Trial Outcomes & Findings for TARGTEPO Treatment for Anemia in Chronic Kidney Disease (CKD) Patients and End-Stage Renal Disease (ESRD) (NCT NCT02117427)

NCT ID: NCT02117427

Last Updated: 2018-10-30

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

11 participants

Primary outcome timeframe

up to 52 weeks

Results posted on

2018-10-30

Participant Flow

A total of 14 patients signed the Informed Consent Form and underwent the study screening procedures. Of these 14 patients, a total of 11 patients were enrolled into Study MG-EP-RF-02. These 11 patients are included in the ITT cohort. One patient (Group B) had an SAE prior to study procedures and became no longer eligible.

Participant milestones

Participant milestones
Measure
Group A: 18-25 IU/Kg/Day
Group B: 35-45 IU/Kg/Day
Group C: 55-65 IU/Kg/Day
Overall Study
STARTED
6
5
0
Overall Study
Run in Phase & Harvest
6
4
0
Overall Study
Implantation & Efficacy
6
4
0
Overall Study
Safety Follow-up
1
0
0
Overall Study
Long Term Safety Follow-up
1
0
0
Overall Study
COMPLETED
1
0
0
Overall Study
NOT COMPLETED
5
5
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Group A: 18-25 IU/Kg/Day
Group B: 35-45 IU/Kg/Day
Group C: 55-65 IU/Kg/Day
Overall Study
Permanent need for exogenous EPO Tx
2
0
0
Overall Study
Permanent need for exogenous ESA Tx
3
1
0
Overall Study
Physician Decision
0
2
0
Overall Study
No longer meets inclusion criteria
0
1
0
Overall Study
Death
0
1
0

Baseline Characteristics

TARGTEPO Treatment for Anemia in Chronic Kidney Disease (CKD) Patients and End-Stage Renal Disease (ESRD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=6 Participants
18-25 IU/Kg/day
Group B
n=5 Participants
35-45 IU/Kg/day
Group C
55-65 IU/Kg/day
Total
n=11 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
6 Participants
n=4 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
5 Participants
n=4 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
9 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: up to 52 weeks

Population: Due to the small sample size and the dispersion of total EPO secretion, the efficacy analyses were performed on all of the patients as a single cohort of intended dose between 25 and 45 U/Kg/d. One subject enrolled was discontinued prior to study procedures and became no longer eligible.

Outcome measures

Outcome measures
Measure
All Subjects Enrolled
n=10 Participants
Total EPO Secretion
24.1 U/Kg/d
Interval 16.5 to 50.8

PRIMARY outcome

Timeframe: 52 weeks

Population: Due to the small sample size and the dispersion of total EPO secretion, the efficacy analyses were performed on all of the patients as a single cohort of intended dose between 25 and 45 U/Kg/d. One subject enrolled was discontinued prior to study procedures and became no longer eligible.

Outcome measures

Outcome measures
Measure
All Subjects Enrolled
n=10 Participants
Percent (%) of Hb Measurements After Implantation Within 9-11 g/dL
49.2 percent
Interval 1.7 to 88.1

PRIMARY outcome

Timeframe: 52 weeks

Population: Due to the small sample size and the dispersion of total EPO secretion, the efficacy analyses were performed on all of the patients as a single cohort of intended dose between 25 and 45 U/Kg/d. One subject enrolled was discontinued prior to study procedures and became no longer eligible.

Due to the small sample size and the dispersion of total EPO secretion, the efficacy analyses were performed on all of the patients as a single cohort of intended dose between 25 and 45 U/Kg/d.

Outcome measures

Outcome measures
Measure
All Subjects Enrolled
n=10 Participants
Percent (%) of Hb Measurements After Implantation Within 9-12 g/dL
75.3 percent
Interval 25.0 to 88.1

Adverse Events

Group A

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Group B

Serious events: 4 serious events
Other events: 4 other events
Deaths: 1 deaths

Group C

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group A
n=6 participants at risk
18-25 IU/Kg/day
Group B
n=4 participants at risk
35-45 IU/Kg/day
Group C
55-65 IU/Kg/day
Gastrointestinal disorders
Abdominal pain
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Gastrointestinal disorders
Vomiting
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
General disorders
Pyrexia
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Infections and infestations
Appendicitis
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Infections and infestations
Bronchitis
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Infections and infestations
Pneumonia
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Infections and infestations
Sepsis
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Infections and infestations
Urosepsis
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Injury, poisoning and procedural complications
Arteriovenous fistula occlusion
0.00%
0/6
25.0%
1/4 • Number of events 2
0/0
Injury, poisoning and procedural complications
Graft thrombosis
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Injury, poisoning and procedural complications
Post procedural haemorrhage
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Vascular disorders
Hypertension
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0

