Evaluate the Efficacy and Safety of HIF-PHI for the Treatment of Anemia and Risks of Cardiovascular and Cerebrovascular Events in ESRD Newly Initiated Dialysis Patients
Phase 4, Multicenter, Randomized, Open-Lable, Active-Controlled Study of the Efficacy and Safty of HIF-PHI for the Treatment of Anemia and Risks of Cardiovascular and Cerebrovascular Events in Incident-Dialysis Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Hunan
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Changsha, Hunan, China, 410000
- Department of Nephrology, Second Xiangya Hospital, Central South University
-
Contact:
- Hong Liu, MD,phD
- Phone Number: 86-0731-85292057
- Email: liuh0618@163.com
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Principal Investigator:
- Hong Liu, MD,phD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The patient or his/her legal guardian signs the informed consent
- Age ≥18 years
- Weight: 45-100 kg (included)
- Patients with CKD end-stage renal disease received hemodialysis treatment ≤ 4 weeks, dialysis frequency was stable, kt / V ≥ 1.2, and planned to continue dialysis treatment during the study period
- No iron deficiency.
- No folate or Vitamin B12 deficiency.
- No abnormal liver tests.
- During the screening period, value of Hb is less than 10. 0 g / dl.
Exclusion Criteria:
- Evidence of any clinically significant infection or active potential infection;
- Active hepatitis or any of the following abnormalities (ALT ≥ 2 times the upper limit of normal value, AST ≥ 2 times the upper limit of normal value, DBIL ≥ 2 times the upper limit of normal value);
- Patients with severe cardiovascular disease have had myocardial infarction, coronary artery bypass or PCI operation within 3 months prior to participating in the study.
- Patients have experienced severe cerebrovascular diseases within 3 months prior to participating in the study: stroke; obvious neurological dysfunction after stroke;
- Patients with active gastrointestinal bleeding occurred within 3 months prior to participating in the study.
- Poor control of hypertension determined by the researchers;
- Previous or current malignancies (except for excised non melanoma skin cancer and carcinoma in situ);
- It is known to have blood system diseases (including congenital and postnatal diseases, such as thalassemia, Fanconi anemia, aplastic anemia, myelodysplastic syndrome, hemolytic anemia, coagulation dysfunction, etc.) or other causes of anemia (such as fecal occult blood positive gastrointestinal hemorrhage or hookworm disease, etc.) ;
- Known autoimmune diseases (such as rheumatoid arthritis, systemic lupus erythematosus, anti neutrophil cytoplasmic antibody associated vasculitis, etc.);
- Any previous functional organ transplant or scheduled organ transplant or no kidney.
- Elective surgery that is expected to result in significant blood loss during the study period.
- Serum albumin < 25 g / L;
- Within 8 weeks before administration on the first day, the patients were treated with androgen, deferoxamine, deferrone or deferestrol.
- Life expectancy < 12 months;
- Transfusion within 4 weeks before administration on day 1, or is expected.
- Intravenous iron supplementation and / or unwillingness to stop intravenous iron injection during the screening period;
- Patients with drug abuse or addiction;
- Have received any test drug within 4 weeks before inclusion or plan to receive other drug tests during the trial;
- Women who can become pregnant must use contraception. Men with sexual partners who can become pregnant must use birth control, unless the man agrees to use contraception.
- Any medical condition, that in the opinion of the study doctor, may pose a safety risk to the patient, may confound efficacy or safety assessment, or may interfere with study participation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: HIF-PHI
HIF-PHI will be dosed orally three times a week.
|
Drug will be dosed orally three times a week.
|
|
Active Comparator: Epoetin alfa
Epoetin alfa wull be disoensed per the package insert or the country-specific product labeling.
|
The drug will be dispensed per the package insert or the country-specific product labeling.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean Hemoglobin (Hb) change from baseline to average levels from Week 28 to Week 52.
