AnemiaPhase 2DIALOGUE5NCT02064426
Long Term Extension Study for the Maintenance Treatment of Anemia Associated With Chronic Kidney Disease (CKD) in Hemodialysis Subjects on Epoetin Alfa / Beta Treatment Versus BAY85-3934
A Phase 2 study testing Molidustat (BAY85-3934) and Epoetin alfa/beta in people with Anemia and Renal Insufficiency, Chronic, run by Bayer at 26 sites in 2 countries.
Trial summary
Evaluate efficacy and safety up to 36 months of titrated dose treatment with BAY85-3934 versus epoetin alfa/beta. Titration will be based on the subject's hemoglobin (Hb) response and tolerability of the prior dose. Planned doses include 15, 25, 50, 75, 100,and 150 mg once daily. 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 Epoetin alfa/beta
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 88 participants
- Where
- 26 sitesin 2 countries
- Study dates
- 13 Mar 2014to 16 Nov 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
- Eligible male or female subjects were previously enrolled in Study 16208, have a diagnosis of anemia associated with CKD, and are on hemodialysis.
- Men who agree to use adequate contraception when sexually active or women without childbearing potential
- Participation and completion of treatment in Study 16208; subjects must have received 16 weeks of study medication and completed the end of treatment visit (Day 113) in the parent study
- Mean Hb concentration of 9.5 to 11.5 g/dL, inclusive, during the evaluation period (i.e., the last 4 weeks of the parent study) when the subject completed 16 weeks of treatment with BAY85-3934, epoetin alfa, or epoetin beta in Study 16208
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)
- Updates to medical and surgical history which meet the exclusion criteria in the parent study
- Subjects treated with immunosuppressive therapy and the breast cancer resistant protein (BCRP) substrates, irinotecan, topotecan, methotrexate, imatinib, and lapatinib
- Sustained, poorly controlled arterial hypertension or hypotension at baseline, defined as mean BP ≥ 180/110 mmHg or systolic BP < 95 mmHg, respectively
- Severe rhythm or conduction disorder (e.g., HR < 50 or > 110 bpm, atrial fibrillation or flutter, prolonged QT > 500 msec, second or third degree atrioventricular [AV] block)
- New York Heart Association Class III or IV congestive heart failure
Show all 9Show fewer
- Severe hepatic insufficiency (defined as alanine aminotransferase [ALT], aspartate aminotransferase [AST], or gamma-glutamyl transferase > 3 x the upper limit of norma [ULN], total bilirubin > 2 mg/dL, or Child-Pugh B or C) or active hepatitis in the investigator's opinion
- An ongoing SAE from Study 16208 that is assessed as related to study drug
- Alcohol or drug abuse
Trial locations and contacts
26 sites in 2 countries.
26 sites in 2 countries
United States23 sites
Study site
Azusa, California, 91702
Study site
Buffalo, New York, 14215
Study site
Cincinnati, Ohio, 45206
Study site
Creve Coeur, Missouri, 63141
Study site
Detroit, Michigan, 48202
Study site
Fort Worth, Texas, 76104
Study site
Fort Worth, Texas, 76105
Study site
Fort Worth, Texas, 76164
Study site
Grand Prairie, Texas, 75050
Study site
Houston, Texas, 77004
Study site
Houston, Texas, 77091
Study site
Long Beach, California, 90813
Study site
Lynwood, California, 90262
Study site
Mansfield, Texas, 76063
Study site
Nashville, Tennessee, 37212-8150
Study site
New Port Richey, Florida, 34652
Study site
Northridge, California, 91324
Study site
Oklahoma City, Oklahoma, 73116
Study site
Pembroke Pines, Florida, 33028
Study site
San Dimas, California, 91773
Study site
Toledo, Ohio, 43615
Study site
Whittier, California, 90602
Study site
Whittier, California, 90606
Japan3 sites
Study site
Kuwana, Mie-ken, 511-0061
Study site
Kyoto, 607-8116
Study site
Muroran, Hokkaido, 050-0083
About this study
Official title: A Controlled, Parallel Group, Open-label, Multicenter Extension Study to Investigate Efficacy and Safety of Oral BAY85-3934 and Active Comparator (Epoetin Alfa / Beta) in the Long-term Treatment of Subjects With Anemia Associated With Chronic Kidney Disease Who Are on Dialysis in the United States and Japan
Evaluate efficacy and safety up to 36 months of titrated dose treatment with BAY85-3934 versus epoetin alfa/beta. Titration will be based on the subject's hemoglobin (Hb) response and tolerability of the prior dose. Planned doses include 15, 25, 50, 75, 100,and 150 mg once daily.
- Conditions
- Anemia, Renal Insufficiency, Chronic
- Being tested
- Molidustat (BAY85-3934), Epoetin alfa/beta
- Keywords
- Anemia of CKD on dialysis
- 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
Subjects will continue with the same treatment they were receiving in the parent study (16208). BAY85-3934 will be administered daily as oral tablets. Dose assessments will be made every 4 (± 1) weeks. At the scheduled visits, the dose may be titrated on an individualized basis taking into account the subject's Hb response and the tolerability of the previous dose. Total treatment time is up to 36 months. Planned doses include 15, 25, 50, 75, 100, and 150 mg once daily.
Epoetin alfa/betaBiological
Subjects will continue with the same treatment they were receiving in the parent study (16208). Epoetin alfa / beta will be administered as intravenous (IV) or subcutaneous (SC) injections per individual subject regimen according to the local label. Dose assessments will be made every 4 (± 1) weeks. At the scheduled visits,dose may be titrated on an individualized basis taking into account the subject's Hb response and the tolerability of the previous dose.Total treatment time is up to 36 months.
| Study group | Role | What they receive |
|---|---|---|
| Molidustat (BAY85-3934) | Experimental | Not described Receives: Drug: Molidustat (BAY85-3934) |
| Epoetin alfa/beta | Active comparator | Not described Receives: Biological: Epoetin alfa/beta |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in local laboratory hemoglobin level from baseline
Measured: Baseline up to 36 months
Number of participants with serious adverse events as a measure of safety and tolerability
Measured: Up to 36 months
Secondary outcomes (12)
Maintenance in hemoglobin target range (10.0 to 11.0 g/dL)
Measured: Up to 36 months
Maintenance in hemoglobin target range (9.5 to 11.5 g/dL)
Measured: Up to 36 months
Duration of treatment exposure
Measured: Up to 36 months
Number of subjects requiring titration of dose
Measured: Up to 36 months
Change of reticulocyte count from baseline of this study
Measured: Baseline up to 36 months
Change of reticulocyte count from baseline of study 16208
Measured: Baseline up to 36 months
Change of red blood cell count from baseline of this study
Measured: Baseline up to 36 months
Change of red blood cell count from baseline of study 16208
Measured: Baseline up to 36 months
Change of hematocrit from baseline of this study
Measured: Baseline up to 36 months
Change of hematocrit from baseline of study 16208
Measured: Baseline up to 36 months
Change of central laboratory hemoglobin level from baseline of this study
Measured: Baseline up to 36 months
Change of central laboratory hemoglobin level from baseline of study 16208
Measured: Baseline 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.
- First posted17 Feb 2014 (estimated)
- Study start13 Mar 2014
- Primary completion19 Oct 2016
- Study completion16 Nov 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AnemiaStudies of the same condition, open and under way.
- More trials run by BayerThe 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 88 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02064426
- Sponsor's protocol ID
- 16209
- Acronym
- DIALOGUE5
- Status last verified
- Sep 2019
- First submitted
- 14 Feb 2014
- Last updated
- 20 Sep 2019
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 20 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Controlled, Parallel Group, Open-label, Multicenter Extension Study to Investigate Efficacy and Safety of Oral BAY85-3934 and Active Comparator (Epoetin Alfa / Beta) in the Long-term Treatment of Subjects With Anemia Associated With Chronic Kidney Disease Who Are on Dialysis in the United States and Japan
- ClinicalTrials.gov ID
- NCT02064426
- Acronym / sponsor ID
- DIALOGUE5 / 16209
- Conditions
- Anemia, Renal Insufficiency, Chronic
- Keywords
- Anemia of CKD on dialysis
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 88 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 13 Mar 2014 (actual)
- Primary completion
- 19 Oct 2016 (actual)
- Study completion
- 16 Nov 2016 (actual)
- First posted
- 17 Feb 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Evaluate efficacy and safety up to 36 months of titrated dose treatment with BAY85-3934 versus epoetin alfa/beta. Titration will be based on the subject's hemoglobin (Hb) response and tolerability of the prior dose. Planned doses include 15, 25, 50, 75, 100,and 150 mg once daily.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Molidustat (BAY85-3934) | Experimental | Drug: Molidustat (BAY85-3934) |
| Epoetin alfa/beta | Active comparator | Biological: Epoetin alfa/beta |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Eligible male or female subjects were previously enrolled in Study 16208, have a diagnosis of anemia associated with CKD, and are on hemodialysis.
