Maintenance Treatment of Anemia Associated With Chronic Kidney Disease (CKD) in Hemodialysis Subjects on Epoetin Alfa / Beta Treatment Versus BAY85-3934

NCT ID: NCT01975818

Last Updated: 2019-09-20

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

PHASE2

Total Enrollment

201 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-28

Study Completion Date

2015-12-15

Brief Summary

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Evaluate efficacy and safety of 16 weeks of titrated dose treatment with BAY85-3934 versus epoetin alfa/beta as measured by hemoglobin (Hb) levels. Fixed starting doses of 25, 50,75 and 150 mg of BAY85-3934 titrated at the scheduled dose control visits. Titration will be based on the subject's Hb response and tolerability of the prior dose. Planned doses include 15, 25, 50, 75, 100,150 and 200 mg/day

Detailed Description

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Conditions

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Anemia Renal Insufficiency, 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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Molidustat (BAY 85-3934)(25mg)

Starting dose of 25 mg of BAY85-3934 as once-daily oral tablets. Regular titrations at dose control visits. Titration occuring every 4-weeks will be based on the subject's Hb response and tolerability of the prior dose. Total treatment time is 16 weeks. Planned doses include 15, 25, 50, 75, 100,150 and 200 mg once daily.

Group Type EXPERIMENTAL

Molidustat (BAY 85-3934)

Intervention Type DRUG

Oral doses of BAY85-3934 will be available in multiples of 25,50,75 and 150 mg tablets

Molidustat (BAY 85-3934)(50mg)

Starting dose of 50 mg of BAY85-3934 as once-daily oral tablets. Regular titrations at dose control visits Titration occuring every 4-weeks will be based on the subject's Hb response and tolerability of the prior dose. Total treatment time is 16 weeks. Planned doses include 15, 25, 50, 75, 100,150 and 200 mg once daily.

Group Type EXPERIMENTAL

Molidustat (BAY 85-3934)

Intervention Type DRUG

Oral doses of BAY85-3934 will be available in multiples of 25,50,75 and 150 mg tablets

Molidustat (BAY 85-3934) (75mg)

Starting dose of 75 mg of BAY85-3934 as once-daily oral tablets. Regular titrations at dose control visits Titration occuring every 4-weeks will be based on the subject's Hb response and tolerability of the prior dose. Total treatment time is 16 weeks. Planned doses include 15, 25, 50, 75, 100,150 and 200 mg once daily.,

Group Type EXPERIMENTAL

Molidustat (BAY 85-3934)

Intervention Type DRUG

Oral doses of BAY85-3934 will be available in multiples of 25,50,75 and 150 mg tablets

Molidustat (BAY 85-3934) (150mg)

Starting dose of 150 mg of BAY85-3934 as once-daily oral tablets. Regular titrations at dose control visits Titration occuring every 4-weeks will be based on the subject's Hb response and tolerability of the prior dose. Total treatment time is 16 weeks. Planned doses include 15, 25, 50, 75, 100, 150 and 200 mg once daily

Group Type EXPERIMENTAL

Molidustat (BAY 85-3934)

Intervention Type DRUG

Oral doses of BAY85-3934 will be available in multiples of 25,50,75 and 150 mg tablets

Epoetin alfa/beta

Starting dose at the subject's current weekly dose. Administered IV or SC 3 times per week. Doses will be titrated at the scheduled dose control visits according to the local label. Titration will be based on the subject's Hb response and tolerability of the prior dose. Epoetin alfa may be administered in either the United States (US) or Japan; epoetin beta will only be administered in Japan.

Group Type ACTIVE_COMPARATOR

Epoetin alfa/beta

Intervention Type BIOLOGICAL

Interventions

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Molidustat (BAY 85-3934)

Oral doses of BAY85-3934 will be available in multiples of 25,50,75 and 150 mg tablets

Intervention Type DRUG

Epoetin alfa/beta

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* \- Eligible subjects will have a diagnosis of anemia associated with CKD(chronic kidney disease).
* Women without childbearing potential
* Male or female subject ≥ 18 years of age with anemia of CKD at screening
* On dialysis, defined as regular long-term hemodialysis, with the same modality of dialysis for ≥ 3 months before randomization
* Dialysis vascular access via native arteriovenous fistula, synthetic graft, long-term catheters, or long-term tunneled catheters
* Treated with epoetin alfa (US or Japan) or epoetin beta (Japan) via intravenous (IV) or subcutaneous (SC) route, on stable dosing defined as a \< 50% change from the maximum prescribed weekly dose with no change in the prescribed frequency during the last 8 weeks prior to randomization
* At least one kidney
* Mean screening Hb concentration 9.0 to 11.5 g/dL inclusive (mean of all local laboratory Hb measurements \[at least 2 measurements must be taken ≥ 2 days apart\] during the 4 week screening period, AND none of the measurements can be \< 9.0 g/dL or \> 12.0 g /dL
* Serum ferritin levels ≥ 100 μg/L OR transferrin saturation ≥ 20% at screening. Iron substitution is allowed
* Folate and vitamin B12 levels above the lower limit of normal. Supplementation is allowed

