Trial Outcomes & Findings for A Study of Subcutaneous Mircera for the Treatment of Anemia in Pre-Dialysis Participants With Chronic Kidney Disease. (NCT NCT00462384)

NCT ID: NCT00462384

Last Updated: 2016-04-01

Results Overview

The baseline hemoglobin was defined as the mean of the assessments recorded during the screening period (Weeks -2 and 0). EEP was the first 8 weeks (Weeks 29 to 36) following the 28 weeks dose titration period. EEP hemoglobin was defined as the mean of the assessments recorded during the EEP.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

39 participants

Primary outcome timeframe

Baseline (Week -2 to 0) and EEP (Weeks 29 to 36)

Results posted on

2016-04-01

Participant Flow

Participant milestones

Participant milestones
Measure
Methoxy Polyethylene Glycol-epoetin Beta
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 micrograms per kilogram (mcg/kg) body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Overall Study
STARTED
39
Overall Study
COMPLETED
30
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Methoxy Polyethylene Glycol-epoetin Beta
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 micrograms per kilogram (mcg/kg) body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Overall Study
Adverse Event
2
Overall Study
Death
2
Overall Study
Withdrawal by Subject
1
Overall Study
Other
4

Baseline Characteristics

A Study of Subcutaneous Mircera for the Treatment of Anemia in Pre-Dialysis Participants With Chronic Kidney Disease.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Methoxy Polyethylene Glycol-epoetin Beta
n=39 Participants
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 mcg/kg body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Age, Continuous
61.6 years
STANDARD_DEVIATION 18.25 • n=5 Participants
Sex: Female, Male
Female
28 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline (Week -2 to 0) and EEP (Weeks 29 to 36)

Population: Intent to treat (ITT) population: included all participants who received at least one dose of methoxy polyethylene glycol-epoetin beta and for whom data for at least one study variable was available.

The baseline hemoglobin was defined as the mean of the assessments recorded during the screening period (Weeks -2 and 0). EEP was the first 8 weeks (Weeks 29 to 36) following the 28 weeks dose titration period. EEP hemoglobin was defined as the mean of the assessments recorded during the EEP.

Outcome measures

Outcome measures
Measure
Methoxy Polyethylene Glycol-epoetin Beta
n=39 Participants
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 mcg/kg body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Mean Change in Hemoglobin Concentration Between Baseline and the Efficacy Evaluation Period (EEP)
1.32 grams per deciliter (g/dL)
Standard Deviation 0.88

SECONDARY outcome

Timeframe: Baseline to Week 40

Population: ITT population

Time to achievement of response was the time (number of days) required to achieve hemoglobin levels within the range of 11.0 to 13.0 g/dL.

Outcome measures

Outcome measures
Measure
Methoxy Polyethylene Glycol-epoetin Beta
n=39 Participants
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 mcg/kg body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Time to Achievement of Response
24.6 days
Standard Deviation 20.53

SECONDARY outcome

Timeframe: EEP (Weeks 29 to 36)

Population: ITT population

EEP was the first 8 weeks (Weeks 29 to 36) following the 28 weeks dose titration period. The percentage of participants whose hemoglobin concentrations remained within the range of 11.0-13.0 g/dL at all assessments throughout the EEP is presented.

Outcome measures

Outcome measures
Measure
Methoxy Polyethylene Glycol-epoetin Beta
n=39 Participants
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 mcg/kg body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Percentage of Participants Maintaining Hemoglobin Concentration Within Hemoglobin Range 11.0 to 13.0 g/dL Throughout the EEP
53.9 percentage of participants

SECONDARY outcome

Timeframe: EEP (Weeks 29 to 36)

Population: ITT population

EEP was the first 8 weeks (Weeks 29 to 36) following the 28 weeks dose titration period. The percentage of participants whose average hemoglobin concentration was within the range of 11.0-13.0 g/dL during the EEP is presented.

Outcome measures

Outcome measures
Measure
Methoxy Polyethylene Glycol-epoetin Beta
n=39 Participants
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 mcg/kg body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Percentage of Participants Maintaining Average Hemoglobin Concentration Within Hemoglobin Range 11.0 to 13.0 g/dL During the EEP
66.7 percentage of participants

SECONDARY outcome

Timeframe: EEP (Weeks 29 to 36)

Population: ITT population

EEP was the first 8 weeks (Weeks 29 to 36) following the 28 weeks dose titration period.

Outcome measures

Outcome measures
Measure
Methoxy Polyethylene Glycol-epoetin Beta
n=39 Participants
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 mcg/kg body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Time Spent in Hemoglobin Range of 11.0 to 13.0 g/dL During the EEP
42.5 days
Standard Deviation 13.96

Adverse Events

Methoxy Polyethylene Glycol-epoetin Beta

Serious events: 11 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Methoxy Polyethylene Glycol-epoetin Beta
n=39 participants at risk
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 mcg/kg body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Cardiac disorders
Angina pectoris
2.6%
1/39 • Baseline up to Week 40
Safety population
Cardiac disorders
Arteriosclerosis coronary artery
2.6%
1/39 • Baseline up to Week 40
Safety population
Cardiac disorders
Atrial fibrillation
2.6%
1/39 • Baseline up to Week 40
Safety population
Infections and infestations
Bronchitis
2.6%
1/39 • Baseline up to Week 40
Safety population
Infections and infestations
Otitis media chronic
2.6%
1/39 • Baseline up to Week 40
Safety population
Infections and infestations
Pneumonia
2.6%
1/39 • Baseline up to Week 40
Safety population
Infections and infestations
Postoperative wound infection
2.6%
1/39 • Baseline up to Week 40
Safety population
Metabolism and nutrition disorders
Iron deficiency
2.6%
1/39 • Baseline up to Week 40
Safety population
Musculoskeletal and connective tissue disorders
Back pain
2.6%
1/39 • Baseline up to Week 40
Safety population
Pregnancy, puerperium and perinatal conditions
Intra-uterine death
2.6%
1/39 • Baseline up to Week 40
Safety population
Renal and urinary disorders
Azotaemia
2.6%
1/39 • Baseline up to Week 40
Safety population
Reproductive system and breast disorders
Postmenopausal haemorrhage
2.6%
1/39 • Baseline up to Week 40
Safety population
Skin and subcutaneous tissue disorders
Skin ulcer
2.6%
1/39 • Baseline up to Week 40
Safety population
Surgical and medical procedures
Foot amputation
2.6%
1/39 • Baseline up to Week 40
Safety population
Vascular disorders
Peripheral ischaemia
2.6%
1/39 • Baseline up to Week 40
Safety population

Other adverse events

Other adverse events
Measure
Methoxy Polyethylene Glycol-epoetin Beta
n=39 participants at risk
Methoxy polyethylene glycol-epoetin beta was administered subcutaneously every 4 weeks (at Weeks 4, 8, 12, 16, 20, 24, 28 and 32). The starting dose was 1.2 mcg/kg body weight. Thereafter, throughout the duration of study the dose adjustments were performed depending on the hemoglobin value.
Infections and infestations
Urinary tract infection
10.3%
4/39 • Baseline up to Week 40
Safety population
Psychiatric disorders
Insomnia
5.1%
2/39 • Baseline up to Week 40
Safety population
Renal and urinary disorders
Urine odour abnormal
5.1%
2/39 • Baseline up to Week 40
Safety population
Vascular disorders
Hypertension
12.8%
5/39 • Baseline up to Week 40
Safety population

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 800-821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER