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AnemiaPhase 2DIALOGUE 3NCT02055482

Long-term Pre-dialysis Extension in Europe and Asia Pacific

A Phase 2 study testing Molidustat (BAY85-3934) and Darbepoetin in people with Anemia and Renal Insufficiency, Chronic, run by Bayer at 105 sites in 14 countries.

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

Anaemia is a condition in which blood has a lower than normal number of red blood cells. It can also occur if red blood cells do not contain enough haemoglobin, an oxygen carrying part of blood. Anaemia is common in patients with chronic kidney disease. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Anemia, Renal Insufficiency, Chronic
What is being tested?
Molidustat (BAY85-3934) and Darbepoetin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
166 participants
Where
105 sitesin 14 countries
Study dates
24 Jun 2014to 12 Dec 2016
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men who agree to use adequate contraception when sexually active or women without childbearing potential
  • Not on dialysis at study entry
  • Serum ferritin levels ≥ 100 μg/L and < 1000 μg/L or transferrin saturation ≥ 20%
  • Inclusion criteria for inclusion into the Hb Stabilization (HbS) Phase: Requires Hb stabilization (at 10.0 to 12..0g/dL for a minimum of 4 weeks) as follows: Received BAY 85-3934 and reached a stopping event in Study 15141 or received placebo and reached a stopping event in Study 15141 or completed 16 weeks of treatment with BAY 85-3934 in Study 15141or 15261 but had mean Hb during the evaluation period outside the target range of 10.0 to 12.0 g/dL, or Completed 16 weeks of treatment with placebo in Study 15141 and was re-assessed at 4 weeks after end of study as eligible for Study 15653 (this study)
  • Inclusion criteria for inclusion into the Main Phase: Mean Hb concentration of 10.0 to 12.0 g/dL who completed 16 weeks of treatment (BAY85-3934 arm) in Study 15141, or completed 16 weeks of treatment (BAY-3934 or darbepoetin arm)in study 15261 without a dose suspension lasting > 6 consecutive weeks, or mean Hb concentration of 10.0 to 12.0g/dL during the HbS phase of Study 15653 for a minimum of 4 weeks after visit 3.

Who cannot join

  • A scheduled kidney transplant or any other organ transplant within the next 6 months (being on a waiting list does not exclude the subject)
  • Red blood cell (RBC) containing transfusion within the 8 weeks before baseline
  • Phosphodiesterase type 5 (PDE5) inhibitor (e.g., sildenafil, vardenafil, tadalafil) or nitrates
  • Sustained, poorly controlled arterial hypertension or hypotension at baseline, defined as blood pressure ≥ 180/110 mmHg or systolic blood pressure < 95 mmHg, respectively
  • Severe rhythm or conduction disorders (e.g., heart rate [HR] < 50 or > 110 bpm, atrial flutter, prolonged QT > 500 msec, second or third degree atrioventricular [AV] block), if not reacted with a pace marker)
  • New York Heart Association Class III or IV congestive heart failure
  • Severe hepatic insufficiency (defined as alanine aminotransferase [ALT], aspartate aminotransferase [AST]>3x the upper limit of normal [ULN], total bilirubin > 2 mg/dL, or Child Pugh B or C) or active hepatitis, in the investigator's opinion
  • An ongoing serious adverse event (SAE) from Study 15141 or Study 15261 that is assessed as related to study drug

Trial locations and contacts

105 sites in 14 countries.

