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Chronic Kidney DiseasePhase 1CKDNCT05636891

Pharmacokinetic/Pharmacodynamic Parameters of NNG-DEPO (Stimus) With Aranesp® (Amgen) in Treatment of Anemia in CKD Patients on Dialysis

A Phase 1 study testing Stimus in people with Chronic Kidney Disease, run by Nanogen Pharmaceutical Biotechnology Joint Stock Company at 1 site in Vietnam.

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 is a double-blind, randomized, active-control study with 2-study arms-darbepoetin alfa biosimilar and Aranesp, noninferiority trial design in dialysis patients. Dialysis patients will be randomized into 1:1 ratio to receive either Darbepoetin alfa or Aranesp 0.75 µg/kg by subcutaneous injection every other week… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Chronic Kidney Disease
What is being tested?
Stimus
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
43 participants
Where
1 siteVietnam
Study dates
19 Sep 2021to 23 Nov 2022
Phase
Phase 1
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The patients signed the informe consent form and adhere to study visit schedule.
  • Male or female patients aged from 18 to 65 years.
  • Patients on hemodialysis or peritoneal dialysis for at least 3 months and have Hb baseline <10 g/dL during the screening period.
  • Have transferrin saturation ≥ 20%, serum ferritin ≥ 200 ng/mL, vitamin B12 and folate within the normal range.
  • Have expected survival of at least 6 months from time of enrollment (by investigator's assessment).
  • Women childbearing age must agree to use medically acceptable methods of contraception during the study and for 6 months after the last study treatment.
  • The patient does not have any serious medical conditions that may affect to study treatment compliance.

Who cannot join

  • Uncontrolled hypertension over 2 weeks prior to and within the screening period (BP ≥ 160/90 mmHg).
  • Patients treated with Darbepoetin alfa or r-HuEPO within 4 weeks prior to enrollment.
  • Patients with Uncontrolled diabetes mellitus with HbA1C ≥ 10%.
  • Congestive Heart Failure of grade 3 or 4 as New York Heart Association classification.
  • History of unstable angina or myocardial infarction within 6 months.
  • History of Grand mal seizures in last 2 years.
Show all 24Show fewer
  • Present with severe hyperparathyroidism (iPTH >1500 pg/mL for Dialysis).
  • History of major surgery within 12 weeks prior to screening.
  • Systemic hematologic disorders including sickle cell anemia, myelodysplastic syndromes, hematological malignancy, myeloma and hemolytic anemia.
  • Systemic infections, active inflammatory diseases and malignancies.
  • Active liver disease or hepatic with liver enzymes AST and ALT raised > 2-times of laboratory normal values, child B or child C cirrhosis.
  • Are being treated with androgen therapy within the 8 weeks prior to the screening period.
  • Pregnant or suspected pregnant women, breast-feeding women.
  • Patients scheduled for any transplant procedure within 6 months of screening or with a previous history of kidney transplantation.
  • Patients who are hypersensitive to any of substances of investigational product.
  • Patients using drugs that can affect the concentration of Hb in the blood (except blood-forming drugs such as iron, folic acid).
  • Patients with seropositivity to HIV, HBV or anti-HCV.
  • Patients having acute tuberculosis or any acute bacterial infection within 1 month prior to the screening.
  • Patient has occult blood in stool or any other known source of internal bleeding and confirmed gastrointestinal bleeding by endoscopy.
  • Patients with blood transfusion due to acute bleeding within 12 weeks prior to screening period.
  • Patients with a history of immunosuppressive therapy within 1 month.
  • The patient is suffering from advanced cancer.
  • Patients having participated in any other clinical trial within 1 month prior to the screening period.
  • The patient had any medical condition that the investigator assessed as affecting the study.

Trial locations and contacts

1 site in 1 country.

Vietnam1 site
  • NANOGEN Pharmaceutical Biotechnology JSC

    Ho Chi Minh City

Other trials in Vietnam

About this study

Official title: Randomized, Double-blind, Parallel, Active Controlled Study to Compare Pharmacokinetic/Pharmacodynamic Parameters of Nanogen's Darbepoetin Alfa With Aranesp® (Amgen) in Treatment of Anemia in Chronic Kidney Disease Patients on Dialysis

This is a double-blind, randomized, active-control study with 2-study arms-darbepoetin alfa biosimilar and Aranesp, noninferiority trial design in dialysis patients. Dialysis patients will be randomized into 1:1 ratio to receive either Darbepoetin alfa or Aranesp 0.75 µg/kg by subcutaneous injection every other week for 24 weeks.

