A Study of AND017 to Evaluate Efficacy and Safety in Dialysis-Dependent Chronic Kidney Disease (DD-CKD) Patients With Anemia
A Phase 3, Multi-center, Randomized, Open-Label, Active-Controlled, Efficacy and Safety Study of AND017 to Treat Anemia in Dialysis-Dependent Chronic Kidney Disease (DD-CKD) Patients With Anemia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Yusha Zhu, MD, PhD
- Phone Number: 6467252552
- Email: yushazhu@kindpharmaceutical.com
Study Locations
-
-
-
Shanghai, China, 200032
- Recruiting
- Fudan Univeristy Zhongshan Hospital
-
Principal Investigator:
- Xiaoqiang Ding
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Receiving stable hemodialysis (including combination methods such as hemodiafiltration or hemofiltration), peritoneal dialysis for ESKD for a minimum of 16 weeks prior to randomization and determined by the Investigator to be compliant with dialysis treatment prescription.
- Patient must have been on IV or SC of an approved ESA under the prescription for at least 6 weeks
- The mean of two hemoglobin values during screening must be 9.0-12.0 g/dL.
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT)<3× upper limit of normal (ULN)
- Transferrin saturation ≥20% or ferritin ≥100 ng/mL at screening test
- Serum folate and vitamin B12 ≥ lower limit of normal (LLN) at screening test
Key Exclusion Criteria:
- Concurrent retinal neovascular lesions requiring treatment
- Chronic inflammatory disease other than glomerulonephritis that could impact erythropoiesis or concurrent autoimmune disease with inflammatory symptoms
- History of gastric/intestinal resection considered to affect the absorption of drugs in the gastrointestinal tract or concurrent symptomatic gastroparesis despite being on treatment
- Uncontrolled hypertension, defined as patients with hypertension having more than one of three systolic blood pressure >180 mmHg, or diastolic blood pressure >110 mmHg during the screening assessment
- Concurrent congestive heart failure (New York Heart Association [NYHA] Class III or higher)
- History of stroke, transient ischemic attack (TIA), myocardial infarction, thromboembolic event (deep vein thrombosis, DVT), pulmonary embolism, or lung infarction within 24 weeks before the screening assessment
- Participants with a history of significant liver disease or active liver disease
- History of a seizure disorder or any occurrence of seizures in the past
- Serum albumin (ALB) < 2.5 g/dL at screening test
- Prior ESA/hypoxia-inducible factor-prolyl hydroxylase inhibitor (HIF-PHI) treatment caused total bilirubin >1.5xULN, or AST/ALT/ ALP>3xULN, or serious liver disease (acute or active chronic hepatitis, cirrhosis, etc.)
- Any prior functioning organ transplant or a scheduled organ transplantation, or anephric
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: AND017
|
AND017 capsules administered orally with a starting dose of 10 mg TIW
|
|
Active Comparator: Erythropoiesis Stimulating Agents (ESA)
|
ESA injection and dose based on package insert and local practice
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evaluate the efficacy of AND017 compared with the active control in maintaining Hb levels in anemic patients with ESKD
Time Frame: From Week 23 to Week 27
|
The mean Hb levels averaged over Week 23-27
|
From Week 23 to Week 27
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of participants that maintained Hb level over target lower limit
Time Frame: From Week 5 to Week 27
|
Percentage of participants with mean Hb ≥ 10.0 g/dL averaged over Weeks 5-27
|
From Week 5 to Week 27
|
|
Incidence of extreme Hb levels of ≥13.0 g/dL or <7.5 g/dL during the entire study treatment period
Time Frame: From baseline to Week 53
|
During the entire study treatment period, the percentage of participants in which Hb is ≥ 13.0 g/dL or < 7.5 g/dL
|
From baseline to Week 53
|
|
Incidence of excessive erythropoiesis
Time Frame: From baseline to Week 53
|
During the entire study treatment period, the percentage of participants with an Hb increase ≥ 1.0 g/dL within any 2-week period and an Hb increase ≥ 2.0 g/dL within any 4-week period respectively
|
From baseline to Week 53
|
|
Mean Hb change from baseline averaged over Weeks 5-27
Time Frame: From baseline to Week 27
|
Mean Hb change from baseline averaged over Weeks 5-27
|
From baseline to Week 27
|
|
Mean Hb change from baseline averaged over Weeks 23-27
Time Frame: From baseline to Week 27
|
Mean Hb change from baseline averaged over Weeks 23-27
|
From baseline to Week 27
|
|
Mean Hb change from baseline averaged over Weeks 13-17
Time Frame: From baseline to Week 17
|
Mean Hb change from baseline averaged over Weeks 13-17
|
From baseline to Week 17
|
|
Mean Hb change from baseline averaged over Weeks 27-53
Time Frame: From baseline to Week 53
|
Mean Hb change from baseline averaged over Weeks 27-53
|
From baseline to Week 53
|
|
During the entire treatment period, mean Hb at each visit
Time Frame: From baseline to Week 53
|
During the entire treatment period, mean Hb at each visit
|
From baseline to Week 53
|
|
The use of intravenous iron during the entire study treatment period
Time Frame: From baseline to Week 53
|
The percentage of participants that have received intravenous iron during the entire study treatment period
|
From baseline to Week 53
|
|
The mean weekly dose of intravenous iron during the entire treatment period
Time Frame: From baseline to Week 53
|
The mean weekly dose of intravenous iron during the entire treatment period
|
From baseline to Week 53
|
|
The time to first initiation of intravenous iron during the entire treatment period
Time Frame: From baseline to Week 53
|
The time to first initiation of intravenous iron during the entire treatment period
|
From baseline to Week 53
|
|
The percentage of responders
Time Frame: From baseline to Week 27
|
Responder is defined as: for participants with baseline Hb ≥ 9.0 g/dL, mean Hb ≥10.0 g/dL and a change from baseline ≥ -1.0 g/dL during Weeks 23-27
|
From baseline to Week 27
|
|
Maintenance of Hb within 10.0-12.0 g/dL after initial achievement ≥10.0 g/dL during the entire study treatment period.
Time Frame: From baseline to Week 53
|
During entire study treatment period, the percentage of participants in which Hb, after first reaching ≥ 10.0 g/dL, is maintained within the target range of 10.0-12.0
g/dL (inclusive)
|
From baseline to Week 53
|
|
The cumulative incidence of Hb non-response
Time Frame: From baseline to Week 27
|
The cumulative incidence of Hb non-response is defined as Hb < 10.0 g/dL and an increase from baseline < 1.0 g/dL averaged over Weeks 5-27
|
From baseline to Week 27
|
|
Mean Hb change from baseline averaged over Weeks 49-53
Time Frame: Mean Hb change from baseline averaged over Weeks 49-53
|
Mean Hb change from baseline averaged over Weeks 49-53
|
Mean Hb change from baseline averaged over Weeks 49-53
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Yusha Zhu, MD, PhD, Kind Pharmaceuticals LLC
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- AND017-CN-302
- CTR20253615 (Other Identifier: China National Medical Products Administration)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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