105 sites in 14 countries

United Kingdom15 sites
  • Study site

    Brighton, East Sussex, BN2 5BE

  • Study site

    Cambridge, Cambridgeshire, CB2 0QQ

  • Study site

    Chorley, PR7 7NA

  • Study site

    Doncaster, South Yorkshire, DN2 5LT

  • Study site

    Dundee, Dundee City, DD1 9SY

  • Study site

    Glasgow, G20 OSP

  • Study site

    Hexham, Northumberland, NE46 1QJ

  • Study site

    Leeds, West Yorkshire, WF3 4PX

  • Study site

    Liverpool, L22 0LG

  • Study site

    Liverpool, L7 8XP

  • Study site

    London, SE5 9RS

  • Study site

    London

  • Study site

    Manchester, M15 6SX

  • Study site

    Reading, Berkshire, RG2 0TG

  • Study site

    Salford, Manchester, M5 5AP

Other trials in United Kingdom

Bulgaria13 sites
  • Study site

    Burgas, 8000

  • Study site

    Dobrich, 9300

  • Study site

    Gabrovo, 5300

  • Study site

    Karlovo, 4300

  • Study site

    Lovech, 5500

  • Study site

    Montana, 3400

  • Study site

    Pazardzhik, 4400

  • Study site

    Sofia, 1309

  • Study site

    Sofia, 1431

  • Study site

    Sofia, 1527

  • Study site

    Sofia, 1872

  • Study site

    Stara Zagora, 6000

  • Study site

    Veliko Tarnovo, 5000

Other trials in Bulgaria

Japan12 sites
  • Study site

    Chiba, 260-8712

  • Study site

    Fujisawa, Kanagawa, 251-8550

  • Study site

    Fukuoka, 810-8563

  • Study site

    Hakusan, Ishikawa-ken, 924-8588

  • Study site

    Kamakura, Kanagawa, 247-8533

  • Study site

    Kitakyushu, Fukuoka, 802-8555

  • Study site

    Kuwana, Mie-ken, 511-0061

  • Study site

    Morioka, Iwate, 020-0066

  • Study site

    Muroran, Hokkaido, 050-0083

  • Study site

    Nagano, 388-8004

  • Study site

    Nara, 631-0846

  • Study site

    Ōkawa, Fukuoka, 831-0016

Other trials in Japan

Italy10 sites
  • Study site

    Brescia, Lombardy, 25123

  • Study site

    Chieti, Abruzzo, 66013

  • Study site

    Cremona, Lombardy, 26100

  • Study site

    Lecco, Lombardy, 23900

  • Study site

    Livorno, Tuscany, 57023

  • Study site

    Milan, Lombardy, 20132

  • Study site

    Milan, Lombardy, 20162

  • Study site

    Modena, Emilia-Romagna, 41100

  • Study site

    Naples, Campania, 80138

  • Study site

    Pavia, Lombardy, 27100

Other trials in Italy

Spain9 sites
  • Study site

    Alicante, 03010

  • Study site

    Barcelona, 08035

  • Study site

    Barcelona, 08036

  • Study site

    Córdoba, 14004

  • Study site

    L'Hospitalet de Llobregat, Barcelona, 08907

  • Study site

    Madrid, 28007

  • Study site

    Madrid, 28041

  • Study site

    San Sebastián de los Reyes, Madrid, 28702

  • Study site

    Santiago de Compostela, A Coruña, 15706

Other trials in Spain

Germany7 sites
  • Study site

    Berlin, 12053

  • Study site

    Bonn, North Rhine-Westphalia, 53127

  • Study site

    Düsseldorf, North Rhine-Westphalia, 40210

  • Study site

    Halle, Saxony-Anhalt, 06097

  • Study site

    Pirmasens, Baden-Wurttemberg, 66953

  • Study site

    Villingen-Schwenningen, Baden-Wurttemberg, 78052

  • Study site

    Wuppertal, 42283

Other trials in Germany

Hungary7 sites
  • Study site

    Baja, 6500

  • Study site

    Budapest, 1036

  • Study site

    Debrecen, 4032

  • Study site

    Esztergom, 2500

  • Study site

    Kaposvár, 7400

  • Study site

    Pécs, 7624

  • Study site

    Szigetvár, 7900

Other trials in Hungary

Romania7 sites
  • Study site

    Brasov, 500152

  • Study site

    Bucharest, 010731

  • Study site

    Bucharest, 020475

  • Study site

    Bucharest, 050098

  • Study site

    Constanța, 900591

  • Study site

    Oradea, 410469

  • Study site

    Târgu Mureş, 540103

Other trials in Romania

France5 sites
  • Study site

    Brest, 29609

  • Study site

    Grenoble, 38043

  • Study site

    Limoges Cedex1, 87042

  • Study site

    Pierre-Bénite, 69495

  • Study site

    Valenciennes, 59300

Other trials in France

Israel5 sites
  • Study site

    Ashkelon, 7827804

  • Study site

    Hadera, 3810101

  • Study site

    Jerusalem, 9112001

  • Study site

    Kfar Saba, 4428164

  • Study site

    Nahariya, 2210001

Other trials in Israel

Poland5 sites
  • Study site

    Bialystok, 15-540

  • Study site

    Poznan, 61-858

  • Study site

    Radom, 26-610

  • Study site

    Szczecin, 70-111

  • Study site

    Żyrardów, 96-300

Other trials in Poland

South Korea4 sites
  • Study site

    Bucheon-si, Gyeonggido, 420-767

  • Study site

    Seoul, 03080

  • Study site

    Seoul, 156-707

  • Study site

    Seoul, 156-755

Other trials in South Korea

Australia3 sites
  • Study site

    Gosford, New South Wales, 2250

  • Study site

    Melbourne, Victoria, 3052

  • Study site

    Reservoir, 3073

Other trials in Australia

Turkey (Türkiye)3 sites
  • Ankara Univ. Medical Faculty

    Ankara, 06100

  • Baskent University Medical Faculty

    Ankara, 06490

  • Sifa University Medical Faculty

    Izmir, 03540

Other trials in Turkey (Türkiye)

About this study

Official title: A Controlled, Parallel Group, Open-label, Multicenter Extension Study to Investigate Efficacy and Safety of Oral BAY85-3934 and Darbepoetin Alfa Comparator in the Long Term Treatment of Anemia in Pre-dialysis Subjects With Chronic Kidney Disease in Europe and Asia Pacific

Anaemia is a condition in which blood has a lower than normal number of red blood cells. It can also occur if red blood cells do not contain enough haemoglobin, an oxygen carrying part of blood. Anaemia is common in patients with chronic kidney disease. Healthy kidneys produce a hormone called erythropoietin, which stimulates the bone marrow to produce the proper number of red blood cells needed to carry oxygen to vital organs. Chronic kidney disease is a general term that means that the kidneys are not functioning to their full potential. The study drug, BAY85-3934, is being evaluated as a drug to increase the body's ability to produce erythropoietin.

