A Study to Evaluate the Efficacy and Safety of Roxadustat for the Treatment of Anemia in Participants Receiving Chemotherapy Treatment for Non-Myeloid Malignancies

NCT ID: NCT05301517

Last Updated: 2023-06-06

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

PHASE3

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-16

Study Completion Date

2023-04-21

Brief Summary

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The main goal of this study is to evaluate the efficacy of roxadustat for treatment of anemia in participants with non-myeloid malignancies receiving multi-cycle treatments of myelosuppressive chemotherapy.

Detailed Description

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Participants who are eligible for participation will be randomized to roxadustat and SEPO® (recombinant human erythropoietin-α \[rHuEPO-α\]), and undergo a 12-week treatment period followed by a 4-week follow-up period.

Conditions

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Chemotherapy Induced Anemia

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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Roxadustat

Participants will receive roxadustat, administered orally 3 times per week (TIW) for 12 weeks to achieve Hb levels of 100-120 g/L. The starting dose will be based on the participant's weight group. The maximum dose for individual participants may not exceed 3.5 milligrams (mg)/kilogram (kg) or 400 mg TIW whichever is lower.

Group Type EXPERIMENTAL

Roxadustat

Intervention Type DRUG

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

SEPO®

Participants will receive SEPO®, injected subcutaneously TIW for 12 weeks to achieve Hb levels of 100-120 g/L. The starting dose will be 150 international units (IU)/kg subcutaneously TIW.

Group Type ACTIVE_COMPARATOR

SEPO®

Intervention Type DRUG

SEPO® will be administered per dose and schedule specified in the arm description.

Interventions

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SEPO®

SEPO® will be administered per dose and schedule specified in the arm description.

Intervention Type DRUG

Roxadustat

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

Intervention Type DRUG

Other Intervention Names

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Recombinant human erythropoietin-α [rHuEPO-α] FG-4592

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of non-myeloid malignancy, by histological or cytological confirmation.
* Anemia related to myelosuppressive chemotherapy, defined as Hb ≤100 g/L at screening with documented participant's Hb level decrease ≥10 g/L after the initiation of chemotherapy as judged by the investigator.
* Planned concurrent treatment of cancer (myelosuppressive chemotherapy) for at least 8 additional weeks.
* Body weight ≥40 kg.
* Eastern Cooperative Oncology Group (ECOG) performance status of 1 or 2.
* Ferritin ≥50 nanograms (ng)/milliliter (mL) and transferrin saturation (TSAT) ≥10%.

Exclusion Criteria

* Participants with cancer receiving myelosuppressive chemotherapy when the anticipated outcome is cure.
* Participants who are only receiving hormonal products, biological products, novel immunosuppressive products (such as programmed cell death protein-1 \[PD-1\] and programmed death-ligand 1 \[PD-L1\] checkpoint inhibitors) or targeted biological or radiation therapy to treat/manage their cancer, however if chemotherapy is co-administered with these products, then it is acceptable to enroll the participant.
* Participants with hematocrit (HCT) ≥36%.
* Participants who have received an RBC transfusion or ESA within 4 weeks of randomization.
* Thromboembolic event (including but not limited to deep vein thrombosis \[DVT\], pulmonary embolism, myocardial infarction, stroke, transient ischemic attack \[TIA\] within previous 6 months of screening.
* Clinically significant anemia due to other etiologies such as iron deficiency, vitamin B12 or folate deficiency, autoimmune anemia, hemolysis, hemorrhage, or hereditary anemia such as sickle cell anemia or thalassemia.
* The Investigator judges that the participant will be unable to fully participate in the study and complete it for any reason, including inability to comply with study procedures and treatment, addiction, or any other relevant medical conditions.
Minimum Eligible Age

18 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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Affiliated Hospital of Hebei University

Baoding, , China

Site Status

Cancer Hospital, Chinese Academy of Medical Sciences

Beijing, , China

Site Status

Capital Medical University Chest Hospital

Beijing, , China

Site Status

Peking University Cancer Hospital

Beijing, , China

Site Status

Jilin Cancer Hospital

Changchun, , China

Site Status

Hunan Cancer Hospital

Changsha, , China

Site Status

Sichuan Cancer Hospital

Chengdu, , China

Site Status

Chongqing Bishan People's Hospital

Chongqing, , China

Site Status

The Second Affiliated Hospital of Third Military Medical University (Xinqiao Hospital)

Chongqing, , China

Site Status

Deyang People's Hospital

Deyang, , China

Site Status

The First People's Hospital of Foshan

Foshan, , China

Site Status

Fujian Medical University Union Hospital

Fuzhou, , China

Site Status

Sun Yat-sen Memorial Hospital, Sun Yat-sen University - Gynecologic Oncology Department

Guangzhou, , China

Site Status

Sun Yat-sen Memorial Hospital, Sun Yat-sen University - Oncology Department

Guangzhou, , China

Site Status

Hangzhou Cancer Hospital

Hangzhou, , China

Site Status

Zhejiang Cancer Hospital

Hangzhou, , China

Site Status

Harbin Medical University Cancer Hospital

Harbin, , China

Site Status

Anhui Cancer Hospital

Hefei, , China

Site Status

Jiangxi Cancer Hospital

Jiangxi, , China

Site Status

Shandong First Medical University Cancer Hospital

Jinan, , China

Site Status

The Second Hospital of Lanzhou University

Lanzhou, , China

Site Status

Jiangsu Province Hospital

Nanjing, , China

Site Status

The People's Hospital of Guangxi Zhuang Autonomous Region

Nanning, , China

Site Status

Neijiang Second People's Hospital

Neijiang, , China

Site Status

Ningbo First Hospital

Ningbo, , China

Site Status

Jiangxi Pingxiang People's Hospital

Pingxiang, , China

Site Status

The Affiliated Hospital of Qingdao University

Qingdao, , China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, , China

Site Status

Shanghai Chest Hospital

Shanghai, , China

Site Status

Shanghai Fifth People's Hospital

Shanghai, , China

Site Status

Liaoning Cancer Hospital & Institute

Shenyang, , China

Site Status

The First Hospital of China Medical University - Oncology Department Breast Cancer Group

Shenyang, , China

Site Status

The First Hospital of China Medical University - Oncology Department Lung Cancer Group

Shenyang, , China

Site Status

Peking University Shenzhen Hospital

Shenzhen, , China

Site Status

Shanxi Cancer Hospital

Taiyuan, , China

Site Status

Union Hospital Tongji Medical College, Huazhong University of Science and Technology

Wuhan, , China

Site Status

University of Science and Technology

Wuhan, , China

Site Status

Wuhan Fourth Hospital

Wuhan, , China

Site Status

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status

Cancer Hospital of Xinjiang Medical University

Xinjiang, , China

Site Status

Xuzhou Central Hospital

Xuzhou, , China

Site Status

Yantai Yuhuangding Hospital

Yantai, , China

Site Status

General Hospital of Ningxia Medical University

Yinchuan, , China

Site Status

Henan Cancer Hospital

Zhengzhou, , China

Site Status

Zhuzhou Central Hospital

Zhuzhou, , China

Site Status

Countries

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China

References

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Lu S, Wu J, Jiang J, Guo Q, Yu Y, Liu Y, Zhang H, Qian L, Dai X, Xie Y, Fu T, Lee T, Lu Y, Ma R, Eisner MD. Efficacy and Safety of Roxadustat for Anemia in Patients Receiving Chemotherapy for Nonmyeloid Malignancies: A Randomized, Open-Label, Active-Controlled Phase III Study. J Clin Oncol. 2025 Jan 10;43(2):143-153. doi: 10.1200/JCO.23.02742. Epub 2024 Oct 1.

Reference Type DERIVED
PMID: 39353163 (View on PubMed)

Glaspy J, Gabrail NY, Locantore-Ford P, Lee T, Modelska K, Samal V, Henry DH. Open-label, Phase 2 study of roxadustat for the treatment of anemia in patients receiving chemotherapy for non-myeloid malignancies. Am J Hematol. 2023 May;98(5):703-711. doi: 10.1002/ajh.26865. Epub 2023 Feb 24.

Reference Type DERIVED
PMID: 36710399 (View on PubMed)

Other Identifiers

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FGCL-4592-898

Identifier Type: -

Identifier Source: org_study_id

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