A Study of Intravenous (iv) Mircera in Hemodialysis Patients With Chronic Renal Anemia
An Open-label, Multicenter, Randomized Study to Determine Dose Conversion Factors at Different Frequencies of Administration After Switching From Maintenance Treatment With Intravenous Epoetin Alfa to Maintenance Treatment With Intravenous RO0503821 in Hemodialysis Patients With Chronic Renal Anemia.
1 other identifier
interventional
91
1 country
14
Brief Summary
This study will determine the appropriate dose and frequency of administration of iv Mircera maintenance therapy in hemodialysis patients with chronic renal anemia who were previously receiving iv epoetin. The anticipated time on study treatment is 3-12 months and the target sample size is \<100 individuals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Mar 2002
Typical duration for phase_2
14 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2002
CompletedFirst Submitted
Initial submission to the registry
October 24, 2002
CompletedFirst Posted
Study publicly available on registry
October 25, 2002
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2005
CompletedResults Posted
Study results publicly available
December 20, 2016
CompletedDecember 20, 2016
October 1, 2016
3.3 years
October 24, 2002
May 3, 2016
October 26, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Median Change From Baseline in Hemoglobin Levels to End of Initial Treatment Under Constant Dosing Regimen
Median change from Baseline in hemoglobin (Hb) levels to end of initial treatment (EOIT) under constant dosing regimen was reported. For ease of interpretation, all individual slope values were multiplied by 42 to give an estimate of change in Hb values over six weeks. Baseline (Day -28 to Day 1) Hb values was calculated as the mean of the screening assessment (SA) and run-in period (Week -2 and Week -1). For all participants, an EOIT value was calculated as the last observed Hb value before a dose change or blood transfusion. For participants without any dose adjustments or blood transfusion, the EOIT value was identical to the Week 19 value.
From Baseline (Day -28 to Day 1) to EOIT (Week 19)
Secondary Outcomes (5)
Median Change From Baseline in Hematocrit Levels to End of Initial Treatment Under Constant Dosing Regimen
From Baseline (Day -28 to Day 1) to EOIT (Week 19)
Number of Participants With Any Adverse Events, Any Serious Adverse Events, And Deaths
Up to Week 126
Number of Participants With Marked Laboratory Abnormalities
Up to Week 126
Mean Change From Baseline in Systolic Blood Pressure and Diastolic Blood Pressure Before and After Dialysis
From Baseline (Day -28 to Day 1) to Week 126
Mean Change in Pulse Rate
Up to Week 126
Study Arms (6)
Cohort 1 (RO0503821 [0.25/150 1x/week])
EXPERIMENTALEligible participant will be administered RO0503821 (methoxy polyethylene glycol-epoetin beta \[Mircera\]) intravenously (IV) using a dose conversion factor of 0.25/150 microgram (mcg)/kilogram (kg) of the previous weekly erythropoiesis stimulating agents (ESA) dose, (equal to 62.50% assumed equi-effective dose) once weekly up to 19 weeks. After 19 weeks of core treatment period, participants will be followed-up for two optional treatment extension periods (54 weeks each).
Cohort 2 (RO0503821 [0.25/150 1x/2week])
EXPERIMENTALEligible participant will be administered RO0503821 IV using a dose conversion factor of 0.25/150 mcg/kg of the previous weekly ESA dose, (equal to 62.50% assumed equi-effective dose) once in every two weeks up to 19 weeks. After 19 weeks of core treatment period, participants will be followed-up for two optional treatment extension periods (54 weeks each).
Cohort 3 (RO0503821 [0.4/150 1x/week])
EXPERIMENTALEligible participant will be administered RO0503821 IV using a dose conversion factor of 0.40/150 mcg/kg of the previous weekly ESA dose, (equal to100% assumed equi-effective dose) once weekly up to 19 weeks. After 19 weeks of core treatment period, participants will be followed-up for two optional treatment extension periods (54 weeks each).
Cohort 4 (RO0503821 [0.4/150 1x/2week])
EXPERIMENTALEligible participant will be administered RO0503821 IV using a dose conversion factor of 0.40/150 mcg/kg of the previous weekly ESA dose, (equal to 100% assumed equi-effective dose) once in every two weeks up to 19 weeks. After 19 weeks of core treatment period, participants will be followed-up for two optional treatment extension periods (54 weeks each).
Cohort 5 (RO0503821 [0.6/150 1x/week])
EXPERIMENTALEligible participant will be administered RO0503821 IV using a dose conversion factor of 0.60/150 mcg/kg of the previous weekly ESA dose, (equal to150% assumed equi-effective dose) once weekly up to 19 weeks. After 19 weeks of core treatment period, participants will be followed-up for two optional treatment extension periods (54 weeks each).
Cohort 6 (RO0503821 [0.6/150 1x/2week])
EXPERIMENTALEligible participant will be administered RO0503821 IV using a dose conversion factor of 0.60/150 mcg/kg of the previous weekly ESA dose, (equal to150% assumed equi-effective dose) once in every two weeks up to 19 weeks. After 19 weeks of core treatment period, participants will be followed-up for two optional treatment extension periods (54 weeks each).
Interventions
Differing doses and frequencies of iv administration
Eligibility Criteria
You may qualify if:
- adult patients \>=18 years of age;
- chronic renal anemia;
- on hemodialysis therapy for at least 3 months;
- receiving iv epoetin alfa during the 2 weeks prior to the run-in period.
You may not qualify if:
- women who are pregnant, breastfeeding or using unreliable birth control methods;
- use of any investigational drug within 30 days of the run-in phase, or during the run-in or study treatment period.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (14)
Unknown Facility
Birmingham, Alabama, 35211, United States
Unknown Facility
Los Angeles, California, 90095, United States
Unknown Facility
Maywood, Illinois, 60153, United States
Unknown Facility
Louisville, Kentucky, 40202-1718, United States
Unknown Facility
Detroit, Michigan, 48202-2689, United States
Unknown Facility
Detroit, Michigan, 48236, United States
Unknown Facility
Brooklyn Center, Minnesota, 55430, United States
Unknown Facility
Las Vegas, Nevada, 89106, United States
Unknown Facility
Paterson, New Jersey, 07503, United States
Unknown Facility
Brooklyn, New York, 11203, United States
Unknown Facility
Mineola, New York, 11501, United States
Unknown Facility
New York, New York, 10128, United States
Unknown Facility
Nashville, Tennessee, 37232, United States
Unknown Facility
Morgantown, West Virginia, 26506, United States
Related Publications (2)
Natale P, Ju A, Strippoli GF, Craig JC, Saglimbene VM, Unruh ML, Stallone G, Jaure A. Interventions for fatigue in people with kidney failure requiring dialysis. Cochrane Database Syst Rev. 2023 Aug 31;8(8):CD013074. doi: 10.1002/14651858.CD013074.pub2.
PMID: 37651553DERIVEDChung EY, Palmer SC, Saglimbene VM, Craig JC, Tonelli M, Strippoli GF. Erythropoiesis-stimulating agents for anaemia in adults with chronic kidney disease: a network meta-analysis. Cochrane Database Syst Rev. 2023 Feb 13;2(2):CD010590. doi: 10.1002/14651858.CD010590.pub3.
PMID: 36791280DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Roche Trial Information Hotline
- Organization
- F. Hoffmann-La Roche AG
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 24, 2002
First Posted
October 25, 2002
Study Start
March 1, 2002
Primary Completion
June 1, 2005
Study Completion
June 1, 2005
Last Updated
December 20, 2016
Results First Posted
December 20, 2016
Record last verified: 2016-10