A Study of Methoxy Polyethylene Glycol-Epoetin Beta (Mircera) for the Treatment of Chronic Renal Anemia in Participants With Diabetic Nephropathy
A Single Arm Open Label Multicenter Interventional Study to Assess the Efficacy, Safety, and Tolerability of Every 4 Weeks Administration of Subcutaneous C.E.R.A. for the Treatment of Chronic Renal Anemia in Diabetic Nephropathy With Chronic Kidney Disease Stages III-IV Not on Dialysis, Not Currently Treated With ESA.
1 other identifier
interventional
102
1 country
14
Brief Summary
This single arm, open label study will assess the efficacy, safety and tolerability of methoxy polyethylene glycol-epoetin beta for the treatment of chronic renal anemia in participants with chronic kidney disease (CKD) secondary to diabetes. Participants who are not on dialysis and not currently treated with erythropoiesis stimulating agents (ESAs) will receive methoxy polyethylene glycol-epoetin beta subcutaneously every 4 weeks (Q4W). The starting dose of 1.2 microgram/kilogram (mcg/kg) methoxy polyethylene glycol-epoetin beta will be adjusted according to hemoglobin levels. Anticipated time on study treatment is 28 weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Aug 2010
Longer than P75 for phase_4
14 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
August 13, 2010
CompletedFirst Submitted
Initial submission to the registry
August 16, 2010
CompletedFirst Posted
Study publicly available on registry
August 31, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 23, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
April 23, 2018
CompletedJuly 18, 2018
July 1, 2018
7.7 years
August 16, 2010
July 17, 2018
Conditions
Outcome Measures
Primary Outcomes (3)
Mean time taken to achieve target hemoglobin (Hb) levels range (10-12 g/dL) During Efficacy Evaluation Period (EEP)
EEP (Week 17 up to Week 24)
Change in Hb Concentration Between Baseline and EEP
Baseline (Week -2 up to Week 0); EEP (Week 17 up to Week 24)
Percentage of Participants Maintaining Hb Concentration Within the Target Range (10-12 g/dL) During EEP
EEP: (Week 17 up to Week 24)
Secondary Outcomes (4)
Percentage of Participants With Adverse Events
Baseline (Week -2 up to Week 0) to Week 28
Percentage of Participants With Red Blood Cell Transfusion During Treatment Period
Week 0 up to Week 24
Percentage of Participants with anti-epoetin antibodies
Baseline (Week-2 up to Week 0) up to Week 28
Short Form-36 Health Survey (SF-36) score
Week 0 to Week 24
Study Arms (1)
Methoxy polyethylene glycol-epoetin beta
EXPERIMENTALParticipants will receive 1.2 mcg/kg methoxy polyethylene glycol-epoetin beta given in monthly doses at each visit. Dose will be measured on the basis of the participants Hb level during the study period. The dose administration will be the nearest possible dose using the prefilled syringes containing 50, 75 and 100 mcg/kg Q4W.
Interventions
Starting dose of 1.2 mcg/kg, adjusted according to Hb values, administered by subcutaneous injection Q4W
Eligibility Criteria
You may qualify if:
- Diabetic nephropathy
- Chronic renal anemia with stage III-IV CKD
- Not on dialysis and not expected to require dialysis within the next 6 months
- Not receiving any ESA in the 2 months prior to study
- Adequate iron status
You may not qualify if:
- Transfusion of red blood cells during the previous 2 months
- Known or clinical suspicion of pure red cell aplasia
- Hypersensitivity to recombinant human erythropoietin, polyethylene glycol or to any constituent of the study medication
- Haemoglobinopathy
- Significant acute or chronic bleeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (14)
Osmania General Hospital; Department of Nephrology
Hyderabad, Andhra Pradesh, 500012, India
Pushpawati Singhania Research Institute; Nephrology
New Delhi, National Capital Territory of Delhi, 110017, India
Indraprastha Apollo Hospitals
New Delhi, National Capital Territory of Delhi, 110076, India
Vijayratna Diabetes Diagnosis & Treatment Center
Ahmedabad, 380007, India
M S Ramaiah Memorial Hospital
Bangalore, 560054, India
North Delhi Diabetes Centre
Delhi, 110085, India
MAX Balaji Hospital
Delhi, 110092, India
Dr.Modi's Clinic
Hyderabad, 500001, India
IPGMER & SSKM Hospital; Rheumatology and Clinical Immunology Centre
Kolkata, 700 020, India
Apex Kidney Care Pvt. Ltd., Sushrut Hospital
Mumbai, 400 071, India
Diab Care Centre
Mumbai, 400076, India
Sanjeevani Hospital
Mumbai, 400097, India
Sahyadri Speciality Hospital
Pune, 411004, India
Diabetes Care & Research Centre
Pune, 411011, India
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 16, 2010
First Posted
August 31, 2010
Study Start
August 13, 2010
Primary Completion
April 23, 2018
Study Completion
April 23, 2018
Last Updated
July 18, 2018
Record last verified: 2018-07