Evaluate the Efficacy and Safety of Multiple Roxadustat Dosing Regimens for the Treatment of Anemia in Dialysis Participants With Chronic Kidney Disease

NCT ID: NCT04059913

Last Updated: 2022-05-06

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

PHASE4

Total Enrollment

318 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-11

Study Completion Date

2021-12-17

Brief Summary

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This is a randomized, open-label, multi-center study in dialysis chronic kidney disease (CKD) participants to evaluate the efficacy and relative safety of different dosing regimens of roxadustat over a 36-week treatment period.

There are 3 study periods:

* Screening Period (up to 4 weeks)
* Treatment Period (36 weeks)

Part 1: Correction/Conversion Period (Weeks 1-20)

Part 2: Hemoglobin (Hb) Maintenance Period (Weeks 21-36)

* Follow-up Period (4 weeks)

Detailed Description

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Approximately 102 erythropoiesis stimulating agents (ESA)-naïve participants and 204 ESA-treated participants will be enrolled and randomized respectively in a 1:1 ratio to receive roxadustat at one of 2 starting doses as below:

* Low weight-based dosing: 70 milligrams (mg) 3 times a week (TIW) for body weight \<60 kilograms (kg) or 100 mg TIW for body weight ≥60 kg
* Standard weight-based dosing: 100 mg TIW for body weight \<60 kg or 120 mg TIW for body weight ≥60 kg

After 20 weeks of treatment, all eligible participants whose last 2 Hb levels ≥105 grams (g)/liter (L) and change in Hb over the most recent 4 weeks is \> - 10 g/L will switch to receive roxadustat for another 16 weeks to evaluate the efficacy and safety of new dosing regimens.

At the end of Week 36, all participants will discontinue roxadustat and enter a 4-week Follow-up Period.

Conditions

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CKD Anemia in Dialysis Participants

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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Part 1: ESA-Naïve Participants - Low Weight Based Dosing

ESA-naïve participants will receive roxadustat 70 mg TIW for body weight 45 to \<60 kg or 100 mg TIW for body weight ≥60 kg.

Group Type EXPERIMENTAL

Roxadustat

Intervention Type DRUG

Roxadustat will be dosed orally per dose and schedule specified in the arm description.

Part 1: ESA-Naïve Participants - Standard Weight Based Dosing

ESA naïve participants will receive roxadustat 100 mg TIW for body weight 45 to \<60 kg or 120 mg TIW for body weight ≥60 kg.

Group Type EXPERIMENTAL

Roxadustat

Intervention Type DRUG

Roxadustat will be dosed orally per dose and schedule specified in the arm description.

Part 1: ESA-Treated Participants - Low Weight Based Dosing

ESA-treated participants will receive roxadustat 70 mg TIW for body weight 45 to \<60 kg or 100 mg TIW for body weight ≥60 kg.

Group Type EXPERIMENTAL

Roxadustat

Intervention Type DRUG

Roxadustat will be dosed orally per dose and schedule specified in the arm description.

Part 1: ESA-Treated Participants - Standard Weight Based Dosing

ESA treated participants will receive roxadustat 100 mg TIW for body weight 45 to \<60 kg or 120 mg TIW for body weight ≥60 kg.

Group Type EXPERIMENTAL

Roxadustat

Intervention Type DRUG

Roxadustat will be dosed orally per dose and schedule specified in the arm description.

Part 2: Roxadustat QW

Participants will receive roxadustat once a week (QW). Roxadustat dose will be 2-dose step increase from originally planned week 21 TIW per dose amount.

Group Type EXPERIMENTAL

Roxadustat

Intervention Type DRUG

Roxadustat will be dosed orally per dose and schedule specified in the arm description.

Part 2: Roxadustat BIW

Participants will receive roxadustat twice a week (BIW). Roxadustat dose will be 1-dose step increase from originally planned week 21 TIW per dose amount.

Group Type EXPERIMENTAL

Roxadustat

Intervention Type DRUG

Roxadustat will be dosed orally per dose and schedule specified in the arm description.

Part 2: Roxadustat TIW

Participants will receive roxadustat TIW. Roxadustat dose will continue per dose adjustment guideline.

Group Type EXPERIMENTAL

Roxadustat

Intervention Type DRUG

Roxadustat will be dosed orally per dose and schedule specified in the arm description.

Interventions

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Roxadustat

Roxadustat will be dosed orally per dose and schedule specified in the arm description.

Intervention Type DRUG

Other Intervention Names

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FG-4592

Eligibility Criteria

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Inclusion Criteria

1\. CKD with end-stage renal disease (ESRD) on either hemodialysis (HD) or peritoneal dialysis (PD)

Exclusion Criteria

1. Positive for any of the following: human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or anti-hepatitis C virus antibody (anti-HCV Ab).
2. Myocardial infarction, acute coronary syndrome, stroke, seizure, or a thromboembolic event (for example, deep venous thrombosis or pulmonary embolism) within 26 weeks prior to Day 1.
3. History of malignancy, myelodysplastic syndrome, and multiple myeloma.
4. Chronic inflammatory disease other than glomerulonephritis that could impact erythropoiesis (for example, systemic lupus erythematosis \[SLE\], rheumatoid arthritis, celiac disease).
5. Clinically significant gastrointestinal bleeding.
6. Women of childbearing potential and men with sexual partners of child bearing potential who are not using adequate contraception.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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FibroGen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Investigational Site

Hefei, Anhui, China

Site Status

Investigational Site

Lanzhou, Gansu, China

Site Status

Investigational Site

Guangzhou, Guangdong, China

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Shenzhen, Guangdong, China

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Nanning, Guangxi, China

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Zhengzhou, Henan, China

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Wuhan, Hubei, China

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Changsha, Hunan, China

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Baotou, Inner Mongolia, China

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Nanjing, Jiangsu, China

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Nanchang, Jiangxi, China

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Changchun, Jilin, China

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Shenyang, Liaoning, China

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Shenyang, Liaoning, China

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Taiyuan, Shanxi, China

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Xi’an, Shanxi, China

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Xi’an, Shanxi, China

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Chengdu, Sichuan, China

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Chengdu, Sichuan, China

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Hangzhou, Zhejiang, China

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Beijing, , China

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Beijing, , China

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Beijing, , China

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Investigational Site

Shanghai, , China

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Investigational Site

Tianjin, , China

Site Status

Countries

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China

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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FGCL-4592-818

Identifier Type: -

Identifier Source: org_study_id

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