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A Study of Subcutaneous Mircera Once Monthly in the Treatment of Anemia in Participants With Chronic Kidney Disease Not on Dialysis

Primary Purpose

Renal Anemia, Chronic

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Methoxy polyethylene glycol-epoetin beta
Darbepoetin alfa
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Anemia, Chronic

Eligibility Criteria

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

Inclusion Criteria:

  • Participants with chronic kidney disease (CKD) stage 3 (creatinine clearance [CrCl]/ glomerular filtration rate [GFR] 30 to 59 milliliter per minutes per 1.73 meter square [mL/min/1.73m^2]) or Stage 4 (CrCl/GFR 15-29 mL/min/1.73m^2) who did not require dialysis. CrCl/GFR was estimated with the Cockcroft-Gault equation or the abbreviated Modification of Diet in Renal Disease (MDRD) equation
  • Anemia defined as baseline Hb concentration less than (<) 10.5 gram per deciliter (g/dL)

Exclusion Criteria:

  • Previous therapy with any ESA within 12 weeks prior to screening
  • Renal allograft in place
  • Immunosuppressive therapy in the 12 weeks prior to screening
  • Overt gastrointestinal bleeding and red blood cells (RBC) transfusions within 8 weeks before screening

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Mircera

Darbepoetin Alfa

Arm Description

Participants will receive Mircera (Methoxy polyethylene glycol-epoetin beta), administered subcutaneously (SC) at a starting dose of 1.2 mcg/kg once every 4 weeks for 28 weeks.

Participants will receive darbepoetin alfa, administered SC once weekly or once every 2 weeks according to local labeling specifications for 28 weeks.

Outcomes

Primary Outcome Measures

Percentage of Participants With Hemoglobin (Hb) Response
Hb response was an observed increase in Hb greater than or equal to (>=) 1.0 gram per deciliter (g/dL) from baseline and an Hb concentration >= 10.0 g/dL before the end of the study without red blood cells (RBC) transfusion before response.
Change in Hemoglobin (Hb) Concentration Between Baseline and Evaluation Period
A time adjusted average baseline Hb concentration was calculated using the trapezoid rule from all available Hb measurements taken during the baseline period. The average evaluation period Hb concentration for each individual was calculated using the same method, from all their available measurements taken during the 2 month evaluation period (Week 21 to 28). The change in Hb concentration between the baseline and evaluation period was calculated by subtracting the baseline Hb from the evaluation period Hb. All blood samples for Hb measurements were taken prior to study drug administration.

Secondary Outcome Measures

Hemoglobin (Hb) Concentration Over the Time
The hemoglobin concentration was measured in g/dL every 2 weeks and at final visit.
Time to Hemoglobin Response
Time to Hb response is defined as the number of study days until the first occurrence of an Hb response. Participants without events were censored at the time of evaluation. Median and 95 percent (%) confidence interval (CI) were estimated using Kaplan-Meier Survival Analysis. Hb response was an observed increase in Hb >=1.0 g/dL from baseline and an Hb concentration >= 10.0 g/dL before the end of the study without RBC transfusion before response.
Percentage of Participants With Red Blood Cell (RBC) Transfusions
The percentage of participants who received RBC transfusions during the titration and evaluation periods were reported.
Percentage of Participants Who Had at Least 1 Hemoglobin Value Exceeding 12.0 g/dL
Percentage of participants having at least one Hb value greater than (>) 12 g/dL during the first 8 weeks of the study was reported.
Percentage of Participants With Stable Hemoglobin Response
A participant was defined as having achieved a stable Hb response, if at least 75 percent (%) of the scheduled Hb values were between 10.0 g/dL and 12.0 g/dL and >=1.0 g/dL from baseline for any 8-week time period, regardless of the requirement for dose adjustment for Hb maintenance. Achievement of stable response was determined using a moving 8-week time window, moving forward by 14 days in each iteration starting at Day 15, searching to see if the following conditions were met: 1) At least 3 scheduled Hb values (75% of the scheduled Hb values) in any 8-week time window were >=1.0 g/dL from baseline (as calculated above) and within the range of 10.0 g/dL to 12.0 g/dL. 2). There were at least 3 recorded Hb values within the time window.
Percentage of Participants Who Required Dose Adjustments to Achieve a Stabilized Response
The total number of dose adjustments needed to achieve stabilized response was calculated from Day 1 until the first 8-week time window in which response was achieved. A participant was defined as having achieved a stable Hb response, if at least 75% of the scheduled Hb values were between 10.0 g/dL and 12.0 g/dL and >=1.0 g/dL from baseline for any 8-week time period, regardless of the requirement for dose adjustment for Hb maintenance. Achievement of stable response was determined using a moving 8-week time window, moving forward by 14 days in each iteration starting at Day 15, searching to see if the following conditions were met: 1) At least 3 scheduled Hb values (75% of the scheduled Hb values) in any 8-week time window were >=1.0 g/dL from baseline (as calculated above) and within the range of 10.0 g/dL to 12.0 g/dL. 2) There were at least 3 recorded Hb values within the time window.

