NCT00321919

Brief Summary

This study will evaluate whether anemia prevention with NeoRecormon has an additional impact on reducing cardiovascular risk over conventional anemia treatment in patients mostly with stage IV chronic kidney disease and renal anemia. The anticipated time on study treatment is 2+ years and the target sample size is 500+ individuals.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
605

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jul 2000

Typical duration for phase_3

Geographic Reach
22 countries

93 active sites

Status
completed

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

July 1, 2000

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2004

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2004

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

May 3, 2006

Completed
1 day until next milestone

First Posted

Study publicly available on registry

May 4, 2006

Completed
10.1 years until next milestone

Results Posted

Study results publicly available

May 25, 2016

Completed
Last Updated

June 29, 2016

Status Verified

May 1, 2016

Enrollment Period

4.3 years

First QC Date

May 3, 2006

Results QC Date

February 24, 2016

Last Update Submit

May 27, 2016

Conditions

Outcome Measures

Primary Outcomes (1)

  • Median Time to First Cardiovascular Event

    The cardiovascular event was defined as any of the following: angina pectoris leading to hospitalization for at least 24 hours or prolongation of hospitalization, acute heart failure, fatal or non-fatal myocardial infarction, fatal or non-fatal stroke, sudden death, transient cerebral ischemic attack (TIA), peripheral vascular disease (amputation, necrosis), cardiac arrhythmias leading to hospitalization for at least 24 hours or prolongation of hospitalization. The time to occurrence of a cardiovascular event was determined as the time from randomization until any of the above listed events whichever occurred first. The first event per participant was used for the analysis. Only events confirmed by the Endpoint Committee were considered for analysis.

    Up to 4 years

Secondary Outcomes (17)

  • Median Time to Death Due to Cardiovascular Events

    Up to 4 years

  • Number of Participants Who Died Due to Cardiovascular Events

    Up to 4 years

  • Median Time to Death Due to All Causes

    Up to 4 years

  • Number of Participants Who Died Due to All Causes

    Up to 4 years

  • Number of Participants Experiencing Worsening of New York Heart Association (NYHA) Class (CL) of Chronic Heart Failure From Baseline (BL)

    Up to 4 years

  • +12 more secondary outcomes

Study Arms (2)

Early Epoetin Beta Therapy

EXPERIMENTAL

Participants received immediate epoetin beta therapy starting at 2000 IU, subcutaneously once weekly up to four years to reach a target Hb level of 13-15 g/dL; with an individual Hb increase of at least 2 g/dL within approximately 3 months.

Drug: epoetin beta [NeoRecormon]

Late Epoetin Beta Therapy

ACTIVE COMPARATOR

Participants received epoetin beta treatment starting at 2000 IU, subcutaneously once weekly up to four years only when a decline in Hb levels to \<10.5 g/dL had occurred in order to reach a target Hb of 10.5-11.5 g/dL.

Drug: epoetin beta [NeoRecormon]

Interventions

Participants in the early treatment group immediately started epoetin beta treatment to reach a target Hb level of 13-15 g/dL at the end of the correction phase.

Early Epoetin Beta Therapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • adult patients \>=18 years of age;
  • chronic renal anemia;
  • not receiving renal replacement therapy.

You may not qualify if:

  • women who are pregnant or lactating;
  • previous treatment with erythropoietin or other erythropoietic substance;
  • blood transfusion within the last 3 months;
  • need for dialysis expected in the next 6 months;
  • administration of another investigational drug within 30 days preceding study start, or during the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (93)

Unknown Facility

Linz, 4020, Austria

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Sankt Pölten, 3100, Austria

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Brussels, 1070, Belgium

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Brussels, 1090, Belgium

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Edegem, 2650, Belgium

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Brno, 625 00, Czechia

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Havířov, 736 01, Czechia

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Olomouc, 775 20, Czechia

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Ostrava, 708 52, Czechia

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Fredericia, 7000, Denmark

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Herlev, 2730, Denmark

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Holbæk, 4300, Denmark

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Roskilde, 4000, Denmark

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Jyväskylä, 40620, Finland

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Tampere, 33521, Finland

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Amiens, 80054, France

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Angoulême, 16470, France

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Bordeaux, 33000, France

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Boulogne, 62321, France

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Colmar, 68024, France

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Lyon, 69437, France

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Montpellier, 34295, France

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Paris, 75743, France

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Saint-Brieuc, 22023, France

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Troyes, 10003, France

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Vandœuvre-lès-Nancy, 54511, France

