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AnemiaPhase 3NCT00925587

Evaluation of Monthly Darbepoetin Alfa Dosing for Correction of Anemia in Non-dialysis Chronic Kidney Disease

A Phase 3 study testing darbepoetin alfa in people with Anemia and Chronic Kidney Disease, run by Amgen at 157 sites in 23 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to determine whether once monthly (QM) dosing of darbepoetin alfa is non-inferior to that of once every 2 week (Q2W) dosing of darbepoetin alfa for the correction of anemia in patients with Chronic Kidney Disease who are not receiving dialysis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Anemia, Chronic Kidney Disease
What is being tested?
darbepoetin alfa
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
358 participants
Where
157 sitesin 23 countries
Study dates
Jun 2009to May 2012
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

  • ≥ 18 years of age
  • Diagnosis of chronic kidney disease with eGFR of 15-59 mL/min/1.73 m2 (MDRD equation)
  • Two consecutive screening Hb values taken at least 7 days apart must each be <10.0 g/dL
  • TSAT ≥ 15%

Who cannot join

  • Upper or lower GI bleeding within 6 months before enrolment
  • ESA use within 12 weeks before enrolment
  • Uncontrolled hypertension
  • Systemic haematologic disorders
  • Prior history within 12 weeks before enrollment of events including: Acute myocardial ischemia, unstable angina, myocardial infarction, hospitalization for congestive heart failure, stroke or transient ischaemic attack, limb ischaemia, deep vein thrombosis, thromboembolism.
  • Grand mal seizure within 6 months prior to enrolment
Show all 11Show fewer
  • Evidence of, or received chemotherapy or radiation therapy for, a malignancy within 5 years prior to enrolment.
  • Red blood cell transfusion within 12 weeks prior to enrolment
  • Androgen therapy within 8 weeks prior to enrolment
  • Pregnancy or breast feeding, or inadequate contraception
  • Currently receiving immunosuppressive therapy

Trial locations and contacts

157 sites in 23 countries.

