A Study of Once Monthly Intravenous or Subcutaneous Mircera in Participants With Chronic Kidney Disease on Hemodialysis.

NCT ID: NCT00717821

Last Updated: 2021-09-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

421 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Study Completion Date

2011-07-31

Brief Summary

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This 2 arm study will compare the hemoglobin maintenance with once monthly methoxy polyethylene glycol-epoetin beta (Mircera) administration versus epoetin beta or darbepoetin alfa in participants with chronic kidney disease on hemodialysis. Participants will be randomized to receive either monthly intravenous (IV) or subcutaneous (SC) methoxy polyethylene glycol-epoetin beta (at a starting dose of 120 or 200 micrograms, calculated from the last weekly dose of epoetin beta or darbepoetin alfa previously administered), or standard therapy (IV or SC epoetin beta once, twice or thrice weekly, or IV or SC darbepoetin alfa once a week or twice a week).

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

Participants who are receiving SC or IV epoetin beta or darbepoetin alfa will receive monthly injections of methoxy polyethylene glycol-epoetin beta, with the starting dose of 120 or 200 micrograms calculated from the last weekly dose of epoetin beta or darbepoetin alfa previously administered, using the same route of administration (SC or IV). Thereafter, when the hemoglobin concentration will increase or decrease in a clinically significant amount, a dose adjustment will be performed according to specific provided guidance. Total duration of treatment will be up to 48 weeks.

Group Type EXPERIMENTAL

Methoxy Polyethylene Glycol-epoetin Beta

Intervention Type DRUG

Participants who are receiving SC or IV epoetin beta or darbepoetin alfa will receive monthly injections of methoxy polyethylene glycol-epoetin beta, with the starting dose of 120 or 200 micrograms calculated from the last weekly dose of epoetin beta or darbepoetin alfa previously administered, using the same route of administration (SC or IV). Thereafter, when the hemoglobin concentration will increase or decrease in a clinically significant amount, a dose adjustment will be performed according to specific provided guidance. Total duration of treatment will be up to 48 weeks.

Epoetin Beta or Darbepoetin Alfa

Participants who are receiving SC or IV epoetin beta or darbepoetin alfa will continue to receive the same treatment (epoetin beta or darbepoetin alfa at the same dose, same administration intervals, and the same route of administration). When necessary, dose adjustments will be performed according to Summary of Product Characteristics (SmPC). Total duration of treatment will be up to 48 weeks.

Group Type ACTIVE_COMPARATOR

Epoetin Beta

Intervention Type DRUG

Participants who are receiving SC or IV epoetin beta will continue to receive the treatment at the same dose, same administration intervals, and the same route of administration. When necessary, dose adjustments will be performed according to SmPC. Total duration of treatment will be up to 48 weeks.

Darbepoetin Alfa

Intervention Type DRUG

Participants who are receiving SC or IV darbepoetin alfa will continue to receive the treatment at the same dose, same administration intervals, and the same route of administration. When necessary, dose adjustments will be performed according to SmPC. Total duration of treatment will be up to 48 weeks.

Interventions

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Methoxy Polyethylene Glycol-epoetin Beta

Participants who are receiving SC or IV epoetin beta or darbepoetin alfa will receive monthly injections of methoxy polyethylene glycol-epoetin beta, with the starting dose of 120 or 200 micrograms calculated from the last weekly dose of epoetin beta or darbepoetin alfa previously administered, using the same route of administration (SC or IV). Thereafter, when the hemoglobin concentration will increase or decrease in a clinically significant amount, a dose adjustment will be performed according to specific provided guidance. Total duration of treatment will be up to 48 weeks.

Intervention Type DRUG

Epoetin Beta

Participants who are receiving SC or IV epoetin beta will continue to receive the treatment at the same dose, same administration intervals, and the same route of administration. When necessary, dose adjustments will be performed according to SmPC. Total duration of treatment will be up to 48 weeks.

