NCT01473407

Brief Summary

The purpose of this study is to demonstrate therapeutic equivalence of IV Epoetin Hospira compared to IV Epogen (Amgen), based on maintenance of Hb levels and study drug dose requirements in patients treated for anemia associated with chronic renal failure and on hemodialysis.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
612

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jan 2012

Geographic Reach
2 countries

85 active sites

Status
completed

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

November 2, 2011

Completed
15 days until next milestone

First Posted

Study publicly available on registry

November 17, 2011

Completed
3 months until next milestone

Study Start

First participant enrolled

January 31, 2012

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 11, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 11, 2014

Completed
4.4 years until next milestone

Results Posted

Study results publicly available

July 13, 2018

Completed
Last Updated

September 10, 2018

Status Verified

August 1, 2018

Enrollment Period

2 years

First QC Date

November 2, 2011

Results QC Date

May 21, 2018

Last Update Submit

August 9, 2018

Conditions

Outcome Measures

Primary Outcomes (2)

  • Mean Weekly Hemoglobin Level From Week 21 to Week 24

    Week 21 up to Week 24

  • Mean Weekly Dosage of Study Medication From Week 21 to Week 24

    Week 21 up to Week 24

Secondary Outcomes (11)

  • Mean Weekly Hemoglobin Level Through 24 Weeks

    Week 1 up to Week 24

  • Mean Weekly Dosage of Study Medication Through 24 Weeks

    Week 1 up to Week 24

  • Total Dose of Study Medication Administered

    Week 1 up to Week 24

  • Percentage of Participants With Mean Weekly Hemoglobin Level Within the Target Range

    Week 12, 24

  • Percentage of Participants Who Required Permanent Dose Changes of Study Medication

    Week 1 up to Week 24

  • +6 more secondary outcomes

Other Outcomes (11)

  • Percentage of Participants With Hemoglobin Level Less Than (<) 8.0 Gram Per Deciliter (g/dL)

    Week 1 up to Week 24

  • Percentage of Participants With Hemoglobin Level Greater Than (>) 12.0 Gram Per Deciliter (g/dL)

    Week 1 up to Week 24

  • Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Week 1 up to Week 28

  • +8 more other outcomes

Study Arms (2)

Epoetin Hospira

EXPERIMENTAL

Epoetin Hospira

Biological: Epoetin Hospira

Epogen (Amgen)

ACTIVE COMPARATOR

Epogen (Amgen)

Biological: Epogen (Amgen)

Interventions

Epoetin HospiraBIOLOGICAL

Variable dose

Epoetin Hospira
Epogen (Amgen)BIOLOGICAL

Variable dose

Also known as: Epoetin Alfa
Epogen (Amgen)

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patient is able to provide written informed consent after risks and benefits of the study have been explained prior to any study related activities
  • Hemodialysis patients with chronic renal failure and renal anemia currently on stable Epogen (Amgen) treatment for at least 4 weeks prior to randomization, for whom the following apply (during this period):
  • Epogen (Amgen) dose has been administered intravenously 1 to 3 times per week with no more than a 10% dose change from the mean for at least 4 weeks prior to randomization
  • Stable hemoglobin, defined as meeting all of the following:
  • Mean hemoglobin during the 4 weeks prior to randomization between 9.0 and 11.0 g/dL
  • No more than one hemoglobin outside of range from 9.0-11.0 g/dL during the 4 weeks prior to randomization
  • No hemoglobin result more than ±1 g/dL from the mean hemoglobin level during the 4 week period prior to randomization
  • Patients on stable, adequate dialysis for at least 12 weeks prior to randomization, defined as no clinically relevant changes of dialysis regimen and/or dialyzer
  • Patients with adequate iron stores, defined as ferritin \>100 μg/L and TSAT \>20%, prior to randomization
  • Male or female patients aged 18 to 80 years (both inclusive)
  • If female, patient must be either postmenopausal for at least 1 year prior to randomization, surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy), or practicing at least 1 of the following methods of birth control:
  • hormonal contraceptives (oral, parenteral, or transdermal) for at least 3 months prior to randomization
  • intrauterine device (IUD)
  • double-barrier method (condoms, contraceptive sponge, diaphragm, or vaginal ring with spermicidal jellies or cream)
  • If hormonal contraceptives are used, the specific contraceptive must have been used for at least 3 months prior to randomization. If the patient is currently using a hormonal contraceptive, she should also use a barrier method during this study and for at least 30 days following the administration of the patient's last dose

You may not qualify if:

