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A Study of Intravenous Mircera in Dialysis Patients With Chronic Renal Disease and Anemia.

A Single-arm, Open Label Multicenter Study to Assess the Efficacy, Safety and Tolerability of Once Monthly Administration of C.E.R.A. for the Maintenance of Hemoglobin Levels in Dialysis Patients With Chronic Renal Anemia

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00576303
Enrollment
200
Registered
2007-12-19
Start date
2008-04-30
Completion date
2010-06-30
Last updated
2016-05-26

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

Conditions

Anemia

Brief summary

This single arm study will assess the efficacy, safety and tolerability of monthly intravenous Mircera for the maintenance of hemoglobin levels in dialysis patients with chronic renal disease, currently receiving epoetin alfa or beta. Patients will receive monthly intravenous injections of Mircera at a starting dose of 120, 200 or 360 micrograms/month, depending on the dose of epoetin alfa or beta they were receiving in the week preceding study start. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.

Interventions

DRUGmethoxy polyethylene glycol-epoetin beta [Mircera]

120, 200 or 360 micrograms iv monthly (starting dose)

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* adult patients, \>=18 years of age; * chronic renal anemia; * hemodialysis or peritoneal dialysis, with same mode of dialysis for \>=3 months before and throughout screening period; * continuous maintenance epoetin alfa or beta therapy with the same dosing interval during the previous 2 months.

Exclusion criteria

* transfusion of red blood cells during previous 2 months; * poorly controlled hypertension requiring interruption of epoetin alfa or beta treatment in past 6 months; * significant acute or chronic bleeding such as overt gastrointestinal bleeding; * hemolysis; * folic acid and vitamin B12 deficiency.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Maintaining Average Hemoglobin Concentration Within +\- 1 Gram/Deciliter of Their Reference Hb and Between 10.5 and 12.5 Gram/Deciliter During EEPEEP (Week 16 to Week 24)All mean Hb values recorded during the evaluation period were calculated and subtracted from the mean baseline Hb value for each participant. The percentage of participants maintaining their mean Hemoglobin (Hb) concentration within +/- 1 gram/deciliter (g/dL) of their reference Hb and between 10.5 -12.5 g/dL is presented during the EEP. The EEP is defined as Week 16 to Week 24

Secondary

MeasureTime frameDescription
Mean Change in Hb Concentration From Baseline to the EEPBaseline (Week -4 to Week -1), EEP (Week 16 to Week 24)A time adjusted mean change in Hb concentration was calculated using an area under the curve approach, for both periods separately. Change in Hb concentration between the baseline and evaluation periods was calculated by subtracting the calculated average baseline Hb value from the average evaluation period Hb value. All blood samples for Hb measurements were taken prior to study drug administration. Analysis used last observation carried forward (LOCF) for missing Hb values to correct for the impact of early dropouts. The baseline period is defined as Week -4 to Week -1. The EEP is defined as Week 16 to Week 24
Percentage of Participants Maintaining Average Hb Concentration Within Target Range of 10.5-12.5 g/dL Throughout the EEPEEP (Week 16 to Week 24)All mean Hb values recorded during the EEP were calculated. The percentage of participants maintaining their average Hb concentration within the targeted range 10.5-12.5 g/dL during the EEP were reported. The EEP is defined as Week 16 to Week 24
Mean Number of Days Spent Within Hb Range of 10.5-12.5 g/dL During the EEPEEP (Week 16 to Week 24)The mean number of days the participant spent within the Hb range 10.5-12.5 g/dL during the EEP was reported. The EEP is defined as Week 16 to Week 24
Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPDTP (Week 1 to Week 16), EEP (Week 16 to Week 24) and LTSP (Week 24 to Week 44)The number of participants who required dose adjustments of C.E.R.A were categorized as; 1. No dose change; 2. Any dose change: a. Dose increase only; b. Dose decrease only; c. Dose increase and increase; 3. Only one dose, all of which were recorded during DTP, EEP and LTSP. DTP is defined as Week 1 to Week 16, EEP is defined as Week 16 to Week 24 and LTSP is defined as Week 24 to Week 44
Number of Participants With Red Blood Cell TransfusionUp to 3 yearsThe number of participants who underwent red blood cell transfusion was reported

Countries

Russia

Participant flow

Recruitment details

A total of 241 participants were recruited across 19 centers in Russia. The study was conducted from 29 Apr 2008 to 09 Jun 2010.

Pre-assignment details

Of the 241 screened participants, 200 participants received the study drug and 41 participants were early withdrawals during the stability verification period (SVP)

Participants by arm

ArmCount
RO0503821 (1x/4 Weeks)
Eligible participants started RO0503821 (C.E.R.A) intravenously, at a dose of 120, 200 or 360 µg every four weeks. The dose of C.E.R.A was based on the ESA like epoetin alfa or beta dose of \<8000, 8000-16000, or \>16000 IU/week, administered during the SVP of 4 weeks. The SVP was followed by DTP of 16 weeks, EEP of 8 weeks and LTSP of 28 weeks
200
Total200

Withdrawals & dropouts

PeriodReasonFG000
Dose Titration PeriodEarly withdrawal17
Efficacy Evaluation PeriodEarly withdrawal5
Long Term Safety PeriodEarly withdrawal16

Baseline characteristics

CharacteristicRO0503821 (1x/4 Weeks)
Age, Continuous51.0 years
STANDARD_DEVIATION 12.98
Sex: Female, Male
Female
91 Participants
Sex: Female, Male
Male
109 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
78 / 200
serious
Total, serious adverse events
45 / 200

Outcome results

Primary

Percentage of Participants Maintaining Average Hemoglobin Concentration Within +\- 1 Gram/Deciliter of Their Reference Hb and Between 10.5 and 12.5 Gram/Deciliter During EEP

All mean Hb values recorded during the evaluation period were calculated and subtracted from the mean baseline Hb value for each participant. The percentage of participants maintaining their mean Hemoglobin (Hb) concentration within +/- 1 gram/deciliter (g/dL) of their reference Hb and between 10.5 -12.5 g/dL is presented during the EEP. The EEP is defined as Week 16 to Week 24

Time frame: EEP (Week 16 to Week 24)

Population: Per protocol (PP) population included participants except who didn't meet inclusion criterion relative to consent, stable baseline Hb values, iron status, epoetin maintenance, and who met exclusion criterion of hemoglobinopathies/hemolysis, bleeding, \>3 recorded Hb, missing drug administration, other ESA, blood transfusion during the DTP or EEP.