Intervention Type DRUG

Darbepoetin Alfa

Participants who are receiving SC or IV darbepoetin alfa will continue to receive the treatment at the same dose, same administration intervals, and the same route of administration. When necessary, dose adjustments will be performed according to SmPC. Total duration of treatment will be up to 48 weeks.

Intervention Type DRUG

Other Intervention Names

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Mircera C.E.R.A

Eligibility Criteria

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Inclusion Criteria

* regular long term hemodialysis with same schedule for greater than or equal to (\>=) 12 weeks
* continuous IV or SC maintenance epoetin beta or darbepoetin alfa therapy, with the same dosing interval during the previous month, and no change in total weekly dose

Exclusion Criteria

* transfusion of red blood cells during previous 2 months
* significant acute or chronic bleeding
* poorly controlled hypertension requiring hospitalization or interruption of epoetin beta/darbepoetin alfa treatment in previous 6 months
* weekly dose of epoetin beta greater than (\>) 16000 international units (IU), or weekly dose of darbepoetin alfa \>80 micrograms during previous month
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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Abbeville, , France

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Albi, , France

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Amilly, , France

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Angers, , France

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Annonay, , France

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Antony, , France

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Aubagne, , France

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Aulnay-sous-Bois, , France

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Avignon, , France

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Bagnols-sur-Cèze, , France

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Beauvais, , France

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Besançon, , France

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Beuvry, , France

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Béziers, , France

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Bois-Bernard, , France

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Bordeaux, , France

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Brest, , France

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Cabestany, , France

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Caen, , France

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Cannes, , France

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Carpentras, , France

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Castelnau-le-Lez, , France

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Chamalières, , France

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Charleville-Mézières, , France

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Clermont-Ferrand, , France

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Colmar, , France

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Compiègne, , France

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Creil, , France

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Créteil, , France

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Dijon, , France

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Draguignan, , France

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Évry, , France

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Fleury-Mérogis, , France

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Hyères, , France

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La Chaussée-Saint-Victor, , France

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La Rochelle, , France

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La Tronche, , France

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Le Mans, , France

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Le Petit-Quevilly, , France

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Le Port-Marly, , France

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Lille, , France

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Lille, , France

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Lliie, , France

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Lyon, , France

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Manosque, , France

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Marseille, , France

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Marseille, , France

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Meaux, , France

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Metz, , France

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Montpellier, , France

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Mulhouse, , France

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Muret, , France

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Nantes, , France

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Orléans, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Perpignan, , France

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Pessac, , France

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Pierre-Bénite, , France

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Poissy, , France

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Poitiers, , France

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Quincy-sous-Sénart, , France

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Reims, , France

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Rouen, , France

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Rueil-Malmaison, , France

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Saint-Benoît, , France

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Saint-Brieuc, , France

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Saint-Denis, , France

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Saint-Maurice, , France

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Saint-Ouen, , France

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Saint-Pierre-des-Corps, , France

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Saint-Priest-en-Jarez, , France

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Saint-Quentin, , France

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Saintes, , France

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Strasbourg, , France

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Tassin-la-Demi-Lune, , France

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Toulon, , France

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Toulouse, , France

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Toulouse, , France

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Trappes, , France

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Vandœuvre-lès-Nancy, , France

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Vannes, , France

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Vienne, , France

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Villeurbanne, , France

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Countries

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France

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)

Locatelli F, Choukroun G, Truman M, Wiggenhauser A, Fliser D. Once-Monthly Continuous Erythropoietin Receptor Activator (C.E.R.A.) in Patients with Hemodialysis-Dependent Chronic Kidney Disease: Pooled Data from Phase III Trials. Adv Ther. 2016 Apr;33(4):610-25. doi: 10.1007/s12325-016-0309-6. Epub 2016 Mar 10.

Reference Type DERIVED
PMID: 26965694 (View on PubMed)

Other Identifiers

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ML21145

Identifier Type: -

Identifier Source: org_study_id

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