A Study of Monthly Subcutaneous Continuous Erythropoietin Receptor Activator (CERA) in Predialysis Participants With Chronic Renal Anemia
ORION
A Single Arm, Open Label Study to Assess the Efficacy, Safety and Tolerability of Once Monthly Administration of Subcutaneous C.E.R.A. for the Maintenance of Haemoglobin Levels in Pre-Dialysis Patients With Chronic Renal Anaemia
2 other identifiers
interventional
140
1 country
34
Brief Summary
This single arm study will assess the long term maintenance of hemoglobin (Hb) levels, safety and tolerability of once monthly subcutaneous methoxy polyethylene glycol-epoetin beta (CERA) in predialysis participants with chronic renal anemia. Participants currently receiving subcutaneous darbopoetin alfa maintenance treatment will receive subcutaneous methoxy polyethylene glycol-epoetin beta for a maximum of 32 weeks at a starting dose of 120, 200 or 360 micrograms every 4 weeks according to the dose of darbopoetin alfa administered in Week -1. Subsequent doses will be adjusted to maintain hemoglobin levels within the target range of 10 to 12 grams per deciliter (g/dL).
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 Sep 2008
34 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
September 1, 2008
CompletedFirst Submitted
Initial submission to the registry
October 15, 2008
CompletedFirst Posted
Study publicly available on registry
October 16, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2010
CompletedResults Posted
Study results publicly available
April 4, 2016
CompletedApril 4, 2016
March 1, 2016
1.5 years
October 15, 2008
March 4, 2016
March 4, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Maintaining Their Mean Hb Concentration Within Plus/Minus (±) 1 Grams Per Deciliter (g/dL) of the Reference Range and Between 10.0 and 12.0 g/dL During Efficacy Evaluation Period (EEP)
The reference Hb was defined as the average Hb concentration calculated on the basis of all Hb assessments taken at Weeks -4, -2, and 0 (before the first dose administration).
EEP: Weeks 17 to 28
Secondary Outcomes (5)
Change in Hb Concentrations Between EEP and Stability Verification Period (SVP)
SVP: Week -4 to Week 0; EEP: Weeks 17 to 28
Percentage of Participants Maintaining Hb Concentrations Within the Range of 10.0 to 12.0 g/dL Throughout EEP
EEP: Weeks 17 to 28
Median Time Spent in the Hb Range of 10.0 to 12.0 g/dL During the EEP
EEP: Weeks 17 to 28
Percentage of Participants Requiring Any Dose Adjustment During Dose Titration Period (DTP) and EEP
DTP: Weeks 1 to 16; EEP: Weeks 17 to 28
Percentage of Participants Who Required Red Blood Cell Transfusions
Weeks 1 to 28
Study Arms (1)
Methoxy Polyethylene Glycol-Epoetin Beta
EXPERIMENTALParticipants will receive methoxy polyethylene glycol-epoetin beta once monthly by subcutaneous (SC) injection for 28 weeks.
Interventions
120, 200 or 360 micrograms every 4 weeks by subcutaneous injection.
Eligibility Criteria
You may qualify if:
- Chronic renal anemia;
- Continuous subcutaneous maintenance darbopoetin alfa treatment during previous month;
- Hb concentration between 10 and 12 g/dL;
- Adequate iron status.
You may not qualify if:
- Transfusion of red blood cells during previous 2 months;
- Significant acute or chronic bleeding, such as overt gastrointestinal bleeding;
- Poorly controlled hypertension requiring hospitalization or interruption of darbopoetin alfa treatment in the previous 6 months;
- Active malignant disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (34)
Unknown Facility
Barletta, Apulia, 70051, Italy
Unknown Facility
Molfetta (Ba), Apulia, 70056, Italy
Unknown Facility
Putignano, Apulia, 70017, Italy
Unknown Facility
Caserta, Campania, 81100, Italy
Unknown Facility
Eboli, Campania, 84025, Italy
Unknown Facility
Napoli, Campania, 80131, Italy
Unknown Facility
Nola, Campania, 80035, Italy
Unknown Facility
Solofra, Campania, 83029, Italy
Unknown Facility
Tivoli, Campania, 00019, Italy
Unknown Facility
Bologna, Emilia-Romagna, 40138, Italy
Unknown Facility
Pordenone, Friuli Venezia Giulia, 33170, Italy
Unknown Facility
Albano Laziale, Lazio, 00041, Italy
Unknown Facility
Civita Castellana, Lazio, 01033, Italy
Unknown Facility
Viterbo, Lazio, 01100, Italy
Unknown Facility
Savona, Liguria, 17100, Italy
Unknown Facility
Cinisello Balsamo, Lombardy, 20092, Italy
Unknown Facility
Cremona, Lombardy, 26100, Italy
Unknown Facility
Mantova, Lombardy, 46100, Italy
Unknown Facility
Monza, Lombardy, 20052, Italy
Unknown Facility
Pavia, Lombardy, 27100, Italy
Unknown Facility
S Fermo Della Battaglia, Lombardy, 22020, Italy
Unknown Facility
Varese, Lombardy, 21100, Italy
Unknown Facility
Campobasso, Molise, 86100, Italy
Unknown Facility
Alessandria, Piedmont, 15100, Italy
Unknown Facility
Chivasso, Piedmont, 10034, Italy
Unknown Facility
Catania, Sicily, 95124, Italy
Unknown Facility
Erice, Sicily, 91016, Italy
Unknown Facility
Messina, Sicily, 98122, Italy
Unknown Facility
Palermo, Sicily, 90127, Italy
Unknown Facility
Ancona, The Marches, 60131, Italy
Unknown Facility
Pesaro, The Marches, 61100, Italy
Unknown Facility
Lido di Camaiore, Tuscany, 55043, Italy
Unknown Facility
Pistoia, Tuscany, 51100, Italy
Unknown Facility
Siena, Tuscany, 53100, Italy
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffman-La Roche
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 15, 2008
First Posted
October 16, 2008
Study Start
September 1, 2008
Primary Completion
March 1, 2010
Study Completion
March 1, 2010
Last Updated
April 4, 2016
Results First Posted
April 4, 2016
Record last verified: 2016-03