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A Phase 3, Randomized, Active-controlled, Open-label, Multi-Center Study of the Safety and Efficacy of AF37702 Injection for the Maintenance Treatment of Anemia in Hemodialysis Patients Previously Treated with Epoetin - EMERALD 2

A Phase 3, Randomized, Active-controlled, Open-label, Multi-Center Study of the Safety and Efficacy of AF37702 Injection for the Maintenance Treatment of Anemia in Hemodialysis Patients Previously Treated with Epoetin - EMERALD 2

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2007-004153-28-DE
Enrollment
750
Registered
2007-12-12
Start date
2009-06-23
Completion date
Unknown
Last updated
2013-02-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Maintenance treatment of anemia in hemodialysis patients MedDRA version: 9.1 Level: LLT Classification code 10002272 Term: Anemia

Interventions

Product Name: AF37702 Solution for Injection Product Code: AF37702 Pharmaceutical Form: Solution for injection CAS Number: 913976-27-9 Current Sponsor code: AF37702 Concentration unit: mg/ml milligram

Sponsors

Affymax Inc.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patient is informed of the investigational nature of this study and has given written informed consent in accordance with institutional, local, and national guidelines. 2. Males or females >= 18 years of age. 3. Females of child-bearing potential who are sexually active must be willing to practise a highly effective method of birth control for at least 4 weeks prior to randomization, and must be willing to continue birth control until at least 4 weeks after the last dose study treatment. 4. Patients with chronic renal failure on hemodialysis for >= 3 months prior to randomization. 5. On IV or SC Epoetin maintenance therapy continuously prescribed for a minimum of 8 weeks prior to randomization. In addition, Epoetin doses must be stable during the last 4 weeks prior to randomization, with stability defined as == 10.0 and == 20% within 4 weeks prior to randomization. 8. One ferrin level >= 100ng/mL within 4 weeks prior to randomization. 9. One serum or red cell folate level >= lower limit of normal within 4 weeks prior to randomization. 10. One vitamin B12 level >= lower limit of normal within 4 weeks prior to randomization. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: 1. Females who are pregnant or breast-feeding. 2. Known intolerance to any ESA or PEGylated molecule or to all parenteral iron supplementation products. 3. Known bleeding or coagulation disorder. 4. Known hematologic disease or cause for anemia other than renal disease (e.g., pure red cell aplasia [PRCA], homozygous sickle-cell disease, thalassemia, multiple myeloma, hemolytic anemia and myelodysplastic syndrome). 5. Poorly controlled hypertension within 4 weeks prior to randomization, per Investigator's clinical judgment. 6. Any clinically significant medical disease or condition that, in the Investigator's opinion, may interfere with protocol adherence or a patient's ability to give informed consent. 7. Evidence of active malignancy within one year prior to randomization. (Note for the purposes of this protocol, active malignancy does not include: non-melanoma skin cancer, carcinoma in situ that has been completely excised, other cancers for which treatment was completed at least one year ago with no continuing treatment and no evidence of metastasis, and other cancers that were diagnosed and treatment completed more than one year ago and within the past year are without evidence of metastasis and treated only with adjuvant hormonal therapy). 8. Temporary (untunneled) dialysis access catheter. 9. A scheduled kidney transplant (Note: patients currently on a transplant wait list are not excluded unless there is an identified donor). 10. A scheduled elective surgery that may be expected to lead to significant blood loss. 11. RBC or whole blood transfusion within 12 weeks prior to randomization. 12. Previous exposure to any investigational agent within 4 weeks prior to randomization, or planned receipt of an investigational agent, other than as specified by this protocol, during the study period. 13. Previous exposure to AF37702 Injection.

Design outcomes

Primary

MeasureTime frame
Main Objective: To demonstrate the safety and efficacy of AF37702 Injection in the maintenance treatment of anemia in hemodialysis patient. To demonstrate the non-inferiority of AF37702 Injection to Epoetin in the maintenance treatment of anemia.;Secondary Objective: ;Primary end point(s): Mean change in Hgb between Baseline and the Evaluation Period. The baseline Hgb value is defined as the mean of five Hgb values: the four most recent Hgb values taken prior to the day of randomization and the value obtained on the day of randomization. The mean Hgb during the Evaluation Period for each patient will be calculated as the mean of the available Hgb values during Study Weeks 29 through 36.

Countries

Bulgaria, France, Germany, Italy, Poland, Spain, United Kingdom

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026