Chronic Kidney DiseasePhase 4EPO-PASSNCT00632125
Post-authorization Safety Study in CKD Subjects Receiving HX575 i.v.
A Phase 4 study testing HX575 recombinant human erythropoietin alfa in people with Chronic Kidney Disease, run by Sandoz at 114 sites in 10 countries.
Trial summary
Cumulative follow-up with HX575 epoetin alfa to prospectively monitor the incidence of relevant drug-related adverse events and EPO-related lack of efficacy among Chronic Kidney Disease (CKD) subjects receiving HX575 epoetin alfa i.v. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Kidney Disease
- What is being tested?
- HX575 recombinant human erythropoietin alfa
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,695 participants
- Where
- 114 sitesin 10 countries
- Study dates
- Jul 2008to Sep 2010
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- CKD subjects with or without dialysis treatment
- Age over 18 years
- Subjects requiring i.v. ESA treatment
- Subjects likely to remain on i.v. ESA treatment for 6 months
- Provision of informed consent -
Who cannot join
- Systemic immunosuppressive medication or any other drugs known to adversely affect the hemoglobin level
- Known primary lack of efficacy (LOE), unexplained loss of effect to a recombinant erythropoietin product
- History of PRCA or aplastic anemia
- History of anti-erythropoietin antibodies
- Uncontrolled hypertension
- Pregnant woman or nursing mother
- Women of childbearing potential do not agree to maintain effective birth control during the study treatment period.
Trial locations and contacts
114 sites in 10 countries.
114 sites in 10 countries
Germany40 sites
Fachpraxis für Nieren und Hochdruckerkrankungen
Andernach, 56626
KfH Kuratorium für Nierentranplantation und Dialyse e.V.
Aschaffenburg, 63741
Gemeinschaftspraxis
Baunatal, 34225
Kuratorium ür Dialyse und Nierentransplantation e.V.
Bayreuth, 95445
KfH Nierenzentrum
Berlin, 12247
Alwall Praxis für Nieren- und Hochdruckkrankheiten
Berlin, 13125
Dialysepraxis
Bremerhaven, 27570
Dialysepraxis Drs. Riedasch/Schreiber
Coesfeld, 48653
KfH Nierenzentrum
Cologne, 50937
Facharzt für Innere Medizin und Nephrologie, Dialyse Centrum
Darmstadt, 64295
KfH Kuratorium für Nierentranplantation und Dialyse e.V.
Deggendorf, 94469
Dialysezentrum
Dinkelsbühl, 91550
Diabetes- und Dialysezentrum Merker, Vogt
Dormagen, 41539
KfH Nierenzentrum
Dortmund, 44141
Gemeinschaftspraxis Karlstraße
Düsseldorf, 40210
Kuratorium für Dialyse und Nierentransplantation e.V.
Ehingen, 89584
Dialysezentrum Elsenfeld
Elsenfeld, 63820
Gemeinschaftspraxis Dr. Spitthöver, Dr. Knee, Dr. Gröschel
Essen, 45127
KfH Kuratorium für Dialyse und Nierentransplantation e.V.
Essen, 45136
Dialysezentrum
Freiburg im Breisgau, 79110
KfH Kuratorium für Dialyse und Nierentransplantation e.V
Fürstenzell, 94081
KfH Kuratorium für Dialyse und Nierentransplantation e.V
Gummersbach, 51643
Dialyse Hamburg Barmbek
Hamburg, 22297
Dialysepraxis Dr. Spengler
Helmstedt, 38350
Marienhospital Herne
Herne, 44625
Dialyse-Zentrum Elsterland
Herzberg, 04916
Nephrologische Praxis
Höchstadt an der Aisch, 91315
Praxis Dr. Menzer
Homberg (Efze), 34576
Gemeinschaftspraxis
Kamp-Lintfort, 47475
Dialysepraxis
Lahr, 77933
Praxis für Innere Medizin und Nephrologie
Leverkusen, 51373
Nephrologisches Zentrum Emsland
Lingen, 49808
Dialysezentrum und Schwerpunktpraxis für Nieren- und Hochdruckerkrankungen
Mannheim, 68309
Gemeinschaftspraxis
Mayen, 56727
Nephrologisches Zentrum Mettmann
Mettmann, 40822
KfH Kuratorium für Nierentranplantation und Dialyse e.V.
