- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01975818
Maintenance Treatment of Anemia Associated With Chronic Kidney Disease (CKD) in Hemodialysis Subjects on Epoetin Alfa / Beta Treatment Versus BAY85-3934 (DIALOGUE4)
September 17, 2019 updated by: Bayer
A Randomized, Parallel Group, Open-label, Multicenter Study to Investigate the Efficacy and Safety of Oral BAY85-3934 and Active Comparator (Epoetin Alfa / Beta) in the Maintenance Treatment of Subjects With Anemia Associated With Chronic Kidney Disease Who Are on Dialysis and on Treatment With an Erythropoiesis-stimulating Agent in the United States and Japan
Evaluate efficacy and safety of 16 weeks of titrated dose treatment with BAY85-3934 versus epoetin alfa/beta as measured by hemoglobin (Hb) levels.
Fixed starting doses of 25, 50,75 and 150 mg of BAY85-3934 titrated at the scheduled dose control visits.
Titration will be based on the subject's Hb response and tolerability of the prior dose.
Planned doses include 15, 25, 50, 75, 100,150 and 200 mg/day
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
201
Phase
- Phase 2
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
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Kyoto, Japan, 607-8116
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Nagano, Japan, 388-8004
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Hokkaido
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Muroran, Hokkaido, Japan, 050-0083
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Hyogo
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Himeji, Hyogo, Japan, 670-0947
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Mie
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Kuwana, Mie, Japan, 511-0061
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California
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Azusa, California, United States, 91702
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Long Beach, California, United States, 90813
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Los Angeles, California, United States, 90025
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Lynwood, California, United States, 90262
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Northridge, California, United States, 91324
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San Dimas, California, United States, 91773
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Whittier, California, United States, 90606
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Whittier, California, United States, 90602
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Florida
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New Port Richey, Florida, United States, 34652
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Pembroke Pines, Florida, United States, 33028
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Michigan
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Detroit, Michigan, United States, 48236
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Detroit, Michigan, United States, 48202
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Missouri
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Creve Coeur, Missouri, United States, 63141
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New Jersey
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Eatontown, New Jersey, United States, 07724
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New York
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Brooklyn, New York, United States, 11212
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Buffalo, New York, United States, 14215
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Fresh Meadows, New York, United States, 11365
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Ohio
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Cincinnati, Ohio, United States, 45206
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Toledo, Ohio, United States, 43615
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73116
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Tennessee
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Nashville, Tennessee, United States, 37212-8150
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Texas
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Fort Worth, Texas, United States, 76104
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Fort Worth, Texas, United States, 76105
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Fort Worth, Texas, United States, 76164
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Grand Prairie, Texas, United States, 75050
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Houston, Texas, United States, 77004
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Houston, Texas, United States, 77091
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Mansfield, Texas, United States, 76063
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San Antonio, Texas, United States, 78229
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San Antonio, Texas, United States, 78215
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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:
- - Eligible subjects will have a diagnosis of anemia associated with CKD(chronic kidney disease).
- Women without childbearing potential
- Male or female subject ≥ 18 years of age with anemia of CKD at screening
- On dialysis, defined as regular long-term hemodialysis, with the same modality of dialysis for ≥ 3 months before randomization
- Dialysis vascular access via native arteriovenous fistula, synthetic graft, long-term catheters, or long-term tunneled catheters
- Treated with epoetin alfa (US or Japan) or epoetin beta (Japan) via intravenous (IV) or subcutaneous (SC) route, on stable dosing defined as a < 50% change from the maximum prescribed weekly dose with no change in the prescribed frequency during the last 8 weeks prior to randomization
- At least one kidney
- Mean screening Hb concentration 9.0 to 11.5 g/dL inclusive (mean of all local laboratory Hb measurements [at least 2 measurements must be taken ≥ 2 days apart] during the 4 week screening period, AND none of the measurements can be < 9.0 g/dL or > 12.0 g /dL
- Serum ferritin levels ≥ 100 μg/L OR transferrin saturation ≥ 20% at screening. Iron substitution is allowed
- Folate and vitamin B12 levels above the lower limit of normal. Supplementation is allowed
- Exclusion Criteria:
- Subjects with significant acute or chronic bleeding, such as overt gastrointestinal bleeding
- Hereditary hemoglobinopathies (including, but not limited to, sickle cell disease, beta thalassemia, and thalassemia major) which may be the primary cause of anemia
- Chronic lymphoproliferative diseases
- Any allograft (including renal allograft) in place and on immunosuppressive therapy, or a scheduled kidney transplant within the next 16 weeks (being on a waiting list does not exclude the subject)
- Chronic inflammatory disease that could impact erythropoiesis (e.g., systemic lupus erythematosis, rheumatoid arthritis, celiac disease)
- Subjects treated with immuno- or myelosuppressive therapy within 8 weeks prior to randomization: e.g., everolimus, sirolimus, rituximab, azathioprine, mycophenolate mofetil, mycophenolic acid, cyclosporine,methotrexate, and tacrolimus, chemotherapeutic agents and other anticancer agents, and systemic steroids (except inhaled steroids) for 7 days
- RBC-containing transfusion within 8 weeks before randomization
- History of cardio- (cerebro-) vascular events (e.g., unstable angina, myocardial infarction, stroke, transient ischemic attack, deep vein thrombosis, pulmonary embolism) within the last 6 months from the initial screening visit
- Sustained, poorly controlled arterial hypertension or hypotension at screening, defined as a mean BP ≥ 180/110 mmHg or systolic BP < 95 mmHg, respectively
- Severe rhythm or conduction disorder (e.g., HR < 50 or > 110 bpm, atrial flutter, prolonged QT >500 msec, second or third degree atrioventricular [AV]block if not treated with a pacemaker)
- New York Heart Association Class III or IV congestive heart failure
- Severe hepatic insufficiency (defined as alanine aminotransferase [ALT], aspartate aminotransferase [AST], or gamma-glutamyl transferase > 3 times the upper limit of normal [ULN], total bilirubin > 2 mg/dL, or Child-Pugh B or C) or active hepatitis in the investigator's opinion
- A scheduled surgery that may be expected to lead to significant blood loss
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 |
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Experimental: Molidustat (BAY 85-3934)(25mg)
Starting dose of 25 mg of BAY85-3934 as once-daily oral tablets.