Pharmacokinetic/pharmacodynamic parameters for evaluation are assessed as per study endpoints at defined time points on all patients.

During the treatment, dose adjustments will be made as necessary to achieve a hemoglobin response, defined as maintaining Hb in target range 10 - 12 g/dL.

Read the detailed description

PHASE OF TRIAL: I SAMPLE SIZE: 43 for pharmacokinetic/pharmacodynamic parameters TARGET POPULATION: Patients with chronic kidney disease undergoing dialysis

STUDY GROUPS:

  1. Darbepoetin alfa (Nanogen) SC 0.75 µg/kg Q2W, for 24 weeks.
  2. Aranesp® (Amgen) SC 0.75 µg/kg Q2W, for 24 weeks.

PK ASSESSMENT: Blood samples for PK assessments will be collected at:

  • IV: time zero (predose) before injection of study drug and then after 0.25, 0.5, 4, 12, 24, 48, 96, 144, 240 and 336 hours post-dose.
  • SC: time zero (predose) before injection of study drug and then after 4, 12, 24, 48, 96, 144, 240 and 336 hours post-dose.

PD ASSESSMENT: Blood samples for PD assessments will be collected at time zero (predose) before injection of study drug and then after 24, 48, 96, 144, 240 and 336 hours post-dose.

SAFETY AND TOLERABILITY ASSESSMENT:

Safety and tolerability assessments will be performed at each visit. Following variables will be considered to define the safety and tolerability of investigational drugs:

  • Clinical adverse events (AEs): frequency of AEs, overall and by intensity.
  • Severe clinical adverse events (SAEs): frequency of AEs, overall and by intensity.
  • Symptoms directed physical examination including body weight, and vital signs during treatment period: mean change from baseline and the frequency of clinically relevant changes from baseline.
  • Laboratory tests: frequency of clinically relevant changes from baseline.
  • The frequency of any concomitant medication administered to treat any adverse events.
  • Presence of anti-bodies to darbepoetin alfa (immunogenicity).
Being tested
Stimus
Keywords
darbepoetin alfa, Nanogen, CKD, dialysis, treatment of anemia
Medical subject headings
Renal Insufficiency, Chronic

What participants receive

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

  • StimusBiological

    • NNG-DEPO (Darbepoetin alfa 10 mcg/0.4 mL, 20 mcg/0.5 mL, 40 mcg/0.4 mL, 60 mcg/0.3 mL) is available as a prefilled syringe in a sterile, colorless, glass tube.
    • Aranesp® (Darbepoetin alfa 10 mcg/ 0.4 mL, 20 mcg/ 0.5 mL, 40 mcg/ 0.4 mL, 60 mcg/ 0.3 mL) is manufactured by Amgen, as a pre-filled syringe in a sterile, glass tube, colourless.

    Storage: 2-8ºC, not frozen. The process of transporting and storing the drug must ensure the temperature in the range of 2-8ºC.

    NNG-DEPO/Aranesp is administered subcutaneously (or intravenously for patients with PK-PD in the previous IV group), at a dose of 0.75 g/kg initially, every 2 weeks at the second visit.

    IPs will be prepared according to standard procedure (SOP). Dosage adjustment guideline:

    Patients will have hemoglobin levels monitored every 2 weeks. The investigators will evaluate and adjust the dose of Darbepoetin alfa to maintain the Hb levels within the target range (10 - 12 g/dL)

Study groups in NCT05636891
Study groupRoleWhat they receive
StimusExperimentalTreatment: Nanogen's Darbepoetin alfa 10µg/0.4mL, 20µg/0.5mL, 40µg/0.4mL, 60µg/0.3mL, prefilled syringe
Receives: Biological: Stimus
AranespActive comparatorControl: Amgen's Aranesp® 10µg/0.4mL, 20µg/0.5mL, 40µg/0.4mL, 60µg/0.3mL, prefilled syringe
Receives: Biological: Stimus

What is being measured

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

  1. PK parameters comparison between NNG-DEPO and Aranesp®: Cmax

    Serum peak concentrations (Cmax)

    Measured: IV:Assessed predose and at 0.25; 0.5; 4;12;24;48;96;144;240;336 hours postdose/ SC: Assessed predose and at 4;12;24;48;96;144;240;336 hours postdose