157 sites in 23 countries

Czechia16 sites
  • Research Site

    Brno, 615 00

  • Research Site

    Chrudim, 537 27

  • Research Site

    Jilemnice, 514 15

  • Research Site

    Kladno, 272 59

  • Research Site

    Liberec, 460 03

  • Research Site

    Nový Jičín, 741 01

  • Research Site

    Pilsen, 301 00

  • Research Site

    Prague, 100 34

  • Research Site

    Prague, 149 00

  • Research Site

    Prague, 160 00

  • Research Site

    Prague, 169 00

  • Research Site

    Prague, 181 02

  • Research Site

    Praha 4 - Nusle, 140 00

  • Research Site

    Slavkov u Brna, 684 01

  • Research Site

    Sternberk, 785 01

  • Research Site

    Ústí nad Orlicí, 562 18

Other trials in Czechia

United Kingdom14 sites
  • Research Site

    Birmingham, B9 5SS

  • Research Site

    Brighton, BN2 5BE

  • Research Site

    Cambridge, CB2 2QQ

  • Research Site

    Coventry, CV2 2DX

  • Research Site

    Glasgow, G11 6NT

  • Research Site

    Hull, HU3 2JZ

  • Research Site

    Leicester, LE5 4PW

  • Research Site

    Newcastle upon Tyne, NE7 7DN

  • Research Site

    Salford, M6 8HD

  • Research Site

    Shrewsbury, SY3 8XQ

  • Research Site

    Stevenage, SG1 4AB

  • Research Site

    Stoke-on-Trent, ST4 7LN

  • Research Site

    Swansea, SA6 6NL

  • Research Site

    Wolverhampton, WV10 0QP

Other trials in United Kingdom

Poland11 sites
  • Research Site

    Choszczno, 73-200

  • Research Site

    Golub-Dobrzyń, 87-400

  • Research Site

    Kościerzyna, 83-400

  • Research Site

    Koszalin, 75-581

  • Research Site

    Legnica, 59-220

  • Research Site

    Lodz, 90-549

  • Research Site

    Lodz, 93-120

  • Research Site

    Lublin, 20-954

  • Research Site

    Poznan, 61-289

  • Research Site

    Warsaw, 04-749

  • Research Site

    Zamość, 87-100

Other trials in Poland

France10 sites
  • Research Site

    Annonay, 07100

  • Research Site

    Creil, 60100

  • Research Site

    Grenoble, 38000

  • Research Site

    Metz, 57000

  • Research Site

    Montivilliers, 76290

  • Research Site

    Nice, 06000

  • Research Site

    Poissy, 78300

  • Research Site

    Reims, 51092

  • Research Site

    Rouen, 76031

  • Research Site

    Saint-Priest-en-Jarez, 42270

Other trials in France

Hungary10 sites
  • Research Site

    Baja, 6500

  • Research Site

    Budapest, 1115

  • Research Site

    Debrecen, 4012

  • Research Site

    Esztergom, 2500

  • Research Site

    Győr, 9023

  • Research Site

    Kaposvár, 7400

  • Research Site

    Pécs, 7624

  • Research Site

    Szekszárd, 7100

  • Research Site

    Szombathely, 9700

  • Research Site

    Zalaegerszeg, 8900

Other trials in Hungary

Italy10 sites
  • Research Site

    Albano Laziale RM, 00041

  • Research Site

    Ancona, 60125

  • Research Site

    Cagliari, 09134

  • Research Site

    Florence, 50141

  • Research Site

    Lecco, 23900

  • Research Site

    Naples, 80131

  • Research Site

    Pavia, 27100

  • Research Site

    Roma, 00189

  • Research Site

    Torino, 10126

  • Research Site

    Torino, 10154

Other trials in Italy

Australia9 sites
  • Research Site

    Box Hill, Victoria, 3128

  • Research Site

    Cairns, Queensland, 4870

  • Research Site

    Footscray, Victoria, 3011

  • Research Site

    Gosford, New South Wales, 2250

  • Research Site

    Liverpool, New South Wales, 2170

  • Research Site

    New Lambton, New South Wales, 2305

  • Research Site

    Parkville, Victoria, 3050

  • Research Site

    Randwick, New South Wales, 2031

  • Research Site

    Reservoir, Victoria, 3073

Other trials in Australia

Belgium7 sites
  • Research Site

    Brussels, 1020

  • Research Site

    Brussels, 1200

  • Research Site

    Edegem, 2650

  • Research Site

    Ghent, 9000

  • Research Site

    Leuven, 3000

  • Research Site

    Liège, 4000

  • Research Site

    Roeselare, 8800

Other trials in Belgium

Russia7 sites
  • Research Site

    Moscow, 117036

  • Research Site

    Moscow, 123183

  • Research Site

    Moscow, 125284

  • Research Site

    Saint Petersburg, 191104

  • Research Site

    Saint Petersburg, 195067

  • Research Site

    Saint Petersburg, 196247

  • Research Site

    Yekaterinburg, 620102

Other trials in Russia

Latvia6 sites
  • Research Site

    Daugavpils, 5417

  • Research Site

    Riga, 1001

  • Research Site

    Riga, 1002

  • Research Site

    Riga, 1038

  • Research Site

    Valmiera, 4201

  • Research Site

    Ventspils, 3600

Other trials in Latvia

Romania6 sites
  • Research Site

    Bucharest, 010731

  • Research Site

