AnemiaPhase 3NCT00661388
A Study of Monthly Subcutaneous Mircera for the Treatment of Chronic Renal Anemia in Predialysis Patients Not Treated With ESA.
A Phase 3 study testing methoxy polyethylene glycol-epoetin beta [Mircera] in people with Anemia, run by Hoffmann-La Roche at 9 sites in Turkey (Türkiye).
Trial summary
This single arm study will assess the efficacy and safety of subcutaneous methoxy polyethylene glycol-epoetin beta (Mircera) for the correction and maintenance of hemoglobin levels in predialysis patients with renal anemia who are not currently treated with erythropoietin stimulating agents (ESA). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Anemia
- What is being tested?
- methoxy polyethylene glycol-epoetin beta [Mircera]
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 75 participants
- Where
- 9 sitesTurkey (Türkiye)
- Study dates
- Aug 2008to Dec 2010
- Phase
- Phase 3
- 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
- adult patients, >=18 years of age;
- chronic renal anemia;
- predialysis stage;
- no ESA therapy during previous 3 months.
Who cannot join
- transfusion of red blood cells during previous 2 months;
- poorly controlled hypertension requiring hospitalization in previous 6 months;
- significant acute or chronic bleeding.
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
Turkey (Türkiye)9 sites
Study site
Ankara, 06100
Study site
Denizli, 20100
Study site
Edirne, 22030
Study site
Istanbul, 34000
Study site
Istanbul, 34377
Study site
Istanbul, 34381
Study site
Istanbul, 34390
Study site
Kahramanmaraş, 46100
Study site
Konya, 42770
About this study
Official title: A Single Arm, Open Label Study to Assess the Efficacy, Safety and Tolerability of Once-monthly Administration of Subcutaneous C.E.R.A. for the Treatment of Chronic Renal Anaemia in Pre-dialysis Patients Not Currently Treated With ESA.
This single arm study will assess the efficacy and safety of subcutaneous methoxy polyethylene glycol-epoetin beta (Mircera) for the correction and maintenance of hemoglobin levels in predialysis patients with renal anemia who are not currently treated with erythropoietin stimulating agents (ESA). Eligible patients will receive monthly subcutaneous injections of Mircera at an initial recommended dose of 1.2 micrograms/kg. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
- Conditions
- Anemia
- Being tested
- methoxy polyethylene glycol-epoetin beta [Mircera]
- Medical subject headings
- Anemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
methoxy polyethylene glycol-epoetin beta [Mircera]Drug
sc every month (starting dose 1.2 micrograms/kg)
| Study group | Role | What they receive |
|---|---|---|
| Continuous erythropoietin receptor activator (C.E.R.A.) | Experimental | Eligible participants will be administered C.E.R.A subcutaneously, every 4 weeks for 44 weeks. The initial dose of C.E.R.A. will be 1.2 micrograms/kilogram. Subsequent doses will be adjusted to maintain the individual participant's hemoglobin within the target range of 10.0 and 12.0 grams/deciliter. Receives: Drug: methoxy polyethylene glycol-epoetin beta [Mircera] |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change in Hb Concentration Between Baseline and the Efficacy Evaluation Period
Mean change in Hb concentration was calculated as the difference between the time adjusted average of Hb during the efficacy evaluation period (EEP [Week 29 to Week 36]), and the Hb at Baseline (Week 0). A positive change from baseline indicates improvement.
Measured: From Baseline (Week 0) to EEP (Week 29 to Week 36)
Secondary outcomes (17)
Mean Time to Achievement of Response During the EEP
Participants with Hb concentrations within target range of 10-12 g/dl were considered to be responders. Mean time to achievement of response during the EEP (Week 29 to Week 36) is presented.
Measured: From Week 29 to Week 36
The Percentage of Participants Whose Hb Concentrations Remained Within the Target Range of 10.0- 12.0 g/dLThroughout the EEP
The percentage of participants whose Hb Concentrations remained within the target range of 10.0- 12.0 g/dL throughout the EEP (Week 29 to Week 36) is presented.
Measured: From Week 29 to Week 36
Mean Time Spent by Participants in the Target Range of 10.0- 12.0 g/dL During the EEP
Mean time spent by participants in the target range of 10.0- 12.0 g/dL during the EEP (Week 29 to Week 36) is presented.
Measured: From Week 29 to Week 36
Percentage of Participants Requiring Dose Adjustments During Dose Titration Period and EEP
Percentage of participants requiring dose adjustments during dose titration period (DTP [Week 0 to Week 28]) and EEP (Week 29 to Week 36) is presented. The dose adjustments (increase or decrease) were required: if a single Hb concentration was either ≥ 13 g/dL or < 9 g/dL; if the difference of 2 consecutive Hb concentrations was ≥2 g/dL; if the values of scheduled Hb assessments on the day of administration of C.E.R.A. and on the previous study visit were both out of range of 10 to 12 g/dL; if the values of the scheduled Hb assessments on the day of administration of C.E.R.A. and on the previous study visit were both out of the range 10.5 to 11.5 g/dL. Dose adjustment could be made at any time at the discretion of the clinician if clinically warranted.
Measured: Weeks 0 to Week 36
Number of Participants Who Received Red Blood Cell Transfusions During the Study Period
Red blood cell transfusions were given during the treatment period in case of medical need. Blood transfusions occurred during the DTP (Week 0 to Week 28), EEP (Week 29 to Week 36), and during the long term safety period (LSTP [Week 37 to Week 52]) are presented.
Measured: Up to Week 52
Number of Participants Who Experienced Any Adverse Events or Serious Adverse Events
An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect.