Full Information

First Posted
November 15, 2007
Last Updated
September 13, 2016
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT00559273
Brief Title
A Study of Subcutaneous Mircera Once Monthly in the Treatment of Anemia in Participants With Chronic Kidney Disease Not on Dialysis
Official Title
An Open-label, Randomized, Multicenter, Parallel-group Study to Demonstrate Correction of Anemia Using Once Every 4 Weeks Subcutaneous Injections of RO0503821 in Patients With Chronic Kidney Disease Who Are Not on Dialysis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
December 2007 (undefined)
Primary Completion Date
October 2009 (Actual)
Study Completion Date
October 2009 (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 compare the efficacy and safety of subcutaneous Mircera and subcutaneous darbepoetin in the treatment of renal anemia in participants with chronic kidney disease who are not on dialysis and not receiving erythropoiesis-stimulating agents (ESA). Participants will be randomized to receive either Mircera once every 4 weeks, at a starting dose of 1.2 micrograms/kilogram (mcg/kg), or darbepoetin alfa once weekly, at a starting dose of 0.45 mcg/kg (or once every two weeks, 0.75 mcg/kg). The anticipated time on study treatment is 3-12 months.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Mircera
Arm Type
Experimental
Arm Description
Participants will receive Mircera (Methoxy polyethylene glycol-epoetin beta), administered subcutaneously (SC) at a starting dose of 1.2 mcg/kg once every 4 weeks for 28 weeks.
Arm Title
Darbepoetin Alfa
Arm Type
Active Comparator
Arm Description
Participants will receive darbepoetin alfa, administered SC once weekly or once every 2 weeks according to local labeling specifications for 28 weeks.
Intervention Type
Drug
Intervention Name(s)
Methoxy polyethylene glycol-epoetin beta
Other Intervention Name(s)
Mircera, RO0503821
Intervention Description
1.2 mcg/kg SC monthly, starting dose
Intervention Type
Drug
Intervention Name(s)
Darbepoetin alfa
Intervention Description
0.45 mcg/kg SC weekly or 0.75 mcg/kg every 2 weeks, starting dose
Primary Outcome Measure Information:
Title
Percentage of Participants With Hemoglobin (Hb) Response
Description
Hb response was an observed increase in Hb greater than or equal to (>=) 1.0 gram per deciliter (g/dL) from baseline and an Hb concentration >= 10.0 g/dL before the end of the study without red blood cells (RBC) transfusion before response.
Time Frame
Baseline up to Week 28
Title
Change in Hemoglobin (Hb) Concentration Between Baseline and Evaluation Period
Description
A time adjusted average baseline Hb concentration was calculated using the trapezoid rule from all available Hb measurements taken during the baseline period. The average evaluation period Hb concentration for each individual was calculated using the same method, from all their available measurements taken during the 2 month evaluation period (Week 21 to 28). The change in Hb concentration between the baseline and evaluation period was calculated by subtracting the baseline Hb from the evaluation period Hb. All blood samples for Hb measurements were taken prior to study drug administration.
Time Frame
Baseline (measurements at Week -2, Week -1 and Day 1) and Evaluation Period (Week 22, Week 24, Week 26, Week 28)
Secondary Outcome Measure Information:
Title
Hemoglobin (Hb) Concentration Over the Time
Description
The hemoglobin concentration was measured in g/dL every 2 weeks and at final visit.
Time Frame
Baseline, Weeks 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, and final visit (Week 29)
Title
Time to Hemoglobin Response
Description
