Desidustat in the Treatment of Anemia in CKD

NCT ID: NCT04012957

Last Updated: 2021-11-24

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

588 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-20

Study Completion Date

2021-08-25

Brief Summary

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This is a phase III, multicenter, multi-country, open-label, randomized, active-controlled clinical trial to evaluate the efficacy and safety of Desidustat versus Darbepoetin for the treatment of anemia in patients with CKD who are not on dialysis. The study will be conducted over a period of up to 30 weeks.

Detailed Description

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Conditions

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Chronic Kidney Disease Stage 3 Anemia Chronic Kidney Disease Stage 4 Chronic Kidney Disease Stage 5

Keywords

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DREAM-ND

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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Darbepoetin Alfa Injection

Randomly assigned to receive Darbepoetin in a 1:1 ratio for 24 weeks.

Group Type EXPERIMENTAL

Darbepoetin Alfa

Intervention Type DRUG

Darbepoetin injection

Desidustat oral tablet

Randomly assigned to receive Desidustat 100 mg in a 1:1 ratio for 24 weeks.

Group Type ACTIVE_COMPARATOR

Desidustat Oral Tablet

Intervention Type DRUG

Desidustat tablet

Interventions

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Desidustat Oral Tablet

Desidustat tablet

Intervention Type DRUG

Darbepoetin Alfa

Darbepoetin injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Current clinical diagnosis of anemia due to CKD, baseline hemoglobin concentrations must be 7.0-10.0 g/dL (both inclusive) before the enrollment.
2. Ability to understand and give informed consent for participation.
3. Male or female patients diagnosed with CKD (stage III to V, not receiving dialysis) defined by estimated glomerular filtration rate (eGFR) using the CKD Epidemiology Collaboration (CKD-EPI) formula.
4. Male or female, 18 to 80 years of age.
5. Body weight \> 40 kg.
6. Subjects not on dialysis and not expected to start dialysis during the study period.
7. Patients must not be treated with erythropoiesis-stimulating agent (ESA) therapy within 6 weeks prior to enrollment.
8. Estimated GFR ≥10 mL/min/1.73 m2.
9. Serum ferritin ≥100 ng/mL and/or Transferrin Saturation \>20%.
10. No iron, folate or Vitamin B12 deficiency.
11. Females of childbearing potential, must agree to use one of the approved contraception methods, from screening until completion of the follow-up visit.

Exclusion Criteria

1. Prior chronic hemodialysis or chronic peritoneal dialysis treatment.
2. Intravenous iron within 14 days prior to enrollment.
3. Prior exposure of rhEPO analogues less than 04 weeks.
4. Red blood cell transfusion within 8 weeks prior to enrollment.
5. History of previous or concurrent cancer.
6. Serologic status reflecting active hepatitis B or C infection or Human immunodeficiency virus (HIV) infection.
7. Active infection prior to enrollment.
8. History of renal transplant.
9. Major surgery within 90 days of the first day of study drug dosing, and minor surgery within 30 days of the first day of study drug dosing.
10. Unable to swallow tablets or disease significantly affecting gastrointestinal function and/or inhibiting small intestine absorption such as; mal-absorption syndrome, resection of the small bowel or poorly controlled inflammatory bowel disease affecting the small intestine.
11. History of uncontrolled autoimmune hemolytic anemia, idiopathic thrombocytopenic purpura (ITP) or thalassemia.
12. Presence or a history of bleeding disorders or clinical conditions (e.g. gastrointestinal \[GI\] bleeding or constitutional disorders) that may increase risk of life-threatening bleeding.
13. History of stroke or intracranial hemorrhage within 6 months prior to enrollment.
14. History of severe allergic or hypersensitivity to investigational products and its excipients.
15. Requires or is receiving anticoagulation with warfarin or equivalent vitamin K antagonists or other medications within 28 days of the first dose of study drug that in the investigator's opinion, could compromise patient safety.
16. Pregnant and breastfeeding women.
17. Current life-threatening illness, medical condition or organ system dysfunction which, in the Investigator's opinion, could compromise the patient's safety.
18. Other laboratory abnormalities that, in the opinion of the investigator, would compromise the patient's safety or interfere with data interpretation.
19. Presence of other systemic disorders or diseases (e.g., respiratory, gastrointestinal, endocrine, immunological, dermatological, neurological, psychiatric disease or any other body system involvement) which, in the Investigator's opinion, could compromise the patient's safety.
20. History of significant alcoholism or drug abuse within the past 1 year. History or presence of significant smoking (more than 10 cigarettes per day) or consumption of tobacco/nicotine products (more than 10 times per day).
21. History of difficulty with donating blood.
22. History or presence of any clinically significant ECG abnormalities during screening.
23. Participants who have participated in any drug research study other than the present trial within past 3 months.
24. Participants who have donated one unit (350 ml) of blood in the past 3 months or history of whole blood transfusion in last 120 days prior to enrollment.
25. History of chronic inflammatory disease (RA, Celiac disease, UC, Crohns disease, Systemic Lupus Erythematosus \[SLE\]).
26. In case of Diabetes mellitus patients, glycosylated haemoglobin (HbA1c) \>9 %.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zydus Lifesciences Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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DrDeven Parmar, MD