Time Frame: Minimum of 52 weeks and maximum of up to 3 years after last subject is randomized
|
For participants who did not have an available Hb value during the week 28-52 period, imputation rules were applied.
|
Minimum of 52 weeks and maximum of up to 3 years after last subject is randomized
|
|
Proportion of subjects who achieve a Hb response during the first 24 weeks of treatment.
Time Frame: Week 0 to Week 24
|
A Hb response is defined as: Hb ≥11.0g/dL and a Hb increase from baseline by ≥1.0g/dL in subjects whose baseline Hb >8.0g/dL, or Increase in Hb ≥2.0g/dL in subjects whose baseline Hb ≤8.0g/dL. |
Week 0 to Week 24
|
|
The incidence of cardiovascular and cerebrovascular events within 52 weeks.
Time Frame: Week 0 to Week 52
|
Non fatal myocardial infarction, unstable angina, coronary artery bypass, coronary or peripheral vascular intervention, hospitalization due to heart failure, transient ischemic attack, stroke and death.
|
Week 0 to Week 52
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
All cause mortality
Time Frame: Minimum of 52 weeks and maximum of up to 3 years after last subject is randomized
|
The incidence of death events.
|
Minimum of 52 weeks and maximum of up to 3 years after last subject is randomized
|
|
BP effect 1: the proportion of subjects with increased hypertension
Time Frame: Week 0 to Week 27
|
Blood pressure (BP) increased compared to pre-dialysis BP: the delta systolic BP ≥ 20 mmHg and systolic blood pressure ≥ 170 mmHg, or the delta diastolic BP ≥ 15 mmHg and diastolic BP ≥ 100 mmHg.
|
Week 0 to Week 27
|
|
BP effect 2
Time Frame: Week 28 to Week 52
|
Mean BP change from baseline to average levels from Week 28 to Week 52.
|
Week 28 to Week 52
|
|
The change of left ventricular structure
Time Frame: Weeks 12, 36, 52
|
Standardized ECHO evaluates left ventricular volume index (ml/m2).
|
Weeks 12, 36, 52
|
|
The change of left ventricular systolic function
Time Frame: Weeks 12, 36, 52
|
Standardized ECHO evaluates left ventricular ejection fraction (%).
|
Weeks 12, 36, 52
|
|
The change of right ventricular systolic function
Time Frame: Weeks 12, 36, 52
|
Systolic lateral tricuspid annulus velocity (S') was measured by tissue Doppler.
|
Weeks 12, 36, 52
|
|
The change of diastolic function
Time Frame: Weeks 12, 36, 52
|
Left ventricular diastolic function was measured based on the integration of the ratio of early (E wave) and late (A wave) mitral inflow, mitral E wave deceleration time, E/e' ratio (e' being the tissue Doppler velocity of the medial annulus), E/A changes with Valsalva maneuver, and pattern of pulmonary vein flow.
The data will be combine to report diastolic function.
|
Weeks 12, 36, 52
|
|
Serum lipid parameters
Time Frame: Week 25 to Week 27
|
Mean change in low-density lipoprotein (LDL) cholesterol.
|
Week 25 to Week 27
|
|
Inflammatory evaluation 1
Time Frame: Week 25 to Week 27
|
Mean change level of CRP.
|
Week 25 to Week 27
|
|
Inflammatory evaluation 2
Time Frame: Week 25 to Week 27
|
Mean change level of IL-2
|
Week 25 to Week 27
|
|
Inflammatory evaluation 3
Time Frame: Week 25 to Week 27
|
Mean change level of IL-6
|
Week 25 to Week 27
|
|
Inflammatory evaluation 4
Time Frame: Week 25 to Week 27
|
Mean change level of IL-17A
|
Week 25 to Week 27
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Serum iron level
Time Frame: Week 0 to Week 27
|
Mean change of iron from baseline to level at the 27th week.
|
Week 0 to Week 27
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CSU-SXH-CT-2019-015
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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