  • Maintenance Epoetin dosage \>600 U/kg per week (1-3 times per week)
  • Treatment with long-acting epoetin analogues such as Aranesp ® within 3 months prior to randomization
  • Any of the following within 3 months prior to randomization:
  • Myocardial infarction
  • Stroke (cerebrovascular accident)/cerebrovascular insult (minor stroke) or transient ischemic attack/intracerebral bleeding/cerebral infarction
  • Severe/unstable angina
  • Coronary angioplasty, bypass surgery, or peripheral artery bypass graft
  • Decompensated congestive heart failure (New York Heart Association \[NYHA\] class IV)
  • Pulmonary embolism
  • Deep vein thrombosis or other thromboembolic event
  • Received live or attenuated vaccination (except flu vaccination)
  • Uncontrolled Hypertension within the 4 weeks prior to randomization, defined as more than 10% of post-dialysis blood pressures \>170 mmHg systolic and/or \>110 mmHg diastolic, based on blood pressure readings obtained when the patient's post-dialysis body weight was not more than 0.5 kg above their listed dry weight
  • Known, clinically manifested deficiency of folic acid and/or vitamin B12 (irrespective of whether currently treated or not)
  • A patient with any active, uncontrolled systemic, inflammatory or malignant disease (including demyelinating diseases such as multiple sclerosis) that in the Investigator's opinion may be significant to exclude participation in the study, including but not limited to microbial, viral, or fungal infection or mental disease
  • Contraindication for the test drug or have been previously treated with Epoetin Hospira
  • +18 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (85)

Montgomery Kidney Specialists

Montgomery, Alabama, 36106, United States

Location

Southwest Clinical Research Institute, LLC

Tempe, Arizona, 85284, United States

Location

Lakhi M. Sakhrani, MD A Medical Coporation

Alhambra, California, 91801, United States

Location

North America Research Institute

Azusa, California, 91702, United States

Location

DaVita Dialysis Center-Bakersfield Dialysis Center

Bakersfield, California, 93309, United States

Location

Ong, Rubin, Shahmir A Medical Corp DBA: Solano Kidney Care

Fairfield, California, 94533, United States

Location

A Medical Corporation

Glendale, California, 91204, United States

Location

Renal Consultants Medical Group

Granada Hills, California, 91344, United States

Location

La Puente Dialysis Center

La Puente, California, 91744, United States

Location

Advanced Medical Research, LLC

Lakewood, California, 90712, United States

Location

DaVita Bixby Knolls Dialysis

Long Beach, California, 90807, United States

Location

Bayview Nephrology, Inc

Long Beach, California, 90813, United States

Location

Academic Medical Research Institute

Los Angeles, California, 90022, United States

Location

Desert Nephrology Medical Group

Modesto, California, 95350, United States

Location

La Jolla Clinical Research, Inc.

National City, California, 91950, United States

Location

Valley Renal Medical Group

Northridge, California, 91324, United States

Location

Ontario Dialysis Inc

Ontario, California, 91762, United States

Location

Discovery medical Research Group, Inc.

Porterville, California, 93257, United States

Location

Nephrology Educational Services and Research, Inc

Tarzana, California, 91356, United States

Location

Queen Dialysis Center

West Covina, California, 91790, United States

Location

American Institute of Research

Whittier, California, 90603, United States

Location

Mark C. Lee, Inc. Santa Fe Springs Dialysis

Whittier, California, 90606, United States

Location

North Valley Nephrology

Yuba City, California, 95991, United States

Location

Nephrology and Hypertension Associates

Middlebury, Connecticut, 06762, United States

Location

South Florida Nephrology, Inc.

Coral Springs, Florida, 33071, United States

Location

South Florida Research Institute

Lauderdale Lakes, Florida, 33313, United States

Location

San Marcus Research Clinic, Inc

Miami, Florida, 33015, United States

Location

Nephrology Associates of South Miami

Miami, Florida, 33173, United States

Location

ARA Naples South Dialysis Center

Naples, Florida, 34112-6703, United States

Location

ARA- Naples Dialysis Center, LLC

Naples, Florida, 34119, United States

Location

Innovative Medical Research of South Florida, Inc.

North Miami Beah, Florida, 33169, United States

Location

Discovery Medical Research Group, Inc.

Ocala, Florida, 34471, United States

Location

Central Florida Kidney Centers

Orlando, Florida, 32801-3621, United States

Location

Renal Physicians of Georgia, PC

Dublin, Georgia, 31021, United States

Location

Boise Kidney & Hypertension Institute, PLLC

Meridian, Idaho, 83642, United States

Location

Research by Design, LLC

Evergreen Park, Illinois, 60805, United States

Location

North Suburban Nephrology, LLC

Gurnee, Illinois, 60031, United States

Location

Nephrology Specialists, PC

Merrillville, Indiana, 46410, United States

Location

Westbank Nephrology Associates

Marrero, Louisiana, 70072, United States

Location

Internal Medicine Specialists

New Orleans, Louisiana, 70115, United States

Location

Northwest Louisiana Nephrology

Shreveport, Louisiana, 71101, United States

Location

DaVita Dialysis Centers

Clinton Township, Michigan, 48038, United States

Location

St. Clair Specialty Physicians, P.C.

