A Study of Intermittent Oral Dosing of ASP1517 in Hemodialysis Chronic Kidney Disease Patients With Anemia

NCT ID: NCT02952092

Last Updated: 2024-10-30

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

PHASE3

Total Enrollment

303 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2018-03-15

Brief Summary

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The objective of this study is to evaluate the safety and efficacy of ASP1517 compared to darbepoetin alfa in hemodialysis chronic kidney disease patients with anemia.

Detailed Description

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Conditions

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Hemodialysis Chronic Kidney Disease Patients With Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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ASP1517 Group

Subjects will take the study drug at two- or three-day intervals.

Group Type EXPERIMENTAL

roxadustat

Intervention Type DRUG

Oral

Darbepoetin alfa Group

Subjects will take the study drug once a week.

Group Type EXPERIMENTAL

Darbepoetin alfa

Intervention Type DRUG

Intravenous

Interventions

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roxadustat

Oral

Intervention Type DRUG

Darbepoetin alfa

Intravenous

Intervention Type DRUG

Other Intervention Names

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ASP1517

Eligibility Criteria

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Inclusion Criteria

* Subjects with renal anemia who have been receiving recombinant human erythropoietin (rHuEPO, two times weekly or three times weekly) or darbepoetin alfa (intravenous treatment) within the doses approved in Japan for more than 8 weeks before the screening assessment
* Mean of the subject's two most recent Hb values before dialysis after the longest dialysis interval during the Screening Period must be ≥10.0 g/dL and ≤12.0 g/dL
* Either transferrin saturation (TSAT) ≥ 20% or serum ferritin ≥ 100 ng/mL during the screening period
* Female subject must either:

Be of non-childbearing potential:

* post-menopausal (defined as at least 1 year without any menses) prior to Screening, or
* documented surgically sterile Or, if of childbearing potential,
* Agree not to try to become pregnant during the study and for 28 days after the final study drug administration
* And have a negative pregnancy test at Screening
* And, if heterosexually active, agree to consistently use two forms of highly effective form of birth control (at least one of which must be a barrier method) starting at Screening and throughout the study period and continued for 28 days after the final study drug administration.

* Female subject must agree not to breastfeed starting at Screening and throughout the study period, and continued for 28 days after the final study drug administration.
* Female subject must not donate ova starting at Screening and throughout the study period, and continued for 28 days after the final study drug administration.
* Male subject and their female spouse/partners who are of childbearing potential must be using two forms of highly effective form of birth control (at least one of which must be a barrier method) starting at Screening and continue throughout the study period, and for 12 weeks after the final study drug administration
* Male subject must not donate sperm starting at Screening and throughout the study period and, for 12 weeks after the final study drug administration

Exclusion Criteria

* Concurrent retinal neovascular lesion untreated and macular edema untreated
* Concurrent autoimmune disease with inflammation that could impact erythropoiesis
* History of gastric/intestinal resection considered influential on the absorption of drugs in the gastrointestinal tract (excluding resection of gastric or colon polyps) or concurrent gastroparesis
* Uncontrolled hypertension
* Concurrent congestive heart failure (NYHA Class III or higher)
* History of hospitalization for treatment of stroke, myocardial infarction, or pulmonary embolism within 12 weeks before the screening assessment
* Positive for hepatitis B surface antigen (HBsAg) or anti-hepatitis C virus (HCV) antibody at the screening assessment, or positive for human immunodeficiency virus (HIV) in a past test
* Concurrent other form of anemia than renal anemia
* History of pure red cell aplasia
* Having received treatment with protein anabolic hormone, testosterone enanthate, or mepitiostane within 6 weeks before the screening assessment
* Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), or total bilirubin that is greater than the criteria, or previous or concurrent another serious liver disease at screening assessment
* Previous or current malignant tumor (no recurrence for at least 5 years is eligible.)
* Having undergone blood transfusion and/or a surgical procedure considered to promote anemia (excluding shunt reconstruction surgery for access to the blood) and/or ophthalmological surgery within 4 weeks before the screening assessment
* Having undergone a kidney transplantation
* Having a previous history of treatment with ASP1517
* History of serious drug allergy including anaphylactic shock
* Participation in another clinical study or post-marketing clinical study (including that of a medical device) within 12 weeks before informed consent acquisition
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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FibroGen