Oberschleißheim, 85764
Nierenzentrum Prenzlau
Prenzlau, 17291
Nephrologische Ambulanz/ Dialyse
Singen, 78224
KfH Kuratorium für Dialyse und Nierentransplantation e.V
Straubing, 94315
Nieren- und Diabeteszentrum Viersen-Nettetal
Viersen-Dülken, 41751
Italy22 sites
IRCCS INRCA Sede de Ancona
Ancona, 60100
Ospedali Riuniti di Anzio e Nettuno
Anzio, 00042
U.O.C. Nefrologia e Dialisi, C.G. Mazzoni
Ascoli Piceno, 63100
Ospedaliero Universitaria Policlinico S. Orsola Malpighi
Bologna, 40138
Azienda Ospdealiero "Istituti Ospitalieri"
Cremona, 26100
Ospedale E. Profili di Fabriano
Fabriano, 60044
AO Universitaria Ospedali Riuniti
Foggia, 71100
Universitaria Degli Studi di Genova Clinica Nefrologica, Dialisi e Trapianto
Genova, 16132
Ospedale A. Manzoni
Lecco, 23900
Azienda Ospedaliera Carlo Poma di Mantova
Mantua, 46100
Azienda Ospedaliera Ospedale San Carlo Borromeo
Milan, 20153
Azienda Ospedaliera Ospedale Niguarda Ca Granda
Milan, 20162
AO Universitaria di Modena
Modena, 41100
Ospedale Maggiore di Modica
Modica, 97015
U.O. Nefrologia e Dialisi, P.O. Ospedale Casati, Centro Dialisi
Passirana Di Rho, 20017
Fondazione S. Maugeri
Pavia, 27100
Azienda Ospedaliera ospedale S. Salvatore
Pesaro, 61100
Ospedale A. Landolfi
Solofra, 83029
Azienda Ospedaliera CTO - Maria Adelaide
Torino, 10126
Ospedale San Giovanni Bosco
Torino, 10154
Ospedale di Trento / Santa Chiara
Trento, 38100
Ospedale dell'Angelo
Venezia Mestre, 30173
Poland15 sites
Specjalistyczny Szpital Wojewodzki w Ciechanowie
Ciechanów, 06-400
Wojewodzki Szpital Specjalistyczny im. Najswietszej maryi Panny
Częstochowa, 42-200
Samodzielnym Publicznym Zakladzie Opieki Zdrowotnej Dzialdowo
Działdowo, 13-200
Stacja Dializ w Garwolinie
Garwolin, 08-400
Szpital Specjalistyczny Sw. W. Adalberta
Gdansk, 80-462
Niepubliczny Zaklad Opieki Zdrowotnej AVITUM
Golub-Dobrzyń, 87-400
B. Braun AVITUM Poland Sp.
Legnica, 59-220
SP Szpital Kliniczny im. Barlickiego
Lodz, 90-153
Samodzielny Publiczny Szpital Kliniczny nr 4
Lublin, 20-954
Niepubliczny Zaklad Opieki Zdrowotnej
Pabianice, 95-200
Radomski Szpital Specjalistyszny im. Dr Tytusa Chalubinskiego
Radom, 26-610
Wojewodzki Szpital Specjalistyczny nr 3
Rybnik, 44-200
Szpital Bielanski Blok F
Warsaw, 01-809
Centralny Szpital Kliniczny MSWiA
Warsaw, 02-507
Szpital Powiatowy im. Lekarza Z. Koprowskiego
Warsaw, 08-300
North Macedonia8 sites
PHO Clinical Hospital Dr. Trifun Panovski
Bitola, 7000
PHO Health organisation Goce Delcev
Delcevo, 2320
PHO General Hospital Kocani
Kočani, 2300
PHO General Hospital Borka Taleski
Prilep, 7500
PHO General Hospital Stip
Shtip, 1000
PHO Clinic of Nephrology
Skopje, 1000
Institute of Nephrology
Struga, 6330
PHO Medical Center Veles
Veles, 1400
Ukraine8 sites
Oblasna klinichna likarnia imeni I.I.Mechnikova
Dnipropetrovsk, 49000
Oblasnyi tsentr urologii ta nefrologii
Kharkiv, 61037
Tsentralnyi miskyi klinichnyi hospital, Viddilennia gemodializu
Kyiv, 01023
Miska klinichna likarnia#3, Miskyi nefrologichnyi tsentr
Kyiv, 02125
Instytut nefrologii AMN Ukrainy viddil nefrologii ta dializu
Kyiv, 04050
Mykolaivska Oblasna Klinichna Likarnia, Viddilennia Gemodializu
Mykolayiv, 54058
Ternopilska Oblasna Klinichna Likarnia, Viddilennia Nefrologii ta Gemodializu
Ternopil, 46002
Oblasna klinikchna likarnia, tsentr transplantologii ta gemodializu
Zaporizhzhya, 69050
Bulgaria6 sites
Multiprofile Hospital for Active Treatment Dr. Tota Venkova
Gabrovo, 5300
Multiprofile Hospital for Active Treatment Dr. Kiro Popov
Karlovo, 4300
Multiprofile Hospital for Active Treatment Pazardzhik
Pazardzhik, 40400
Multiprofile Hospital for Active Treatment Rousse
Rousse, 7002
Multiprofile Hospital for Active Treatment Sv. Ivan Rilski
Sofia, 1431
Ministry of Interior-Central Clinical Base
Sofia, 1606
Austria5 sites
Dialysepraxis Dres. Huspek/Schmid
