to Week 36 and Week 52
Title
Change From Baseline in Systolic and Diastolic Blood Pressure at Weeks 36 and 52 in Peritoneal Dialysis Participants
Description
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) was measured in sitting position before and after dialysis session in peritoneal dialysis participants.
Time Frame
From Baseline (Week -4 to Week -1) to Week 36 and Week 52
Title
Change From Baseline in Pulse Rate - Peritoneal Dialysis Participants
Description
Pulse rate in BpM was measured at each study visit, i.e., once a week during the dose titration and evaluation periods, once every two weeks during the long-term safety observation period and at the final visit. It was measured before blood sampling and RO0503821/epoetin administration and before the dialysis session in peritoneal dialysis participants.
Time Frame
From Baseline (Week -4 to Week -1) to Week 36 and Week 52

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: adult patients >=18 years of age; chronic renal anemia; on dialysis therapy for at least 12 weeks before screening; receiving sc epoetin for at least 8 weeks before screening. Exclusion Criteria: women who are pregnant, breastfeeding or using unreliable birth control methods; administration of another investigational drug within 4 weeks before screening, or during the study period.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
City
Hot Springs
State/Province
Arkansas
ZIP/Postal Code
71901
Country
United States
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
City
Riverside
State/Province
California
ZIP/Postal Code
92501
Country
United States
City
Sacramento
State/Province
California
ZIP/Postal Code
95816-5119
Country
United States
City
San Jose
State/Province
California
ZIP/Postal Code
95116-1906
Country
United States
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02130
Country
United States
City
Springfield
State/Province
Massachusetts
ZIP/Postal Code
01107
Country
United States
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202-2689
Country
United States
City
Brooklyn Center
State/Province
Minnesota
ZIP/Postal Code
55430
Country
United States
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27609
Country
United States
City
Winston-salem
State/Province
North Carolina
ZIP/Postal Code
27157-1023
Country
United States
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43606
Country
United States
City
Portland
State/Province
Oregon
ZIP/Postal Code
97210
Country
United States
City
Dallas
State/Province
Texas
ZIP/Postal Code
75216
Country
United States
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26506
Country
United States
City
Bruxelles
ZIP/Postal Code
1090
Country
Belgium
City
Edegem
ZIP/Postal Code
2650
Country
Belgium
City
Gent
ZIP/Postal Code
9000
Country
Belgium
City
Hasselt
ZIP/Postal Code
3500
Country
Belgium
City
Curitiba
ZIP/Postal Code
81050-090
Country
Brazil
City
Sao Paulo
ZIP/Postal Code
03065-000
Country
Brazil
City
Sao Paulo
ZIP/Postal Code
04039-000
Country
Brazil
City
Brno
ZIP/Postal Code
656 91
Country
Czech Republic
City
Ostrava
ZIP/Postal Code
708 52
Country
Czech Republic
City
Plzen
ZIP/Postal Code
304 60
Country
Czech Republic
City
Odense
ZIP/Postal Code
5000
Country
Denmark
City
HUS
ZIP/Postal Code
00029
Country
Finland
City
Tampere
ZIP/Postal Code
33521
Country
Finland
City
Turku
ZIP/Postal Code
20521
Country
Finland
City
Bayonne
ZIP/Postal Code
64115
Country
France
City
Boulogne
ZIP/Postal Code
62321
Country
France
City
Cabestany
ZIP/Postal Code
66330
Country
France
City
Caen
ZIP/Postal Code
14033
Country
France
City
Limoges
ZIP/Postal Code
87042
Country
France
City
Nimes
ZIP/Postal Code
30029
Country
France
City
Pantin
ZIP/Postal Code
93500
Country
France
City
Poitiers
ZIP/Postal Code
86021
Country
France
City
Saint-germain-en-laye
ZIP/Postal Code
78100
Country
France
City
St Priest En Jarez
ZIP/Postal Code
42055
Country
France
City
Thionville
ZIP/Postal Code
57126
Country
France
City
Tours
ZIP/Postal Code
37044
Country
France
City
Bad Hersfeld
ZIP/Postal Code
36251
Country
Germany
City
Berlin
ZIP/Postal Code
12045
Country
Germany
City
Kaiserslautern
ZIP/Postal Code
67655
Country
Germany
City
Budapest
ZIP/Postal Code
1076
Country
Hungary
City
Budapest
ZIP/Postal Code
1134
Country
Hungary
City
Debrecen
ZIP/Postal Code
4032
Country
Hungary
City
Miskolc
ZIP/Postal Code
3526
Country
Hungary
City
Pecs
ZIP/Postal Code
7624
Country
Hungary
City
Cremona
ZIP/Postal Code
26100
Country
Italy
City
Lecco
ZIP/Postal Code
23900
Country
Italy
City
Mestre
ZIP/Postal Code
30174
Country
Italy
City
Modena
ZIP/Postal Code
41100
Country
Italy
City
Prato
ZIP/Postal Code
50047
Country
Italy
City
Venezia
ZIP/Postal Code
30122
Country
Italy
City
Cuernavaca
ZIP/Postal Code
62448
Country
Mexico
City
Mexico City
ZIP/Postal Code
14000
Country
Mexico
City
Christchurch
Country
New Zealand
City
Wellington
Country
New Zealand
City
Panama City
ZIP/Postal Code
0
Country
Panama
City
Gdansk
ZIP/Postal Code
80-211
Country
Poland
City
Kielce
ZIP/Postal Code
25-736
Country
Poland
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
City
Wroclaw
ZIP/Postal Code
50-417
Country
Poland
City
Ponce
ZIP/Postal Code
00732
Country
Puerto Rico
City
Durban
Country
South Africa
City
Alcorcon
ZIP/Postal Code
28922
Country
Spain
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
City
Madrid
ZIP/Postal Code
28006
Country
Spain
City
Madrid
ZIP/Postal Code
28046
Country
Spain
City
Palma de Mallorca
ZIP/Postal Code
07198
Country
Spain
City
Pamplona
ZIP/Postal Code
31008
Country
Spain
City
Santiago de Compostela
ZIP/Postal Code
15706
Country
Spain
City
Huddinge
ZIP/Postal Code
14186
Country
Sweden
City
Karlstad
ZIP/Postal Code
65185
Country
Sweden
City
Taichung
ZIP/Postal Code
407
Country
Taiwan
City
Taipei
ZIP/Postal Code
100
Country
Taiwan
City
Bangkok
ZIP/Postal Code
10310
Country
Thailand
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
City
Phitsanulok
ZIP/Postal Code
65000
Country
Thailand
City
Belfast
ZIP/Postal Code
BT9 7LJ
Country
United Kingdom
City
Cambridge
ZIP/Postal Code
CB2 2QQ
Country
United Kingdom
City
Dundee
ZIP/Postal Code
DD1 9SY
Country
United Kingdom
City
Exeter
ZIP/Postal Code
EX2 5DW
Country
United Kingdom
City
Leicester
ZIP/Postal Code
LE5 4PW
Country
United Kingdom
City
London
ZIP/Postal Code
SE1 9RT
Country
United Kingdom
City
London
ZIP/Postal Code
SE22 8PT
Country
United Kingdom
City
London
ZIP/Postal Code
SW17 0RE
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study of Subcutaneous Mircera for the Treatment of Anemia in Dialysis Patients.

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