End Stage Renal Disease, Pre-dialysis
Conditions
Brief summary
Open-label, randomized study of NESP in pediatric subjects 18 years of age or younger. Subjects will receive study drug (NESP or rHuEPO) for 28 weeks after a 2 week screening and baseline period. During the study, procedures include bloodwork for laboratory assessments and vital signs. Dose titration determined by hemoglobin values taken weekly during the study. Antibody samples taken at baseline and during the end of study assessments. A physical examination and laboratory tests will conclude the study.
Interventions
Dose 100U rHuEPO = 0.42 mcg NESP; adjust as necessary (+/- 25% of the starting dose) to maintain Hb withing 10.0 - 12.5 g/dL
same as previous rHuEPO dose at randomization; adjust as necessary (+/- 25% of the starting dose) to maintain Hb withing 10.0 - 12.5 g/dL
Sponsors
Study design
Eligibility
Inclusion criteria
* 1 to 18 years of age * ESRD receiving dialysis or CRI with eGFR less than 30 mL/min * Baseline hemoglobin 9.5 - 12.5 g/dL and iron replete * Stable rHuEPO therapy for 8 weeks
Exclusion criteria
* Scheduled for a living-related kidney transplant * Uncontrolled blood pressure * seizure activity * Hyperparathyroidism * Major surgery within 12 weeks or active inflammatory disease * Currently receiving antibiotics * Clinical evidence of malignancy * Pregnant or breast-feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To demonstrate that NESP is comparable (not inferior) to rHuEPO for the treatment of anemia in pediatric subjects with CRI or ESRD receiving dialysis | Entire Study |
Secondary
| Measure | Time frame |
|---|---|
| To determine the safety and tolerability of NESP in the treatment of anemia in the pediatric population with CRI or ESRD | Entire Study |