Bad Ischl, 4820
Landeskrankenhaus Feldkirch
Feldkirch, 6800
Landeskrankenhaus Freistadt
Freistadt, 4240
LKH Rohrbach
Rohrbach, 4150
Universitätsklinik für Innere Medizin III
Vienna, 1090
Romania5 sites
Spitalul Clinic Municipal
Arad, 310017
Institutul Clinic Fundeni
Bucharest, 022328
Spitalul Clinic de urgenta "Floreasca"
Bucharest, 14461
Spitalul Universitar de Urgenta
Bucharest, 50098
SC Renamed Nefrodial SRL
Oradea, 410562
Russia4 sites
FGUZ Clinical hospital No. 83 of FMBA of Russia
Moscow, 115682
City Clinal Hospital # 34
Novosibirsk, 630120
MLPU "Clinical City Hospital # 1"
Smolensk, 214019
GUZ "Yaroslavl regional clinical hospital"
Yaroslavl, 150062
About this study
Official title: Post-authorization Safety Study to Prospectively Monitor the Incidence of Relevant Drug-related Adverse Events and EPO-related Lack of Efficacy Among CKD Subjects Receiving HX575 Recombinant Human Erythropoietin Alfa i.v.
Cumulative follow-up with HX575 epoetin alfa to prospectively monitor the incidence of relevant drug-related adverse events and EPO-related lack of efficacy among Chronic Kidney Disease (CKD) subjects receiving HX575 epoetin alfa i.v.
Read the detailed description
This study was a multi-center, multinational, prospective, single-arm clinical study with a 6-month treatment period. The primary objective was to extend the safety database of patients with CKD who receive i.v. HX575 epoetin alfa treatment and to monitor the adverse event (AE) profile under post-approval conditions.
- Conditions
- Chronic Kidney Disease
- Being tested
- HX575 recombinant human erythropoietin alfa
- Keywords
- CKD subjects with or without dialysis treatment
- Medical subject headings
- Renal Insufficiency, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HX575 recombinant human erythropoietin alfaDrug
Also called HX575 epoetin alfa
HX575 epoetin alfa i.v. will be administered according to the SmPC
| Study group | Role | What they receive |
|---|---|---|
| HX575 epoetin alfa i.v. | Experimental | This post-authorization safety study was designed as a multi-center, multinational, prospective, single-arm clinical study with a 6-month HX575 (recombinant human) erythropoietin alfa treatment period. It was planned to include approximately 1,500 patients. Receives: Drug: HX575 recombinant human erythropoietin alfa |
What is being measured
The primary outcome is the main question the study is designed to answer.
Drug-related Adverse Events Consisting of Epoetin Alfa-induced Immunogenicity and Resulting Clinical Effects
The incidence of relevant drug-related adverse events consisting of Epoetin alfa-induced immunogenicity and resulting blockade in erythroid maturation (e.g. pure red cell aplasia) and lack of efficacy
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Mar 2008 (estimated)
- Study startJul 2008
- Primary completionMar 2010
- Study completionSep 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Chronic Kidney DiseaseStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,695 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sandoz
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Hexal AG
- Responsible party
- Sponsor
- Investigators
- Karsten Roth, Dr, Study chair, Hexal AG
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00632125
- Sponsor's protocol ID
- 2006-66-INJ-14
- Acronym
- EPO-PASS
- Status last verified
- Jul 2017
- First submitted
- 29 Feb 2008
- Last updated
- 11 Jul 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Undecided
Publications
Horl WH, Locatelli F, Haag-Weber M, Ode M, Roth K; Epo-PASS study group. Prospective multicenter study of HX575 (biosimilar epoetin-alpha) in patients with chronic kidney disease applying a target hemoglobin of 10--12 g/dl. Clin Nephrol. 2012 Jul;78(1):24-32. doi: 10.5414/cn107440.