Time to Hb response is defined as the number of study days until the first occurrence of an Hb response. Participants without events were censored at the time of evaluation. Median and 95 percent (%) confidence interval (CI) were estimated using Kaplan-Meier Survival Analysis. Hb response was an observed increase in Hb >=1.0 g/dL from baseline and an Hb concentration >= 10.0 g/dL before the end of the study without RBC transfusion before response.
Time Frame
Baseline up to Week 28
Title
Percentage of Participants With Red Blood Cell (RBC) Transfusions
Description
The percentage of participants who received RBC transfusions during the titration and evaluation periods were reported.
Time Frame
Baseline up to Week 28
Title
Percentage of Participants Who Had at Least 1 Hemoglobin Value Exceeding 12.0 g/dL
Description
Percentage of participants having at least one Hb value greater than (>) 12 g/dL during the first 8 weeks of the study was reported.
Time Frame
Baseline to Week 8
Title
Percentage of Participants With Stable Hemoglobin Response
Description
A participant was defined as having achieved a stable Hb response, if at least 75 percent (%) of the scheduled Hb values were between 10.0 g/dL and 12.0 g/dL and >=1.0 g/dL from baseline for any 8-week time period, regardless of the requirement for dose adjustment for Hb maintenance. Achievement of stable response was determined using a moving 8-week time window, moving forward by 14 days in each iteration starting at Day 15, searching to see if the following conditions were met: 1) At least 3 scheduled Hb values (75% of the scheduled Hb values) in any 8-week time window were >=1.0 g/dL from baseline (as calculated above) and within the range of 10.0 g/dL to 12.0 g/dL. 2). There were at least 3 recorded Hb values within the time window.
Time Frame
Baseline to Week 28
Title
Percentage of Participants Who Required Dose Adjustments to Achieve a Stabilized Response
Description
The total number of dose adjustments needed to achieve stabilized response was calculated from Day 1 until the first 8-week time window in which response was achieved. A participant was defined as having achieved a stable Hb response, if at least 75% of the scheduled Hb values were between 10.0 g/dL and 12.0 g/dL and >=1.0 g/dL from baseline for any 8-week time period, regardless of the requirement for dose adjustment for Hb maintenance. Achievement of stable response was determined using a moving 8-week time window, moving forward by 14 days in each iteration starting at Day 15, searching to see if the following conditions were met: 1) At least 3 scheduled Hb values (75% of the scheduled Hb values) in any 8-week time window were >=1.0 g/dL from baseline (as calculated above) and within the range of 10.0 g/dL to 12.0 g/dL. 2) There were at least 3 recorded Hb values within the time window.
Time Frame
Baseline to Week 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants with chronic kidney disease (CKD) stage 3 (creatinine clearance [CrCl]/ glomerular filtration rate [GFR] 30 to 59 milliliter per minutes per 1.73 meter square [mL/min/1.73m^2]) or Stage 4 (CrCl/GFR 15-29 mL/min/1.73m^2) who did not require dialysis. CrCl/GFR was estimated with the Cockcroft-Gault equation or the abbreviated Modification of Diet in Renal Disease (MDRD) equation Anemia defined as baseline Hb concentration less than (<) 10.5 gram per deciliter (g/dL) Exclusion Criteria: Previous therapy with any ESA within 12 weeks prior to screening Renal allograft in place Immunosuppressive therapy in the 12 weeks prior to screening Overt gastrointestinal bleeding and red blood cells (RBC) transfusions within 8 weeks before screening
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
Adelaide
ZIP/Postal Code
5011
Country
Australia
City
Clayton
ZIP/Postal Code
3186
Country
Australia
City
Gosford
ZIP/Postal Code
2250
Country
Australia
City
Parkville
ZIP/Postal Code
3052
Country
Australia
City
Reservoir
ZIP/Postal Code
3073
Country
Australia
City
Aalst
ZIP/Postal Code
9300
Country
Belgium
City
Roeselare
ZIP/Postal Code
8800
Country
Belgium
