(ACORD Study) - A Study of NeoRecormon (Epoetin Beta) in Patients With Early Diabetic Nephropathy

NCT ID: NCT00354341

Last Updated: 2016-03-31

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

170 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-09-30

Study Completion Date

2005-07-31

Brief Summary

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This study will assess the effect of anemia correction with NeoRecormon on cardiac structure and function in patients with early diabetic nephropathy. The anticipated time on study treatment is 1-2 years and the target sample size is 100-500 individuals.

Detailed Description

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Conditions

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Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1 (Early Epoetin Beta)

Along with their standard treatment participants will receive epoetin beta at a starting dose of 2000 International Units (IU) subcutaneously (SC) once weekly to reach and maintain target hemoglobin (Hb) between 13 and 15 grams per deciliter (g/dL), for 15 months. Epoetin beta doses will be adjusted according to individual participant's Hb level. Standard treatment will be as per investigator discretion.

Group Type EXPERIMENTAL

Epoetin beta

Intervention Type DRUG

Group 2 (No/Late Epoetin Beta)

Participants will receive their standard treatment for 15 months but no treatment for anemia correction unless Hb level will be less than (\<) 10.5 g/dL on 2 consecutive visits of 2 weeks interval or the Hb level will be \<10 g/dL on a single determination. In such cases participants could receive epoetin beta at a starting dose of 2000 IU SC once weekly to reach and maintain a target Hb level of 10.5 to 11.5 g/dL. Standard treatment will be as per investigator discretion.

Group Type ACTIVE_COMPARATOR

Epoetin beta

Intervention Type DRUG

Interventions

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Epoetin beta

Intervention Type DRUG

Other Intervention Names

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NeoRecormon

Eligibility Criteria

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Inclusion Criteria

* adult patients \>=18 years of age;
* type 1 or type 2 diabetes;
* stable glycemic control for \>=3 months;
* diabetic nephropathy.

Exclusion Criteria

* women who are pregnant, breastfeeding, or unwilling to use a reliable contraceptive method;
* previous treatment with erythropoietin or other erythropoietic substance;
* nondiabetic renal disease, nephrotic syndrome;
* blood transfusion within the 3 months prior to enrollment;
* administration of any investigational drug within 30 days preceding the study start, and during the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ebenhard Ritz, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

unaffliated

Locations

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Linz, , Austria

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São Paulo, , Brazil

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Jihlava, , Czechia

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Liberec, , Czechia

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Copenhagen, , Denmark

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Roskilde, , Denmark

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Jyväskylä, , Finland

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Heidelberg, , Germany

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München, , Germany

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Alexandroupoli, , Greece

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Athens, , Greece

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Ioannina, , Greece

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Nikaia, , Greece

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Thessaloniki, , Greece

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Thessaloniki, , Greece

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Véria, , Greece

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Budapest, , Hungary

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Budapest, , Hungary

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Miskolc, , Hungary

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Pécs, , Hungary

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Szombathely, , Hungary

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Ancona, , Italy

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Cagliari, , Italy

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Caserta, , Italy

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Cinisello Balsamo, , Italy

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Desio, , Italy

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Lecco, , Italy

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Messina, , Italy

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Milan, , Italy

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Milan, , Italy

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Chihuahua City, , Mexico

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Mexico City, , Mexico

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Monterrey, , Mexico

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Bialystok, , Poland

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Katowice, , Poland

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Radom, , Poland

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Singapore, , Singapore

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A Coruña, , Spain

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Barakaldo, , Spain

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Barcelona, , Spain

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Galdakao, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Valencia, , Spain

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Stockholm, , Sweden

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Bangkok, , Thailand

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Bangkok, , Thailand

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Bangkok, , Thailand

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Chiang Mai, , Thailand

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Chon Buri, , Thailand

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Belfast, , United Kingdom

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Cambridge, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Middlesbrough, , United Kingdom

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Salford, , United Kingdom

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Sheffield, , United Kingdom

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Wrexham, , United Kingdom

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Countries

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Austria Brazil Czechia Denmark Finland Germany Greece Hungary Italy Mexico Poland Russia Singapore Spain Sweden Thailand United Kingdom

References

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Chung EY, Palmer SC, Saglimbene VM, Craig JC, Tonelli M, Strippoli GF. Erythropoiesis-stimulating agents for anaemia in adults with chronic kidney disease: a network meta-analysis. Cochrane Database Syst Rev. 2023 Feb 13;2(2):CD010590. doi: 10.1002/14651858.CD010590.pub3.

Reference Type DERIVED
PMID: 36791280 (View on PubMed)

Ritz E, Laville M, Bilous RW, O'Donoghue D, Scherhag A, Burger U, de Alvaro F; Anemia Correction in Diabetes Study Investigators. Target level for hemoglobin correction in patients with diabetes and CKD: primary results of the Anemia Correction in Diabetes (ACORD) Study. Am J Kidney Dis. 2007 Feb;49(2):194-207. doi: 10.1053/j.ajkd.2006.11.032.

Reference Type DERIVED
PMID: 17261422 (View on PubMed)

Other Identifiers

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MA16620

Identifier Type: -

Identifier Source: org_study_id

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