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AnemiaPhase 3NCT00661505

A Study of Intravenous Mircera in Hemodialysis Patients With Chronic Renal Anemia

A Phase 3 study testing methoxy polyethylene glycol-epoetin beta in people with Anemia, run by Hoffmann-La Roche at 20 sites in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This single arm study will assess the efficacy, safety and tolerability of once-monthly administration of intravenous Mircera for the maintenance of hemoglobin levels in hemodialysis patients with chronic renal anemia. 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
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
132 participants
Where
20 sitesTurkey (Türkiye)
Study dates
14 May 2008to 22 Jun 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;
  • continuous stable iv or sc maintenance epoetin therapy during previous 4 weeks;
  • regular long-term hemodialysis therapy with the same mode of dialysis for previous 3 months.

Who cannot join

  • transfusion of red blood cells during previous 2 months;
  • poorly controlled hypertension requiring hospitalization or interruption of epoetin treatment in previous 6 months;
  • significant acute or chronic bleeding.

Trial locations and contacts

20 sites in 1 country.

20 sites in 1 country

Turkey (Türkiye)20 sites
  • Cukurova University Medical Faculty; Internal Medicine

    Adana, 01330

  • Ankara Research and Training Hospital; The Clinic of Nephrology

    Ankara, 06100

  • Ankara University School of Medicine; Nephrology

    Ankara, 06100

  • Faith University School of Medicine; Nephrology

    Ankara, 06100

  • Hacettepe University Medical Faculty; Department of Internal Medicine

    Ankara, 06100

  • Baskent University Hospital; Transplantation

    Ankara, 06490

  • Gazi University School of Medicine; Nephrology

    Ankara, 06500

  • Adnan Menderes Uni School of Medicine; Physical Therapy & Rehabilitation

    Aydin, 09100

  • Dicle Uni Medical Faculty; Internal Medicine

    Diyarbakır, 10000

  • Trakya University Medical Faculty; Internal Medicine; Nephrology

    Edirne, 22030

  • Firat Uni School Of Medicine; Nephrology

    Elâzığ, 23110

  • Ataturk University Medical Faculty; Department of Internal Medicine

    Erzurum, 25240

  • Sisli Etfal Research and Training Hospital; The Clinic of Nephrology

    Istanbul, 34377

  • Istanbul University Istanbul Medical Faculty; Department of Internal Medicine

    Istanbul, 34390

  • Marmara Uni School of Medicine; Nephrology

    Istanbul, 34662

  • Izmir Ataturk Research and Training Hospital; The Clinic of Nephrology

    Izmir, 35290

  • Dokuz Eylul University School of Medicine; Nephrology

    Izmir

  • Erciyes University School of Medicine; Nephrology

    Kayseri, 38039

  • Inonu Uni School of Medicine

    Malatya, 44300

  • Mersin University Medical Faculty

    Mersin, 33169

Other trials in Turkey (Türkiye)

About this study

Official title: A Single Arm Open Label Study to Assess the Efficacy, Safety and Tolerability of Once-monthly Administration of Intravenous C.E.R.A. for the Maintenance of Haemoglobin Levels in Haemodialysis Patients With Chronic Renal Anaemia.

This single arm study will assess the efficacy, safety and tolerability of once-monthly administration of intravenous Mircera for the maintenance of hemoglobin levels in hemodialysis patients with chronic renal anemia. Patients will receive 4-weekly intravenous injections of Mircera, at a starting dose of 120, 200 or 360 micrograms. 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
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 betaDrug

    120, 200 or 360 micrograms iv every 4 weeks (starting dose)

Study groups in NCT00661505
Study groupRoleWhat they receive
C.E.R.A. 120, 200, or 360 mcgExperimentalEligible participants were administered Continuous Erythropoietin Receptor Activator (C.E.R.A.) at a dose of 120, 200, or 360 microgram (mcg), intravenously (IV), every 4 weeks i.e. Weeks 4, 8, 12, 16 and 20 but not on Weeks 24 and 28. The initial dose of C.E.R.A.was based on the last dose of the previous Erythropoiesis Stimulating Agent (ESA). The ESA therapy was administered from enrollment to the 4 weeks stability verification period (SVP), weekly, either as epoetin (<8000 IU, 8000-16000 IU, or >16000 IU) or darbepoetin alpha (<40 mcg, 40-80 mcg, or >80 mcg). A telephone follow-up visit took place 4 weeks after the end of C.E.R.A. treatment (Week 28).
Receives: Drug: methoxy polyethylene glycol-epoetin beta

