NCT04012957

Brief Summary

This is a phase III, multicenter, multi-country, open-label, randomized, active-controlled clinical trial to evaluate the efficacy and safety of Desidustat versus Darbepoetin for the treatment of anemia in patients with CKD who are not on dialysis. The study will be conducted over a period of up to 30 weeks.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
588

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jul 2019

Geographic Reach
1 country

32 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

June 7, 2019

Completed
1 month until next milestone

First Posted

Study publicly available on registry

July 9, 2019

Completed
11 days until next milestone

Study Start

First participant enrolled

July 20, 2019

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 25, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 25, 2021

Completed
Last Updated

November 24, 2021

Status Verified

July 1, 2020

Enrollment Period

2.1 years

First QC Date

June 7, 2019

Last Update Submit

November 22, 2021

Conditions

Keywords

DREAM-ND

Outcome Measures

Primary Outcomes (1)

  • Hemoglobin level

    Change in Hb levels from baseline

    24 weeks

Secondary Outcomes (2)

  • Hemoglobin Response

    24 weeks

  • Hemoglobin target range

    24 weeks

Study Arms (2)

Darbepoetin Alfa Injection

EXPERIMENTAL

Randomly assigned to receive Darbepoetin in a 1:1 ratio for 24 weeks.

Drug: Darbepoetin Alfa

Desidustat oral tablet

ACTIVE COMPARATOR

Randomly assigned to receive Desidustat 100 mg in a 1:1 ratio for 24 weeks.

Drug: Desidustat Oral Tablet

Interventions

Desidustat tablet

Desidustat oral tablet

Darbepoetin injection

Darbepoetin Alfa Injection

Eligibility Criteria

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

You may qualify if:

  • Current clinical diagnosis of anemia due to CKD, baseline hemoglobin concentrations must be 7.0-10.0 g/dL (both inclusive) before the enrollment.
  • Ability to understand and give informed consent for participation.
  • Male or female patients diagnosed with CKD (stage III to V, not receiving dialysis) defined by estimated glomerular filtration rate (eGFR) using the CKD Epidemiology Collaboration (CKD-EPI) formula.
  • Male or female, 18 to 80 years of age.
  • Body weight \> 40 kg.
  • Subjects not on dialysis and not expected to start dialysis during the study period.
  • Patients must not be treated with erythropoiesis-stimulating agent (ESA) therapy within 6 weeks prior to enrollment.
  • Estimated GFR ≥10 mL/min/1.73 m2.
  • Serum ferritin ≥100 ng/mL and/or Transferrin Saturation \>20%.
  • No iron, folate or Vitamin B12 deficiency.
  • Females of childbearing potential, must agree to use one of the approved contraception methods, from screening until completion of the follow-up visit.

You may not qualify if:

  • Prior chronic hemodialysis or chronic peritoneal dialysis treatment.
  • Intravenous iron within 14 days prior to enrollment.
  • Prior exposure of rhEPO analogues less than 04 weeks.
  • Red blood cell transfusion within 8 weeks prior to enrollment.
  • History of previous or concurrent cancer.
  • Serologic status reflecting active hepatitis B or C infection or Human immunodeficiency virus (HIV) infection.
  • Active infection prior to enrollment.
  • History of renal transplant.
  • Major surgery within 90 days of the first day of study drug dosing, and minor surgery within 30 days of the first day of study drug dosing.
  • Unable to swallow tablets or disease significantly affecting gastrointestinal function and/or inhibiting small intestine absorption such as; mal-absorption syndrome, resection of the small bowel or poorly controlled inflammatory bowel disease affecting the small intestine.
  • History of uncontrolled autoimmune hemolytic anemia, idiopathic thrombocytopenic purpura (ITP) or thalassemia.
  • Presence or a history of bleeding disorders or clinical conditions (e.g. gastrointestinal \[GI\] bleeding or constitutional disorders) that may increase risk of life-threatening bleeding.
  • History of stroke or intracranial hemorrhage within 6 months prior to enrollment.
  • History of severe allergic or hypersensitivity to investigational products and its excipients.
  • Requires or is receiving anticoagulation with warfarin or equivalent vitamin K antagonists or other medications within 28 days of the first dose of study drug that in the investigator's opinion, could compromise patient safety.
  • +11 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