Detroit, Michigan, 48236, United States

Location

South Mississippi Medical Research, PLLC

Gulfport, Mississippi, 39501, United States

Location

Chromalloy American Kidney Center

St Louis, Missouri, 63110, United States

Location

Kidney Specialists of Southern Nevada

Las Vegas, Nevada, 89106, United States

Location

Hypertension & Nephrology Associates

Eatontown, New Jersey, 07724, United States

Location

Brookdale Physician Dialysis Associates

Brooklyn, New York, 11212, United States

Location

Lower Manhattan Dialysis Center

New York, New York, 10016, United States

Location

Mountain Kidney and Hypertension Associates, PA

Asheville, North Carolina, 28801, United States

Location

East Carolina University, ECU School of Medicine, Department of Internal Medicine

Greenville, North Carolina, 27834, United States

Location

Eastern Nephrology Associates, PLLC

New Bern, North Carolina, 28562, United States

Location

Brookview Hills Research Associates, LLC

Winston-Salem, North Carolina, 27103, United States

Location

Cincinnati VA Medical Center

Cincinnati, Ohio, 45220, United States

Location

HNC Dialysis Ltd.

Columbus, Ohio, 43215, United States

Location

Bayview Nephrology, Inc

Erie, Pennsylvania, 16507, United States

Location

DaVita-Erie Dialysis Center

Erie, Pennsylvania, 16507, United States

Location

UPMC Hamot Clinical Trials Department

Erie, Pennsylvania, 16507, United States

Location

Franklin Dialysis Center

Philadelphia, Pennsylvania, 19106, United States

Location

Delaware Valley Nephrology and Hypertension Associates, PC

Philadelphia, Pennsylvania, 19118, United States

Location

Nephrology and Internal Medicine of Anderson

Anderson, South Carolina, 29621, United States

Location

Columbia Nephrology Associates, P.A.

Columbia, South Carolina, 29203, United States

Location

Columbia Nephrology Associates, PA

Columbia, South Carolina, 29203, United States

Location

Palmetto Nephrology, PA

Orangeburg, South Carolina, 29118, United States

Location

South Carolina Nephrology and Hypertension Center, Inc.

Orangeburg, South Carolina, 29118, United States

Location

Desert Nephrology Medical Group

Sumter, South Carolina, 29150, United States

Location

Southeast Renal Research Institute

Chattanooga, Tennessee, 37404, United States

Location

South Arlington Dialysis Center

Arlington, Texas, 76015, United States

Location

Texas Renal Care

Greenville, Texas, 75402, United States

Location

Med Center Dialysis

Houston, Texas, 77004, United States

Location

Meyerland Dialysis

Houston, Texas, 77035, United States

Location

Millenium Clinical Research, Inc.

Houston, Texas, 77054-11801, United States

Location

Millennium Clinical Research, Inc.

Houston, Texas, 77054-11801, United States

Location

Research Across America

Houston, Texas, 77054, United States

Location

Southwest Houston Dialysis

Houston, Texas, 77071, United States

Location

Southwest Houston Research, Ltd.

Houston, Texas, 77099, United States

Location

Texas Tech University Health Sciences Center

Lubbock, Texas, 79430, United States

Location

Private practice of Roberto Mangoo-Karim MD

McAllen, Texas, 78503, United States

Location

Missouri City Dialysis

Missouri City, Texas, 77489, United States

Location

San Antonio Kidney Disease Center Physicians Group, P.L.L.C.

San Antonio, Texas, 78229, United States

Location

DaVita Dialysis Center-Floyd Curl Dialysis

San Antonio, Texas, 78240, United States

Location

Clinical Research and Consulting Center, LLC

Fairfax, Virginia, 22030, United States

Location

Peninsula Kidney Associates

Hampton, Virginia, 23666, United States

Location

Internal Medicine Kidney and Hypertension Center

Norfolk, Virginia, 23502, United States

Location

Consolidated Medical Plaza

Caguas, 00725, Puerto Rico

Location

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.

  • Wish JB, Rocha MG, Martin NE, Reyes CRD, Fishbane S, Smith MT, Nassar G. Long-term Safety of Epoetin Alfa-epbx for the Treatment of Anemia in ESKD: Pooled Analyses of Randomized and Open-label Studies. Kidney Med. 2019 Aug 28;1(5):271-280. doi: 10.1016/j.xkme.2019.06.009. eCollection 2019 Sep-Oct.

MeSH Terms

Conditions

Renal Insufficiency, ChronicKidney Failure, Chronic

Interventions

Epoetin Alfa

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

ErythropoietinColony-Stimulating FactorsGlycoproteinsGlycoconjugatesCarbohydratesHematopoietic Cell Growth FactorsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsProteinsBiological Factors

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer, Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 2, 2011

First Posted

November 17, 2011

Study Start

January 31, 2012

Primary Completion

February 11, 2014

Study Completion

February 11, 2014

Last Updated

September 10, 2018

Results First Posted

July 13, 2018

Record last verified: 2018-08

Locations