Measured: Up to Week 52
Mean Change From Baseline in Hb Concentration Over Time
Mean change from Baseline in Hb concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Hematocrit Level Over Time
Mean change from Baseline in hematocrit level was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Erythrocyte Mean Corpuscular Volume Over Time
Mean change from Baseline in erythrocyte mean corpuscular volume was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, and 48
Mean Change From Baseline in White Blood Cells and Platelets Concentrations Over Time
Mean change from Baseline in white blood cells (WBCs) and platelets concentrations was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Albumin Concentration Over Time
Mean change from Baseline in albumin concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in C-Reactive Protein Concentration Over Time
Mean change from Baseline in C-Reactive Protein concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Phosphate and Potassium Concentrations Over Time
Mean change from Baseline in phosphate and potassium concentrations was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Total Iron Binding Capacity and Iron Concentrations Over Time
Mean change from Baseline in total iron binding capacity (TIBC) and iron concentrations was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Creatinine Concentration Over Time
Mean change from Baseline in creatinine concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 32, 40
Mean Change From Baseline in Ferritin Concentration Over Time
Mean change from Baseline in ferritin concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Transferrin Saturation Over Time
Mean change from Baseline in transferrin saturation (TSAT) was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.
Measured: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Apr 2008 (estimated)
- Study startAug 2008
- Primary completionDec 2010
- Study completionDec 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.
- Other trials for AnemiaStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 75 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00661388
- Sponsor's protocol ID
- ML21524
- Status last verified
- Jul 2016
- First submitted
- 16 Apr 2008
- Last updated
- 11 Sep 2025
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 11 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single Arm, Open Label Study to Assess the Efficacy, Safety and Tolerability of Once-monthly Administration of Subcutaneous C.E.R.A. for the Treatment of Chronic Renal Anaemia in Pre-dialysis Patients Not Currently Treated With ESA.
- ClinicalTrials.gov ID
- NCT00661388
- Acronym / sponsor ID
- ML21524
- Conditions
- Anemia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 75 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Aug 2008
- Primary completion
- Dec 2010 (actual)
- Study completion
- Dec 2010 (actual)
- First posted
- 18 Apr 2008 (estimated)
- Results
- Posted 22 Jul 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This single arm study will assess the efficacy and safety of subcutaneous methoxy polyethylene glycol-epoetin beta (Mircera) for the correction and maintenance of hemoglobin levels in predialysis patients with renal anemia who are not currently treated with erythropoietin stimulating agents (ESA). Eligible patients will receive monthly subcutaneous injections of Mircera at an initial recommended dose of 1.2 micrograms/kg. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Continuous erythropoietin receptor activator (C.E.R.A.) | Experimental | Drug: methoxy polyethylene glycol-epoetin beta [Mircera]Eligible participants will be administered C.E.R.A subcutaneously, every 4 weeks for 44 weeks. The initial dose of C.E.R.A. will be 1.2 micrograms/kilogram. Subsequent doses will be adjusted to maintain the individual participant's hemoglobin within the target range of 10.0 and 12.0 grams/deciliter. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- adult patients, >=18 years of age;
- chronic renal anemia;
- predialysis stage;
- no ESA therapy during previous 3 months.
Key exclusion criteria (3 listed)
- transfusion of red blood cells during previous 2 months;
- poorly controlled hypertension requiring hospitalization in previous 6 months;
- significant acute or chronic bleeding.
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 |
|---|---|---|
| methoxy polyethylene glycol-epoetin beta [Mircera]sc every month (starting dose 1.2 micrograms/kg) | Drug | Continuous erythropoietin receptor activator (C.E.R.A.) |
Primary outcome
Mean Change in Hb Concentration Between Baseline and the Efficacy Evaluation Period
Time frame: From Baseline (Week 0) to EEP (Week 29 to Week 36)
Mean change in Hb concentration was calculated as the difference between the time adjusted average of Hb during the efficacy evaluation period (EEP [Week 29 to Week 36]), and the Hb at Baseline (Week 0). A positive change from baseline indicates improvement.
17 secondary outcomes
Mean Time to Achievement of Response During the EEP
Time frame: From Week 29 to Week 36
The Percentage of Participants Whose Hb Concentrations Remained Within the Target Range of 10.0- 12.0 g/dLThroughout the EEP
Time frame: From Week 29 to Week 36
Mean Time Spent by Participants in the Target Range of 10.0- 12.0 g/dL During the EEP
Time frame: From Week 29 to Week 36
Percentage of Participants Requiring Dose Adjustments During Dose Titration Period and EEP
Time frame: Weeks 0 to Week 36
Number of Participants Who Received Red Blood Cell Transfusions During the Study Period
Time frame: Up to Week 52
Number of Participants Who Experienced Any Adverse Events or Serious Adverse Events
Time frame: Up to Week 52
Mean Change From Baseline in Hb Concentration Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Hematocrit Level Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Erythrocyte Mean Corpuscular Volume Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, and 48
Mean Change From Baseline in White Blood Cells and Platelets Concentrations Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Albumin Concentration Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in C-Reactive Protein Concentration Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Phosphate and Potassium Concentrations Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Total Iron Binding Capacity and Iron Concentrations Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Creatinine Concentration Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 32, 40
Mean Change From Baseline in Ferritin Concentration Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Mean Change From Baseline in Transferrin Saturation Over Time
Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Sep 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Clinical Trials study director
Hoffmann-La Roche
9 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 methoxy polyethylene glycol-epoetin beta [Mircera] in people with Anemia, run by Hoffmann-La Roche at 9 sites in Turkey (Türkiye).
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 4 inclusion and 3 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 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in Turkey (Türkiye). 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?
Yes. Results are posted in the registry (first posted 22 Jul 2016). 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?
Mean Change in Hb Concentration Between Baseline and the Efficacy Evaluation Period (time frame: From Baseline (Week 0) to EEP (Week 29 to Week 36)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 Sep 2025.