- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00559273
A Study of Subcutaneous Mircera Once Monthly in the Treatment of Anemia in Participants With Chronic Kidney Disease Not on Dialysis
September 13, 2016 updated by: Hoffmann-La Roche
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
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.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
307
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Adelaide, Australia, 5011
-
Clayton, Australia, 3186
-
Gosford, Australia, 2250
-
Parkville, Australia, 3052
-
Reservoir, Australia, 3073
-
-
-
-
-
Aalst, Belgium, 9300
-
Roeselare, Belgium, 8800
-
-
-
-
Alberta
-
Edmonton, Alberta, Canada, T6G 2B7
-
-
Ontario
-
London, Ontario, Canada, N6A 5A5
-
Toronto, Ontario, Canada, M4N 3M5
-
-
Quebec
-
Montreal, Quebec, Canada, H1T 2M4
-
-
-
-
-
Cahors, France, 46005
-
Clermont-ferrand, France, 63000
-
Limoges, France, 87042
-
Lyon, France, 69437
-
Nice, France, 06002
-
Paris, France, 75651
-
-
-
-
-
Berlin, Germany, 13353
-
Bonn, Germany, 53127
-
Heilbronn, Germany, 74076
-
Homburg/saar, Germany, 66424
-
-
-
-
-
Alexandroupolis, Greece, 68100
-
Larissa, Greece, 41 110
-
Thessaloniki, Greece, 54636
-
Volos, Greece, 38222
-
-
-
-
-
Hong Kong, Hong Kong
-
-
-
-
-
Baja, Hungary, 6500
-
Budapest, Hungary, 1071
-
Esztergom, Hungary, 2500
-
Hatvan, Hungary, 3000
-
Szigetvar, Hungary, 7390
-
-
-
-
-
Haifa, Israel, 34362
-
Kfar Saba, Israel, 44281
-
Petach Tikva, Israel, 49100
-
-
-
-
-
Como, Italy, 22100
-
Lecco, Italy, 23900
-
Lodi, Italy, 26900
-
Mestre, Italy, 30174
-
Modena, Italy, 41100
-
Pavia, Italy, 27100
-
-
-
-
-
Seoul, Korea, Republic of
-
Seoul, Korea, Republic of, 120-752
-
Seoul, Korea, Republic of, 133-792
-
-
-
-
-
Gdansk, Poland, 80-211
-
Katowice, Poland, 40-027
-
Krakow, Poland, 31-501
-
Lodz, Poland, 90-153
-
Radom, Poland, 26-610
-
Rzeszow, Poland, 35-055
-
Sieradz, Poland, 98-200
-
Szczecin, Poland, 70-111
-
Warszawa, Poland, 02-006
-
Wroclaw, Poland, 50-417
-
-
-
-
-
Moscow, Russian Federation, 125101
-
Moscow, Russian Federation, 129110
-
Moscow, Russian Federation, 117036
-
Saratov, Russian Federation, 410053
-
St Petersburg, Russian Federation, 195067
-
St Petersburg, Russian Federation, 197089
-
St Petersburg, Russian Federation, 191015
-
St Petersburg, Russian Federation, 197110
-
-
-
-
-
Barcelona, Spain, 08907
-
Barcelona, Spain, 08025
-
Madrid, Spain, 28046
-
Madrid, Spain, 28922
-
Palma de Mallorca, Spain, 07014
-
Sevilla, Spain, 41013
-
Sevilla, Spain, 41009
-
Valencia, Spain, 46017
-
-
-
-
-
Taichung, Taiwan, 407
-
Taipei, Taiwan, 100
-
-
-
-
-
Bangkok, Thailand
-
Bangkok, Thailand, 10400
-
Bangkok, Thailand, 10700
-
Nakhon Ratchasima, Thailand, 30000
-
Pathumthani, Thailand, 12120
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
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
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Mircera
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.
|
1.2 mcg/kg SC monthly, starting dose
Other Names:
|
Active Comparator: Darbepoetin Alfa
Participants will receive darbepoetin alfa, administered SC once weekly or once every 2 weeks according to local labeling specifications for 28 weeks.
|
0.45 mcg/kg SC weekly or 0.75 mcg/kg every 2 weeks, starting dose
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of Participants With Hemoglobin (Hb) Response
Time Frame: Baseline up to Week 28
|
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.