Other adverse events

Other adverse events
Measure
Group A
n=6 participants at risk
18-25 IU/Kg/day
Group B
n=4 participants at risk
35-45 IU/Kg/day
Group C
55-65 IU/Kg/day
Blood and lymphatic system disorders
Anaemia
0.00%
0/6
50.0%
2/4 • Number of events 2
0/0
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Ear and labyrinth disorders
Ear pain
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Ear and labyrinth disorders
Vertigo
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Endocrine disorders
Hypoparathyroidism secondary
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Eye disorders
Cataract
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Eye disorders
Retinal microaneurysm NOS
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Eye disorders
Vitreous haemorrhage
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Gastrointestinal disorders
Abdominal pain
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Gastrointestinal disorders
Abdominal pain upper
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Gastrointestinal disorders
Constipation
0.00%
0/6
50.0%
2/4 • Number of events 2
0/0
Gastrointestinal disorders
Diarrhoea
0.00%
0/6
25.0%
1/4 • Number of events 3
0/0
Gastrointestinal disorders
Gastrointestinal disorder
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Gastrointestinal disorders
Nausea
16.7%
1/6 • Number of events 1
25.0%
1/4 • Number of events 2
0/0
Gastrointestinal disorders
Vomiting
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
General disorders
Asthenia
33.3%
2/6 • Number of events 11
75.0%
3/4 • Number of events 8
0/0
General disorders
Chest pain
33.3%
2/6 • Number of events 2
0.00%
0/4
0/0
General disorders
Chills
0.00%
0/6
50.0%
2/4 • Number of events 2
0/0
General disorders
Malaise
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
General disorders
Pain
0.00%
0/6
50.0%
2/4 • Number of events 2
0/0
General disorders
Pyrexia
16.7%
1/6 • Number of events 1
25.0%
1/4 • Number of events 1
0/0
Infections and infestations
Bronchitis
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Infections and infestations
Cellulitis
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Infections and infestations
Diabetic foot infection
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Infections and infestations
Herpes zoster
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Infections and infestations
Ophthalmic herpes simplex
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Infections and infestations
Respiratory tract infection
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Infections and infestations
Tooth infection
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Infections and infestations
Urinary tract infection
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Infections and infestations
Viral infection
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Injury, poisoning and procedural complications
Arteriovenous fistula thrombosis
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Injury, poisoning and procedural complications
Contusion
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Injury, poisoning and procedural complications
Graft thrombosis
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Injury, poisoning and procedural complications
Post procedural haematoma
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Injury, poisoning and procedural complications
Procedural dizziness
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Injury, poisoning and procedural complications
Procedural pain
16.7%
1/6 • Number of events 1
25.0%
1/4 • Number of events 1
0/0
Injury, poisoning and procedural complications
Thermal burn
33.3%
2/6 • Number of events 3
0.00%
0/4
0/0
Injury, poisoning and procedural complications
Wound
33.3%
2/6 • Number of events 2
0.00%
0/4
0/0
Investigations
Haemoglobin increased
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Metabolism and nutrition disorders
Diabetes mellitus
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Metabolism and nutrition disorders
Hyperkalaemia
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Metabolism and nutrition disorders
Hypoglycaemia
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Metabolism and nutrition disorders
Hypokalaemia
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Metabolism and nutrition disorders
Hypovolaemia
16.7%
1/6 • Number of events 1
25.0%
1/4 • Number of events 2
0/0
Musculoskeletal and connective tissue disorders
Arthralgia
33.3%
2/6 • Number of events 3
0.00%
0/4
0/0
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Musculoskeletal and connective tissue disorders
Flank pain
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Musculoskeletal and connective tissue disorders
Joint swelling
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Musculoskeletal and connective tissue disorders
Muscle spasms
66.7%
4/6 • Number of events 15
25.0%
1/4 • Number of events 1
0/0
Musculoskeletal and connective tissue disorders
Muscular weakness
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Musculoskeletal and connective tissue disorders
Pain in extremity
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Musculoskeletal and connective tissue disorders
Synovial cyst
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Nervous system disorders
Dizziness
16.7%
1/6 • Number of events 1
25.0%
1/4 • Number of events 1
0/0
Nervous system disorders
Headache
0.00%
0/6
50.0%
2/4 • Number of events 3
0/0
Nervous system disorders
Loss of consciousness
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Nervous system disorders
Paraesthesia
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Psychiatric disorders
Anxiety
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Psychiatric disorders
Dysthymic disorder
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Renal and urinary disorders
Haematuria
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Renal and urinary disorders
Hematuria
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Respiratory, thoracic and mediastinal disorders
Cough
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Respiratory, thoracic and mediastinal disorders
Dyspnoea
50.0%
3/6 • Number of events 10
0.00%
0/4
0/0
Respiratory, thoracic and mediastinal disorders
Epistaxis
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Respiratory, thoracic and mediastinal disorders
Sputum increased
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Skin and subcutaneous tissue disorders
Decubitus ulcer
0.00%
0/6
25.0%
1/4 • Number of events 2
0/0
Skin and subcutaneous tissue disorders
Pruritus
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
16.7%
1/6 • Number of events 1
0.00%
0/4
0/0
Skin and subcutaneous tissue disorders
Skin lesion
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0
Vascular disorders
Hypertension
50.0%
3/6 • Number of events 5
25.0%
1/4 • Number of events 4
0/0
Vascular disorders
Hypotension
50.0%
3/6 • Number of events 12
25.0%
1/4 • Number of events 3
0/0
Vascular disorders
Phlebitis
0.00%
0/6
25.0%
1/4 • Number of events 1
0/0

Additional Information

Garry A Neil

Aevi Genomic Medicine

Phone: 610-254-4208

Results disclosure agreements

  • Principal investigator is a sponsor employee Should the investigator wish to publish the results of this study, the investigator agrees to provide Medgenics with a manuscript for review 60 days prior to submission for publication. Medgenics retains the right to delete from the manuscript information that is confidential and proprietary and to object to suggested publication and/or its timing (at the Company's sole discretion).
  • Publication restrictions are in place

Restriction type: OTHER