Trial Outcomes & Findings for A Study of MIRCERA in Participants With Chronic Kidney Disease Stage 3-4 and Not on Dialysis (NCT NCT02567188)

NCT ID: NCT02567188

Last Updated: 2025-09-11

Results Overview

Recruitment status

COMPLETED

Target enrollment

144 participants

Primary outcome timeframe

Pre-baseline (Month -6)

Results posted on

2025-09-11

Participant Flow

Participant milestones

Participant milestones
Measure
Chronic Kidney Disease (CKD) Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Overall Study
STARTED
144
Overall Study
COMPLETED
109
Overall Study
NOT COMPLETED
35

Reasons for withdrawal

Reasons for withdrawal
Measure
Chronic Kidney Disease (CKD) Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Overall Study
Death
10
Overall Study
Terminated Mircera Treatment
9
Overall Study
Lost to Follow-up
5
Overall Study
Adverse Event
1
Overall Study
Withdrawal by Subject
1
Overall Study
Refused Treatment/ Did not Cooperate
1
Overall Study
Moved and Changed Clinic
1
Overall Study
Started Hemodialysis
2
Overall Study
Protocol Violation
5

Baseline Characteristics

A Study of MIRCERA in Participants With Chronic Kidney Disease Stage 3-4 and Not on Dialysis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CKD Participants
n=141 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Age, Continuous
66.2 years
STANDARD_DEVIATION 16.5 • n=5 Participants
Sex: Female, Male
Female
64 Participants
n=5 Participants
Sex: Female, Male
Male
77 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Pre-baseline (Month -6)

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=125 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants Reaching a Hemoglobin (Hb) Value of Greater Than (>) 100 and Less Than (<) 120 Grams Per Liter (gm/L) at Month 6 Before Inclusion
56.8 percentage of participants

PRIMARY outcome

Timeframe: Pre-baseline (Month -3)

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=116 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants Reaching a Hb Value of >100 and < 120 gm/L at Month 3 Before Inclusion
56.0 percentage of participants

PRIMARY outcome

Timeframe: Baseline

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=139 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants Reaching a Hb Value of >100 and < 120 gm/L at Baseline
42.4 percentage of participants

PRIMARY outcome

Timeframe: Month 3

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=122 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants Reaching a Hb Value of > 100 and < 120 gm/L at Month 3 After Inclusion
41.0 percentage of participants

PRIMARY outcome

Timeframe: Month 6

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=113 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants Reaching a Hb Value of > 100 and < 120 gm/L at Month 6 After Inclusion
41.6 percentage of participants

PRIMARY outcome

Timeframe: Month 9

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=106 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants Reaching a Hb Value of > 100 and < 120 gm/L at Month 9 After Inclusion
33.0 percentage of participants

PRIMARY outcome

Timeframe: Month 12

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=110 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants Reaching a Hb Value of > 100 and < 120 gm/L at Month 12 After Inclusion
45.5 percentage of participants

PRIMARY outcome

Timeframe: Pre-baseline (Month -6)

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=125 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Mean Hb Value at Month 6 Before Inclusion
113.2 gm/L
Standard Deviation 11.7

PRIMARY outcome

Timeframe: Pre-baseline (Month -3)

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=116 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Mean Hb Value at Month 3 Before Inclusion
112.6 gm/L
Standard Deviation 13.2

PRIMARY outcome

Timeframe: Baseline

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=139 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Mean Hb Value at Baseline
117.5 gm/L
Standard Deviation 15.0

PRIMARY outcome

Timeframe: Month 3

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=122 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Mean Hb Value at Month 3 After Inclusion
120.2 gm/L
Standard Deviation 13.2

PRIMARY outcome

Timeframe: Month 6

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=113 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Mean Hb Value at Month 6 After Inclusion
120.0 gm/L
Standard Deviation 13.8

PRIMARY outcome

Timeframe: Month 9

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=106 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Mean Hb Value at Month 9 After Inclusion
120.0 gm/L
Standard Deviation 14.3

PRIMARY outcome

Timeframe: Month 12

Population: All enrolled participants. Here, number of participants analyzed= participants with non-missing Hb assessment at specified time frame for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=110 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Mean Hb Value at Month 12 After Inclusion
118.4 gm/L
Standard Deviation 12.8

PRIMARY outcome

Timeframe: Pre-baseline (Month -6) to Baseline

Population: All enrolled participants. Here, number of participants analyzed= participants with at least 2 non-missing Hb assessments between pre-baseline (Month -6) and baseline.

Hb fluctuation was defined as change in Hb value \>15 gm/L between 2 visits.

Outcome measures

Outcome measures
Measure
CKD Participants
n=126 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants With Hb Fluctuation From Pre-Baseline (Month -6) to Baseline
36.5 percentage of participants

PRIMARY outcome

Timeframe: Baseline to Month 12

Population: All enrolled participants. Here, number of participants analyzed= participants with at least 2 non-missing Hb assessments between baseline and Month 12.

