Study to Compare Safety and Efficacy of HX575 Epoetin Alfa and US-licensed Epoetin Alfa

NCT ID: NCT01693029

Last Updated: 2017-07-02

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

435 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2015-03-31

Brief Summary

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The purpose of this study is to show biosimilarity of HX575 epoetin alfa with the US licensed reference product Epogen®/Procrit® when applied subcutaneously. This study is intended to generate data supporting that the efficacy and safety under treatment with HX575 and Epogen®/Procrit® are comparable.

Detailed Description

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This is a randomized, double-blind, parallel-group, multicenter study to evaluate the efficacy and safety of HX575 epoetin alfa vs. US-licensed epoetin alfa (Epogen®/Procrit®) in the treatment of anemia associated with chronic kidney disease (CKD).

Conditions

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Anemia Chronic Kidney Disease (CKD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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HX575 epoetin alfa

HX575, recombinant human epoetin alfa

Group Type EXPERIMENTAL

HX575 epoetin alfa

Intervention Type DRUG

Solution for subcutaneous injection. The drug is administered subcutaneously at least once per week over 52 weeks. The dose will be individually titrated to maintain hemoglobin levels between 10 to 11 g/dL.

US-licensed epoetin alfa

US-licensed recombinant human epoetin alfa

Group Type ACTIVE_COMPARATOR

US-licensed epoetin alfa

Intervention Type DRUG

Solution for subcutaneous injection.

Interventions

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HX575 epoetin alfa

Solution for subcutaneous injection. The drug is administered subcutaneously at least once per week over 52 weeks. The dose will be individually titrated to maintain hemoglobin levels between 10 to 11 g/dL.

Intervention Type DRUG

US-licensed epoetin alfa

Solution for subcutaneous injection.

Intervention Type DRUG

Other Intervention Names

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Binocrit® (Europe) Epoetin alfa HEXAL® (Europe) Abseamed® (Europe) Epogen® Procrit®

Eligibility Criteria

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Inclusion Criteria

* Patients with end stage renal disease (stage CKD 5d), receiving stable subcutaneous maintenance therapy with Epogen® or Procrit® at least once per week
* Mean hemoglobin level between 9.0 - 11.5 g/dL during the screening period
* Adequate iron substitution

Exclusion Criteria

* Contraindications for Erythropoiesis Stimulating Agent (ESA) therapy
* History of Pure Red Cell Aplasia (PRCA), or anti-erythropoietin (EPO) antibodies
* Known Human Immunodeficiency Virus (HIV) or Hepatitis B infection
* Hepatitis C infection on an active treatment
* Symptomatic congestive heart failure (New York Heart Association \[NYHA\] class III and IV)
* Unstable angina pectoris, or cardiac infarction during the last 6 months prior to randomization
* Percutaneous coronary intervention, or coronary artery bypass grafting during the last 6 months prior to randomization
* History of malignancy of any organ system
* Systemic lupus erythematous
* Immunocompromized patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sandoz

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sandoz Biopharmaceutical Clinical Development

Role: STUDY_DIRECTOR

Sandoz Biopharmaceuticals

Locations

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Clinical Trial Network

Houston, Texas, United States

Site Status

Knoxville Kidney Center PLLC

Knoxville, Tennessee, United States

Site Status

Research Management, Inc.

Austin, Texas, United States

Site Status

Gamma Clinical Research Institute

Edinburg, Texas, United States

Site Status

Nephrology, P.A.