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Berlin, 13353, Germany

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Villingen-Schwenningen, 78054, Germany

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Würzburg, 97072, Germany

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Athens, 115 27, Greece

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Thessaloniki, 546 42, Greece

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Véria, 59100, Greece

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Hong Kong, Hong Kong

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Dublin, 9, Ireland

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Bologna, 40138, Italy

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Busto Arsizio, 21052, Italy

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Cagliari, 09134, Italy

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Cinisello Balsamo, 20092, Italy

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Lecco, 23900, Italy

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Napoli, 80131, Italy

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Padua, 35128, Italy

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Parma, 43100, Italy

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Pavia, 27100, Italy

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Roma, 00144, Italy

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Roma, 00146, Italy

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Roma, 00152, Italy

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San Giovanni Rotondo, 71013, Italy

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Trieste, 34125, Italy

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Vimercate, 20059, Italy

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Cuernavaca, 62448, Mexico

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Tijuana, 44650, Mexico

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Oslo, 0407, Norway

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Gdansk, 80-211, Poland

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Kielce, 25-736, Poland

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Krakow, 31-501, Poland

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Wroclaw, 50-417, Poland

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Almada, 2800, Portugal

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Carnaxide, 2799-523, Portugal

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Lisbon, 1800-083, Portugal

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Porto, 4200-319, Portugal

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Moscow, 123182, Russia

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Moscow, 125101, Russia

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Moscow, Russia

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Saint Petersburg, 195067, Russia

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Saint Petersburg, 197110, Russia

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Barcelona, 08035, Spain

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Las Palmas de Gran Canaria, 35020, Spain

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Madrid, 28007, Spain

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Madrid, 28046, Spain

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Valencia, 46009, Spain

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Borås, 50182, Sweden

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Helsingborg, 25187, Sweden

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Jönköping, 55185, Sweden

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Karlstad, 65185, Sweden

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Norrköping, 60182, Sweden

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Örebro, 70185, Sweden

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Stockholm, 17176, Sweden

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Sundsvall, 85186, Sweden

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Taichung, 407, Taiwan

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Tainan, 701, Taiwan

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Taipei, 100, Taiwan

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Taoyuan District, 333, Taiwan

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Bangkok, 10700, Thailand

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Chiang Mai, 50200, Thailand

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Ankara, 06100, Turkey (Türkiye)

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Istanbul, 34390, Turkey (Türkiye)

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Izmir, 35100, Turkey (Türkiye)

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Belfast, BT9 7AB, United Kingdom

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London, SE22 8PT, United Kingdom

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Newcastle upon Tyne, NE7 7DN, United Kingdom

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Salford, M6 8HD, United Kingdom

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Southampton, SO16 6YD, United Kingdom

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Surrey, SM5 1AA, United Kingdom

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Related Publications (3)

  • Chung 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.

  • Locatelli F, Eckardt KU, Macdougall IC, Tsakiris D, Clyne N, Burger HU, Scherhag A, Drueke TB; Cardiovascular Risk Reduction in Early Anaemia Trial with Epoetin Beta investigators and coordinators. Value of N-terminal brain natriuretic peptide as a prognostic marker in patients with CKD: results from the CREATE study. Curr Med Res Opin. 2010 Nov;26(11):2543-52. doi: 10.1185/03007995.2010.516237. Epub 2010 Sep 17.

  • Drueke TB, Locatelli F, Clyne N, Eckardt KU, Macdougall IC, Tsakiris D, Burger HU, Scherhag A; CREATE Investigators. Normalization of hemoglobin level in patients with chronic kidney disease and anemia. N Engl J Med. 2006 Nov 16;355(20):2071-84. doi: 10.1056/NEJMoa062276.

MeSH Terms

Conditions

Anemia

Interventions

epoetin beta

Condition Hierarchy (Ancestors)

Hematologic DiseasesHemic and Lymphatic Diseases

Results Point of Contact

Title
Roche Trial Information Hotline
Organization
F. Hoffmann-La Roche AG

Study Officials

  • Clinical Trials

    Hoffmann-La Roche

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 3, 2006

First Posted

May 4, 2006

Study Start

July 1, 2000

Primary Completion

October 1, 2004

Study Completion

December 1, 2004

Last Updated

June 29, 2016

Results First Posted

May 25, 2016

Record last verified: 2016-05

Locations