Long-term Pre-dialysis Extension in Europe and Asia Pacific

NCT ID: NCT02055482

Last Updated: 2017-11-22

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

166 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-24

Study Completion Date

2016-12-12

Brief Summary

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Anaemia is a condition in which blood has a lower than normal number of red blood cells. It can also occur if red blood cells do not contain enough haemoglobin, an oxygen carrying part of blood. Anaemia is common in patients with chronic kidney disease. Healthy kidneys produce a hormone called erythropoietin, which stimulates the bone marrow to produce the proper number of red blood cells needed to carry oxygen to vital organs. Chronic kidney disease is a general term that means that the kidneys are not functioning to their full potential. The study drug, BAY85-3934, is being evaluated as a drug to increase the body's ability to produce erythropoietin.

The purpose of this extension study is to find out if the study drug, a tablet taken orally, is safe and effective for the treatment of anaemia associated with chronic kidney disease.

The extension study will enroll up to 240 patients at multiple locations in Europe, Asia and Australia. Patients who participated in Studies 15141 or 15261 may be eligible to take part in the extension study. The study consists of the Haemoglobin (Hb) Stabilisation Phase and the Main Phase. The Hb Stabilisation Phase involves up to 10 study visits scheduled over 16 weeks. The Main Phase will last for at least 6 months and up to a maximum of 36 months, with visits every 4 weeks. During these scheduled visits patients will undergo a number of procedures to confirm efficacy and safety of the study drug, including measurement of heart rate and blood pressure, physical examination, Electrocardiogram and blood/urine sample collection for laboratory tests.

The study will be conducted at 5 hospitals in the UK. Bayer HealthCare AG is funding this research. This study will include subjects who either completed the treatment period in their respective Phase 2 parent study (i.e., Study 15141 or Study 15261) or experienced a stopping event in the fixed dose parent study (Study 15141). As Study 15141 is a double-blind study, subjects will be unblinded as per the Study 15141 protocol prior to entry into the extension study.

Detailed Description

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Conditions

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Anemia Renal Insufficiency, Chronic

Keywords

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Anemia on CKD

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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BAY85-3934

Group Type EXPERIMENTAL

Molidustat (BAY85-3934)

Intervention Type DRUG

BAY85-3934 will be titrated at the scheduled dose control visits to maintain the Hb in the target range of 10.0 to 12.0 g/dL. Available doses include 15, 25, 50, 75, 100, and 150 mg/day OD. Treatment will be for minimum of 6 months to up to a maximum of 36 months.

Darbepoetin

Group Type ACTIVE_COMPARATOR

Darbepoetin

Intervention Type BIOLOGICAL

Darbepoetin will be administered according to the local label and titrated at the scheduled dose by intravenous injection. Treatment will be for a minimum of 6 months to up to a maximum of 36 months.

Interventions

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Molidustat (BAY85-3934)

BAY85-3934 will be titrated at the scheduled dose control visits to maintain the Hb in the target range of 10.0 to 12.0 g/dL. Available doses include 15, 25, 50, 75, 100, and 150 mg/day OD. Treatment will be for minimum of 6 months to up to a maximum of 36 months.

Intervention Type DRUG

Darbepoetin

Darbepoetin will be administered according to the local label and titrated at the scheduled dose by intravenous injection. Treatment will be for a minimum of 6 months to up to a maximum of 36 months.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Men who agree to use adequate contraception when sexually active or women without childbearing potential
* Not on dialysis at study entry
* Serum ferritin levels ≥ 100 μg/L and \< 1000 μg/L or transferrin saturation ≥ 20%

Exclusion Criteria

* A scheduled kidney transplant or any other organ transplant within the next 6 months (being on a waiting list does not exclude the subject)
* Red blood cell (RBC) containing transfusion within the 8 weeks before baseline
* Phosphodiesterase type 5 (PDE5) inhibitor (e.g., sildenafil, vardenafil, tadalafil) or nitrates
* Sustained, poorly controlled arterial hypertension or hypotension at baseline, defined as blood pressure ≥ 180/110 mmHg or systolic blood pressure \< 95 mmHg, respectively
* Severe rhythm or conduction disorders (e.g., heart rate \[HR\] \< 50 or \> 110 bpm, atrial flutter, prolonged QT \> 500 msec, second or third degree atrioventricular \[AV\] block), if not reacted with a pace marker)
* New York Heart Association Class III or IV congestive heart failure
* Severe hepatic insufficiency (defined as alanine aminotransferase \[ALT\], aspartate aminotransferase \[AST\]\>3x 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
* An ongoing serious adverse event (SAE) from Study 15141 or Study 15261 that is assessed as related to study drug
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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Gosford, New South Wales, Australia

