A Study of YPEG-rhEPO in Patients Suffered From Anemia Due to Chronic Kidney Disease

NCT ID: NCT04885647

Last Updated: 2022-12-16

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

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-12

Study Completion Date

2022-01-05

Brief Summary

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The purpose of this study is to evaluate the effectiveness and safety of YPEG rhEPO, a recombinant human erythropoietin pegylated by Y shape polyethylene glycol, in patients with anemia due to Chronic Kidney Disease (CKD), assessed by hemoglobin maintenance, adverse events and health-related quality of life.

Detailed Description

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Conditions

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Renal Anemia of Chronic Kidney Disease

Keywords

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YPEG rhEPO rhEPO erythropoietin anemia dialysis hemodialysis chronic kidney disease

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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Arm1

Low dose once every 2 weeks group

Group Type EXPERIMENTAL

YPEG-rhEPO

Intervention Type DRUG

YPEG-rhEPO,low dose,were subcutaneous injected once every two weeks for 13 weeks.

Arm2

Low dose once every 4 weeks group

Group Type EXPERIMENTAL

YPEG-rhEPO

Intervention Type DRUG

YPEG-rhEPO,low dose,were subcutaneous injected once every four weeks for 13 weeks.

Arm3

High dose once every 2 weeks group

Group Type EXPERIMENTAL

YPEG-rhEPO

Intervention Type DRUG

YPEG-rhEPO, high dose,were subcutaneous injected once every two weeks for 13 weeks.

Arm4

High dose once every 4 weeks group

Group Type EXPERIMENTAL

YPEG-rhEPO

Intervention Type DRUG

YPEG-rhEPO,high dose,were subcutaneous injected once every four weeks for 13 weeks.

Interventions

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YPEG-rhEPO

YPEG-rhEPO,low dose,were subcutaneous injected once every two weeks for 13 weeks.

Intervention Type DRUG

YPEG-rhEPO

YPEG-rhEPO,low dose,were subcutaneous injected once every four weeks for 13 weeks.

Intervention Type DRUG

YPEG-rhEPO

YPEG-rhEPO, high dose,were subcutaneous injected once every two weeks for 13 weeks.

Intervention Type DRUG

YPEG-rhEPO

YPEG-rhEPO,high dose,were subcutaneous injected once every four weeks for 13 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Aged between 18 and 70 years old, including 18 and 70 years.
* Subjects who are diagnosed of chronic kidney disease and receiving hemodialysis (KT/V greater than or equal to 1.2). And those who had received hemodialysis, performed 2 to 3 times a week and 4 to 5 hours for every dialysis, for at least 12 weeks prior to deliver of YPEG-EPO.
* Subjects receiving rhEPO treatment, including subcutaneous and intravenous injection, for anemia due to chronic kidney disease for at least 12 weeks before randomized. And in addition, the serum hemoglobin should keep stable during the previous 12 weeks, which was defined as serum hemoglobin obtained from tests taken once a month (once a month means at least 4 weeks interval between two tests) were always kept between 100g/L and 120g/L, or else mean hemoglobin of two different tests, which were taken at least 4 weeks apart, is between 100g/L and 120g/L.
* Transferrin saturation (TSAT) greater than 20% or serum ferritin (SF) greater than 200ng/mL, serum folate greater or equal to the lower normal limit (ULN), serum vitamin B12 greater or equal to ULN,before enrollment.
* Understand and sign the informed consent form voluntarily.