Hb fluctuation was defined as change in Hb value \>15 gm/L between 2 visits.

Outcome measures

Outcome measures
Measure
CKD Participants
n=117 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants With Hb Fluctuation From Baseline to Month 12
43.6 percentage of participants

SECONDARY outcome

Timeframe: Months 3, 6, 9, and 12

Population: All enrolled participants. Here, number of participants analyzed= participants evaluable for this outcome measure. n = number of participants evaluable at the specified time frame.

Change in MIRCERA treatment included changes in dose, frequency, and route of administration.

Outcome measures

Outcome measures
Measure
CKD Participants
n=130 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants With Change in MIRCERA Treatment
Month 3 (n= 130)
43.1 percentage of participants
Percentage of Participants With Change in MIRCERA Treatment
Month 6 (n= 117)
30.8 percentage of participants
Percentage of Participants With Change in MIRCERA Treatment
Month 9 (n= 110)
22.7 percentage of participants
Percentage of Participants With Change in MIRCERA Treatment
Month 12 (n= 112)
23.2 percentage of participants

SECONDARY outcome

Timeframe: Baseline to Month 12

Population: All enrolled participants. Here, number of participants analyzed= participants with available data for this outcome measure.

Outcome measures

Outcome measures
Measure
CKD Participants
n=91 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants With Number of MIRCERA Dose Changes
No change
26.4 percentage of participants
Percentage of Participants With Number of MIRCERA Dose Changes
One change
41.8 percentage of participants
Percentage of Participants With Number of MIRCERA Dose Changes
Two changes
17.6 percentage of participants
Percentage of Participants With Number of MIRCERA Dose Changes
Three changes
13.2 percentage of participants
Percentage of Participants With Number of MIRCERA Dose Changes
Four changes
1.1 percentage of participants

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: The units usage at and between study centres did change during the study and therefore no descriptive statistics could be performed on the laboratory variables.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline to 12 months

Population: The units usage at and between study centres did change during the study and therefore no descriptive statistics could be performed on the laboratory variables.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Pre-baseline (Months -6 and -3), baseline, Months 3, 6, 9 and 12

Population: All enrolled participants. Here, number of participants analyzed= participants evaluable for this outcome measure and n= participants evaluable for specified time points.

Percentage of participants who had any change in their iron supplement medication at a specified visit were reported.

Outcome measures

Outcome measures
Measure
CKD Participants
n=142 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants With Changes in Iron Supplement
Pre-baseline (Month -6) (n= 134)
31.3 percentage of participants
Percentage of Participants With Changes in Iron Supplement
Pre-baseline (Month -3) (n= 125)
12.8 percentage of participants
Percentage of Participants With Changes in Iron Supplement
Baseline (n= 142)
15.5 percentage of participants
Percentage of Participants With Changes in Iron Supplement
Month 3 (n= 130)
11.5 percentage of participants
Percentage of Participants With Changes in Iron Supplement
Month 6 (n= 115)
13.0 percentage of participants
Percentage of Participants With Changes in Iron Supplement
Month 9 (n= 109)
9.2 percentage of participants
Percentage of Participants With Changes in Iron Supplement
Month 12 (n= 112)
12.5 percentage of participants

SECONDARY outcome

Timeframe: Pre-baseline (Months -6 and -3), baseline, Months 3, 6, 9 and 12

Population: All enrolled participants. Here, number of participants analyzed = participants evaluable for this outcome measure and n= participants evaluable for specified time points.

Percentage of participants who had any change in their immunosuppressive medication at a specified visit were reported.

Outcome measures

Outcome measures
Measure
CKD Participants
n=142 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants With Changes in Immunosuppressive Treatment
Pre-baseline (Month -6) (n= 135)
23.0 percentage of participants
Percentage of Participants With Changes in Immunosuppressive Treatment
Pre-baseline (Month -3) (n= 125)
4.0 percentage of participants
Percentage of Participants With Changes in Immunosuppressive Treatment
Baseline (n= 142)
5.6 percentage of participants
Percentage of Participants With Changes in Immunosuppressive Treatment
Month 3 (n= 129)
8.5 percentage of participants
Percentage of Participants With Changes in Immunosuppressive Treatment
Month 6 (n= 114)
8.8 percentage of participants
Percentage of Participants With Changes in Immunosuppressive Treatment
Month 9 (n= 109)
2.8 percentage of participants
Percentage of Participants With Changes in Immunosuppressive Treatment
Month 12 (n= 111)
5.4 percentage of participants

SECONDARY outcome

Timeframe: Pre-baseline (Months -6 and -3), baseline, Months 3, 6, 9 and 12

Population: All enrolled participants. Here, number of participants analyzed = participants evaluable for this outcome measure and n= participants evaluable for specified time points.

Percentage of participants who had any change in their antihypertensive medication at a specified visit were reported.