Houston, Texas, United States

Site Status

Southwestern Kidney Institute

Tempe, Arizona, United States

Site Status

North America Research Institute

Azusa, California, United States

Site Status

Pegasus Dialysis, LLC

Bakersfield, California, United States

Site Status

Central Nephrology Medical Group

Bakersfield, California, United States

Site Status

California Institute of Renal Research

Chula Vista, California, United States

Site Status

Renal Consultants Medical Group

Granada Hills, California, United States

Site Status

Angel Kidney Care of Inglewood Dialysis Center

Inglewood, California, United States

Site Status

California Institute of Renal Research

La Mesa, California, United States

Site Status

Alliance Research Centers

Laguna Hills, California, United States

Site Status

Academic Medical Research Institute

Los Angeles, California, United States

Site Status

Ronald Reagan Medical Center, Department of Pharmaceutical Services, Drug Information Center

Los Angeles, California, United States

Site Status

Tower Nephrology Medical Group

Los Angeles, California, United States

Site Status

St Vincent Dialysis Center

Los Angeles, California, United States

Site Status

Kidney Research Center

Lynwood, California, United States

Site Status

Valley Renal Medical Group

Northridge, California, United States

Site Status

Ontario Dialysis, Inc.

Ontario, California, United States

Site Status

Apex Research of Riverside

Riverside, California, United States

Site Status

Capital Nephrology Medical Group

Sacramento, California, United States

Site Status

California Institute of Renal Research

San Diego, California, United States

Site Status

La Jolla Clinical Research, Inc.

San Diego, California, United States

Site Status

North America Research Institute

San Dimas, California, United States

Site Status

American Institute of Research

Whittier, California, United States

Site Status

South Florida Nephrology

Coral Springs, Florida, United States

Site Status

Pines Clinical Research Inc.

Hollywood, Florida, United States

Site Status

Genesis Clinical Research Corporation

Tampa, Florida, United States

Site Status

Atekha Nephrology Clinic LLC

Statesboro, Georgia, United States

Site Status

Four Rivers Clinical Research, Incorporated

Paducah, Kentucky, United States

Site Status

Northwest Louisana Nephrology

Shreveport, Louisiana, United States

Site Status

Germantown Dialysis

Germantown, Maryland, United States

Site Status

Fresenius Management Services, Inc.

Farmington, Missouri, United States

Site Status

Creighton University

Omaha, Nebraska, United States

Site Status

Kidney Specialists of Southern Nevada

Las Vegas, Nevada, United States

Site Status

Seacoast Kidney and Hypertension Specialist, PLLC

Portsmouth, New Hampshire, United States

Site Status

Renal Medicine Associates

Albuquerque, New Mexico, United States

Site Status

New York Hospital Queens

Fresh Meadows, New York, United States

Site Status

Metrolina Nephrology Associates, PA

Charlotte, North Carolina, United States

Site Status

Boice-Willis Clinic, PA

Rocky Mount, North Carolina, United States

Site Status

Southeastern Dialysis Center

Wilmington, North Carolina, United States

Site Status

Northeast Clinical Research Centers, Inc.

Bethlehem, Pennsylvania, United States

Site Status

Delaware Valley Nephrology and Hypertension Associates, PC

Philadelphia, Pennsylvania, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Palmetto Nephrology PA

Orangeburg, South Carolina, United States

Site Status

SC Nephrology & Hypertension Center, Inc.

Orangeburg, South Carolina, United States

Site Status

Renal Associates, PA

San Antonio, Texas, United States

Site Status

Southern Utah Kidney and Hypertension Center

St. George, Utah, United States

Site Status

Mendez Center For Clinical Research, LLC

Alexandria, Virginia, United States

Site Status

West Virginia University Hospitals and Clinic

Morgantown, West Virginia, United States

Site Status

Countries

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United States

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)

Weir MR, Pergola PE, Agarwal R, Fink JC, Kopyt NP, Singh AK, Kumar J, Schmitt S, Schaffar G, Rudy A, McKay JP, Kanceva R. A Comparison of the Safety and Efficacy of HX575 (Epoetin Alfa Proposed Biosimilar) with Epoetin Alfa in Patients with End-Stage Renal Disease. Am J Nephrol. 2017;46(5):364-370. doi: 10.1159/000481736. Epub 2017 Oct 30.

Reference Type DERIVED
PMID: 29084409 (View on PubMed)

Other Identifiers

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HX575-307

Identifier Type: -

Identifier Source: org_study_id

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