Sunrise Hospital

Vijayawada, Andhra Pradesh, 520002, India

Location

HCG Hospital

Ahmedabad, Gujarat, 380006, India

Location

Sangini Hospital

Ahmedabad, Gujarat, 380015, India

Location

GSC Medical College and Research Centre

Ahmedabad, Gujarat, 380025, India

Location

Thakershey Charitable trust Hospital

Ahmedabad, Gujarat, India

Location

BAPS Pramukh Swami Hospital

Surat, Gujarat, 395009, India

Location

Sterling Hospital

Vadodara, Gujarat, 390007, India

Location

Dhiraj General Hospital

Vadodara, Gujarat, 391760, India

Location

Sapthagiri Institute of Medical Sciences

Bangalore, Karnataka, 560090, India

Location

Kasturba Medical College

Mangalore, Karnataka, 575001, India

Location

Amrita Institute of Medical Science

Kochi, Kerala, 682041, India

Location

Government Medical College

Kozhikode, Kerala, 673008, India

Location

Mahatma Gandhi Mission Medical College & Hospital

Aurangabad, Maharashtra, 431003, India

Location

Nav Sanjeevani Hospital (Sankalp Speciality Healthcare Pvt. Ltd)

Nashik, Maharashtra, 422002, India

Location

Noble Hospital

Pune, Maharashtra, 411013, India

Location

Bhaktivedanta Hospital and Research Institute

Thane, Maharashtra, 401107, India

Location

Asian Institute Of Medical Sciences (AIMS) Hospital

Thane, Maharashtra, 421203, India

Location

Max Super Specialty Hospital

New Delhi, National Capital Territory of Delhi, 110017, India

Location

Fortis Hospital

Delhi, New Delhi, 110070, India

Location

Apollo Hospital

Bhubaneswar, Odisha, 751005, India

Location

Sardar Patel Medical College

Bikaner, Rajasthan, 334003, India

Location

Sawai Man Singh (SMS) Medical College and Hospital

Jaipur, Rajasthan, 302004, India

Location

Eternal Hospital

Jaipur, Rajasthan, 302017, India

Location

Rukmani Birla Hospital

Jaipur, Rajasthan, 302018, India

Location

Osmania General Hospital

Hyderabad, Telangana, 500012, India

Location

Apollo Hospital

Hyderabad, Telangana, 500058, India

Location

Nizams Institute of Medical Sciences

Hyderabad, Telangana, 500082, India

Location

Nizams Institute of Medical Sciences

Hyderabad, Telangana, 524001, India

Location

Heritage Hospitals Limited

Varanasi, Uttar Pradesh, 221311, India

Location

Shri Mahant Indiresh Hospital

Dehradun, Uttarakhand, 248001, India

Location

Medica Superspecialty Hospital

Kolkata, West Bangal, 700099, India

Location

Peerless Hospital

Kolkata, West Bengal, 700094, India

Location

Related Publications (1)

  • Natale P, Palmer SC, Jaure A, Hodson EM, Ruospo M, Cooper TE, Hahn D, Saglimbene VM, Craig JC, Strippoli GF. Hypoxia-inducible factor stabilisers for the anaemia of chronic kidney disease. Cochrane Database Syst Rev. 2022 Aug 25;8(8):CD013751. doi: 10.1002/14651858.CD013751.pub2.

MeSH Terms

Conditions

Renal Insufficiency, ChronicAnemia

Interventions

desidustatDarbepoetin alfa

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

ErythropoietinColony-Stimulating FactorsGlycoproteinsGlycoconjugatesCarbohydratesProteinsAmino Acids, Peptides, and Proteins

Study Officials

  • DrDeven Parmar, MD

    Zydus Lifesciences Limited

    STUDY DIRECTOR

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

June 7, 2019

First Posted

July 9, 2019

Study Start

July 20, 2019

Primary Completion

August 25, 2021

Study Completion

August 25, 2021

Last Updated

November 24, 2021

Record last verified: 2020-07

Data Sharing

IPD Sharing
Will not share

Locations