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2B7
Country
Canada
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5A5
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4N 3M5
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T 2M4
Country
Canada
City
Cahors
ZIP/Postal Code
46005
Country
France
City
Clermont-ferrand
ZIP/Postal Code
63000
Country
France
City
Limoges
ZIP/Postal Code
87042
Country
France
City
Lyon
ZIP/Postal Code
69437
Country
France
City
Nice
ZIP/Postal Code
06002
Country
France
City
Paris
ZIP/Postal Code
75651
Country
France
City
Berlin
ZIP/Postal Code
13353
Country
Germany
City
Bonn
ZIP/Postal Code
53127
Country
Germany
City
Heilbronn
ZIP/Postal Code
74076
Country
Germany
City
Homburg/saar
ZIP/Postal Code
66424
Country
Germany
City
Alexandroupolis
ZIP/Postal Code
68100
Country
Greece
City
Larissa
ZIP/Postal Code
41 110
Country
Greece
City
Thessaloniki
ZIP/Postal Code
54636
Country
Greece
City
Volos
ZIP/Postal Code
38222
Country
Greece
City
Hong Kong
Country
Hong Kong
City
Baja
ZIP/Postal Code
6500
Country
Hungary
City
Budapest
ZIP/Postal Code
1071
Country
Hungary
City
Esztergom
ZIP/Postal Code
2500
Country
Hungary
City
Hatvan
ZIP/Postal Code
3000
Country
Hungary
City
Szigetvar
ZIP/Postal Code
7390
Country
Hungary
City
Haifa
ZIP/Postal Code
34362
Country
Israel
City
Kfar Saba
ZIP/Postal Code
44281
Country
Israel
City
Petach Tikva
ZIP/Postal Code
49100
Country
Israel
City
Como
ZIP/Postal Code
22100
Country
Italy
City
Lecco
ZIP/Postal Code
23900
Country
Italy
City
Lodi
ZIP/Postal Code
26900
Country
Italy
City
Mestre
ZIP/Postal Code
30174
Country
Italy
City
Modena
ZIP/Postal Code
41100
Country
Italy
City
Pavia
ZIP/Postal Code
27100
Country
Italy
City
Seoul
ZIP/Postal Code
120-752
Country
Korea, Republic of
City
Seoul
ZIP/Postal Code
133-792
Country
Korea, Republic of
City
Seoul
Country
Korea, Republic of
City
Gdansk
ZIP/Postal Code
80-211
Country
Poland
City
Katowice
ZIP/Postal Code
40-027
Country
Poland
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
City
Lodz
ZIP/Postal Code
90-153
Country
Poland
City
Radom
ZIP/Postal Code
26-610
Country
Poland
City
Rzeszow
ZIP/Postal Code
35-055
Country
Poland
City
Sieradz
ZIP/Postal Code
98-200
Country
Poland
City
Szczecin
ZIP/Postal Code
70-111
Country
Poland
City
Warszawa
ZIP/Postal Code
02-006
Country
Poland
City
Wroclaw
ZIP/Postal Code
50-417
Country
Poland
City
Moscow
ZIP/Postal Code
117036
Country
Russian Federation
City
Moscow
ZIP/Postal Code
125101
Country
Russian Federation
City
Moscow
ZIP/Postal Code
129110
Country
Russian Federation
City
Saratov
ZIP/Postal Code
410053
Country
Russian Federation
City
St Petersburg
ZIP/Postal Code
191015
Country
Russian Federation
City
St Petersburg
ZIP/Postal Code
195067
Country
Russian Federation
City
St Petersburg
ZIP/Postal Code
197089
Country
Russian Federation
City
St Petersburg
ZIP/Postal Code
197110
Country
Russian Federation
City
Barcelona
ZIP/Postal Code
08025
Country
Spain
City
Barcelona
ZIP/Postal Code
08907
Country
Spain
City
Madrid
ZIP/Postal Code
28046
Country
Spain
City
Madrid
ZIP/Postal Code
28922
Country
Spain
City
Palma de Mallorca
ZIP/Postal Code
07014
Country
Spain
City
Sevilla
ZIP/Postal Code
41009
Country
Spain
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
City
Valencia
ZIP/Postal Code
46017
Country
Spain
City
Taichung
ZIP/Postal Code
407
Country
Taiwan
City
Taipei
ZIP/Postal Code
100
Country
Taiwan
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
City
Bangkok
ZIP/Postal Code
10700
Country
Thailand
City
Bangkok
Country
Thailand
City
Nakhon Ratchasima
ZIP/Postal Code
30000
Country
Thailand
City
Pathumthani
ZIP/Postal Code
12120
Country
Thailand

12. IPD Sharing Statement

Learn more about this trial

A Study of Subcutaneous Mircera Once Monthly in the Treatment of Anemia in Participants With Chronic Kidney Disease Not on Dialysis

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