A Study of Mircera for the Maintenance Treatment of Anemia in Dialysis Patients

NCT ID: NCT00394953

Last Updated: 2017-01-20

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

490 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-12-31

Study Completion Date

2008-11-30

Brief Summary

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This 2 arm study will compare the efficacy and safety of Mircera and darbepoetin alfa, administered at extended dosing intervals, in the maintenance treatment of anemia in patients with chronic kidney disease (CKD) who are on hemodialysis. Eligible patients receiving once-weekly intravenous (IV) darbepoetin alfa maintenance treatment will be randomized to receive either intravenous Mircera once a month (at a starting dose of 120, 200 or 360 micrograms/month, depending on the weekly dose of darbepoetin alfa prior to start of study) or intravenous darbepoetin alfa every 2 weeks before switching to once monthly administration. The anticipated time on study treatment is 3-12 months, 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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MIRCERA

Eligible participants with anemia in CKD who were on hemodialysis will receive methoxy polyethylene glycol-epoetin beta (MIRCERA \[RO0503821\]) IV once every month up to 52 weeks. The starting dose of MIRCERA which will be administered during the treatment period will depend on the dose of darbepoetin alfa administered during screening period i.e., 120, 200 and 360 mcg for weekly darbepoetin alfa doses of \<40, 40-80, and \>80 mcg, respectively.

Group Type EXPERIMENTAL

methoxy polyethylene glycol-epoetin beta [Mircera]

Intervention Type DRUG

120, 200 or 360 micrograms iv / month, starting dose

Darbepoetin Alfa

Eligible participants with anemia in CKD who were on hemodialysis will receive darbepoetin alfa (Aranesp) IV once every two weeks up to 26 weeks and darbepoetin alfa IV twice the dose than earlier, once every month from Week 27 up to Week 52.

Group Type ACTIVE_COMPARATOR

Darbepoetin alfa

Intervention Type DRUG

As prescribed, iv.

Interventions

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Darbepoetin alfa

As prescribed, iv.

Intervention Type DRUG

methoxy polyethylene glycol-epoetin beta [Mircera]

120, 200 or 360 micrograms iv / month, starting dose

Intervention Type DRUG

Other Intervention Names

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Aranesp

Eligibility Criteria

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Inclusion Criteria

* adult patients, \>=18 years of age;
* chronic renal anemia;
* hemodialysis 3 times weekly for \>=12 weeks before screening, and during screening/baseline period;
* receiving darbepoetin alfa maintenance therapy for \>=8 weeks before screening, and during screening/baseline period.

Exclusion Criteria

* overt gastrointestinal bleeding within 8 weeks before screening or during screening/baseline period;
* transfusion of red blood cells within 8 weeks before screening or during screening/baseline period;
* active malignancy;
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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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Adelaide, , Australia

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Clayton, , Australia

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Gosford, , Australia

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Parkville, , Australia

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Woolloongabba, , Australia

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Linz, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Aalst, , Belgium

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Brussels, , Belgium

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Brussels, , Belgium

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Roeselare, , Belgium

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Calgary, Alberta, Canada

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Hamilton, Ontario, Canada

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Kitchener, Ontario, Canada

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Mississauga, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Greenfield Park, Quebec, Canada

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Trois-Rivières, Quebec, Canada

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Aalborg, , Denmark

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Hillerød, , Denmark

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Roskilde, , Denmark

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Tampere, , Finland

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Turku, , Finland

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Auch, , France

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Bordeaux, , France

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Boulogne, , France

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Castelnau-le-Lez, , France

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Cergy-Pontoise, , France

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Chamalières, , France

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Dijon, , France

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Fleury-Mérogis, , France

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Hérouville-Saint-Clair, , France

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La Tronche, , France

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Lyon, , France

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Montpellier, , France

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Nîmes, , France

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Paris, , France

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Paris, , France

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Reims, , France

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Rennes, , France

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Saint-Brieuc, , France

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Saint-Herblain, , France

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Saint-Ouen, , France

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Villeurbanne, , France

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Bad Hersfeld, , Germany

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Bonn, , Germany

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Dortmund, , Germany

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München, , Germany

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Stuttgart, , Germany

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Villingen-Schwenningen, , Germany

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Bologna, , Italy

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Como, , Italy

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Genova, , Italy

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Lecco, , Italy

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Modena, , Italy

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Pavia, , Italy

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Prato, , Italy

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Venezia, , Italy

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Amsterdam, , Netherlands

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Dordrecht, , Netherlands

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Leiria, , Portugal

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Alicante, , Spain

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Badalona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Bilbao, , Spain

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Córdoba, , Spain

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León, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Ourense, , Spain

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Santander, , Spain

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Vigo, , Spain

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Vigo, , Spain

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Aarau, , Switzerland

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Lausanne, , Switzerland

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Belfast, , United Kingdom

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Canterbury, , United Kingdom

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Glasgow, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Truro, , United Kingdom

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Countries

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Australia Austria Belgium Canada Denmark Finland France Germany Italy Netherlands Portugal Spain Switzerland 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)

Carrera F, Lok CE, de Francisco A, Locatelli F, Mann JF, Canaud B, Kerr PG, Macdougall IC, Besarab A, Villa G, Kazes I, Van Vlem B, Jolly S, Beyer U, Dougherty FC; PATRONUS Investigators. Maintenance treatment of renal anaemia in haemodialysis patients with methoxy polyethylene glycol-epoetin beta versus darbepoetin alfa administered monthly: a randomized comparative trial. Nephrol Dial Transplant. 2010 Dec;25(12):4009-17. doi: 10.1093/ndt/gfq305. Epub 2010 Jun 3.

Reference Type DERIVED
PMID: 20522670 (View on PubMed)

Other Identifiers

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BH17847

Identifier Type: -

Identifier Source: org_study_id

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