Chronic Renal Failure Related AnemiaPhase 3NCT00229099
Efficacy and Safety Study of GerEPO
A Phase 3 study testing GerEPO in people with Chronic Renal Failure Related Anemia, run by Ministry of Health, Malaysia at 32 sites in Malaysia.
Trial summary
The purpose of the study is to establish the equivalence of GerEpo with the standard treatment Eprex® for a treatment period of 12 weeks in patients on Hemodialysis with respect to hemoglobin response and to establish the longer-term safety profile of GerEpo, with special regards for the occurrence of Pure Red Cell… Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Chronic Renal Failure Related Anemia
- What is being tested?
- GerEPO
- How many people
- 270 participants
- Where
- 32 sitesMalaysia
- Study dates
- Apr 2005to Nov 2005
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent obtained.
- Patients age between 18 and 70 years.
- Patients who are medically stable on hemodialysis for a minimum of 3 months.
- Patients on Eprex® treatment for CRF related anemia and maintaining Hb level at or above 9 g/dL(90g/L) while on a stable dose (no change in dose) of Epoetin within 6 weeks preceding the screening phase of this study.
- Patients who have a serum ferritin level greater than 100μg/L and/or transferrin saturation at least 20% within 3 months preceding the screening phase of this study.
Who cannot join
- Pregnant or nursing woman, or women of childbearing potential without an effective method of birth control. Effective birth control methods are oral contraception, Norplant, surgical sterilization, IUD or diaphragms in conjunction with spermicidal foam and condom on the male partner.
- Participation in any drug trial in which the patient received an Epoetin investigational drug within 30 days preceding the screening phase of this study.
- Those persons directly involved in the conduct of the study.
- Poorly controlled hypertension with diastolic blood pressures persistently greater than 110 mmHg at baseline observation.
- History of seizure disorder.
- Active acute or chronic infection or inflammatory disease.
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- Any illness that had required hospitalization within the last one month.
- Had blood transfusion within the last three months.
- Significant hematologic abnormalities (Evidence of hemolysis by laboratory tests, unexplained acquired microcytosis, thrombocytosis (>500,000/mm3))
- Severe hyperparathyroidism
- Diagnosed to have malignant tumor or who have residual tumor after anti-cancer therapy.
Trial locations and contacts
32 sites in 1 country.
32 sites in 1 country
Malaysia32 sites
Hospital Alor Setar
Alor Star, Kedah, 05100
Ampang Putri Specialist Hospital
Ampang, Selangor
Hospital Selayang
Batu Caves, Selangor
Asia Renal Care,Bukit Mertajam
Bukit Mertajam, Pulau Pinang, 14000
Hospital Ipoh
Ipoh, Perak, 30990
Hospital Sultanah Aminah
Johor Bharu, Johor, 80100
Hospital Kangar
Kangar, Perlis, 01000
Hospital Tengku Ampuan Rahimah
Klang, Selangor, 41200
SP Menon Dialysis Centre
Klang, Selangor
Hospital Kota Bharu
Kota Bharu, Kelantan, 15590
Persatuan Buah Pinggang Sabah
Kota Kinabalu, Sabah, 88100
Hospital Queen Elizabeth
Kota Kinabalu, Sabah, 88586
SP Menon Dialysis Centre
Kuala Lumpur, Kuala Lumpur, 50400
Pusat Hemodialisis, Yayasan Felda
Kuala Lumpur, Kuala Lumpur, 54000
The Kidney Dialysis Centre
Kuala Lumpur, Kuala Lumpur, 58100
Pantai Medical Centre, Kuala Lumpur
Kuala Lumpur, Kuala Lumpur, 59100
Hospital Kuala Lumpur
Kuala Lumpur, Kuala Lumpur
Tung Shin Hospital
Kuala Lumpur, Kuala Lumpur
Hospital Kuala Terengganu
Kuala Terengganu, Terengganu, 20400
Hospital Tengku Ampuan Afzan
Kuantan, Pahang
Pahang Buddhist Association
Kuantan, Pahang
Timberland Medical Centre
Kuching, Sarawak, 93250
MAA Medicare Kidney Charity Dialysis Centre
Kuching, Sarawak, 93540
Hospital Umum Sarawak
Kuching, Sarawak, 93586
Hospital Melaka
Malacca, Melaka, 75400
Haemodialysis Unit , Sunway Medical Centre
Petaling Jaya, Selangor, 46150
SP Menon Dialysis Centre, Megah Medical Specialist Centre
Petaling Jaya, Selangor
Pontian Rotary Haemodialysis Centre
Pontian Besar, Johor, 82000
Penang General Hospital
Pulau Pinang, Pulau Pinang, 10990
Pusat Hemodialisis Mawar (Seremban)
Seremban, Negeri Sembilan, 70300
Seremban General Hospital
Seremban, Negeri Sembilan, 70300
Hospital Taiping
Taiping, Perak, 34000
About this study
Official title: A Randomized, Multi-Center, Open Label Trial to Establish the Therapeutic Equivalence Between GerEpo and Eprex® and to Determine the Long Term Safety Profile of GerEpo in Patients on Hemodialysis.