Exclusion Criteria

* Women of pregnancy, lactating, or planning to pregnant, or patients who are planning to donate sperms/eggs during the study period.
* Subjects who are allergic to rhEPO or any of its components, or with any other evidenced allergy history that make it not suitable for participation.
* Subjects who are receiving Roxadustat Capsules at screening.
* Anemia caused by diseases or causes other than CKD, such as bleeding, hemolysis, vitamin or folate deficiency. Obvious bleeding evidence that requires blood transfusion during the lead-in period.
* Subjects suffering from pure red-cell anemia (PRCA) according to previously erythropoietin treatment.
* Subjects with serious disease or function deficiency in major organ/system, such as:

1. Medical history of myocardial infarction, cerebral stroke, vascular access thrombosis, or pulmonary embolism. Combined congestive heart failure (NYHA cardiac function equal to or grade than III). Hypertensions poorly controlled by medication (systolic blood pressure higher than 170mmHg and/or diastolic blood pressure higher than 100mmHg), or postural hypotension (systolic blood pressure below 90mmHg).
2. Medical history of malignancy, hematological disease, obvious bleeding disease, epilepsy, neuropsychiatric disease, or family history of neuropsychiatric disease.
3. Poorly controlled autoimmune diseases (including but not limit to systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, autoimmune thrombocytopenia).
4. Poorly controlled endocrine diseases, (including but not limit to thyroid disease, parathyroid disease, diabetes mellitus).
5. Co-infected with HAV, HBV, HCV, HIV, Syphilis, etc..
6. Currently suffering from severe infection or inflammation (C-reactive protein greater than 30mg / L), or currently receiving antibiotics.
* Red blood cell count greater than 6.0×10\^12/L for men while greater than 5.5×10\^12/L for female; Platelets greater than 500×10\^9/L; serum albumin lower than 30g/L; Alanine aminotransferase higher than 2 ULN, aspartame aminotransferase higher than 2ULN; Parathyroid hormone greater than 800pg/mL.
* Subjects who plan to undergo coronary artery bypass grafting (CABG), to undergo orthopedic surgery, to receive kidney transplantation, or to undergo any other major operation during the study period.
* Drug addicts or alcoholics.
* Vascular malformations (such as internal jugular vein malformation) makes it inappropriately for Hemodialysis catheterization.
* Expected survival of a certain subject is less than 12 months.
* Subjects participated in any other clinical trial within 3 months prior to screening.
* Any other situation that is not suitable for participation in this study according to the investigator's judgment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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First Affiliated Hospital of Zhejiang University

OTHER

Sponsor Role collaborator

Xiamen Amoytop Biotech Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Beijing Anzhen Hospital,Capital Medical University

Beijing, Beijing Municipality, China

Site Status

The Second Affiliated Hospital Of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

The First Affiliated Hospital Of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status

The First Affiliated Hospital of Jinan University

Guangzhou, Guangdong, China

Site Status

The Third Affiliated Hospital of Sun Yat sen University

Guanzhou, Guangdong, China

Site Status

Renmin Hospital of Wuhan University/Hubei General Hospital

Wuhan, Hubei, China

Site Status

The Third Xiangya Hospital Of Central South University

Changsha, Hunan, China

Site Status

Xiangya Hospital Central South University

Changsha, Hunan, China

Site Status

The First Affiliated Hospital Of Baotou Medical college,Inner Mongolia University Of Science and Technology

Hohhot, Inner Mongol, China

Site Status

Huai'an Second People's Hospital/The Affiliated Huaian Hospital Of Xuzhou Medical University

Huai'an, Jiangsu, China

Site Status

Affiliated Zhongshan Hospital of Dalian University

Dalian, Liaoning, China

Site Status

Xi'an Gaoxin Hospital

Xi’an, Shanxi, China

Site Status

The First Affiliated Hospital Of Chengdu Medical college

Chengdu, Sichuan, China

Site Status

Tianjin First Central Hospital

Tianjin, Tianjin Municipality, China

Site Status

Tianjin People's Hospital

Tianjin, Tianjin Municipality, China

Site Status

The First Affiliated Hospital, College of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Site Status

Lishui Municipal Central Hospital

Lishui, Zhejiang, China

Site Status

Countries

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China

Other Identifiers

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TB1901EPO

Identifier Type: -

Identifier Source: org_study_id