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
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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COMPLETED
PHASE4
318 participants
INTERVENTIONAL
2019-06-11
2021-12-17
Brief Summary
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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)
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Detailed Description
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* 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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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
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.
Roxadustat
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.
Roxadustat
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.
Roxadustat
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.
Roxadustat
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.
Roxadustat
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.
Roxadustat
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.
Roxadustat
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.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
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.
18 Years
75 Years
ALL
No
Sponsors
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FibroGen
INDUSTRY
Responsible Party
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Locations
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Investigational Site
Hefei, Anhui, China
Investigational Site
Lanzhou, Gansu, China
Investigational Site
Guangzhou, Guangdong, China
Investigational Site
Shenzhen, Guangdong, China
Investigational Site
Nanning, Guangxi, China
Investigational Site
Zhengzhou, Henan, China
Investigational Site
Wuhan, Hubei, China
Investigational Site
Changsha, Hunan, China
Investigational Site
Baotou, Inner Mongolia, China
Investigational Site
Nanjing, Jiangsu, China
Investigational Site
Nanchang, Jiangxi, China
Investigational Site
Changchun, Jilin, China
Investigational Site
Shenyang, Liaoning, China
Investigational Site
Shenyang, Liaoning, China
Investigational Site
Taiyuan, Shanxi, China
Investigational Site
Xi’an, Shanxi, China
Investigational Site
Xi’an, Shanxi, China
Investigational Site
Chengdu, Sichuan, China
Investigational Site
Chengdu, Sichuan, China
Investigational Site
Hangzhou, Zhejiang, China
Investigational Site
Beijing, , China
Investigational Site
Beijing, , China
Investigational Site
Beijing, , China
Investigational Site
Shanghai, , China
Investigational Site
Tianjin, , China
Countries
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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.
Other Identifiers
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FGCL-4592-818
Identifier Type: -
Identifier Source: org_study_id
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