A Study Comparing Mircera and Epoetin Alfa for the Treatment of Anemia in Dialysis Patients With Chronic Kidney Disease.
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Purpose
This 2 arm study will compare 'time and motion' (provider time spent on anemia management) and effect on hemoglobin (Hb) levels, of methoxy polyethylene glycol-epoetin beta (Mircera) and epoetin alfa, in anemic patients with chronic kidney disease (CKD) on hemodialysis. Patients stable on intravenous (iv) epoetin alfa will be randomized either to receive standard of care therapy (epoetin alfa (iv) 3 times weekly), or to receive Mircera 120-360 micrograms (iv), monthly. After a titration period, average time spent on anemia treatment over a 3 month period will be evaluated. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
| Condition | Intervention | Phase |
|---|---|---|
|
Anemia |
Drug: methoxy polyethylene glycol-epoetin beta Drug: Epoetin alfa |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Randomized, Open-label Study Comparing the Pharmacoeconomic (Time and Motion) Benefit of Mircera and Epoetin Alfa in Patients With Chronic Kidney Disease (Stage V) on Dialysis. |
- Time Spent on Anemia Treatment Over Evaluation Period [ Time Frame: Months 5-7 ] [ Designated as safety issue: No ]Efficacy and pharmacoeconomics analyses were not performed.
- Change in Hemoglobin (Hb) Concentration From Baseline to the Average Over the Evaluation Period [ Time Frame: Baseline, Months 5-7 ] [ Designated as safety issue: No ]Efficacy and pharmacoeconomics analyses were not performed.
- Number of Participants Assessed for AEs [ Time Frame: Month 1 to 15 day follow up post month 7 ] [ Designated as safety issue: Yes ]The adverse events are captured in the adverse event and serious adverse event section of this database.
- The Number of Participants With Marked Laboratory Abnormalities Occurring in ≥5% of the Participants [ Time Frame: Baseline, Month 1 to Month 7 ] [ Designated as safety issue: No ]A marked laboratory abnormality was defined as a test result that was outside of the marked abnormality range and that also represented a clinically relevant change from baseline of at least a designated amount.
| Enrollment: | 260 |
| Study Start Date: | March 2007 |
| Study Completion Date: | December 2007 |
| Primary Completion Date: | December 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: methoxy polyethylene glycol-epoetin beta
120-360 micrograms (iv) monthly, starting dose
|
Drug: methoxy polyethylene glycol-epoetin beta
120-360 micrograms intravenous (iv) monthly, starting dose
Other Name: Mircera
|
|
Active Comparator: Epoetin Alfa
As prescribed, (iv), 3 times weekly
|
Drug: Epoetin alfa
As prescribed, iv, 3 times weekly
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- adult patients, >=18 years of age;
- CKD (stage V) on outpatient hemodialysis therapy for >= 3 months;
- CKD-related anemia treated with epoetin alfa iv 3x/week for >= 3 months;
- average hemoglobin (Hb) 10-12 g/dL over last 3 months.
Exclusion Criteria:
- failed renal transplant within 12 months prior to screening;
- poorly controlled hypertension;
- previous treatment with Mircera.
Contacts and Locations
Show 44 Study Locations| Study Director: | Clinical Trials | Hoffmann-La Roche |
More Information
No publications provided
| Responsible Party: | Hoffmann-La Roche |
| ClinicalTrials.gov Identifier: | NCT00422513 History of Changes |
| Other Study ID Numbers: | ML20336 |
| Study First Received: | January 15, 2007 |
| Results First Received: | March 29, 2011 |
| Last Updated: | November 9, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Anemia Kidney Diseases Renal Insufficiency, Chronic Kidney Failure, Chronic Hematologic Diseases Urologic Diseases |
Renal Insufficiency Epoetin Alfa Hematinics Hematologic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013