PubMed 22732334
Study at a glance
From the registry record, last updated by the sponsor on 11 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Post-authorization Safety Study to Prospectively Monitor the Incidence of Relevant Drug-related Adverse Events and EPO-related Lack of Efficacy Among CKD Subjects Receiving HX575 Recombinant Human Erythropoietin Alfa i.v.
- ClinicalTrials.gov ID
- NCT00632125
- Acronym / sponsor ID
- EPO-PASS / 2006-66-INJ-14
- Conditions
- Chronic Kidney Disease
- Keywords
- CKD subjects with or without dialysis treatment
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,695 participants (actual)
- Lead sponsor
- SandozIndustry (pharma, biotech, devices)
- Collaborators
- Hexal AG
- Study start
- Jul 2008
- Primary completion
- Mar 2010 (actual)
- Study completion
- Sep 2010 (actual)
- First posted
- 10 Mar 2008 (estimated)
- Results
- Posted 11 Jul 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Cumulative follow-up with HX575 epoetin alfa to prospectively monitor the incidence of relevant drug-related adverse events and EPO-related lack of efficacy among Chronic Kidney Disease (CKD) subjects receiving HX575 epoetin alfa i.v.
Detailed description
This study was a multi-center, multinational, prospective, single-arm clinical study with a 6-month treatment period. The primary objective was to extend the safety database of patients with CKD who receive i.v. HX575 epoetin alfa treatment and to monitor the adverse event (AE) profile under post-approval conditions.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| HX575 epoetin alfa i.v. | Experimental | Drug: HX575 recombinant human erythropoietin alfaThis post-authorization safety study was designed as a multi-center, multinational, prospective, single-arm clinical study with a 6-month HX575 (recombinant human) erythropoietin alfa treatment period. It was planned to include approximately 1,500 patients. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- CKD subjects with or without dialysis treatment
- Age over 18 years
- Subjects requiring i.v. ESA treatment
- Subjects likely to remain on i.v. ESA treatment for 6 months
- Provision of informed consent -
Key exclusion criteria (7 listed)
- Systemic immunosuppressive medication or any other drugs known to adversely affect the hemoglobin level
- Known primary lack of efficacy (LOE), unexplained loss of effect to a recombinant erythropoietin product
- History of PRCA or aplastic anemia
- History of anti-erythropoietin antibodies
- Uncontrolled hypertension
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 |
|---|---|---|
| HX575 recombinant human erythropoietin alfaAlso: HX575 epoetin alfaHX575 epoetin alfa i.v. will be administered according to the SmPC | Drug | HX575 epoetin alfa i.v. |
Primary outcome
Drug-related Adverse Events Consisting of Epoetin Alfa-induced Immunogenicity and Resulting Clinical Effects
Time frame: 6 months
The incidence of relevant drug-related adverse events consisting of Epoetin alfa-induced immunogenicity and resulting blockade in erythroid maturation (e.g. pure red cell aplasia) and lack of efficacy
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jul 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 22732334Horl WH, Locatelli F, Haag-Weber M, Ode M, Roth K; Epo-PASS study group. Prospective multicenter study of HX575 (biosimilar epoetin-alpha) in patients with chronic kidney disease applying a target hemoglobin of 10--12 g/dl. Clin Nephrol. 2012 Jul;78(1):24-32. doi: 10.5414/cn107440.
- Individual participant dataSharing planned: Undecided
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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.
Karsten Roth, Dr study chair
Hexal AG
114 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing HX575 recombinant human erythropoietin alfa in people with Chronic Kidney Disease, run by Sandoz at 114 sites in 10 countries.
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 7 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 11 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 114 sites in Germany, Italy, Poland, North Macedonia, Ukraine and 5 more countries. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 11 Jul 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Drug-related Adverse Events Consisting of Epoetin Alfa-induced Immunogenicity and Resulting Clinical Effects (time frame: 6 months). 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 NCT00632125, which also lists 1 linked publication.
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 11 Jul 2017.