A Study of Subcutaneous Mircera in Patients With Chronic Kidney Disease, Not on Dialysis.

NCT ID: NCT00442702

Last Updated: 2011-12-19

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

228 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Study Completion Date

2010-08-31

Brief Summary

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This 2 arm study will compare the efficacy and safety of Mircera and darbepoetin alfa in the treatment of anemia in patients with chronic kidney disease who are not on dialysis and who are receiving subcutaneous darbepoetin alfa maintenance therapy. Patients will be randomized either to remain on darbepoetin alfa therapy as per local label, or to switch to monthly subcutaneous Mircera, at a starting dose of 120, 200 or 360 micrograms, depending on the weekly dose of darbepoetin alfa administered prior to the first dose of Mircera. 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

Participants received Mircera by subcutaneous injection once every month during the dose titration (7 months) and evaluation period (2 months). The starting dose was based on the weekly dose of darbepoetin alfa administered prior to the switch to Mircera, and was either 120, 200 or 360 µg Mircera per month. The dose was then adjusted to maintain Hemoglobin levels within the defined target range and also according to the need for red blood cell transfusions (due to worsening anemia), or for toxicity related to Mircera.

Group Type EXPERIMENTAL

Mircera

Intervention Type DRUG

Starting dose of 120, 200 and 360 micrograms administered by subcutaneous injection once a month.

Darbepoetin alfa

Participants continued to receive the same dose of darbepoetin alfa as before screening by subcutaneous injection once every week, once every 2 weeks or once every month as per local labeling during the dose titration (7 months) and the evaluation period (2 months).

Group Type ACTIVE_COMPARATOR

Darbepoetin alfa

Intervention Type DRUG

As prescribed, subcutaneous injection once every week, once every 2 weeks or once every month as per local labeling specifications.

Interventions

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Mircera

Starting dose of 120, 200 and 360 micrograms administered by subcutaneous injection once a month.

Intervention Type DRUG

Darbepoetin alfa

As prescribed, subcutaneous injection once every week, once every 2 weeks or once every month as per local labeling specifications.

Intervention Type DRUG

Other Intervention Names

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RO0503821 Methoxy polyethylene glycol-epoetin beta Aranesp®

Eligibility Criteria

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Inclusion Criteria

* adult patients, \>=18 years of age;
* chronic kidney disease, not requiring dialysis;
* 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 malignant disease;
* previous treatment with Mircera.
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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Granada Hills, California, United States

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Lauderdale Lakes, Florida, United States

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Augusta, Georgia, United States

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Mineola, New York, United States

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Orchard Park, New York, United States

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Raleigh, North Carolina, United States

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Oregon City, Oregon, United States

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Providence, Rhode Island, United States

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Chattanooga, Tennessee, United States

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Salem, Virginia, United States

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Morgantown, West Virginia, United States

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Adelaide, , Australia

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Gosford, , Australia

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Lismore, , Australia

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Reservoir, , Australia

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Richmond, , Australia

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Aalst, , Belgium

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Roeselare, , Belgium

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Calgary, Alberta, Canada

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St. John's, Newfoundland and Labrador, Canada

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Kingston, Ontario, Canada

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Mississauga, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Mariánské Lázně, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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La Tronche, , France

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Nantes, , France

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Orléans, , France

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Paris, , France

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Rennes, , France

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Saint-Priest-en-Jarez, , France

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Strasbourg, , France

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Bad Hersfeld, , Germany

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Bad König, , Germany

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Berlin, , Germany

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Bonn, , Germany

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Coburg, , Germany

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Demmin, , Germany

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Dortmund, , Germany

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München, , Germany

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Baja, , Hungary

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Budapest, , Hungary

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Esztergom, , Hungary

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Hódmezővásárhely, , Hungary

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Kalocsa, , Hungary

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Kecskemét, , Hungary

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Szigetvár, , Hungary

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Vác, , Hungary

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Hadera, , Israel

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Jerusalem, , Israel

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Kfar Saba, , Israel

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Nahariya, , Israel

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Rehovot, , Israel

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Brescia, , Italy

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Chieti, , Italy

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Ferrara, , Italy

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Genova, , Italy

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La Spezia, , Italy

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Lecco, , Italy

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Lodi, , Italy

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Palermo, , Italy

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Pavia, , Italy

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Prato, , Italy

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Roma, , Italy

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S Fermo Della Battaglia, , Italy

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Gdansk, , Poland

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Katowice, , Poland

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Lodz, , Poland

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Radom, , Poland

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Rzeszów, , Poland

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Sieradz, , Poland

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Szczecin, , Poland

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Warsaw, , Poland

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A Coruña, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Ciudad Real, , Spain

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L'Hospitalet de Llobregat, , Spain

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Lleida, , Spain

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Madrid, , Spain

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Málaga, , Spain

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Partida La Ceñuela. Torreviej, , Spain

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Belfast, , United Kingdom

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Birmingham, , United Kingdom

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Bradford, , United Kingdom

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Exeter, , United Kingdom

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Countries

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United States Australia Belgium Canada Czechia France Germany Hungary Israel Italy Poland Spain 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)

Other Identifiers

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BH20051

Identifier Type: -

Identifier Source: org_study_id