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A Study Comparing Two Different PROCRIT Doses to a Dose of ARANESP in Anemic Cancer Patients Receiving Chemotherapy

A Randomized, Open-Label, Comparative Study of Epoetin Alfa (PROCRIT) 80,000 Units or 120,000 Units Q3W (Every 3 Weeks) Versus Darbepoetin Alfa (ARANESP) 500 Mcg Q3W in Anemic Cancer Subjects Receiving Chemotherapy

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00386152
Enrollment
235
Registered
2006-10-11
Start date
2006-11-30
Completion date
2008-05-31
Last updated
2013-07-19

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

Conditions

Anemia, Cancer, Neoplasms

Keywords

Anemia, Cancer, Chemotherapy-Induced Anemia, Epoetin alfa, Darbepoetin alfa

Brief summary

The purpose of this study is to compare hemoglobin response rates between two PROCRIT (epoetin alfa) doses and ARANESP (darbepoetin alfa) in anemic cancer patients receiving chemotherapy

Detailed description

This is an open-label (both the physician and the patient know which treatment is being provided), multi-center study of up to 16 weeks duration in which 450 patients will be randomly assigned (patients are assigned to a specific study group by chance) to one of three treatment groups in a 1:1:1 ratio. Patients will receive PROCRIT (epoetin alfa) 80,000 Units injected subcutaneously (under the skin) once every three weeks or 120,000 Units injected under the skin once every three weeks or ARANESP (darbepoetin alfa) 500 mcg injected under the skin once every three weeks for up to 13 weeks. PROCRIT (epoetin alfa) 80,000 Units and 120,000 Units given once every three weeks are doses and schedules that are not approved for use in the United States and are under investigation, while the ARANESP dose and schedule are approved for use in the United States. Adult patients with specific types of cancer (confirmed non-myeloid malignancy) who are scheduled to receive cyclic chemotherapy for a minimum of 12 weeks during the study and who meet all other eligibility criteria will be enrolled. This study will be conducted in approximately 80 study sites located in the United States. The study hypothesis is that a dosing regimen of PROCRIT (Epoetin alfa) 80,000 Units or 120,000 Units given once every three weeks is non-inferior to ARANESP 500 mcg given once every three weeks with respect to the mean hemoglobin (Hb) change from baseline to Study Week 7 in anemic cancer patients receiving chemotherapy. Hemoglobin levels will be monitored throughout the study on a weekly basis and before each drug dose is administered. Drug dosing will be adjusted (ie, held, reduced, resumed at a lower dose) as needed to maintain hemoglobin values within desired ranges. The maximum dose of PROCRIT (Epoetin alfa) allowed in this study is 120,000 Units every three weeks (Q3W) and the maximum dose of ARANESP (darbepoetin) is 500 mcg Q3W. Safety evaluations will be conducted throughout the study and will consist of assessment of laboratory tests, vital signs, physical examinations. The occurrence and severity of adverse events, including thrombovascular events will be evaluated throughout the study.Periodic data monitoring of the study by an external Independent Data Monitoring Committee (IDMC) will be performed. The main responsibility of the IDMC is to conduct ongoing monitoring of safety and to report any irregularities back to the Sponsor along with recommendations regarding continuation of the study. Each patient will be assigned to one of three dosing schedules. All schedules will be administered by way of subcutaneous (under the skin) injection once every three weeks over a period of 13 weeks. The three dosing schedules are as follows: PROCRIT (epoetin alfa) 80,000 Units, PROCRIT (epoetin alfa) 120,000 Units or ARANESP (darbepoetin alfa) 500 mcg

Interventions

DRUGepoetin alfa

80,000 Units and 120,000 Units of epoetin alfa (PROCRIT) injected subcutaneously once every 3 weeks for up to 13 weeks

DRUGdarbepoetin alfa

500 mcg of darbepoetin alfa (ARANESP) injected subcutaneously the skin once every 3 weeks for up to 13 weeks

Sponsors

Ortho Biotech Clinical Affairs, L.L.C.
CollaboratorINDUSTRY
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically confirmed diagnosis of a non-myeloid malignancy * Baseline hemoglobin (Hb) value of \<= 11.0 g/dL unrelated to transfusion * No Packed Red Blood Cell (PRBC) or platelet transfusions in the 28 days prior to randomization * Scheduled to receive chemotherapy for a minimum of 12 weeks during the study * Eastern Cooperative Oncology Group (ECOG) Performance Status 0 - 2

Exclusion criteria

* No planned non-palliative radiation during the study * No current anemia due to factors other than cancer/chemotherapy (eg, iron deficiency or gastrointestinal bleeding) * No uncontrolled hypertension (defined as systolic pressure \> 180 and/or a diastolic pressure \> 100 mmHg while receiving antihypertension therapy) * No history of Deep Venous Thrombosis (DVT) or Pulmonary Embolus (PE) within 12 months before study enrollment. Prior superficial thrombophlebitis is not an exclusion criterion * No history of Cerebrovascular Accident (CVA), Transient Ischemic Attack (TIA), Acute Coronary Syndrome (ACS) including unstable angina and myocardial infarction with or without ST elevation, or other arterial thrombosis within 6 months before study enrollment

Design outcomes

Primary

MeasureTime frameDescription
Hemoglobin (Hb) Change From Baseline to Study Week 7Baseline (Week 1) and Week 7Baseline Hb was the Hb value that was consistent with the inclusion criteria and which was obtained within 72 hours of the first dose of study medication

Secondary

MeasureTime frame
Number of Patients Receiving at Least 1 Packed Red Blood Cell (PRBC) Transfusion During Studyup to 16 weeks
Time to Achieve Hb >= 11 g/dL During Studyup to 16 weeks
Number of Patients (Hb >= 11 g/dL) During Study.up to 16 weeks

Countries

United States

Participant flow

Pre-assignment details

Number of participants randomized:- epoetin alfa (80,000 Units): 77, epoetin alfa (120,000 Units): 80, darbepoetin alfa (500 mcg): 78; Number of participants treated:- epoetin alfa (80,000 Units): 75, epoetin alfa (120,000 Units): 77, darbepoetin alfa (500 mcg): 75.

