Anemia
Conditions
Brief summary
This single arm study will assess the efficacy and safety of subcutaneous Mircera for the correction and maintenance of hemoglobin levels in predialysis patients with renal anemia who are not currently treated with ESA. Eligible patients will receive monthly subcutaneous injections at an initial recommended dose of 1.2 micrograms/kg. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
Interventions
sc every month (starting dose 1.2 micrograms/kg)
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, \>=18 years of age; * chronic renal anemia; * no ESA therapy during previous 3 months; * adequate iron status; * rapid chronic kidney disease progression.
Exclusion criteria
* transfusion of red blood cells during previous 2 months; * poorly controlled hypertension requiring hospitalization in previous 6 months; * significant acute or chronic bleeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean change in Hb concentration between baseline and Efficacy Evaluation Period (EEP). | Week 32 |
Secondary
| Measure | Time frame |
|---|---|
| Time to achievement of response | Throughout study |
| Percentage of patients whose Hb concentration remains within range 10.0-12.0g/dL | Throughout study |
| Percentage of patients whose average Hb concentration is within range 10.0 - 12.0g/dL | Throughout study |
| Mean time spent in Hb range of 10.0 - 12.0g/dL | Throughout study |
| Percentage of patients requiring dose adjustments; incidence of RBC transfusions; time to initiation of renal replacement therapy. | Throughout study |
Countries
Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Guatemala, Panama, Peru, Venezuela