  2. PK parameters comparison between NNG-DEPO and Aranesp®: AUC(0, t)

    Area under the curve from 0 to t (AUC 0-t)

    Measured: IV:Assessed predose and at 0.25; 0.5; 4;12;24;48;96;144;240;336 hours postdose/ SC: Assessed predose and at 4;12;24;48;96;144;240;336 hours postdose

Secondary outcomes (10)
  1. PD parameters comparison between NNG-DEPO and Aranesp®: Cmax of reticulocytes

    Serum peak concentrations (Cmax) of reticulocytes

    Measured: Assessed predose and at and at 24;48;96;144;240;336 hours postdose

  2. PD parameters comparison between NNG-DEPO and Aranesp®: AUC(0, t) of reticulocytes

    Area under the curve from 0 to t (AUC 0-t) of reticulocytes

    Measured: Assessed predose and at and at 24;48;96;144;240;336 hours postdose

  3. PD parameters comparison between NNG-DEPO and Aranesp®: Tmax of reticulocytes

    Time for the drug to reach peak concentration (Tmax) of reticulocytes

    Measured: Assessed predose and at and at 24;48;96;144;240;336 hours postdose

  4. PK parameters comparison between NNG-DEPO and Aranesp®:Tmax

    Time for the drug to reach peak concentration (Tmax)

    Measured: IV:Assessed predose and at 0.25; 0.5; 4;12;24;48;96;144;240;336 hours postdose/ SC: Assessed predose and at 4;12;24;48;96;144;240;336 hours postdose

  5. PK parameters comparison between NNG-DEPO and Aranesp®: AUC(0,∞)

    Area under the curve from 0 to ∞ (AUC0-∞)

    Measured: IV:Assessed predose and at 0.25; 0.5; 4;12;24;48;96;144;240;336 hours postdose/ SC: Assessed predose and at 4;12;24;48;96;144;240;336 hours postdose

  6. PK parameters comparison between NNG-DEPO and Aranesp®:T1/2

    Half-life (T1/2)

    Measured: IV:Assessed predose and at 0.25; 0.5; 4;12;24;48;96;144;240;336 hours postdose/ SC: Assessed predose and at 4;12;24;48;96;144;240;336 hours postdose

  7. PK parameters comparison between NNG-DEPO and Aranesp®: CL/F

    CL/F

    Measured: IV:Assessed predose and at 0.25; 0.5; 4;12;24;48;96;144;240;336 hours postdose/ SC: Assessed predose and at 4;12;24;48;96;144;240;336 hours postdose

  8. PK parameters comparison between NNG-DEPO and Aranesp®:Vz/F

    Vz/F

    Measured: IV:Assessed predose and at 0.25; 0.5; 4;12;24;48;96;144;240;336 hours postdose/ SC: Assessed predose and at 4;12;24;48;96;144;240;336 hours postdose

  9. PK parameters comparison between NNG-DEPO and Aranesp®: λz.

    λz.

    Measured: IV:Assessed predose and at 0.25; 0.5; 4;12;24;48;96;144;240;336 hours postdose/ SC: Assessed predose and at 4;12;24;48;96;144;240;336 hours postdose

  10. Proportion of the adverse events (AE) including physical examinations, vital signs, and clinical laboratory investigations.

    Rate of AE and SAE occurence

    Measured: Week 0 (Assessed predose)- 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 posted5 Dec 2022
  2. Study start19 Sep 2021
  3. Primary completion23 Nov 2022
  4. Study completion23 Nov 2022

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
43 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05636891
Sponsor's protocol ID
NNG06.1
Acronym
CKD
Status last verified
Mar 2025
First submitted
13 Oct 2022
Last updated
30 Mar 2025
Results posted
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 1 study testing Stimus in people with Chronic Kidney Disease, run by Nanogen Pharmaceutical Biotechnology Joint Stock Company at 1 site in Vietnam.

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 24 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 30 Mar 2025. 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 Vietnam. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

PK parameters comparison between NNG-DEPO and Aranesp®: Cmax (time frame: IV:Assessed predose and at 0.25; 0.5; 4;12;24;48;96;144;240;336 hours postdose/ SC: Assessed predose and at 4;12;24;48;96;144;240;336 hours postdose). 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 30 Mar 2025.

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