The purpose of the study is to establish the equivalence of GerEpo with the standard treatment Eprex® for a treatment period of 12 weeks in patients on Hemodialysis with respect to hemoglobin response and to establish the longer-term safety profile of GerEpo, with special regards for the occurrence of Pure Red Cell Aplasia (PRCA) and other immunogenicity related adverse event
Read the detailed description
270 patients on Hemodialysis from 25 participating sites who meet inclusion/exclusion criteria will be enrolled into the trial. At the end of the comparative trial, subjects on either arm of the study may opt to enter a longer term cohort study designed to establish the longer-term safety profile of GerEpo, with special regards for the occurrence of Pure Red Cell Aplasia (PRCA) and other immunogenicity related adverse event.
This second part of the study is also opened to all subjects who have given written informed consent, and have ESRF with CRF related anemia who according to current guideline should be treated with Epoetin. Subjects need not be included in the first part of the study.
All patients shall be treated with GerEpo and thereafter observed for at least 1 year to actively monitor for the occurrence of PRCA and other immunogenicity related adverse events. The cohort study shall continue until at least 10,000 patient-years of observation have accrued on the study database.
- Conditions
- Chronic Renal Failure Related Anemia
- Being tested
- GerEPO
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GerEPODrug
What is being measured
The primary outcome is the main question the study is designed to answer.
To establish the therapeutic equivalence of GerEpo with the standard treatment Eprex® for a treatment period of 12 weeks in patients on Hemodialysis with respect to hemoglobin response.
Secondary outcomes (2)
• To compare GerEpo with Eprex® with respect to their respective frequency of adverse events
To monitor the occurrence of PRCA and other immunogenicity related adverse events among patients on GerEpo observed for at least a year on therapy.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Sep 2005 (estimated)
- Study startApr 2005
- Study completionNov 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Chronic Renal Failure Related AnemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 270 participants
Sponsor and investigators
- Lead sponsor
- Ministry of Health, Malaysia
- Sponsor type
- Other government
- Investigators
- Zaki Morad, MRCP, FRCP, Principal investigator, Ministry of Health
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00229099
- Sponsor's protocol ID
- CT05-02
- Status last verified
- Dec 2005
- First submitted
- 28 Sep 2005
- Last updated
- 26 Oct 2006
- Results posted
- No
Publications
Chung EY, Palmer SC, Saglimbene VM, Craig JC, Tonelli M, Strippoli GF. Erythropoiesis-stimulating agents for anaemia in adults with chronic kidney disease: a network meta-analysis. Cochrane Database Syst Rev. 2023 Feb 13;2(2):CD010590. doi: 10.1002/14651858.CD010590.pub3.
PubMed 36791280Goh BL, Ong LM, Sivanandam S, Lim TO, Morad Z; Biogeneric EPO Study Group. Randomized trial on the therapeutic equivalence between Eprex and GerEPO in patients on haemodialysis. Nephrology (Carlton). 2007 Oct;12(5):431-6. doi: 10.1111/j.1440-1797.2007.00831.x.
PubMed 17803464
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2006. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multi-Center, Open Label Trial to Establish the Therapeutic Equivalence Between GerEpo and Eprex® and to Determine the Long Term Safety Profile of GerEpo in Patients on Hemodialysis.