    Bucharest, 014461

  • Research Site

    Bucharest, 022328

  • Research Site

    Bucharest, 050098

  • Research Site

    Iași, 700503

  • Research Site

    Timișoara, 300736

Other trials in Romania

Slovakia6 sites
  • Research Site

    Bratislava, 831 03

  • Research Site

    Galanta, 924 22

  • Research Site

    Námestovo, 029 01

  • Research Site

    Šaľa, 927 19

  • Research Site

    Trstená, 028 01

  • Research Site

    Zvolen, 960 01

Other trials in Slovakia

Spain6 sites
  • Research Site

    Barcelona, Cataluña, 08036

  • Research Site

    Galdakao, PaÃ-s Vasco, 48960

  • Research Site

    Jaén, AndalucÃ-a, 23007

  • Research Site

    L'Hospitalet de Llobregat, Cataluña, 08907

  • Research Site

    Madrid, Madrid, 28046

  • Research Site

    Majadahonda, Madrid, 28222

Other trials in Spain

Germany5 sites
  • Research Site

    Bernkastel-Kues, 54470

  • Research Site

    Coesfeld, 48653

  • Research Site

    Düsseldorf, 40210

  • Research Site

    Hamburg, 22297

  • Research Site

    Leverkusen, 51373

Other trials in Germany

Greece5 sites
  • Research Site

    Alexandroupoli, 68100

  • Research Site

    Athens, 11528

  • Research Site

    Larissa, 41110

  • Research Site

    Thessaloniki, 54636

  • Research Site

    Thessaloniki, 54642

Other trials in Greece

Mexico5 sites
  • Research Site

    Cuernavaca, Morelos, 62448

  • Research Site

    Guadalajara, Jalisco, 44140

  • Research Site

    Querétaro, Querétaro, 76178

  • Research Site

    Saltillo, Coahuila, 25230

  • Research Site

    San Luis Potosí City, San Luis PotosÃ-, 78240

Other trials in Mexico

Portugal5 sites
  • Research Site

    Evora, 7000-811

  • Research Site

    Faro, 8000-386

  • Research Site

    Lisbon, 1649-035

  • Research Site

    Porto, 4099-001

  • Research Site

    Setúbal, 2910-446

Other trials in Portugal

Bulgaria4 sites
  • Research Site

    Pleven, 5800

  • Research Site

    Sofia, 1431

  • Research Site

    Sofia, 1709

  • Research Site

    Varna, 9010

Other trials in Bulgaria

Slovenia4 sites
  • Research Site

    Jesenice, 4270

  • Research Site

    Novo Mesto, 8000

  • Research Site

    Sempeter pri Gorici, 5290

  • Research Site

    Slovenj Gradec, 2380

Other trials in Slovenia

Denmark3 sites
  • Research Site

    Ã…rhus, 8200

  • Research Site

    Roskilde, 4000

  • Research Site

    Viborg, 8800

Other trials in Denmark

Israel3 sites
  • Research Site

    Ashkelon, 78278

  • Research Site

    Hadera, 38100

  • Research Site

    Jerusalem, 91031

Other trials in Israel

Serbia3 sites
  • Research Site

    Belgrade, 11000

  • Research Site

    Krgujevac, 34000

  • Research Site

    Zemun, 11080

Other trials in Serbia

Estonia2 sites
  • Research Site

    Tallinn, 10617

  • Research Site

    Tallinn, 13419

Other trials in Estonia

About this study

Official title: A Multicenter, Randomised, Double-Blind Study Comparing De Novo Once Monthly and Once Every 2 Week Darbepoetin Alfa Dosing for the Correction of Anemia in Subjects With Chronic Kidney Disease Not Receiving Dialysis

The purpose of this study is to determine whether once monthly (QM) dosing of darbepoetin alfa is non-inferior to that of once every 2 week (Q2W) dosing of darbepoetin alfa for the correction of anemia in patients with Chronic Kidney Disease who are not receiving dialysis.

Being tested
darbepoetin alfa
Keywords
CKD, Anemia, correction, darbepoetin alfa
Medical subject headings
Anemia, Renal Insufficiency, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • darbepoetin alfaDrug

    Also called Placebo

    Drug administered either Q2W or QM using a prefilled syringe. Allowable doses of: 10, 20, 30, 40, 50, 60, 80, 100, 130, 150, 200, 300, 400 or 600 mcg.

Study groups in NCT00925587
Study groupRoleWhat they receive
Q2WActive comparatorQ2W administration of darbepoetin alfa.
Receives: Drug: darbepoetin alfa
QMActive comparatorQM administration of darbepoetin alfa
Receives: Drug: darbepoetin alfa

What is being measured

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

  1. Hb Change Between Baseline and the Evaluation Period (Average of Weeks 29-33)

    The Adjusted Analysis is the primary analysis and includes treatment group and baseline Hb value as covariates. Non-inferiority is concluded if the lower limit of the 95% confidence interval for the mean difference is above -0.5g/dL.

    Measured: Baseline Week 33

Secondary outcomes (53)
  1. Achievement of Both a Hb >= 10.0 g/dL and a >= 1.0 g/dL Increase From Baseline at Any Time Point Following de Novo Darbepoetin Alfa Administration.

