A Study of Subcutaneous (sc) Mircera in Dialysis 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 Subcutaneous Epoetin Alfa or Beta to Maintenance Treatment With Subcutaneous RO0503821 in Dialysis Patients With Chronic Renal Anemia
1 other identifier
interventional
137
4 countries
23
Brief Summary
This study will determine the appropriate dose and frequency of administration of sc Mircera maintenance therapy in dialysis patients with chronic renal anemia who were previously receiving sc epoetin alfa or beta. The anticipated time on study treatment is 3-12 months and the target sample size is 100-500 individuals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Oct 2001
Typical duration for phase_2
23 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2001
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2005
CompletedFirst Submitted
Initial submission to the registry
August 15, 2006
CompletedFirst Posted
Study publicly available on registry
August 16, 2006
CompletedResults Posted
Study results publicly available
December 20, 2016
CompletedDecember 20, 2016
October 1, 2016
3.8 years
August 15, 2006
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 -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 (or Week 21) value.
From Baseline (Day -28 to Day 1) to EOIT (Week 19 or Week 21)
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 or Week 21)
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
Number of Participants With Marked Laboratory Abnormalities
Up to Week 126
Number of Participants With Any Adverse Events, Any Serious Adverse Events, And Deaths
Up to Week 126
Study Arms (9)
Cohort A (0.4/150, 1x/ Week)
EXPERIMENTALEligible participant will be administered RO0503821 (methoxy polyethylene glycol-epoetin beta \[Mircera\]) SC using a dose conversion factor of 0.4/150 microgram (mcg)/ kilogram (kg) of the previous weekly erythropoiesis stimulating agents (ESA) dose, (equal to 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 B (0.4/150, 1x/ 3 Weeks)
EXPERIMENTALEligible participant will be administered RO0503821 SC using a dose conversion factor of 0.4/150 mcg/kg of the previous weekly ESA dose, (equal to 50% assumed equi-effective dose) once every three 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 C (0.4/150, 1x/ 4 Weeks)
EXPERIMENTALEligible participant will be administered RO0503821 SC using a dose conversion factor of 0.4/150 mcg/kg of the previous weekly ESA dose, (equal to 50% assumed equi-effective dose) once every four weeks up to 21 weeks. After 21 weeks of core treatment period, participants will be followed-up for two optional treatment extension periods (54 weeks each).
Cohort D (0.8/150, 1x/ Week)
EXPERIMENTALEligible participant will be administered RO0503821 SC using a dose conversion factor of 0.8/150 mcg/kg of the previous weekly ESA dose, (equal to 100% 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 E (0.8/150, 1x/ 3 Weeks)
EXPERIMENTALEligible participant will be administered RO0503821 SC using a dose conversion factor of 0.8/150 mcg/kg of the previous weekly ESA dose, (equal to 100% assumed equi-effective dose) once every three 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 F (0.8/150, 1x/ 4 Weeks)
EXPERIMENTALEligible participant will be administered RO0503821 SC using a dose conversion factor of 0.8/150 mcg/kg of the previous weekly ESA dose, (equal to 100% assumed equi-effective dose) once every four weeks up to 21 weeks. After 21 weeks of core treatment period, participants will be followed-up for two optional treatment extension periods (54 weeks each).
Cohort G (1.2/150, 1x/ Week)
EXPERIMENTALEligible participant will be administered RO0503821 SC using a dose conversion factor of 1.2/150 mcg/kg of the previous weekly ESA dose, (equal to 150% 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 H (1.2/150, 1x/ 3 Weeks)
EXPERIMENTALEligible participant will be administered RO0503821 SC using a dose conversion factor of 1.2/150 mcg/kg of the previous weekly ESA dose, (equal to 150% assumed equi-effective dose) once every three 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 I (1.2/150, 1x/ 4 Weeks)
EXPERIMENTALEligible participant will be administered RO0503821 SC using a dose conversion factor of 1.2/150 mcg/kg of the previous weekly ESA dose, (equal to 150% assumed equi-effective dose) once every four weeks up to 21 weeks. After 21 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 sc administration
Eligibility Criteria
You may qualify if:
- adult patients \>=18 years of age;
- chronic renal anemia;
- on dialysis (hemodialysis or peritoneal dialysis) therapy for at least 3 months;
- receiving sc epoetin alfa or beta for at least 3 months 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 preceding the run-in phase, or during the run-in or study treatment period.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (23)
Unknown Facility
Los Angeles, California, 90073, United States
Unknown Facility
San Jose, California, 95116-1906, United States
Unknown Facility
Boston, Massachusetts, 02130, United States
Unknown Facility
Cleveland, Ohio, 44106, United States
Unknown Facility
Houston, Texas, 77030, United States
Unknown Facility
Morgantown, West Virginia, 26506, United States
Unknown Facility
Berlin, 10625, Germany
Unknown Facility
Mannheim, 68167, Germany
Unknown Facility
Villingen-Schwenningen, 78054, Germany
Unknown Facility
Wiesloch, 69168, Germany
Unknown Facility
Bari, 70124, Italy
Unknown Facility
Bergamo, 24128, Italy
Unknown Facility
Lecco, 23900, Italy
Unknown Facility
Lodi, 26900, Italy
Unknown Facility
Milan, 20122, Italy
Unknown Facility
Modena, 41100, Italy
Unknown Facility
Pavia, 27100, Italy
Unknown Facility
Vicenza, 36100, Italy
Unknown Facility
Barcelona, 08036, Spain
Unknown Facility
Madrid, 28007, Spain
Unknown Facility
Madrid, 28046, Spain
Unknown Facility
Málaga, 29010, Spain
Unknown Facility
Santander, 39008, Spain
Related Publications (2)
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.
PMID: 36791280DERIVEDLocatelli F, Villa G, de Francisco AL, Albertazzi A, Adrogue HJ, Dougherty FC, Beyer U; BA16286 Study Investigators. Effect of a continuous erythropoietin receptor activator (C.E.R.A.) on stable haemoglobin in patients with CKD on dialysis: once monthly administration. Curr Med Res Opin. 2007 May;23(5):969-79. doi: 10.1185/030079907x182103.
PMID: 17519064DERIVED
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
August 15, 2006
First Posted
August 16, 2006
Study Start
October 1, 2001
Primary Completion
July 1, 2005
Study Completion
July 1, 2005
Last Updated
December 20, 2016
Results First Posted
December 20, 2016
Record last verified: 2016-10