ArmMeasureValue (NUMBER)
RO0503821 (1x/4 Weeks)Percentage of Participants Maintaining Average Hemoglobin Concentration Within +\- 1 Gram/Deciliter of Their Reference Hb and Between 10.5 and 12.5 Gram/Deciliter During EEP54.5 percentage of participants
Secondary

Mean Change in Hb Concentration From Baseline to the EEP

A time adjusted mean change in Hb concentration was calculated using an area under the curve approach, for both periods separately. Change in Hb concentration between the baseline and evaluation periods was calculated by subtracting the calculated average baseline Hb value from the average evaluation period Hb value. All blood samples for Hb measurements were taken prior to study drug administration. Analysis used last observation carried forward (LOCF) for missing Hb values to correct for the impact of early dropouts. The baseline period is defined as Week -4 to Week -1. The EEP is defined as Week 16 to Week 24

Time frame: Baseline (Week -4 to Week -1), EEP (Week 16 to Week 24)

Population: The Intent-to-Treat (ITT) population included all the participants who received at least one dose of C.E.R.A. and for whom data for at least one follow-up variable is available.

ArmMeasureValue (MEAN)Dispersion
RO0503821 (1x/4 Weeks)Mean Change in Hb Concentration From Baseline to the EEP0.19 g/dLStandard Deviation 1.21
Secondary

Mean Number of Days Spent Within Hb Range of 10.5-12.5 g/dL During the EEP

The mean number of days the participant spent within the Hb range 10.5-12.5 g/dL during the EEP was reported. The EEP is defined as Week 16 to Week 24

Time frame: EEP (Week 16 to Week 24)

Population: The ITT population included all the participants who received at least one dose of C.E.R.A. and for whom data for at least one follow-up variable is available. Of the 199 participants, analysis was conducted on 184 participants, as 15 participants did not maintain their hemoglobin, within range of 10.5-12.5 g/dL during the EEP.

ArmMeasureValue (MEAN)Dispersion
RO0503821 (1x/4 Weeks)Mean Number of Days Spent Within Hb Range of 10.5-12.5 g/dL During the EEP34.7 number of daysStandard Deviation 18.42
Secondary

Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSP

The number of participants who required dose adjustments of C.E.R.A were categorized as; 1. No dose change; 2. Any dose change: a. Dose increase only; b. Dose decrease only; c. Dose increase and increase; 3. Only one dose, all of which were recorded during DTP, EEP and LTSP. DTP is defined as Week 1 to Week 16, EEP is defined as Week 16 to Week 24 and LTSP is defined as Week 24 to Week 44

Time frame: DTP (Week 1 to Week 16), EEP (Week 16 to Week 24) and LTSP (Week 24 to Week 44)

Population: The ITT population included all the participants who received at least one dose of C.E.R.A. and for whom data for at least one follow-up variable is available. . Data for the participants present at the time of assessment was used for analysis i.e. for DTP- 199, EEP-183, LTSP-178 respectively.

ArmMeasureGroupValue (NUMBER)
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPDTP, No dose change50 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPDTP, Dose increase only37 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPDTP, Dose decrease only68 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPDTP, Dose decrease and increase41 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPDTP, Only one dose3 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPEEP, No dose change81 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPEEP, Dose increase only46 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPEEP, Dose decrease only42 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPEEP, Dose decrease and increase12 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPEEP, Only one dose2 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPLTSP, No dose change39 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPLTSP, Dose increase only41 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPLTSP, Dose decrease only55 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPLTSP, Dose decrease and increase40 number of participants
RO0503821 (1x/4 Weeks)Number of Participants Requiring Any Dose Adjustment During the DTP, EEP, and LTSPLTSP, Only one dose3 number of participants
Secondary

Number of Participants With Red Blood Cell Transfusion

The number of participants who underwent red blood cell transfusion was reported

Time frame: Up to 3 years

Population: The safety population was defined as all participants who received at least one dose of the trial medication and underwent a safety follow-up, whether withdrawn prematurely or not.

ArmMeasureValue (NUMBER)
RO0503821 (1x/4 Weeks)Number of Participants With Red Blood Cell Transfusion5 number of participants
Secondary

Percentage of Participants Maintaining Average Hb Concentration Within Target Range of 10.5-12.5 g/dL Throughout the EEP

All mean Hb values recorded during the EEP were calculated. The percentage of participants maintaining their average Hb concentration within the targeted range 10.5-12.5 g/dL during the EEP were reported. The EEP is defined as Week 16 to Week 24

Time frame: EEP (Week 16 to Week 24)

Population: The ITT population included all the participants who received at least one dose of C.E.R.A. and for whom data for at least one follow-up variable is available.

ArmMeasureValue (NUMBER)
RO0503821 (1x/4 Weeks)Percentage of Participants Maintaining Average Hb Concentration Within Target Range of 10.5-12.5 g/dL Throughout the EEP63.8 percentage of participants

Source: ClinicalTrials.gov · Data processed: Mar 13, 2026