- ClinicalTrials.gov ID
- NCT00229099
- Acronym / sponsor ID
- CT05-02
- Conditions
- Chronic Renal Failure Related Anemia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 270 participants
- Lead sponsor
- Ministry of Health, MalaysiaOther government
- Study start
- Apr 2005
- Study completion
- Nov 2005
- First posted
- 29 Sep 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to establish the equivalence of GerEpo with the standard treatment Eprex® for a treatment period of 12 weeks in patients on Hemodialysis with respect to hemoglobin response and to establish the longer-term safety profile of GerEpo, with special regards for the occurrence of Pure Red Cell Aplasia (PRCA) and other immunogenicity related adverse event
Detailed description
270 patients on Hemodialysis from 25 participating sites who meet inclusion/exclusion criteria will be enrolled into the trial. At the end of the comparative trial, subjects on either arm of the study may opt to enter a longer term cohort study designed to establish the longer-term safety profile of GerEpo, with special regards for the occurrence of Pure Red Cell Aplasia (PRCA) and other immunogenicity related adverse event.
This second part of the study is also opened to all subjects who have given written informed consent, and have ESRF with CRF related anemia who according to current guideline should be treated with Epoetin. Subjects need not be included in the first part of the study.
All patients shall be treated with GerEpo and thereafter observed for at least 1 year to actively monitor for the occurrence of PRCA and other immunogenicity related adverse events. The cohort study shall continue until at least 10,000 patient-years of observation have accrued on the study database.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Written informed consent obtained.
- Patients age between 18 and 70 years.
- Patients who are medically stable on hemodialysis for a minimum of 3 months.
- Patients on Eprex® treatment for CRF related anemia and maintaining Hb level at or above 9 g/dL(90g/L) while on a stable dose (no change in dose) of Epoetin within 6 weeks preceding the screening phase of this study.
- Patients who have a serum ferritin level greater than 100μg/L and/or transferrin saturation at least 20% within 3 months preceding the screening phase of this study.
Key exclusion criteria (11 listed)
- Pregnant or nursing woman, or women of childbearing potential without an effective method of birth control. Effective birth control methods are oral contraception, Norplant, surgical sterilization, IUD or diaphragms in conjunction with spermicidal foam and condom on the male partner.
- Participation in any drug trial in which the patient received an Epoetin investigational drug within 30 days preceding the screening phase of this study.
- Those persons directly involved in the conduct of the study.
- Poorly controlled hypertension with diastolic blood pressures persistently greater than 110 mmHg at baseline observation.
- History of seizure disorder.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GerEPO | Drug | – |
Primary outcome
To establish the therapeutic equivalence of GerEpo with the standard treatment Eprex® for a treatment period of 12 weeks in patients on Hemodialysis with respect to hemoglobin response.
2 secondary outcomes
• To compare GerEpo with Eprex® with respect to their respective frequency of adverse events
To monitor the occurrence of PRCA and other immunogenicity related adverse events among patients on GerEpo observed for at least a year on therapy.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2006.
- Derived from this study: PubMed 36791280Chung EY, Palmer SC, Saglimbene VM, Craig JC, Tonelli M, Strippoli GF. Erythropoiesis-stimulating agents for anaemia in adults with chronic kidney disease: a network meta-analysis. Cochrane Database Syst Rev. 2023 Feb 13;2(2):CD010590. doi: 10.1002/14651858.CD010590.pub3.
- Derived from this study: PubMed 17803464Goh BL, Ong LM, Sivanandam S, Lim TO, Morad Z; Biogeneric EPO Study Group. Randomized trial on the therapeutic equivalence between Eprex and GerEPO in patients on haemodialysis. Nephrology (Carlton). 2007 Oct;12(5):431-6. doi: 10.1111/j.1440-1797.2007.00831.x.
- the link is an academic research organisation for the trialLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Zaki Morad, MRCP, FRCP principal investigator
Ministry of Health
32 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GerEPO in people with Chronic Renal Failure Related Anemia, run by Ministry of Health, Malaysia at 32 sites in Malaysia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Oct 2006. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 32 sites in Malaysia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To establish the therapeutic equivalence of GerEpo with the standard treatment Eprex® for a treatment period of 12 weeks in patients on Hemodialysis with respect to hemoglobin response.. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00229099, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2006.