Outcome measures

Outcome measures
Measure
CKD Participants
n=141 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants With Changes in Antihypertensive Treatment
Pre-baseline (Month -6) (n= 135)
78.5 percentage of participants
Percentage of Participants With Changes in Antihypertensive Treatment
Pre-baseline (Month -3) (n= 125)
22.4 percentage of participants
Percentage of Participants With Changes in Antihypertensive Treatment
Baseline (n= 141)
22.7 percentage of participants
Percentage of Participants With Changes in Antihypertensive Treatment
Month 3 (n= 130)
12.3 percentage of participants
Percentage of Participants With Changes in Antihypertensive Treatment
Month 6 (n= 115)
13.0 percentage of participants
Percentage of Participants With Changes in Antihypertensive Treatment
Month 9 (n= 109)
16.5 percentage of participants
Percentage of Participants With Changes in Antihypertensive Treatment
Month 12 (n= 111)
19.8 percentage of participants

SECONDARY outcome

Timeframe: Pre-baseline (Month -6) to Month 12

Population: All enrolled participants. Here, number of participants analyzed= participants evaluable for this outcome measure.

Number of participants who were receiving different treatments (antihypertensive, immunosuppressive, iron supplements, and others) before and/or after baseline were reported. Same participant could be reported in more than one category.

Outcome measures

Outcome measures
Measure
CKD Participants
n=142 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Number of Participants With Different Medication Treatment
Anti-hypertensive treatment
123 participants
Number of Participants With Different Medication Treatment
Immunosuppressive treatment
35 participants
Number of Participants With Different Medication Treatment
Iron treatment
71 participants
Number of Participants With Different Medication Treatment
Other treatment
55 participants

SECONDARY outcome

Timeframe: Pre-baseline (Months -6 and -3), baseline, Months 3, 6, 9 and 12

Population: All enrolled participants. Here, number of participants analyzed= participants evaluable for this outcome measure and n= participants evaluable for specified time points.

Outcome measures

Outcome measures
Measure
CKD Participants
n=142 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants Who Required Blood Transfusion
Pre-baseline (Month -6) (n= 136)
0 percentage of participants
Percentage of Participants Who Required Blood Transfusion
Pre-baseline (Month -3) (n= 128)
2.3 percentage of participants
Percentage of Participants Who Required Blood Transfusion
Baseline (n= 142)
5.6 percentage of participants
Percentage of Participants Who Required Blood Transfusion
Month 3 (n= 131)
1.5 percentage of participants
Percentage of Participants Who Required Blood Transfusion
Month 6 (n= 115)
1.7 percentage of participants
Percentage of Participants Who Required Blood Transfusion
Month 9 (n= 109)
3.7 percentage of participants
Percentage of Participants Who Required Blood Transfusion
Month 12 (n= 110)
1.8 percentage of participants

SECONDARY outcome

Timeframe: Months 3, 6, 9, and 12

Population: All enrolled participants. Here, number of participants analyzed= participants evaluable for this outcome measure and n= participants evaluable for specified time points.

Renal replacement therapy was defined as hemodialysis and peritoneal dialysis.

Outcome measures

Outcome measures
Measure
CKD Participants
n=130 Participants
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Percentage of Participants Who Required Renal Replacement Therapy
Hemodialysis done: Month 3 (n= 130)
0.8 percentage of participants
Percentage of Participants Who Required Renal Replacement Therapy
Hemodialysis done: Month 6 (n= 113)
0.9 percentage of participants
Percentage of Participants Who Required Renal Replacement Therapy
Hemodialysis done: Month 9 (n= 107)
0.9 percentage of participants
Percentage of Participants Who Required Renal Replacement Therapy
Hemodialysis done: Month 12 (n= 110)
1.8 percentage of participants
Percentage of Participants Who Required Renal Replacement Therapy
Peritoneal dialysis done: Month 3 (n= 130)
0.8 percentage of participants
Percentage of Participants Who Required Renal Replacement Therapy
Peritoneal dialysis done: Month 6 (n= 113)
0 percentage of participants
Percentage of Participants Who Required Renal Replacement Therapy
Peritoneal dialysis done: Month 9 (n= 107)
0.9 percentage of participants
Percentage of Participants Who Required Renal Replacement Therapy
Peritoneal dialysis done: Month 12 (n= 110)
1.8 percentage of participants

Adverse Events

CKD Participants

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
CKD Participants
n=141 participants at risk
Pre-dialysis participants with CKD treated with MIRCERA according to the current standard of care and in line with the current local summary of product characteristics were observed for maximum of 12 months.
Skin and subcutaneous tissue disorders
Skin Reaction
0.71%
1/141 • Pre-baseline (Month -6) to Month 12
All enrolled participants with data recorded for adverse events were included.

Additional Information

Medical Communications

Hoffmann-LaRoche

Phone: 800-821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the study, but only after the first publication or presentation that involves the Overall Study. The sponsor may request that the confidential information be deleted and/or the publication to be postponed inorder to present the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER