A Study of Intravenous Mircera (C.E.R.A or Methoxy Polyethylene Glycol-epoetin Beta) for the Maintenance Treatment of Hemodialysis Participants With Chronic Renal Anemia
An Open Label Randomised Controlled Study to Compare the Efficacy, Safety and Tolerability of Once-monthly Administration of Intravenous C.E.R.A. Versus Epoetin Alfa for the Maintenance of Haemoglobin Levels in Hemodialysis Patients With Chronic Renal Anaemia
2 other identifiers
interventional
101
1 country
19
Brief Summary
This 2 arm study will compare the efficacy and safety of monthly administration of intravenous (IV) Mircera versus epoetin alfa for the maintenance of hemoglobin levels in hemodialysis patients with chronic renal anemia. Participants currently receiving maintenance treatment with epoetin alfa will be randomized either to receive monthly injections of 120, 200 or 360 micrograms Mircera, with the starting dose derived from the dose of epoetin alfa they were receiving in the week preceding study start, or to continue on epoetin alfa treatment. The anticipated duration of study is 32 weeks, and the target sample size is 146 participants.
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
19 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
January 1, 2008
CompletedFirst Submitted
Initial submission to the registry
January 18, 2008
CompletedFirst Posted
Study publicly available on registry
January 31, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2010
CompletedResults Posted
Study results publicly available
May 13, 2016
CompletedMay 13, 2016
October 1, 2013
2 years
January 18, 2008
April 8, 2016
April 8, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Who Maintained Average Hemoglobin (Hb) Concentration Within Plus Minus (+/-) 1 Grams Per Deciliter (g/dL) of Their Reference Hb and Between 10 and 12 g/dL During the EEP
Participants who maintained average Hb concentration within +/-1 g/dL of their reference Hb and between 10 to 12 g/dL during EEP are reported. The reference Hb value was defined on the basis of all assessments at Weeks -4, -3, -2, -1 and 0.
EEP (Week 16 to 23)
Secondary Outcomes (5)
Change in Hb Concentrations Between Baseline SVP and the EEP
SVP (Week -4 to -1), EEP (Week 16 to 23)
Percentage of Participants Who Maintained Hb Concentration Between 10 and 12 g/dL Throughout the EEP
EEP (Week 16 to 23)
Mean Time Spent in Hb Range 10-12 g/dL
SVP (Week -4 to -1), DTP (Week 0 to 15), and EEP (Week 16 to 23)
Percentage of Participants Who Required Dose Adjustments During the DTP and EEP
DTP (Week 0 to 15) and EEP (Week 16 to 23)
Percentage of Participants Who Received Red Blood Cell (RBC) Transfusions During DTP and EEP
DTP (Week 0 to 15) up to EEP (Week 16 to 23)
Study Arms (2)
C.E.R.A
EXPERIMENTALParticipants received starting dose of 120, 200 or 360 mcg of C.E.R.A IV once monthly for 6 months. The starting dose was based on the dose of epoetin alfa administered in Week -1.
Epoetin Alfa
ACTIVE COMPARATORParticipants received IV injection of 6000 International Units (IU) of epoetin alfa every 3 weeks (q3wk) during the Stability Verification Period (SVP; Week -4 to -1), and 7443 IU of epoetin alfa q3wk during Dose Titration Period (DTP; Week 0 to 15), 7363 IU of epoetin alfa q3wk during Efficacy Evaluation Period (EEP; Week 16 to 23) up to 23 weeks.
Interventions
120, 200 or 360 micrograms iv/month (starting dose)
Eligibility Criteria
You may qualify if:
- chronic renal anemia;
- continuous iv maintenance epoetin alfa therapy, with the same dosing interval during the previous month to and during SVP;
- regular hemodialysis for greater than or equal to (\>=) 3 months
You may not qualify if:
- transfusion of red blood cells during previous 2 months
- poorly controlled hypertension requiring interruption of epoetin alfa treatment in previous 6 months;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (19)
Unknown Facility
Badajoz, Badajoz, 06300, Spain
Unknown Facility
Barcelona, Barcelona, 08035, Spain
Unknown Facility
Cáceres, Caceres, 10310, Spain
Unknown Facility
Cádizv, Cadiz, 11008, Spain
Unknown Facility
Castellon, Castellon, 12004, Spain
Unknown Facility
Ciudad Real, Ciudad Real, 13005, Spain
Unknown Facility
Huelva, Huelva, 21005, Spain
Unknown Facility
Madrid, Madrid, 28034, Spain
Unknown Facility
Madrid, Madrid, 28041, Spain
Unknown Facility
Madrid, Madrid, 28905, Spain
Unknown Facility
Marbella, Malaga, 29603, Spain
Unknown Facility
Tudela, Navarre, 46010, Spain
Unknown Facility
Pontevedra, Pontevedra, 36071, Spain
Unknown Facility
Salamanca, Salamanca, 37008, Spain
Unknown Facility
Teruel, Teruel, 44003, Spain
Unknown Facility
Valencia, Valencia, 46009, Spain
Unknown Facility
Valencia, Valencia, 46010, Spain
Unknown Facility
Zamora, Zamora, 49022, Spain
Unknown Facility
Zaragoza, Zaragoza, 50009, Spain
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
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 18, 2008
First Posted
January 31, 2008
Study Start
January 1, 2008
Primary Completion
January 1, 2010
Study Completion
January 1, 2010
Last Updated
May 13, 2016
Results First Posted
May 13, 2016
Record last verified: 2013-10