Trial Outcomes & Findings for Treatment Response in Dialysis Anaemia (NCT NCT02707757)

NCT ID: NCT02707757

Last Updated: 2021-04-14

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

197 participants

Primary outcome timeframe

2 months

Results posted on

2021-04-14

Participant Flow

197 prevalent haemodialysis patients

Recruitment from the study was the prevalent haemodialysis population. Those whom were recruited (197) were then followed until the monthly Hb, taken within routine haemodialysis care, triggered a randomisation event. Exclusion criteria for either recruitment or a randomisation event: Overt blood loss Haematological or other malignancy

Participant milestones

Participant milestones
Measure
Iron Sucrose
Iron sucrose 200mg for 5 doses Iron sucrose: 1gram of iron sucrose (5 200mg aliquots) administered if participant's haemoglobin is less than 9.5g/dl
Neorecormon
Incremental increase in dose along following parameters: 1000-2000-3000-4000-6000-8000-12000 Erythopoietin stimulating agent: Incremental increase in dose of erythropoeitin stimulating agent being administered as per a pre-defined criteria
Overall Study
STARTED
88
96
Overall Study
COMPLETED
76
84
Overall Study
NOT COMPLETED
12
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Iron Sucrose
Iron sucrose 200mg for 5 doses Iron sucrose: 1gram of iron sucrose (5 200mg aliquots) administered if participant's haemoglobin is less than 9.5g/dl
Neorecormon
Incremental increase in dose along following parameters: 1000-2000-3000-4000-6000-8000-12000 Erythopoietin stimulating agent: Incremental increase in dose of erythropoeitin stimulating agent being administered as per a pre-defined criteria
Overall Study
Protocol Violation
3
2
Overall Study
Withdrawal by Subject
2
0
Overall Study
Death
0
1
Overall Study
Adverse Event
6
4
Overall Study
Renal transplant/elective operation
1
5

Baseline Characteristics

Treatment Response in Dialysis Anaemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Iron Sucrose
n=76 Participants
Iron sucrose 200mg for 5 doses Iron sucrose: 1gram of iron sucrose (5 200mg aliquots) administered if participant's haemoglobin is less than 9.5g/dl
Neorecormon
n=84 Participants
Incremental increase in dose along following parameters: 1000-2000-3000-4000-6000-8000-12000 Erythopoietin stimulating agent: Incremental increase in dose of erythropoeitin stimulating agent being administered as per a pre-defined criteria
Total
n=160 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
37 Participants
n=93 Participants
41 Participants
n=4 Participants
78 Participants
n=27 Participants
Age, Categorical
>=65 years
39 Participants
n=93 Participants
43 Participants
n=4 Participants
82 Participants
n=27 Participants
Age, Continuous
63.22 years
n=93 Participants
63.10 years
n=4 Participants
63.16 years
n=27 Participants
Sex: Female, Male
Female
22 Participants
n=93 Participants
24 Participants
n=4 Participants
46 Participants
n=27 Participants
Sex: Female, Male
Male
54 Participants
n=93 Participants
60 Participants
n=4 Participants
114 Participants
n=27 Participants
Race/Ethnicity, Customized
Ethnicity · White
34 Participants
n=93 Participants
41 Participants
n=4 Participants
75 Participants
n=27 Participants
Race/Ethnicity, Customized
Ethnicity · Asian
31 Participants
n=93 Participants
28 Participants
n=4 Participants
59 Participants
n=27 Participants
Race/Ethnicity, Customized
Ethnicity · Black
9 Participants
n=93 Participants
12 Participants
n=4 Participants
21 Participants
n=27 Participants
Race/Ethnicity, Customized
Ethnicity · Other
2 Participants
n=93 Participants
3 Participants
n=4 Participants
5 Participants
n=27 Participants
Region of Enrollment
United Kingdom
76 participants
n=93 Participants
84 participants
n=4 Participants
160 participants
n=27 Participants

PRIMARY outcome

Timeframe: 2 months

Population: Per protocol analysis

Outcome measures

Outcome measures
Measure
Iron Sucrose
n=76 Participants
Iron sucrose 200mg for 5 doses Iron sucrose: 1gram of iron sucrose (5 200mg aliquots) administered if participant's haemoglobin is less than 9.5g/dl
Neorecormon
n=84 Participants
Incremental increase in dose along following parameters: 1000-2000-3000-4000-6000-8000-12000 Erythopoietin stimulating agent: Incremental increase in dose of erythropoeitin stimulating agent being administered as per a pre-defined criteria
Haemoglobin Increase of Greater or Equal to 5g/l Following Receipt of Treatment
53 Participants
61 Participants

Adverse Events

Iron Sucrose

Serious events: 17 serious events
Other events: 2 other events
Deaths: 3 deaths

Neorecormon

Serious events: 21 serious events
Other events: 1 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Iron Sucrose
n=88 participants at risk
Iron sucrose 200mg for 5 doses Iron sucrose: 1gram of iron sucrose (5 200mg aliquots) administered if participant's haemoglobin is less than 9.5g/dl
Neorecormon
n=96 participants at risk
Incremental increase in dose along following parameters: 1000-2000-3000-4000-6000-8000-12000 Erythopoietin stimulating agent: Incremental increase in dose of erythropoeitin stimulating agent being administered as per a pre-defined criteria
Cardiac disorders
Acute coronary syndrome
1.1%
1/88
1.0%
1/96
Cardiac disorders
Cardiac arrhythmia
1.1%
1/88
2.1%
2/96
Infections and infestations
Bacteraemia
1.1%
1/88
2.1%
2/96
Skin and subcutaneous tissue disorders
Soft tissue infection
3.4%
3/88
0.00%
0/96
Musculoskeletal and connective tissue disorders
Cervical discitis
1.1%
1/88
1.0%
1/96
Gastrointestinal disorders
Dyspepsia
1.1%
1/88
1.0%
1/96
Immune system disorders
Vasculitis
0.00%
0/88
1.0%
1/96
Musculoskeletal and connective tissue disorders
Hip fracture
2.3%
2/88
1.0%
1/96
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
1.1%
1/88
1.0%
1/96
Infections and infestations
Catheter related infection
1.1%
1/88
1.0%
1/96
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.3%
2/88
2.1%
2/96
Respiratory, thoracic and mediastinal disorders
Pneumonia
2.3%
2/88
6.2%
6/96
Infections and infestations
Psoas abscess
1.1%
1/88
1.0%
1/96
Nervous system disorders
Stroke
0.00%
0/88
1.0%
1/96

Other adverse events

Other adverse events
Measure
Iron Sucrose
n=88 participants at risk
Iron sucrose 200mg for 5 doses Iron sucrose: 1gram of iron sucrose (5 200mg aliquots) administered if participant's haemoglobin is less than 9.5g/dl
Neorecormon
n=96 participants at risk
Incremental increase in dose along following parameters: 1000-2000-3000-4000-6000-8000-12000 Erythopoietin stimulating agent: Incremental increase in dose of erythropoeitin stimulating agent being administered as per a pre-defined criteria
Blood and lymphatic system disorders
Transfusion
2.3%
2/88
1.0%
1/96

Additional Information

Dr Damien Ashby

Imperial Healthcare NHS Trust

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place