A Study of Subcutaneous Mircera Once Monthly in the Treatment of Anemia in Participants With Chronic Kidney Disease Not on Dialysis

NCT ID: NCT00559273

Last Updated: 2016-11-01

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

307 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-12-31

Study Completion Date

2009-10-31

Brief Summary

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This study will compare the efficacy and safety of subcutaneous Mircera and subcutaneous darbepoetin in the treatment of renal anemia in participants with chronic kidney disease who are not on dialysis and not receiving erythropoiesis-stimulating agents (ESA). Participants will be randomized to receive either Mircera once every 4 weeks, at a starting dose of 1.2 micrograms/kilogram (mcg/kg), or darbepoetin alfa once weekly, at a starting dose of 0.45 mcg/kg (or once every two weeks, 0.75 mcg/kg). The anticipated time on study treatment is 3-12 months.

Detailed Description

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Conditions

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Renal Anemia, Chronic

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 will receive Mircera (Methoxy polyethylene glycol-epoetin beta), administered subcutaneously (SC) at a starting dose of 1.2 mcg/kg once every 4 weeks for 28 weeks.

Group Type EXPERIMENTAL

Methoxy polyethylene glycol-epoetin beta

Intervention Type DRUG

1.2 mcg/kg SC monthly, starting dose

Darbepoetin Alfa

Participants will receive darbepoetin alfa, administered SC once weekly or once every 2 weeks according to local labeling specifications for 28 weeks.

Group Type ACTIVE_COMPARATOR

Darbepoetin alfa

Intervention Type DRUG

0.45 mcg/kg SC weekly or 0.75 mcg/kg every 2 weeks, starting dose

Interventions

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Methoxy polyethylene glycol-epoetin beta

1.2 mcg/kg SC monthly, starting dose

Intervention Type DRUG

Darbepoetin alfa

0.45 mcg/kg SC weekly or 0.75 mcg/kg every 2 weeks, starting dose

Intervention Type DRUG

Other Intervention Names

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Mircera RO0503821

Eligibility Criteria

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Inclusion Criteria

* Participants with chronic kidney disease (CKD) stage 3 (creatinine clearance \[CrCl\]/ glomerular filtration rate \[GFR\] 30 to 59 milliliter per minutes per 1.73 meter square \[mL/min/1.73m\^2\]) or Stage 4 (CrCl/GFR 15-29 mL/min/1.73m\^2) who did not require dialysis. CrCl/GFR was estimated with the Cockcroft-Gault equation or the abbreviated Modification of Diet in Renal Disease (MDRD) equation
* Anemia defined as baseline Hb concentration less than (\<) 10.5 gram per deciliter (g/dL)

Exclusion Criteria

* Previous therapy with any ESA within 12 weeks prior to screening
* Renal allograft in place
* Immunosuppressive therapy in the 12 weeks prior to screening
* Overt gastrointestinal bleeding and red blood cells (RBC) transfusions within 8 weeks before 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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Adelaide, , Australia

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Clayton, , Australia

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Gosford, , Australia

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Parkville, , Australia

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Reservoir, , Australia

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Aalst, , Belgium

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Roeselare, , Belgium

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Edmonton, Alberta, Canada

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London, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Cahors, , France

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Clermont-Ferrand, , France

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Limoges, , France

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Lyon, , France

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Nice, , France

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Paris, , France

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Berlin, , Germany

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Bonn, , Germany

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Heilbronn, , Germany

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Homburg/saar, , Germany

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Alexandroupoli, , Greece

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Larissa, , Greece

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Thessaloniki, , Greece

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Volos, , Greece

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Hong Kong, , Hong Kong

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Baja, , Hungary

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Budapest, , Hungary

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Esztergom, , Hungary

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Hatvan, , Hungary

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Szigetvár, , Hungary

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Haifa, , Israel

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Kfar Saba, , Israel

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Petah Tikva, , Israel

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Como, , Italy

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Lecco, , Italy

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Lodi, , Italy

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Mestre, , Italy

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Modena, , Italy

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Pavia, , Italy

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Gdansk, , Poland

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Katowice, , Poland

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Krakow, , 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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Wroclaw, , Poland

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saratov, , Russia

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Barcelona, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Palma de Mallorca, , Spain

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Seville, , Spain

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Seville, , Spain

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Valencia, , Spain

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Taichung, , Taiwan

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Taipei, , Taiwan

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Bangkok, , Thailand

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Bangkok, , Thailand

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Bangkok, , Thailand

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Nakhon Ratchasima, , Thailand

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Pathum Thani, , Thailand

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Countries

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China United States Australia Belgium Canada France Germany Greece Hong Kong Hungary Israel Italy Poland Russia South Korea Spain Taiwan Thailand

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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NH20052

Identifier Type: -

Identifier Source: org_study_id