AzTrials
AzTrials

Patient of Anemia in Chronic Renal Failure With HemodialysisPhase 2NCT04231292

A Phase 2 Clinical Study of Pegerythropoietin Injection (RD01) for the Treatment of Anemia in Chronic Renal Failure Patients With Hemodialysis

A Phase 2 study testing RD01 and Recombinant Human Erythropoiesis Injection (CHO cell) in people with Patient of Anemia in Chronic Renal Failure With Hemodialysis, run by Shengzhen Sciprogen Bio-pharmaceutical Co. Ltd at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

A multicenter randomized, single blind, active comparator controlled phase 2 study which is to evaluate the effectiveness, safety and the PK/PD characteristics of different doses, frequencies and routes of pegerythropoietin Injection (RD01) as maintenance therapy in the treatment of anemia in chronic renal failure… Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
RD01 and Recombinant Human Erythropoiesis Injection (CHO cell)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
105 participants
Where
1 siteChina
Study dates
1 Mar 2020to 31 Dec 2022
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with chronic renal failure who are undergoing maintenance hemodialysis for at least 12 weeks;
  • 18 ≤ age ≤ 75 years of age, male or female;
  • Patients who have received short-acting EPO treatment and meets the treatment standard (hemoglobin 100 ~ 120 g / L). The mean Hb value in the screening period (at least two weeks apart ) is within the range of 100 ~ 120 g / L (both ends). The difference is less than 10g / L;
  • Evaluation of iron status during the screening period, transferrin saturation (TSAT) ≥20% or serum ferritin (SF) ≥200 μg / L;
  • Evaluation of dialysis adequacy during the screening period, with SpKt / V≥1.2 or URR≥65%;
  • Subjects agree to use reliable contraceptives from the screening period to within 6 months after the last medication
  • Sign the informed consent.

Who cannot join

  • Patients who have received or plan to have a kidney transplant during the study period
  • Except of renal anemia, there are other diseases that cause chronic anemia (such as sickle cell anemia, myelodysplastic syndrome, hematological malignancies, myeloma, hemolytic anemia, pure red blood cell aplastic anemia)
  • Patients with acute or chronic blood loss (such as upper gastrointestinal bleeding) in the past 3 months or patients who have undergone surgery with extensive bleeding, or patients who plan to undergo surgery during the study period
  • Patients with coagulation dysfunction (time to activate partial thromboplastin> 1.5 times the upper limit of normal value)
  • The following circumstances (including but not limited to) during the screening, investigators evaluated that it is not suitable for enrollment:
  • Abnormal liver function (aspartate aminotransferase or alanine aminotransferase is more than 3 times the upper limit of normal value);
Show all 20Show fewer
  • Patients who were positive for Hepatitis B surface antigen (HBsAg), hepatitis B core antigen (HBeAg), HIV antibody (HIV-Ab), hepatitis C virus antibody (HCV-Ab) or Treponema pallidum antibody;
  • Patients with severe secondary hyperparathyroidism (iPTH> 1000 ng / L);
  • Patients with severe hypertension and poor control of blood pressure (systolic blood pressure> 180 mmHg or diastolic blood pressure> 100 mmHg)
  • Patients with severe thromboembolic disease
  • People with severe cardio-cerebral vascular disease (excluding luminal infarction), severe or unstable coronary artery disease, heart failure (NYHA III or IV) or myocardial infarction or stroke within 3 months
  • Patients with malignant tumors (excluding non-melanoma skin cancer or resected cancer in situ)
  • People with a history of severe allergies (including drug allergies), allergies to erythropoietin, or allergic to any component of the test drug (such as human serum albumin)
  • People with severe infection who are receiving systemic antibiotics
  • Patients who have received androgen therapy or blood transfusion therapy within the last 8 weeks;
  • Participated in other new drug clinical trials as a subject within 3 months or the withdrawal time was shorter than the 5 half-life of the test drug at the time of enrollment (whichever is the longest);
  • Patients with a history of seizures
  • Pregnant and lactating women
  • Alcohol, drug or drug addicts
  • Other situations that the researcher believes may affect validity judgment or are not suitable for participation.

Trial locations and contacts

1 site in 1 country.