    Measured: Baseline to Week 33

  2. Hb at Baseline

    Measured: Baseline

  3. Hb at Week 3

    Measured: Week 3

  4. Hb at Week 5

    Measured: Week 5

  5. Hb at Week 7

    Measured: Week 7

  6. Hb at Week 9

    Measured: Week 9

  7. Hb at Week 11

    Measured: Week 11

  8. Hb at Week 13

    Measured: Week 13

  9. Hb at Week 15

    Measured: Week 15

  10. Hb at Week 17

    Measured: Week 17

  11. Hb at Week 19

    Measured: Week 19

  12. Hb at Week 21

    Measured: Week 21

  13. Hb at Week 23

    Measured: Week 23

  14. Hb at Week 25

    Measured: Week 25

  15. Hb at Week 27

    Measured: Week 27

  16. Hb at Week 29

    Measured: Week 29

  17. Hb at Week 31

    Measured: Week 31

  18. Hb at Week 33

    Measured: Week 33

  19. Darbepoetin Alfa Dose at Week 1

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 1

  20. Darbepoetin Alfa Dose at Week 3

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 3

  21. Darbepoetin Alfa Dose at Week 5

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 5

  22. Darbepoetin Alfa Dose at Week 7

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 7

  23. Darbepoetin Alfa Dose at Week 9

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 9

  24. Darbepoetin Alfa Dose at Week 11

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 11

  25. Darbepoetin Alfa Dose at Week 13

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 13

  26. Darbepoetin Alfa Dose at Week 15

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 15

  27. Darbepoetin Alfa Dose at Week 17

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 17

  28. Darbepoetin Alfa Dose at Week 19

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 19

  29. Darbepoetin Alfa Dose at Week 21

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 21

  30. Darbepoetin Alfa Dose at Week 23

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 23

  31. Darbepoetin Alfa Dose at Week 25

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 25

  32. Darbepoetin Alfa Dose at Week 27

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 27

  33. Darbepoetin Alfa Dose at Week 29

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 29

  34. Darbepoetin Alfa Dose at Week 31

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 31

  35. Darbepoetin Alfa Dose During the Evaluation Period (Average of Weeks 29-33)

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Weeks 29-33

  36. Ratio of Darbepoetin Alfa Dose to Baseline at Week 3

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 3

  37. Ratio of Darbepoetin Alfa Dose to Baseline at Week 5

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 5

  38. Ratio of Darbepoetin Alfa Dose to Baseline at Week 7

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 7

  39. Ratio of Darbepoetin Alfa Dose to Baseline at Week 9

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 9

  40. Ratio of Darbepoetin Alfa Dose to Baseline at Week 11

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 11

  41. Ratio of Darbepoetin Alfa Dose to Baseline at Week 13

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 13

  42. Ratio of Darbepoetin Alfa Dose to Baseline at Week 15

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 15

  43. Ratio of Darbepoetin Alfa Dose to Baseline at Week 17

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 17

  44. Ratio of Darbepoetin Alfa Dose to Baseline at Week 19

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 19

  45. Ratio of Darbepoetin Alfa Dose to Baseline at Week 21

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 21

  46. Ratio of Darbepoetin Alfa Dose to Baseline at Week 23

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 23

  47. Ratio of Darbepoetin Alfa Dose to Baseline at Week 25

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 25

  48. Ratio of Darbepoetin Alfa Dose to Baseline at Week 27

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 27

  49. Ratio of Darbepoetin Alfa Dose to Baseline at Week 29

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 29

  50. Ratio of Darbepoetin Alfa Dose to Baseline at Week 31

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Week 31

  51. Dose of Darbepoetin Alfa at the First Achievement of a Hb ≥10.0 g/dL and a ≥1.0 g/dL Increase From Baseline (Weeks 1-33)

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Weeks 1-33

  52. Time to First Achievement of a Hb ≥10.0 g/dL and a ≥1.0 g/dL Increase From Baseline (Weeks 1-33)

    Measured: Weeks 1-33

  53. Ratio of Darbepoetin Alfa Dose to Baseline at the Evalaution Period (Average of Weeks 29-33)

    Although the endpoint is related to dose, the sample is from the Primary Analysis Set which requires a Hb value in the evaluation period

    Measured: Evaluation Period

Timeline

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

  1. First posted22 Jun 2009 (estimated)
  2. Study startJun 2009
  3. Primary completionApr 2012
  4. Study completionMay 2012

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
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
358 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00925587
Sponsor's protocol ID
20060163
Other IDs
2006-003173-27
Status last verified
May 2014
First submitted
28 May 2009
Last updated
4 Jun 2014
Data monitoring committee
No

Publications

  • Roger SD, Kolmakova E, Fung M, Malecki R, Vinhas J, Dellanna F, Thomas M, Manamley N, Ferenczi S. Darbepoetin alfa once monthly corrects anaemia in patients with chronic kidney disease not on dialysis. Nephrology (Carlton). 2014 May;19(5):266-74. doi: 10.1111/nep.12214.

    PubMed 24506498

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing darbepoetin alfa in people with Anemia and Chronic Kidney Disease, run by Amgen at 157 sites in 23 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 4 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 4 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 157 sites in Czechia, United Kingdom, Poland, France, Hungary and 18 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 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 4 Jun 2014). 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?

Hb Change Between Baseline and the Evaluation Period (Average of Weeks 29-33) (time frame: Baseline Week 33). 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 NCT00925587, 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 4 Jun 2014.

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