Participants by arm

ArmCount
Epoetin Alfa (80,000 Units)
epoetin alfa (PROCRIT) 80,000 Units subcutaneous (SC) once every 3 weeks (Q3W) for up to 13 weeks
77
Epoetin Alfa (120,000 Units)
epoetin alfa (PROCRIT) 120,000 Units SC Q3W for up to 13 weeks
80
Darbepoetin Alfa (500 Mcg)
darbepoetin alfa (ARANESP) 500 mcg SC Q3W for up to 13 weeks
78
Total235

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event654
Overall StudyChang from original chemo stratification456
Overall StudyCompleted chemotherapy451
Overall StudyDeath301
Overall StudyDisease progression745
Overall StudyLost to Follow-up100
Overall StudyPhysician Decision13104
Overall StudyProtocol Violation352
Overall StudyWithdrawal by Subject3610

Baseline characteristics

CharacteristicEpoetin Alfa (80,000 Units)Epoetin Alfa (120,000 Units)Darbepoetin Alfa (500 Mcg)Total
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
41 Participants46 Participants37 Participants124 Participants
Age, Categorical
Between 18 and 65 years
36 Participants34 Participants41 Participants111 Participants
Age Continuous65.05 years
STANDARD_DEVIATION 12.54
64.84 years
STANDARD_DEVIATION 11.66
63.00 years
STANDARD_DEVIATION 12.05
64.30 years
STANDARD_DEVIATION 12.07
Chemotherapy Type
Non-Platinum
48 participants48 participants48 participants144 participants
Chemotherapy Type
Platinum
29 participants32 participants30 participants91 participants
Sex: Female, Male
Female
41 Participants57 Participants52 Participants150 Participants
Sex: Female, Male
Male
36 Participants23 Participants26 Participants85 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
58 / 7568 / 7767 / 75
serious
Total, serious adverse events
28 / 7523 / 7725 / 75

Outcome results

Primary

Hemoglobin (Hb) Change From Baseline to Study Week 7

Baseline Hb was the Hb value that was consistent with the inclusion criteria and which was obtained within 72 hours of the first dose of study medication

Time frame: Baseline (Week 1) and Week 7

Population: per-protocol (PP) population that includes a subset of the modified intent-to-treat (mITT) population with subjects who were randomized and received at least one dose of study medication, had transfusion-unrelated Hb values obtained at both baseline and Week 7, met inclusion and exclusion criteria, and had no major protocol violations up to Week 7

ArmMeasureValue (MEAN)Dispersion
Epoetin Alfa (80,000 Units)Hemoglobin (Hb) Change From Baseline to Study Week 70.64 g/dLStandard Deviation 1.3
Epoetin Alfa (120,000 Units)Hemoglobin (Hb) Change From Baseline to Study Week 70.40 g/dLStandard Deviation 1.37
Darbepoetin Alfa (500 Mcg)Hemoglobin (Hb) Change From Baseline to Study Week 70.84 g/dLStandard Deviation 1.28
Secondary

Number of Patients (Hb >= 11 g/dL) During Study.

Time frame: up to 16 weeks

Population: modified intention-to-treat (mITT) population that includes the subjects who were randomized, received at least one dose of study medication, and had transfusion-unrelated Hb values obtained at baseline and at least one post baseline visit

ArmMeasureValue (NUMBER)
Epoetin Alfa (80,000 Units)Number of Patients (Hb >= 11 g/dL) During Study.51 participants
Epoetin Alfa (120,000 Units)Number of Patients (Hb >= 11 g/dL) During Study.48 participants
Darbepoetin Alfa (500 Mcg)Number of Patients (Hb >= 11 g/dL) During Study.56 participants
Secondary

Number of Patients Receiving at Least 1 Packed Red Blood Cell (PRBC) Transfusion During Study

Time frame: up to 16 weeks

Population: modified intention-to-treat (mITT) population that includes the subjects who were randomized, received at least one dose of study medication, and had transfusion-unrelated Hb values obtained at baseline and at least one post baseline visit

ArmMeasureValue (NUMBER)
Epoetin Alfa (80,000 Units)Number of Patients Receiving at Least 1 Packed Red Blood Cell (PRBC) Transfusion During Study12 participants
Epoetin Alfa (120,000 Units)Number of Patients Receiving at Least 1 Packed Red Blood Cell (PRBC) Transfusion During Study22 participants
Darbepoetin Alfa (500 Mcg)Number of Patients Receiving at Least 1 Packed Red Blood Cell (PRBC) Transfusion During Study17 participants
Secondary

Time to Achieve Hb >= 11 g/dL During Study

Time frame: up to 16 weeks

Population: modified intention-to-treat (mITT) population that includes the subjects who were randomized, received at least one dose of study medication, and had transfusion-unrelated Hb values obtained at baseline and at least one post baseline visit

ArmMeasureValue (MEDIAN)
Epoetin Alfa (80,000 Units)Time to Achieve Hb >= 11 g/dL During Study37 days
Epoetin Alfa (120,000 Units)Time to Achieve Hb >= 11 g/dL During Study44 days
Darbepoetin Alfa (500 Mcg)Time to Achieve Hb >= 11 g/dL During Study36 days

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026