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Maintenance treatment of anemia in pre-dialysis subjects with chronic kidney disease on darbepoetin treatment versus BAY 85-3934

A randomized, parallel group, open-label, multicenter study to investigate the efficacy and safety of oral BAY 85-3934 and active comparator (darbepoetin alfa) in the maintenance treatment of anemia in pre-dialysis subjects with chronic kidney disease on darbepoetin treatment in Europe and Asia Pacific

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2013-001192-21-DE
Enrollment
120
Registered
2013-09-09
Start date
2013-12-12
Completion date
Unknown
Last updated
2016-09-05

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

Conditions

Anaemia of Chronic Kidney Disease MedDRA version: 18.1 Level: LLT Classification code 10058132 Term: Renal anemia System Organ Class: 100000004851

Interventions

Product Name: BAY 85-3934 Product Code: BAY 85-3934 coated tablets 5mg Pharmaceutical Form: Film-coated tablet INN or Proposed INN: molidustat CAS Number: 1154028-82-6 Current Sponsor code: BAY 85-393

Sponsors

Bayer HealthCare AG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Male or female subjects = 18 years of age with anemia of chronic kidney disease (CKD) at screening - Estimated glomerular filtration rate (eGFR) of =65 years) yes F.1.3.1 Number of subjects for this age range 30

Exclusion criteria

Exclusion criteria: - Subjects with significant acute or chronic bleeding, such as overt gastrointestinal bleeding - Active hemolysis or diagnosis of hemolytic syndrome - History of myelodysplastic syndrome, multiple myeloma, marrow fibrosis, or pure red-cell aplasia (PRCA) - History of hemosiderosis or hemochromatosis - Hereditary hemoglobinopathies (including, but not limited to, sickle cell disease, beta thalassemia, and thalassemia major) which may be the primary cause of anemia - Aplastic anemia - Chronic lymphoproliferative diseases - Proliferative choroidal or retinal disease, such as neovascular age-related macular degeneration or proliferative diabetic retinopathy that is likely to require invasive treatment (intraocular injections or laser photocoagulation) during the study - Chronic inflammatory disease that could impact erythropoiesis (e.g., systemic lupus erythematosis, rheumatoid arthritis, celiac disease) - Known hypersensitivity to the study drugs (active substances or excipients of the preparations) - Uncontrolled and symptomatic hyperparathyroidism - Uncontrolled active infection - Previous or concurrent cancer except cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors (Ta, Tis, and T1) or any cancer curatively treated > 3 years prior to randomization - Any allograft (including renal allograft) in place and on immunosuppressive therapy or a scheduled kidney transplant within the next 16 weeks (being on a waiting list does not exclude the subject) - History of cardio- (cerebro-) vascular events (e.g., unstable angina, myocardial infarction, stroke, transient ischemic attack, deep vein thrombosis, pulmonary embolism) within the last 6 months from the initial screening visit - Sustained, poorly controlled arterial hypertension or hypotension at screening, defined as a mean BP = 180/110 mmHg or systolic BP 110 bpm, atrial flutter, prolonged QT > 500 msec, third degree atrioventricular [AV] block if not treated with a pacemaker)

Design outcomes

Primary

MeasureTime frame
Main Objective: To evaluate the efficacy of 16 weeks of titrated dose treatment with BAY 85-3934 versus darbepoetin alfa (hereafter called darbepoetin) as measured by haemoglobin (Hb) levels during the last 4 weeks of treatment (evaluation period).;Secondary Objective: • Evaluate the safety and tolerability of 16 weeks of treatment with BAY 85-3934 when administered as a titrated dose versus darbepoetin. • Evaluate the pharmacodynamics of BAY 85-3934 when administered as a titrated dose for 16 weeks. • Evaluate the pharmacokinetics of BAY 85-3934 and optionally its metabolite, M-1, when administered as a titrated dose for 16 weeks. The exploratory objective is to investigate selected parameters of kidney function and chronic kidney disease (CKD) progression, as well as parameters of iron metabolism and patient-reported outcomes (PROs). ;Primary end point(s): Change in local laboratory hemoglobin level from baseline to the average during the last 4 weeks treatment period.;Timepoint(s) of evaluation of this end point: Baseline and week 12 to 16

Secondary

MeasureTime frame
Secondary end point(s): 1) Maintenance in hemoglobin target range (10.0 to 12.0 g/dL) 2) Change in hemoglobin level 3) Number of patients with hemoglobin levels outside the target range 4) Treatment exposure 5) Number of subjects requiring titration of dose 6) Number of participants with serious adverse events as a measure of safety and tolerability;Timepoint(s) of evaluation of this end point: 1) Up to 16 weeks 2) Baseline up to 16 weeks 3) Week 12 to 16 4) Up to 16 weeks 5) Up to 16 weeks 6) Up to 16 weeks

Countries

Australia, Bulgaria, France, Germany, Hungary, Italy, Japan, Korea, Republic of, Poland, Romania, Spain, United Kingdom

Contacts

Public ContactBayer Clinical Trials Contact

Bayer HealthCare AG

clinical-trials-contact@bayerhealthcare.com

Outcome results

None listed

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