Exclusion Criteria

* Subjects with significant acute or chronic bleeding, such as overt gastrointestinal bleeding
* Hereditary hemoglobinopathies (including, but not limited to, sickle cell disease, beta thalassemia, and thalassemia major) which may be the primary cause of anemia
* Chronic lymphoproliferative diseases
* Any allograft (including renal allograft) in place and on immunosuppressive therapy, or a scheduled kidney transplant within the next 16 weeks (being on a waiting list does not exclude the subject)
* Chronic inflammatory disease that could impact erythropoiesis (e.g., systemic lupus erythematosis, rheumatoid arthritis, celiac disease)
* Subjects treated with immuno- or myelosuppressive therapy within 8 weeks prior to randomization: e.g., everolimus, sirolimus, rituximab, azathioprine, mycophenolate mofetil, mycophenolic acid, cyclosporine,methotrexate, and tacrolimus, chemotherapeutic agents and other anticancer agents, and systemic steroids (except inhaled steroids) for 7 days
* RBC-containing transfusion within 8 weeks before randomization
* History of cardio- (cerebro-) vascular events (e.g., unstable angina, myocardial infarction, stroke, transient ischemic attack, deep vein thrombosis, pulmonary embolism) within the last 6 months from the initial screening visit
* Sustained, poorly controlled arterial hypertension or hypotension at screening, defined as a mean BP ≥ 180/110 mmHg or systolic BP \< 95 mmHg, respectively
* Severe rhythm or conduction disorder (e.g., HR \< 50 or \> 110 bpm, atrial flutter, prolonged QT \>500 msec, second or third degree atrioventricular \[AV\]block if not treated with a pacemaker)
* New York Heart Association Class III or IV congestive heart failure
* Severe hepatic insufficiency (defined as alanine aminotransferase \[ALT\], aspartate aminotransferase \[AST\], or gamma-glutamyl transferase \> 3 times the upper limit of normal \[ULN\], total bilirubin \> 2 mg/dL, or Child-Pugh B or C) or active hepatitis in the investigator's opinion
* A scheduled surgery that may be expected to lead to significant blood loss
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Azusa, California, United States

Site Status

Long Beach, California, United States

Site Status

Los Angeles, California, United States

Site Status

Lynwood, California, United States

Site Status

Northridge, California, United States

Site Status

San Dimas, California, United States

Site Status

Whittier, California, United States

Site Status

Whittier, California, United States

Site Status

New Port Richey, Florida, United States

Site Status

Pembroke Pines, Florida, United States

Site Status

Detroit, Michigan, United States

Site Status

Detroit, Michigan, United States

Site Status

Creve Coeur, Missouri, United States

Site Status

Eatontown, New Jersey, United States

Site Status

Brooklyn, New York, United States

Site Status

Buffalo, New York, United States

Site Status

Fresh Meadows, New York, United States

Site Status

Cincinnati, Ohio, United States

Site Status

Toledo, Ohio, United States

Site Status

Oklahoma City, Oklahoma, United States

Site Status

Nashville, Tennessee, United States

Site Status

Fort Worth, Texas, United States

Site Status

Fort Worth, Texas, United States

Site Status

Fort Worth, Texas, United States

Site Status

Grand Prairie, Texas, United States

Site Status

Houston, Texas, United States

Site Status

Houston, Texas, United States

Site Status

Mansfield, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Muroran, Hokkaido, Japan

Site Status

Himeji, Hyōgo, Japan

Site Status

Kuwana, Mie-ken, Japan

Site Status

Kyoto, , Japan

Site Status

Nagano, , Japan

Site Status

Countries

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United States Japan

References

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Natale P, Palmer SC, Jaure A, Hodson EM, Ruospo M, Cooper TE, Hahn D, Saglimbene VM, Craig JC, Strippoli GF. Hypoxia-inducible factor stabilisers for the anaemia of chronic kidney disease. Cochrane Database Syst Rev. 2022 Aug 25;8(8):CD013751. doi: 10.1002/14651858.CD013751.pub2.

Reference Type DERIVED
PMID: 36005278 (View on PubMed)

Related Links

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http://clinicaltrials.bayer.com/

Click here to find results for studies related to Bayer products

Other Identifiers

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16208

Identifier Type: -

Identifier Source: org_study_id

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