INDUSTRY

Sponsor Role collaborator

Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Astellas Pharma Inc

Locations

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Site JP00008

Aichi, , Japan

Site Status

Site JP00018

Aichi, , Japan

Site Status

Site JP00020

Aichi, , Japan

Site Status

Site JP00032

Aichi, , Japan

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Site JP00033

Aichi, , Japan

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Site JP00040

Aichi, , Japan

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Site JP00004

Ehime, , Japan

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Site JP00055

Ehime, , Japan

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Site JP00009

Fukui, , Japan

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Site JP00059

Fukui, , Japan

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Site JP00014

Fukuoka, , Japan

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Site JP00049

Fukuoka, , Japan

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Site JP00010

Fukushima, , Japan

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Site JP00056

Fukushima, , Japan

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Site JP00057

Fukushima, , Japan

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Site JP00030

Gifu, , Japan

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Site JP00050

Gifu, , Japan

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Site JP00011

Gunma, , Japan

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Site JP00026

Gunma, , Japan

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Site JP00037

Gunma, , Japan

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Site JP00003

Hokkaido, , Japan

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Site JP00031

Hokkaido, , Japan

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Site JP00038

Hokkaido, , Japan

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Site JP00048

Hokkaido, , Japan

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Site JP00017

Ibaraki, , Japan

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Site JP00041

Ibaraki, , Japan

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Site JP00042

Ibaraki, , Japan

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Site JP00045

Ibaraki, , Japan

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Site JP00046

Ibaraki, , Japan

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Site JP00047

Ibaraki, , Japan

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Site JP00054

Ibaraki, , Japan

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Site JP00058

Ibaraki, , Japan

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Site JP00043

Kagoshima, , Japan

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Site JP00005

Kanagawa, , Japan

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Site JP00028

Kumamoto, , Japan

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Site JP00029

Kumamoto, , Japan

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Site JP00006

Kyoto, , Japan

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Site JP00002

Nagano, , Japan

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Site JP00012

Nagano, , Japan

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Site JP00027

Nagano, , Japan

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Site JP00051

Nagano, , Japan

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Site JP00013

Nagasaki, , Japan

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Site JP00001

Niigata, , Japan

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Site JP00034

Niigata, , Japan

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Site JP00036

Okayama, , Japan

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Site JP00007

Osaka, , Japan

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Site JP00015

Osaka, , Japan

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Site JP00016

Saitama, , Japan

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Site JP00035

Saitama, , Japan

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Site JP00044

Tokushima, , Japan

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Site JP00052

Tokyo, , Japan

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Site JP00053

Tokyo, , Japan

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Site JP00021

Toyama, , Japan

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Site JP00022

Toyama, , Japan

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Site JP00039

Toyama, , Japan

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Site JP00024

Yamagata, , Japan

Site Status

Site JP00025

Yamaguchi, , Japan

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Countries

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Japan

References

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Hamano T, Yamaguchi Y, Goto K, Mizokawa S, Ito Y, Dellanna F, Barratt J, Akizawa T. Risk Factors for Thromboembolic Events in Patients With Dialysis-Dependent CKD: Pooled Analysis of Phase 3 Roxadustat Trials in Japan. Adv Ther. 2024 Apr;41(4):1526-1552. doi: 10.1007/s12325-023-02727-3. Epub 2024 Feb 16.

Reference Type DERIVED
PMID: 38363463 (View on PubMed)

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)

Akizawa T, Iwasaki M, Yamaguchi Y, Majikawa Y, Reusch M. Phase 3, Randomized, Double-Blind, Active-Comparator (Darbepoetin Alfa) Study of Oral Roxadustat in CKD Patients with Anemia on Hemodialysis in Japan. J Am Soc Nephrol. 2020 Jul;31(7):1628-1639. doi: 10.1681/ASN.2019060623. Epub 2020 Jun 3.

Reference Type DERIVED
PMID: 32493693 (View on PubMed)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=356

Link to results on Astellas Clinical Study Results website

Other Identifiers

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1517-CL-0307

Identifier Type: -

Identifier Source: org_study_id

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