Regular titrations at dose control visits.
Titration occuring every 4-weeks will be based on the subject's Hb response and tolerability of the prior dose.
Total treatment time is 16 weeks.
Planned doses include 15, 25, 50, 75, 100,150 and 200 mg once daily.
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Oral doses of BAY85-3934 will be available in multiples of 25,50,75 and 150 mg tablets
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Experimental: Molidustat (BAY 85-3934)(50mg)
Starting dose of 50 mg of BAY85-3934 as once-daily oral tablets.
Regular titrations at dose control visits Titration occuring every 4-weeks will be based on the subject's Hb response and tolerability of the prior dose.
Total treatment time is 16 weeks.
Planned doses include 15, 25, 50, 75, 100,150 and 200 mg once daily.
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Oral doses of BAY85-3934 will be available in multiples of 25,50,75 and 150 mg tablets
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Experimental: Molidustat (BAY 85-3934) (75mg)
Starting dose of 75 mg of BAY85-3934 as once-daily oral tablets.
Regular titrations at dose control visits Titration occuring every 4-weeks will be based on the subject's Hb response and tolerability of the prior dose.
Total treatment time is 16 weeks.
Planned doses include 15, 25, 50, 75, 100,150 and 200 mg once daily.,
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Oral doses of BAY85-3934 will be available in multiples of 25,50,75 and 150 mg tablets
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Experimental: Molidustat (BAY 85-3934) (150mg)
Starting dose of 150 mg of BAY85-3934 as once-daily oral tablets.
Regular titrations at dose control visits Titration occuring every 4-weeks will be based on the subject's Hb response and tolerability of the prior dose.
Total treatment time is 16 weeks.
Planned doses include 15, 25, 50, 75, 100, 150 and 200 mg once daily
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Oral doses of BAY85-3934 will be available in multiples of 25,50,75 and 150 mg tablets
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Active Comparator: Epoetin alfa/beta
Starting dose at the subject's current weekly dose.
Administered IV or SC 3 times per week.
Doses will be titrated at the scheduled dose control visits according to the local label.
Titration will be based on the subject's Hb response and tolerability of the prior dose.
Epoetin alfa may be administered in either the United States (US) or Japan; epoetin beta will only be administered in Japan.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Change in local laboratory hemoglobin level from baseline to the average during the last 4 weeks treatment period
Time Frame: Baseline and weeks 14 to 17
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Baseline and weeks 14 to 17
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Duration of exposure on each dose level
Time Frame: Up to 16 weeks
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Up to 16 weeks
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Number of subjects requiring titration of dose
Time Frame: Up to 16 weeks
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Up to 16 weeks
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Number of participants with serious adverse events as a measure of safety and tolerability
Time Frame: Up to 16 weeks
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Up to 16 weeks
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Mean of the hemoglobin (Hb) levels in the target range (10.0 to 11.0 g/dL)
Time Frame: From week 14 to 17
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From week 14 to 17
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Mean of the hemoglobin levels in the target range (9.5 to 11.5 g/dL)
Time Frame: From week 14 to 17
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From week 14 to 17
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Change from baseline in Hb during active treatment
Time Frame: Baseline and weeks 14 to 17
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Baseline and weeks 14 to 17
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Number of patients with hemoglobin levels outside the target range
Time Frame: From week 14 to 17
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From week 14 to 17
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Dose level in the evaluation period
Time Frame: Up to 16 weeks
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Up to 16 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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 (Actual)
October 28, 2013
Primary Completion (Actual)
October 23, 2015
Study Completion (Actual)
December 15, 2015
Study Registration Dates
First Submitted
October 18, 2013
First Submitted That Met QC Criteria
October 29, 2013
First Posted (Estimate)
November 5, 2013
Study Record Updates
Last Update Posted (Actual)
September 20, 2019
Last Update Submitted That Met QC Criteria
September 17, 2019
Last Verified
September 1, 2019
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 16208
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.
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