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Melbourne, Victoria, Australia

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Reservoir, , Australia

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Burgas, , Bulgaria

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Dobrich, , Bulgaria

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Gabrovo, , Bulgaria

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Karlovo, , Bulgaria

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Lovech, , Bulgaria

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Montana, , Bulgaria

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Pazardzhik, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Stara Zagora, , Bulgaria

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Veliko Tarnovo, , Bulgaria

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Brest, , France

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Grenoble, , France

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Limoges Cedex1, , France

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Pierre-Bénite, , France

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Valenciennes, , France

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Pirmasens, Baden-Wurttemberg, Germany

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Villingen-Schwenningen, Baden-Wurttemberg, Germany

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Bonn, North Rhine-Westphalia, Germany

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Düsseldorf, North Rhine-Westphalia, Germany

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Halle, Saxony-Anhalt, Germany

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Berlin, , Germany

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Wuppertal, , Germany

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Baja, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Esztergom, , Hungary

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Kaposvár, , Hungary

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Pécs, , Hungary

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Szigetvár, , Hungary

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Ashkelon, , Israel

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Hadera, , Israel

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Jerusalem, , Israel

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Kfar Saba, , Israel

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Nahariya, , Israel

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Chieti, Abruzzo, Italy

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Napoli, Campania, Italy

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Modena, Emilia-Romagna, Italy

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Brescia, Lombardy, Italy

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Cremona, Lombardy, Italy

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Lecco, Lombardy, Italy

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Milan, Lombardy, Italy

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Milan, Lombardy, Italy

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Pavia, Lombardy, Italy

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Livorno, Tuscany, Italy

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Kitakyushu, Fukuoka, Japan

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Ōkawa, Fukuoka, Japan

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Muroran, Hokkaido, Japan

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Hakusan, Ishikawa-ken, Japan

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Morioka, Iwate, Japan

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Fujisawa, Kanagawa, Japan

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Kamakura, Kanagawa, Japan

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Kuwana, Mie-ken, Japan

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Chiba, , Japan

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Fukuoka, , Japan

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Nagano, , Japan

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Nara, , Japan

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Bialystok, , Poland

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Poznan, , Poland

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Radom, , Poland

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Szczecin, , Poland

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Żyrardów, , Poland

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Brasov, , Romania

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Bucharest, , Romania

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Bucharest, , Romania

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Bucharest, , Romania

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Constanța, , Romania

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Oradea, , Romania

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Târgu Mureş, , Romania

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Bucheon-si, Gyeonggido, South Korea

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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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Santiago de Compostela, A Coruña, Spain

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L'Hospitalet de Llobregat, Barcelona, Spain

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San Sebastián de los Reyes, Madrid, Spain

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Alicante, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Córdoba, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Ankara Univ. Medical Faculty

Ankara, , Turkey (Türkiye)

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Baskent University Medical Faculty

Ankara, , Turkey (Türkiye)

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Sifa University Medical Faculty

Izmir, , Turkey (Türkiye)

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Reading, Berkshire, United Kingdom

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Cambridge, Cambridgeshire, United Kingdom

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Dundee, Dundee City, United Kingdom

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Brighton, East Sussex, United Kingdom

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Salford, Manchester, United Kingdom

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Hexham, Northumberland, United Kingdom

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Doncaster, South Yorkshire, United Kingdom

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Leeds, West Yorkshire, United Kingdom

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Chorley, , United Kingdom

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Glasgow, , United Kingdom

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Liverpool, , United Kingdom

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Liverpool, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Countries

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Australia Bulgaria France Germany Hungary Israel Italy Japan Poland Romania South Korea Spain Turkey (Türkiye) United Kingdom

Related Links

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http://www.clinicaltrialsregister.eu/

Click here to find information about studies related to Bayer Healthcare products conducted in Europe.

Other Identifiers

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2013-001190-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

15653

Identifier Type: -

Identifier Source: org_study_id