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants Who Maintained Their Mean Hemoglobin Concentration Within +/- 1.0 Gram/Deciliter of Their Reference Hemoglobin Concentration and Between 10.0 and 12.0 Gram/Deciliter During the Efficacy Evaluation Period

    The reference hemoglobin (Hb) value was taken as the time adjusted average of all Hb assessments during the SVP (Week -4 to Week 0). The time adjusted average Hb concentration of all the values recorded during the efficacy evaluation period (EEP) was calculated for each participant and their reference Hb concentration was subtracted from this value. The percentage of participants maintaining their average Hb concentration during the EEP within +/- 1 gram/deciliter (g/dL) of their reference Hb concentration and between the Hb range 10.0 -12.0 g/dL is presented. The EEP was defined as Week 16 to Week 24. Data missing at the end of the EEP was handled using the last value carried forward method, including any data missing due to withdrawal of participants following red blood cells (RBC) transfusion.

    Measured: EEP (Week 16 to Week 24)

Secondary outcomes (22)
  1. Mean Change in Hemoglobin Concentration Between the Stability Verification Period and the Efficacy Evaluation Period

    The mean change in the time-adjusted average Hb concentration between the two study periods The Stability Verification Period (SVP) and EEP is presented. The SVP was defined as Week -4 to Week 0. The EEP was defined as Week 16 to Week 24.

    Measured: SVP (Week -4 to Week 0) and EEP (Week 16 to Week 24)

  2. Percentage of Participants Maintaining Hemoglobin Concentration Within the Range of 10.0-12.0 Gram/Deciliter Throughout the Efficacy Evaluation Period

    The time adjusted average Hb concentration of all the values recorded during the EEP was calculated for each participant. The percentage of participants maintaining their average Hb concentration during the EEP within the Hb concentration range of 10.0-12.0 g/dL is presented. The EEP was defined as Week 16 to Week 24.

    Measured: EEP (Week 16 to Week 24)

  3. Median Time Spent in the Hemoglobin Range 10.0-12.0 Gram/Deciliter During the Efficacy Evaluation Period

    The Hb concentration was recorded for all the participants during the EEP. The median time spent (in days) by participants in the target range (10.0-12.0 g/dL) during the EEP is presented. The EEP was defined as Week 16 to Week 24.

    Measured: EEP (Week 16 to Week 24)

  4. Mean C.E.R.A. Dose Required to Maintain Hemoglobin Level Within the Range 10.0-12.0 Gram/Deciliter Throughout the Efficacy Evaluation Period

    The mean dose of C.E.R.A. required to maintain Hb level between 10.0-12.0 g/dL during the EEP was calculated per participant and then summarized. The EEP was defined as Week 16 to Week 24. However, C.E.R.A. was not administered at the Week 24 visit. Therefore, the time period for calculation of mean C.E.R.A. dose during EEP is from Week 16 to Week 20.

    Measured: EEP (Week 16 to Week 20)

  5. Percentage of Participants Requiring Any Dose Adjustments in C.E.R.A. During the Dose Titration Period and Efficacy Evaluation Period

    Dose adjustments were necessary when Hb increased or decreased by a clinically significant amount. The dose of C.E.R.A. was adjusted to maintain the individual participant's Hb within a range of +/- 1.0 g/dL of the reference Hb concentration and between 10.0 and 12.0 g/dL throughout the dose titration period (DTP) and the EEP (Week 1 to Week 24). The reference Hb value was taken as the time adjusted average of all Hb assessments during the SVP (Week -4 to Week 0).

    Measured: DTP (Week 1 to Week 16), EEP (Week 16 to Week 24)

  6. Mean Monthly Dose of C.E.R.A. During the Dose Titration Period and Efficacy Evaluation Period

    The mean monthly dose of C.E.R.A. administered during the DTP and EEP was calculated per participant and then summarized.

