Anemia, Chronic Renal Insufficiency
Conditions
Keywords
Treatment associated with CRI
Brief summary
This is an open-label, single-arm, baseline-controlled, multicenter efficacy and safety switch study involving 500 CKD subjects suffering from anemia and treated previously with a stable dose of ESA s.c. Correction of anemia will be maintained by s.c. administration of HX575 in two frequencies (i.e. qw and q2w), in order to maintain an Hb target range of 10.0-12.0 g/dL.
Interventions
Containing different strengths of epoetin alfa (1 to 10 KIU), s.c. injection, 1x per week (qw) or 1x every two weeks (q2w), injection into abdomen or upper thigh
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and female CKD subjects with or without dialysis treatment * Age \> 18 years * Subjects under documented stable maintenance therapy with ESA, s.c. at least once per week and in accordance with the relevant SmPC, for at least 3 months with a total weekly dose of ≤ 300 IU/kg/week * Subjects with controlled symptomatic anemia, defined as mean Hb level between 10.0 g/dL and 12.0 g/dL, based on four Hb measurements during the four-week baseline period * Adequate iron status, serum ferritin ≥ 100 µg/L or transferrin saturation ≥ 20% * Confirmed negative anti-EPO antibody assay from sample taken at screening visit -4
Exclusion criteria
* Systemic cyclosporine * History of PRCA or aplastic anemia * History of anti-EPO antibodies * Uncontrolled hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in hemoglobin level | 36 weeks |
Secondary
| Measure | Time frame |
|---|---|
| To document the safety and lack of immunogenicity of HX575. To determine the optimal dosing regimen of HX575 s.c. administration. | 36 weeks |
Countries
Bulgaria, France, Germany, Romania, Spain