The purpose of this extension study is to find out if the study drug, a tablet taken orally, is safe and effective for the treatment of anaemia associated with chronic kidney disease.

Read more

The extension study will enroll up to 240 patients at multiple locations in Europe, Asia and Australia. Patients who participated in Studies 15141 or 15261 may be eligible to take part in the extension study. The study consists of the Haemoglobin (Hb) Stabilisation Phase and the Main Phase. The Hb Stabilisation Phase involves up to 10 study visits scheduled over 16 weeks. The Main Phase will last for at least 6 months and up to a maximum of 36 months, with visits every 4 weeks. During these scheduled visits patients will undergo a number of procedures to confirm efficacy and safety of the study drug, including measurement of heart rate and blood pressure, physical examination, Electrocardiogram and blood/urine sample collection for laboratory tests.

The study will be conducted at 5 hospitals in the UK. Bayer HealthCare AG is funding this research. This study will include subjects who either completed the treatment period in their respective Phase 2 parent study (i.e., Study 15141 or Study 15261) or experienced a stopping event in the fixed dose parent study (Study 15141). As Study 15141 is a double-blind study, subjects will be unblinded as per the Study 15141 protocol prior to entry into the extension study.

Being tested
Molidustat (BAY85-3934), Darbepoetin
Keywords
Anemia on CKD
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.

  • Molidustat (BAY85-3934)Drug

    BAY85-3934 will be titrated at the scheduled dose control visits to maintain the Hb in the target range of 10.0 to 12.0 g/dL. Available doses include 15, 25, 50, 75, 100, and 150 mg/day OD. Treatment will be for minimum of 6 months to up to a maximum of 36 months.

  • DarbepoetinBiological

    Darbepoetin will be administered according to the local label and titrated at the scheduled dose by intravenous injection. Treatment will be for a minimum of 6 months to up to a maximum of 36 months.

Study groups in NCT02055482
Study groupRoleWhat they receive
BAY85-3934ExperimentalNot described
Receives: Drug: Molidustat (BAY85-3934)
DarbepoetinActive comparatorNot described
Receives: Biological: Darbepoetin

What is being measured

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

  1. Change in local laboratory hemoglobin level from baseline

    Measured: Baseline up to 36 months

  2. Number of participants with serious adverse events (SAEs) and adjucated adverse events as a measure of safety and tolerability

    Measured: Up to 36 months

  3. Number of participants with liver function-related AEs including abnormal liver function tests and any hospitalization

    Measured: Up to 36 months

Secondary outcomes (14)
  1. Time within hemoglobin target range (10.0 to 12.0 g/dL)

    Measured: Up to 36 months

  2. Duration of treatment exposure

    Measured: Up to 36 months

  3. Number of subjects requiring titration of dose

    Measured: Up to 36 months

  4. Change of reticulocyte count from baseline of this study

    Measured: Baseline up to 36 months

  5. Change of red blood cell count from baseline of this study

    Measured: Baseline up to 36 months

  6. Change of hematocrit from baseline of this study

    Measured: Baseline up to 36 months

  7. Change of central laboratory hemoglobin level from baseline of this study

    Measured: Baseline up to 36 months

  8. Responders in Hb levels

    Measured: Up to 36 months

  9. Number of subjects meeting specific Hb criteria

    Measured: Baseline up to 36 months

  10. Number of subjects with Hb values >13 g/dL or having excessive Hb increase

    Measured: Baseline up to 36 months

  11. Number of participants with non-serious adverse events

    Measured: Up to 36 months

  12. Change in heart rate (HR)

    Measured: Up to 36 months

  13. Change in blood pressure (BP)

    Measured: Up to 36 months

  14. Laboratory abnormalities

    Measured: Up to 36 months

Timeline

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

  1. First posted5 Feb 2014 (estimated)
  2. Study start24 Jun 2014
  3. Primary completion15 Nov 2016
  4. Study completion12 Dec 2016

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
166 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02055482
Sponsor's protocol ID
15653
Other IDs
2013-001190-24
Acronym
DIALOGUE 3
Status last verified
Nov 2017
First submitted
4 Feb 2014
Last updated
22 Nov 2017
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Molidustat (BAY85-3934) and Darbepoetin in people with Anemia and Renal Insufficiency, Chronic, run by Bayer at 105 sites in 14 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 8 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 22 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 105 sites in United Kingdom, Bulgaria, Japan, Italy, Spain and 9 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Change in local laboratory hemoglobin level from baseline (time frame: Baseline up to 36 months). The study lists 3 primary outcomes in all. 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 22 Nov 2017.

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