    Measured: DTP (Week 1 to Week 16), EEP (Week 16 to Week 24)

  7. Mean Change From Baseline in Erythrocyte Mean Corpuscular Volume at Week 16 and Week 24

    Mean change from Baseline in erythrocyte mean corpuscular volume (MCV) was calculated as the value at a specific week during the study minus the BL value. The Baseline was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  8. Mean Change From Baseline in Hematocrit at Week 16 and Week 24

    The hematocrit, also called packed cell volume or erythrocyte volume fraction, is the volume percentage of red blood cells in the blood. Mean change from Baseline (BL) in hematocrit was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  9. Mean Change From Baseline in Hemoglobin at Week 16 and Week 24

    Mean change from BL in hemoglobin was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  10. Mean Change From Baseline in Leucocytes and Platelet at Week 16 and Week 24

    Mean change from BL in for each parameter (leucocytes and platelet) was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  11. Mean Change From Baseline in Ferritin at Week 16 and Week 24

    Mean change from BL in ferritin was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  12. Mean Change From Baseline in Iron, Total Iron Binding Capacity, and Creatinine at Week 16 and Week 24

    Mean change from BL in each parameter [iron, total iron binding capacity (TIBC), and creatinine] was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  13. Mean Change From Baseline in Transferrin and Albumin at Week 16 and Week 24

    Mean change from BL in each parameter (transferrin and albumin) was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  14. Mean Change From Baseline in Transferrin Saturation at Week 16 and Week 24

    Mean change from BL in transferrin saturation (TSAT) was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  15. Mean Change From Baseline in C-Reactive Protein at Week 16 and Week 24

    Mean change from BL in C-reactive protein was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  16. Mean Change From Baseline in Phosphate and Potassium at Week 16 and Week 24

    Mean change from BL in each parameter (phosphate and potassium) was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  17. Mean Change From Baseline in Weight at Week 16 and Week 24

    Mean change from BL in weight was calculated as the value at a specific week during the study minus the BL value. The BL was defined as Week -4 to Week 0.

    Measured: BL (Week -4 to Week 0), Week 16, and Week 24

  18. Mean Change in From Baseline in Blood Pressure at Week 16 and Week 24

    Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured before blood sampling and C.E.R.A. administration. Blood pressure was assessed both before and after the dialysis session for participants undergoing hemodialysis. Change from BL in blood pressure was calculated as the value at a specific week (W) during the study minus the BL value. The baseline was defined as Week -4 to Week 0.

    Measured: Baseline (Week -4 to Week 0), Week 16, and Week 24

  19. Number of Participants Taking Concomitant Medications

    The number of participants taking different classes of concomitant medications at any time following enrollment into the study is presented.

    Measured: Up to Week 28

  20. Number of Participants With Any Adverse Events and Serious Adverse Events

    An adverse event (AE) is any untoward medical occurrence in a participant who is 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 28

  21. Number of Participants With Reports of Anti-erythropoietin Antibodies

    The number of participants with Anti-epoetin antibodies is presented.

    Measured: Up to Week 24

  22. Number of Participants Who Received Red Blood Cell Transfusions During the Dose Titration Period and Efficacy Evaluation Period

    Red blood cell transfusions were permitted during the DTP and EEP (Week 1 to Week 24) in case of medical need. All participants requiring a blood transfusion were withdrawn from the study. The number of participants who were administered RBC transfusions during the DTP and EEP is presented.

    Measured: Week 1 to Week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Apr 2008 (estimated)
  2. Study start14 May 2008
  3. Primary completion22 Jun 2010
  4. Study completion22 Jun 2010

Resources

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
132 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00661505
Sponsor's protocol ID
ML21096
Status last verified
Nov 2017
First submitted
16 Apr 2008
Last updated
6 Dec 2017
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Locatelli F, Choukroun G, Truman M, Wiggenhauser A, Fliser D. Once-Monthly Continuous Erythropoietin Receptor Activator (C.E.R.A.) in Patients with Hemodialysis-Dependent Chronic Kidney Disease: Pooled Data from Phase III Trials. Adv Ther. 2016 Apr;33(4):610-25. doi: 10.1007/s12325-016-0309-6. Epub 2016 Mar 10.

    PubMed 26965694

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing methoxy polyethylene glycol-epoetin beta in people with Anemia, run by Hoffmann-La Roche at 20 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 6 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 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 19 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?

Percentage of Participants Who Maintained Their Mean Hemoglobin Concentration Within +/- 1.0 Gram/Deciliter of Their Reference Hemoglobin Concentration and Between 10.0 and 12.0 Gram/Deciliter During the Efficacy Evaluation Period (time frame: EEP (Week 16 to Week 24)). 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 NCT00661505, 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 6 Dec 2017.

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