Gengru Jiang, Medical PhD contact

13816238339

jianggeng-ru@hotmail.com

China1 site, 1 recruiting
  • Renal Rheumatology and Immunology department Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

    Shanghai, Shanghai Municipality, 200092

    Recruiting

Other trials in China

About this study

Official title: A Multicenter, Randomized, Single-blind, Active Comparator Controlled Phase 2 Clinical Study on the Effectiveness, Safety and Pharmacokinetics of Pegerythropoietin Injection (RD01) in Different Medication Schemes for the Treatment of Anemia in Chronic Renal Failure Patients With Hemodialysis

A multicenter randomized, single blind, active comparator controlled phase 2 study which is to evaluate the effectiveness, safety and the PK/PD characteristics of different doses, frequencies and routes of pegerythropoietin Injection (RD01) as maintenance therapy in the treatment of anemia in chronic renal failure patients with hemodialysis

Read the detailed description

This trial is a multicenter randomized, single blind, active comparator controlled phase 2 study. The study is divided into two stages. The first stage lasts for 18 weeks, and is divided into fixed dose period (day 1~ 6th week ) and dose adjustment period (7th ~ 18th week). The second stage lasts for 28 weeks, and is also divided into dose adjustment period (19th ~ 38th week) and evaluation period (39th ~ 46th week).

Patients are randomly assigned to seven study groups in the first stage. Of all these seven groups, six groups are: Group A (0.8μg/kg RD01, once every two weeks, subcutaneous injection, for 18 weeks)、Group B (1.2μg/kg RD01, once every two weeks, subcutaneous injection, for 18 weeks)、Group C (1.6μg/kg RD01, once every two weeks, subcutaneous injection, for 18 weeks)、 Group D (0.8ug/kg RD01, once every two weeks, intravenous injection, for 18 weeks)、Group E ( 150 IU/kg rHuEPO, once a week, subcutaneous injection, for 18 weeks )、Group F (8μl /kg placebo, once every two weeks, for 6 weeks; then 150 IU/kg rHuEPO, once a week, subcutaneous injection, 7th ~ 18th week ).

At the beginning of the second stage, some patients in these six goups need to be be randomized again. Of which patients in Group A、B、C are randomly assigned to Group a ( RD01, once every two weeks, subcutaneous injection, 19th ~ 46th week )、Group b (RD01, once every four weeks, subcutaneous injection, 19th ~ 46th week)、Group c (RD01, once every six weeks, subcutaneous injection, 19th ~ 46th week); Patients in Group D enter directly to Group d (RD01, once every four weeks, intravenous injection, 19th ~ 46th week); Patients in Group E and F are randomly assigned to Group e (rHuEPO once a week, intravenous injection, 19th ~ 46th week ) and Group f (rHuEPO once a week, subcutaneous injection, 19th ~ 46th week). The starting dose of the second stage for individual patient in all groups refers to the weekly dose at the end of the first stage .

During the whole study period, all patients in six groups are not allowed to adjust dosage in the first 6 weeks, while in the remaining trial period dosage adjustment was allowed once every two weeks if necessary.

There is a special Group G (1.6μg/kg RD01, once every four weeks, subcutaneous injection, Day 1 ~ 28th week), all patients are allowed to adjust dosage during the whole 28 weeks.

This phase 2 study is to evaluate the effectiveness, safety and the PK/PD characteristics of different doses, frequencies and routes of pegerythropoietin Injection (RD01) as maintenance therapy in the treatment of anemia in chronic renal failure patients with hemodialysis

Being tested
RD01, Recombinant Human Erythropoiesis Injection (CHO cell), placebo

What participants receive

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

  • RD01Drug

    Also called pegerythropoietin Injection

    RD01 is a PEGylated recombinant human erythropoietin with the same biological effects as natural erythropoietin

  • Recombinant Human Erythropoiesis Injection (CHO cell)Drug

    Also called rHuEPO

    rHuEPO is a recombinant human erythropoietin with the same biological effects as natural erythropoietin