- Men who agree to use adequate contraception when sexually active or women without childbearing potential
- Participation and completion of treatment in Study 16208; subjects must have received 16 weeks of study medication and completed the end of treatment visit (Day 113) in the parent study
- Mean Hb concentration of 9.5 to 11.5 g/dL, inclusive, during the evaluation period (i.e., the last 4 weeks of the parent study) when the subject completed 16 weeks of treatment with BAY85-3934, epoetin alfa, or epoetin beta in Study 16208
Key exclusion criteria (9 listed)
- A scheduled kidney transplant or any other organ transplant within the next 6 months (being on a waiting list does not exclude the subject)
- Updates to medical and surgical history which meet the exclusion criteria in the parent study
- Subjects treated with immunosuppressive therapy and the breast cancer resistant protein (BCRP) substrates, irinotecan, topotecan, methotrexate, imatinib, and lapatinib
- Sustained, poorly controlled arterial hypertension or hypotension at baseline, defined as mean BP ≥ 180/110 mmHg or systolic BP < 95 mmHg, respectively
- Severe rhythm or conduction disorder (e.g., HR < 50 or > 110 bpm, atrial fibrillation or flutter, prolonged QT > 500 msec, second or third degree atrioventricular [AV] block)
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 |
|---|---|---|
| Molidustat (BAY85-3934)Subjects will continue with the same treatment they were receiving in the parent study (16208). BAY85-3934 will be administered daily as oral tablets. Dose assessments will be made every 4 (± 1) weeks. At the scheduled visits, the dose may be titrated on an individualized basis taking into account the subject's Hb response and the tolerability of the previous dose. Total treatment time is up to 36 months. Planned doses include 15, 25, 50, 75, 100, and 150 mg once daily. | Drug | Molidustat (BAY85-3934) |
| Epoetin alfa/betaSubjects will continue with the same treatment they were receiving in the parent study (16208). Epoetin alfa / beta will be administered as intravenous (IV) or subcutaneous (SC) injections per individual subject regimen according to the local label. Dose assessments will be made every 4 (± 1) weeks. At the scheduled visits,dose may be titrated on an individualized basis taking into account the subject's Hb response and the tolerability of the previous dose.Total treatment time is up to 36 months. | Biological | Epoetin alfa/beta |
Primary outcome
Change in local laboratory hemoglobin level from baseline
Time frame: Baseline up to 36 months
Number of participants with serious adverse events as a measure of safety and tolerability
Time frame: Up to 36 months
12 secondary outcomes
Maintenance in hemoglobin target range (10.0 to 11.0 g/dL)
Time frame: Up to 36 months
Maintenance in hemoglobin target range (9.5 to 11.5 g/dL)
Time frame: Up to 36 months
Duration of treatment exposure
Time frame: Up to 36 months
Number of subjects requiring titration of dose
Time frame: Up to 36 months
Change of reticulocyte count from baseline of this study
Time frame: Baseline up to 36 months
Change of reticulocyte count from baseline of study 16208
Time frame: Baseline up to 36 months
Change of red blood cell count from baseline of this study
Time frame: Baseline up to 36 months
Change of red blood cell count from baseline of study 16208
Time frame: Baseline up to 36 months
Change of hematocrit from baseline of this study
Time frame: Baseline up to 36 months
Change of hematocrit from baseline of study 16208
Time frame: Baseline up to 36 months
Change of central laboratory hemoglobin level from baseline of this study
Time frame: Baseline up to 36 months
Change of central laboratory hemoglobin level from baseline of study 16208
Time frame: Baseline up to 36 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Sep 2019.
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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.
Bayer Study Director study director
Bayer
26 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Molidustat (BAY85-3934) and Epoetin alfa/beta in people with Anemia and Renal Insufficiency, Chronic, run by Bayer at 26 sites in 2 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 9 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 20 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 26 sites in United States, Japan. 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 2 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 20 Sep 2019.