- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04454879
Different Doses of Roxadustat Treatment for Anemia in Peritoneal Dialysis Patients
November 24, 2021 updated by: Dong Jie, Peking University First Hospital
Different Doses of Roxadustat Treatment on Hemoglobin Target-met in Peritoneal Dialysis Patients
A multi-center, randomized, controlled study to evaluate the effect of different doses of roxadustate on hemoglobin target-met in peritoneal dialysis patients
Study Overview
Detailed Description
Roxadustat is an orally hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI) to promote erythropoiesis on patients with chronic kidney disease.
Two phase 3 clinical trials have verified the efficacy and safety of roxadustate as therapy for anemia in patients with CKD and undergoing dialysis.
A high increasing rate of Hb or Hb overshooting triggered by roxadustat need dosing reduction or even drug withdrawal, possibly leading to a large Hb variation and adverse subsequences.
Therefore, we were of interest to investigate whether a lower starting dose of roxadustat could achieve comparable Hb target at week 12 while lowering the risk for Hb over 130g/L through a prospective peritoneal dialysis (PD) cohort.
Peritoneal dialysis patients diagnosed with renal anemia will be divided into standard roxadustat dosage group and lower roxadustat dosage group.
After 12 weeks, we will compare the target-met, overshooting and variation ratio of hemoglobin between these two groups.
Study Type
Interventional
Enrollment (Actual)
100
Phase
- Phase 4
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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Beijing, China
- Peking University first hospital
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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 to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Adult patients diagnosed with Chronic kidney disease stage 5
- Maintenance on PD for more than three months.
- Weight between 45Kg and 110Kg
- Renal anemia, and hemoglobin between 90g/L and 120g/L
- Stop taking erythropoietin for enough time (erythropoietin treatment discontinuation for ≥3 days if using erythropoietin of 3000U single strength, or ≥7 days if using erythropoietin of 10000U single strength) or free of erythropoietin use
- Signed the informed consent.
- Willing to follow the study procedure
Exclusion Criteria:
- Hematologic malignancy or aplastic anemia.
- Blood loss or hemolysis.
- Taking roxadustat, or Allergy or intolerance to roxadustat
- Severe liver injury or active hepatitis.
- Pregnancy or breastfeeding
- Cancer, receiving radiotherapy and chemotherapy within 6 months.
- Refractory hypertension
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: standard roxadustat dosage group
Peritoneal dialysis patients diagnosed with renal anemia will receive standard dosage of roxadustat according to weight.
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Patients in the standard dosage group will receive starting dosage of roxadustat 100 mg, three times per week for weight 45-60kg and 120 mg, three times per week for weight greater than 60kg.
Patients in the lower dosage group will receive the starting dosage of roxadustat 50 mg, three times per week for weight lower than 50kg, 70 mg, three times per week for weight 50-70kg, 90 mg, three times per week for weight 70-90kg and 110 mg, three times per week for weight 90-110kg, respectively.
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Experimental: lower roxadustat dosage group
Peritoneal dialysis patients diagnosed with renal anemia will receive lower dosage of roxadustat according to weight.
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Patients in the standard dosage group will receive starting dosage of roxadustat 100 mg, three times per week for weight 45-60kg and 120 mg, three times per week for weight greater than 60kg.
Patients in the lower dosage group will receive the starting dosage of roxadustat 50 mg, three times per week for weight lower than 50kg, 70 mg, three times per week for weight 50-70kg, 90 mg, three times per week for weight 70-90kg and 110 mg, three times per week for weight 90-110kg, respectively.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The ratio of hemoglobin achieving the target (115g/L)
Time Frame: 12 weeks
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The ratio of hemoglobin achieving the target (115g/L) on week 8 and week 12.
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12 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The variation ratio of hemoglobin
Time Frame: 12 weeks
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The standard deviation of hemoglobin during the follow-up divide by average of hemoglobin
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12 weeks
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The ratio of hemoglobin over-shooting
Time Frame: 12 weeks
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Hemoglobin higher than 130g/L during the follow-up.
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12 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Jie Dong, MD, Peking University first hospital
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)
July 1, 2020
Primary Completion (Actual)
April 3, 2021
Study Completion (Actual)
August 3, 2021
Study Registration Dates
First Submitted
June 29, 2020
First Submitted That Met QC Criteria
June 29, 2020
First Posted (Actual)
July 2, 2020
Study Record Updates
Last Update Posted (Actual)
November 26, 2021
Last Update Submitted That Met QC Criteria
November 24, 2021
Last Verified
November 1, 2021
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Roxadustat,different dose,
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
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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