|
Baseline up to Week 28
|
Change in Hemoglobin (Hb) Concentration Between Baseline and Evaluation Period
Time Frame: Baseline (measurements at Week -2, Week -1 and Day 1) and Evaluation Period (Week 22, Week 24, Week 26, Week 28)
|
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.
|
Baseline (measurements at Week -2, Week -1 and Day 1) and Evaluation Period (Week 22, Week 24, Week 26, Week 28)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hemoglobin (Hb) Concentration Over the Time
Time Frame: Baseline, Weeks 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, and final visit (Week 29)
|
The hemoglobin concentration was measured in g/dL every 2 weeks and at final visit.
|
Baseline, Weeks 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, and final visit (Week 29)
|
Time to Hemoglobin Response
Time Frame: Baseline up to Week 28
|
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.
|
Baseline up to Week 28
|
Percentage of Participants With Red Blood Cell (RBC) Transfusions
Time Frame: Baseline up to Week 28
|
The percentage of participants who received RBC transfusions during the titration and evaluation periods were reported.
|
Baseline up to Week 28
|
Percentage of Participants Who Had at Least 1 Hemoglobin Value Exceeding 12.0 g/dL
Time Frame: Baseline to Week 8
|
Percentage of participants having at least one Hb value greater than (>) 12 g/dL during the first 8 weeks of the study was reported.
|
Baseline to Week 8
|
Percentage of Participants With Stable Hemoglobin Response
Time Frame: Baseline to Week 28
|
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.
|
Baseline to Week 28
|
Percentage of Participants Who Required Dose Adjustments to Achieve a Stabilized Response
Time Frame: Baseline to Week 28
|
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.
|
Baseline to Week 28
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
December 1, 2007
Primary Completion (Actual)
October 1, 2009
Study Completion (Actual)
October 1, 2009
Study Registration Dates
First Submitted
November 15, 2007
First Submitted That Met QC Criteria
November 15, 2007
First Posted (Estimate)
November 16, 2007
Study Record Updates
Last Update Posted (Estimate)
November 1, 2016
Last Update Submitted That Met QC Criteria
September 13, 2016
Last Verified
September 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NH20052
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Renal Anemia, Chronic
-
Helwan UniversityCompletedAnemia of Chronic Kidney Disease | Chronic Renal Failure | Chronic Renal Failure AnemiaEgypt
-
Kumamoto UniversityCompletedHemodialysis | Iron Deficiency Anemia | Chronic Renal Failure | Renal AnemiaJapan
-
Astellas Pharma IncCompletedRenal Anemia Associated With Chronic Renal Failure (CRF)Japan
-
Shengzhen Sciprogen Bio-pharmaceutical Co. LtdUnknownPatient of Anemia in Chronic Renal Failure With HemodialysisChina
-
Renal Research InstituteUnknownChronic Kidney Diseases | End Stage Renal Disease | Renal AnemiaUnited States
-
Hoffmann-La RocheCompletedChronic Renal AnemiaGreece
-
Sunshine Lake Pharma Co., Ltd.Nicoya Therapeutics (Shanghai) Co., Ltd.Not yet recruitingChronic Kidney Diseases | Renal AnemiaChina
-
Xiamen Amoytop Biotech Co., Ltd.First Affiliated Hospital of Zhejiang UniversityCompletedRenal Anemia of Chronic Kidney DiseaseChina
-
Hoffmann-La RocheCompletedRenal Anemia of Chronic Kidney DiseaseCroatia
-
Translational Research Center for Medical Innovation...Niigata UniversityCompletedChronic Kidney Disease | Renal AnemiaJapan
Clinical Trials on Methoxy polyethylene glycol-epoetin beta
-
Chugai PharmaceuticalCompleted
-
Hoffmann-La RocheCompletedRenal Insufficiency, Chronic | AnemiaUnited States, Spain, France, Hungary, Italy, Lithuania, Poland
-
Hoffmann-La RocheCompleted
-
Hoffmann-La RocheCompleted
-
Hoffmann-La RocheCompletedAnemiaItaly, Spain, United States, Germany
-
Hoffmann-La RocheCompleted
-
Hoffmann-La RocheCompleted
-
Hoffmann-La RocheCompletedAnemiaUnited States, Canada, United Kingdom, Mexico, Poland
-
Hoffmann-La RocheCompleted
-
Hoffmann-La RocheCompleted