A Study of Mircera for the Maintenance Treatment of Participants With Chronic Renal Anemia
A Single Arm, Open Label Study to Assess the Efficacy, Safety, and Tolerability of Once-Monthly Administration of Intravenous C.E.R.A. for the Maintenance of Haemoglobin Levels in Dialysis Patients With Chronic Renal Anaemia
2 other identifiers
interventional
208
1 country
24
Brief Summary
This single-arm study will assess the efficacy and safety of intravenous (IV) Mircera when administered for the maintenance of hemoglobin (Hb) levels in participants with chronic renal anemia. Individuals currently receiving maintenance treatment with epoetin alfa or darbepoetin alfa will receive monthly injections of Mircera, with the starting dose (120, 200, or 360 micrograms \[mcg\] IV injection) derived from the dose of epoetin alfa or darbepoetin alfa they were receiving in the week preceding study start.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Jan 2008
24 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
First Submitted
Initial submission to the registry
October 29, 2007
CompletedFirst Posted
Study publicly available on registry
October 30, 2007
CompletedStudy Start
First participant enrolled
January 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2009
CompletedResults Posted
Study results publicly available
March 30, 2016
CompletedMarch 30, 2016
February 1, 2016
1.7 years
October 29, 2007
February 29, 2016
February 29, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Who Maintained Average Hb Within Plus/Minus (±) 1 g/dL of Reference Hb and Within Target Range During the Efficacy Evaluation Period (EEP)
Reference Hb was determined individually per participant as the average of all Hb values during a pre-treatment stability assessment (Weeks -4 to 0). During the EEP (Weeks 17 to 24), participants provided a total of four blood samples for Hb monitoring while on treatment with Mircera/CERA. The average Hb during the EEP was calculated per participant and assessed against the reference value. The percentage of participants who had average Hb during the EEP in the target range of 10.5 to 12.5 g/dL and within ±1 g/dL of their individual reference Hb was determined as the primary endpoint. The 95 percent (%) confidence interval (CI) was calculated using the Pearson-Clopper method for exact confidence bounds.
Weeks -4, -3, -2, -1,and 0; pre-dose (0 hours) during Weeks 18, 20, 22, and 24
Secondary Outcomes (5)
Mean Change in Time-Adjusted Hb From Baseline to EEP
At Weeks -4, -3, -2, -1, and 0; pre-dose (0 hours) during Weeks 18, 20, 22, and 24
Percentage of Participants Whose Hb Remained Within Target Range Throughout the EEP
Pre-dose (0 hours) during Weeks 18, 20, 22, and 24
Mean Time Spent in the Target Range for Hb During the EEP
Pre-dose (0 hours) during Weeks 18, 20, 22, and 24
Percentage of Participants Who Required Any Dose Adjustment of Mircera/CERA During the Dose Titration Period (DTP) and EEP
Weeks 0, 4, 8, 12, 16, 20, and 24
Number of Participants Prematurely Withdrawn From the Study to Receive Blood Transfusion
Continuously and at every visit from Week 0 (every week until Week 2, thereafter every 2 weeks) through Week 24
Study Arms (1)
Mircera in Renal Anemia
EXPERIMENTALParticipants with chronic renal anemia who have been previously treated with erythropoiesis-stimulating agent (ESA) therapy will receive IV Mircera every 4 weeks for a total of 24 weeks in this single-arm study. The first dose of 120, 200, or 360 mcg will be determined by the dose of ESA received prior to administration of study treatment. Subsequent doses will be adjusted to maintain Hb concentrations within target of 10.5 and 12.5 grams per deciliter (g/dL).
Interventions
Participants will receive a starting dose of 120, 200, or 360 mcg via IV injection. Thereafter, the once-monthly dose will be titrated to achieve target Hb concentrations.
Eligibility Criteria
You may qualify if:
- Adults greater than or equal to (≥) 18 years of age
- Chronic renal anemia
- Stable epoetin alfa or darbepoetin alfa therapy for past 2 months
- Hemodialysis therapy for ≥3 months
You may not qualify if:
- Transfusion of red blood cells during previous 2 months
- Poorly controlled hypertension requiring hospitalization or interruption of ESA treatment in previous 6 months
- Acute or chronic bleeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (24)
Unknown Facility
Aigáleo, 12244, Greece
Unknown Facility
Athens, 11362, Greece
Unknown Facility
Athens, 11526, Greece
Unknown Facility
Athens, 11527, Greece
Unknown Facility
Athens, 11528, Greece
Unknown Facility
Athens, 12462, Greece
Unknown Facility
Athens, 18454, Greece
Unknown Facility
Athens, 18536, Greece
Unknown Facility
Corinthos, 20100, Greece
Unknown Facility
Daphni-athens, 17237, Greece
Unknown Facility
Ioannina, 455 00, Greece
Unknown Facility
Kalamata, 24100, Greece
Unknown Facility
Kyparissía, 24500, Greece
Unknown Facility
Lamia, 35100, Greece
Unknown Facility
Larissa, 41 110, Greece
Unknown Facility
Larissa, 41221, Greece
Unknown Facility
Livadeia, 32100, Greece
Unknown Facility
Mytilene, 81100, Greece
Unknown Facility
Pátrai, 26225, Greece
Unknown Facility
Rhodes, 85100, Greece
Unknown Facility
Thessaloniki, 546 42, Greece
Unknown Facility
Thessaloniki, 54629, Greece
Unknown Facility
Thessaloniki, 57001, Greece
Unknown Facility
Thessaloniki, 57010, Greece
Related Publications (1)
Locatelli F, Choukroun G, Truman M, Wiggenhauser A, Fliser D. Once-Monthly Continuous Erythropoietin Receptor Activator (C.E.R.A.) in Patients with Hemodialysis-Dependent Chronic Kidney Disease: Pooled Data from Phase III Trials. Adv Ther. 2016 Apr;33(4):610-25. doi: 10.1007/s12325-016-0309-6. Epub 2016 Mar 10.
PMID: 26965694DERIVED
MeSH Terms
Interventions
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffmann-LaRoche
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 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 29, 2007
First Posted
October 30, 2007
Study Start
January 1, 2008
Primary Completion
September 1, 2009
Study Completion
September 1, 2009
Last Updated
March 30, 2016
Results First Posted
March 30, 2016
Record last verified: 2016-02