  • placeboDrug

    placebo

Study groups in NCT04231292
Study groupRoleWhat they receive
Experimental Group A +Group aExperimentalGroup A: 0.8μg/kg RD01, once every two weeks, Day 1~ 18th week;Group a: refers to the weekly dose at the end of the first stage , once every two weeks, 19th~46th week
Receives: Drug: RD01
Experimental Group B +Group bExperimentalGroup B: 1.2μg/kg RD01, once every two weeks, Day 1~ 18th week; Group b: refers to the weekly dose at the end of the first stage , once every four weeks, 19th~46th week
Receives: Drug: RD01
Experimental Group C +Group cExperimentalGroup C: 1.6μg/kg RD01, once every two weeks, Day 1~ 18th week; Group c: refers to the weekly dose at the end of the first stage , once every six weeks, 19th~46th week
Receives: Drug: RD01
Experimental Group D +Group dExperimentalGroup D: 0.8μg/kg RD01, once every two weeks, Day 1~ 18th week; Group d: refers to the weekly dose at the end of the first stage , once every four weeks, 19th~46th week
Receives: Drug: RD01
Experimental Group E +Group eActive comparatorGroup E: 150IU/kg rHuEPO, once a weeks, subcutaneous administration, Day 1~ 18th week; Group e: refers to the weekly dose at the end of the first stage , once a weeks, intravenous administration, 19th~46th week
Receives: Drug: Recombinant Human Erythropoiesis Injection (CHO cell)
Experimental Group F +Group fPlacebo comparatorGroup F: 8μl placebo, once every two weeks, for 6 weeks; 150 IU/kg rHuEPO, once week, subcutaneous injection, 7th ~ 18th week; Group f: refers to the weekly dose at the end of the first stage , once a weeks, subcutaneous administration, 19th~46th week
Receives: Drug: Recombinant Human Erythropoiesis Injection (CHO cell); Drug: placebo
Experimental Group GExperimentalGroup G: 1.6μg/kg RD01, once every four weeks, Day 1~ 28th week;
Receives: Drug: RD01

What is being measured

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

  1. Primary efficacy index : The change of hemoglobin concentration of experimental group from baseline to the end of 4th and 6th week

    Measured: Day 1~4th week & Day 1~6th week

  2. Primary efficacy index: The difference of hemoglobin concentration between the experimental group and the placebo group at the end of 4th and 6th week;

    Measured: Day 1~4th week & Day 1~6th week

  3. Primary efficacy index: hemoglobin concentration change from baseline to the end of first stage

    The amount of change in hemoglobin concentration from baseline to the end of the first stage

    Measured: Day 1~18th week

  4. Primary efficacy index: hemoglobin concentration change from baseline to the evaluation periods in the second stage (39th ~46th week)

    The amount of change in hemoglobin concentration from baseline to the evaluation periods in the second stage (39th ~46th week).

    Measured: Day 1~ evaluation periods (39th ~46th week)

Secondary outcomes (9)
  1. Secondary efficacy index: the optimal dosage

    The optimal dosage of the subjects at the end of the first stage and the evaluation period (39th ~46th week) in the second stage

    Measured: the end of 18th week & 39th ~46th week

  2. Secondary efficacy index: maintenance rate

    the proportion of subjects whose average Hb concentration remain within the target range during the evaluation period

    Measured: 39th-46th week

  3. Secondary efficacy index : Proportion of subjects with unstable Hb during the evaluation period

    Measured: 39th-46th week

  4. Secondary efficacy index: proportion of times of Hb remains within the target range

    the proportion of times the measured Hb concentration remains within the target range during the evaluation period;

    Measured: 39th-46th week

  5. Secondary efficacy index: EPO dose conversion coefficient of RD01

    EPO dose conversion factor for subjects at the end of the first stage and evaluation periods in the second stage

    Measured: end of 18th week & 39th ~46th week

  6. Safety indicator: adverse events

    the type, proportion and severity of adverse events

    Measured: for 46 weeks

  7. Immunogenicity indicator: incidence of anti-RD01 antibodies

    incidence of anti-RD01 antibodies

    Measured: for 46 weeks

  8. Maximum Plasma Concentration (Cmax)

    the Cmax of RD01 in patients with long-term medication.

    Measured: for 46 weeks

  9. Area Under the Curve (AUC)

    the AUC of RD01 in patients with long-term medication.

    Measured: for 46 weeks

Timeline

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

  1. First posted18 Jan 2020
  2. Study start1 Mar 2020 (estimated)
  3. Primary completion30 Jun 2020 (estimated)
  4. Study completion31 Dec 2022 (estimated)

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
Single blind
Who is masked
Participant
Enrolment
105 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04231292
Sponsor's protocol ID
SZSBE-RD01-HD-II-01
Status last verified
Jan 2020
First submitted
14 Jan 2020
Last updated
18 Jan 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing RD01 and Recombinant Human Erythropoiesis Injection (CHO cell) in people with Patient of Anemia in Chronic Renal Failure With Hemodialysis, run by Shengzhen Sciprogen Bio-pharmaceutical Co. Ltd at 1 site in China.

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 7 inclusion and 20 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: status not confirmed, as of the sponsor's last update on 18 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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. Some participants in this study may receive a placebo. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Gengru Jiang, Medical PhD (13816238339, jianggeng-ru@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary efficacy index : The change of hemoglobin concentration of experimental group from baseline to the end of 4th and 6th week (time frame: Day 1~4th week & Day 1~6th week). The study lists 4 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 18 Jan 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in