Role: STUDY_DIRECTOR

Zydus Lifesciences Limited

Locations

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Sunrise Hospital

Vijayawada, Andhra Pradesh, India

Site Status

HCG Hospital

Ahmedabad, Gujarat, India

Site Status

Sangini Hospital

Ahmedabad, Gujarat, India

Site Status

GSC Medical College and Research Centre

Ahmedabad, Gujarat, India

Site Status

Thakershey Charitable trust Hospital

Ahmedabad, Gujarat, India

Site Status

BAPS Pramukh Swami Hospital

Surat, Gujarat, India

Site Status

Sterling Hospital

Vadodara, Gujarat, India

Site Status

Dhiraj General Hospital

Vadodara, Gujarat, India

Site Status

Sapthagiri Institute of Medical Sciences

Bangalore, Karnataka, India

Site Status

Kasturba Medical College

Mangalore, Karnataka, India

Site Status

Amrita Institute of Medical Science

Kochi, Kerala, India

Site Status

Government Medical College

Kozhikode, Kerala, India

Site Status

Mahatma Gandhi Mission Medical College & Hospital

Aurangabad, Maharashtra, India

Site Status

Nav Sanjeevani Hospital (Sankalp Speciality Healthcare Pvt. Ltd)

Nashik, Maharashtra, India

Site Status

Noble Hospital

Pune, Maharashtra, India

Site Status

Bhaktivedanta Hospital and Research Institute

Thāne, Maharashtra, India

Site Status

Asian Institute Of Medical Sciences (AIMS) Hospital

Thāne, Maharashtra, India

Site Status

Max Super Specialty Hospital

New Delhi, National Capital Territory of Delhi, India

Site Status

Fortis Hospital

Delhi, New Delhi, India

Site Status

Apollo Hospital

Bhubaneswar, Odisha, India

Site Status

Sardar Patel Medical College

Bikaner, Rajasthan, India

Site Status

Sawai Man Singh (SMS) Medical College and Hospital

Jaipur, Rajasthan, India

Site Status

Eternal Hospital

Jaipur, Rajasthan, India

Site Status

Rukmani Birla Hospital

Jaipur, Rajasthan, India

Site Status

Osmania General Hospital

Hyderabad, Telangana, India

Site Status

Apollo Hospital

Hyderabad, Telangana, India

Site Status

Nizams Institute of Medical Sciences

Hyderabad, Telangana, India

Site Status

Nizams Institute of Medical Sciences

Hyderabad, Telangana, India

Site Status

Heritage Hospitals Limited

Varanasi, Uttar Pradesh, India

Site Status

Shri Mahant Indiresh Hospital

Dehradun, Uttarakhand, India

Site Status

Medica Superspecialty Hospital

Kolkata, West Bangal, India

Site Status

Peerless Hospital

Kolkata, West Bengal, India

Site Status

Countries

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India

References

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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)

Other Identifiers

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DESI.18.001

Identifier Type: -

Identifier Source: org_study_id