A Study of Mircera in Hemoglobin Control of Patients Transitioning to Dialysis.

NCT ID: NCT00454246

Last Updated: 2011-12-16

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

111 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2008-02-29

Brief Summary

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This study will assess the efficacy and safety of methoxy polyethylene glycol-epoetin beta (Mircera) in the maintenance of hemoglobin levels in patients who have previously received treatment with epoetin alfa or darbepoetin alfa, and who are transitioning from chronic kidney disease stage 4 through dialysis. Patients will be randomized either to receive Mircera or to remain on their existing therapy; the initial monthly dose of subcutaneous (sc) Mircera (120-360 micrograms) will be based on the average weekly dose of epoetin alfa or darbepoetin alfa administered in the week preceding the switch to Mircera. At the initiation of dialysis, patients in the Mircera group will receive monthly intravenous (iv) Mircera at a starting dose based on their previous (sc) dose, and those in the control group will receive weekly (iv) epoetin alfa. The anticipated time on study treatment is 1-2 years, and the target sample size is 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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methoxy polyethylene glycol-epoetin beta

120-360 micrograms methoxy polyethylene glycol-epoetin beta subcutaneous (sc) monthly starting dose, for a minimum of 5 months to a maximum of 18 months.

Dosage was adjusted to maintain a hemoglobin target range of ≥10 g/dL to ≤12 g/dL.

Group Type EXPERIMENTAL

methoxy polyethylene glycol-epoetin beta

Intervention Type DRUG

Methoxy polyethylene glycol-epoetin beta was provided as a sterile single-use injectable solution in a 1-mL prefilled syringe containing 0.3 mL or 0.6 mL solution. The methoxy polyethylene glycol-epoetin beta injectable solution was formulated in sodium phosphate, sodium sulfate, mannitol, methionine and poloxamer 188, pH 6.2 and did not contain any preservative. Participants received methoxy polyethylene glycol-epoetin beta subcutaneous once a month.

Epoetin alfa

Patients randomized to the reference arm continued to receive their standard of care dose and regimen of epoetin alfa subcutaneous once per week for a minimum of 5 months to a maximum of 18 months. Subcutaneous injections were to be administered in the same part of the body (ie, thigh, abdomen or arm) throughout the study.

Dosage was adjusted to maintain a hemoglobin target range of ≥10 g/dL to ≤12 g/dL.

Group Type ACTIVE_COMPARATOR

epoetin alfa

Intervention Type DRUG

Standard of care as prescribed, per individual participant, subcutaneous once per week. Subcutaneous injections were to be administered in the same part of the body (ie, thigh, abdomen or arm) throughout the study.

Darbepoetin alfa

Patients randomized to the reference arm continued to receive their standard of care dose and regimen of darbepoetin subcutaneous once every two weeks for a minimum of 5 months and a maximum of 18 months. Subcutaneous injections were to be administered in the same part of the body (ie, thigh, abdomen or arm) throughout the study.

Dosage was adjusted to maintain a hemoglobin target range of ≥10 g/dL to ≤12 g/dL.

Group Type ACTIVE_COMPARATOR

darbepoetin alfa

Intervention Type DRUG

Standard of care as prescribed, per individual participant, darbepoetin alfa subcutaneous once every two weeks. Subcutaneous injections were to be administered in the same part of the body (ie, thigh,abdomen or arm) throughout the study.

Interventions

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methoxy polyethylene glycol-epoetin beta

Methoxy polyethylene glycol-epoetin beta was provided as a sterile single-use injectable solution in a 1-mL prefilled syringe containing 0.3 mL or 0.6 mL solution. The methoxy polyethylene glycol-epoetin beta injectable solution was formulated in sodium phosphate, sodium sulfate, mannitol, methionine and poloxamer 188, pH 6.2 and did not contain any preservative. Participants received methoxy polyethylene glycol-epoetin beta subcutaneous once a month.

Intervention Type DRUG

epoetin alfa

Standard of care as prescribed, per individual participant, subcutaneous once per week. Subcutaneous injections were to be administered in the same part of the body (ie, thigh, abdomen or arm) throughout the study.

Intervention Type DRUG

darbepoetin alfa

Standard of care as prescribed, per individual participant, darbepoetin alfa subcutaneous once every two weeks. Subcutaneous injections were to be administered in the same part of the body (ie, thigh,abdomen or arm) throughout the study.

Intervention Type DRUG

Other Intervention Names

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Mircera

Eligibility Criteria

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Inclusion Criteria

* adult patients, \>=18 years of age;
* chronic kidney disease stage IV not requiring dialysis;
* expected to initiate dialysis within 18 months;
* 15\<=Glomerular Filtration Rate (GFR)\<=29.

Exclusion Criteria

* failing renal allograft in place;
* acute or chronic bleeding within 8 weeks prior to screening;
* transfusion of red blood cells within 8 weeks prior to screening;
* poorly controlled hypertension;
* immunosuppressive therapy in the 12 weeks prior to screening.
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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Birmingham, Alabama, United States

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Mobile, Alabama, United States

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Phoenix, Arizona, United States

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El Dorado, Arkansas, United States

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Hot Springs, Arkansas, United States

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Bakersfield, California, United States

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Glendale, California, United States

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Granada Hills, California, United States

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Los Angeles, California, United States

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Orange, California, United States

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Palm Springs, California, United States

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Riverside, California, United States

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San Diego, California, United States

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Yuba City, California, United States

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Colorado Springs, Colorado, United States

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Lakewood, Colorado, United States

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Stamford, Connecticut, United States

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Miami, Florida, United States

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Ocala, Florida, United States

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Orlando, Florida, United States

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Palm Beach Gardens, Florida, United States

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Pembroke Pines, Florida, United States

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Tampa, Florida, United States

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Atlanta, Georgia, United States

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Augusta, Georgia, United States

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Macon, Georgia, United States

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Meridan, Idaho, United States

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Evergreen Park, Illinois, United States

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Fort Wayne, Indiana, United States

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Wichita, Kansas, United States

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Baton Rouge, Louisiana, United States

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Shreveport, Louisiana, United States

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Germantown, Maryland, United States

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Boston, Massachusetts, United States

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Springfield, Massachusetts, United States

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Detroit, Michigan, United States

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Milwaukee, Michigan, United States

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Royal Oak, Michigan, United States

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Columbus, Mississippi, United States

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St Louis, Missouri, United States

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Omaha, Nebraska, United States

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Voorhees Township, New Jersey, United States

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West Orange, New Jersey, United States

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Brooklyn, New York, United States

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Buffalo, New York, United States

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Flushing, New York, United States

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Great Neck, New York, United States

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Mineola, New York, United States

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Springfield Gardens, New York, United States

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Syracuse, New York, United States

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The Bronx, New York, United States

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Durham, North Carolina, United States

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Greenville, North Carolina, United States

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Raleigh, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Maimisburg, Ohio, United States

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Toledo, Ohio, United States

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Portland, Oregon, United States

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Erie, Pennsylvania, United States

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Lewistown, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Providence, Rhode Island, United States

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Columbia, South Carolina, United States

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Greenville, South Carolina, United States

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Orangeburg, South Carolina, United States

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Chattanooga, Tennessee, United States

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Dyersburg, Tennessee, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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Temple, Texas, United States

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Alexandria, Virginia, United States

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Fairfax, Virginia, United States

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Richmond, Virginia, United States

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Salem, Virginia, United States

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Bluefield, West Virginia, United States

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Morgantown, West Virginia, United States

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Appleton, Wisconsin, United States

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Countries

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United States

Other Identifiers

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ML20337

Identifier Type: -

Identifier Source: org_study_id