CKD AnemiaPhase 3NCT01750190
A Study of Roxadustat for the Treatment of Anemia in Participants With Chronic Kidney Disease and Not Receiving Dialysis
A Phase 3 study testing Roxadustat in people with CKD Anemia, run by Kyntra Bio at 145 sites in 16 countries.
Trial summary
The purpose of this study is to determine whether roxadustat is safe and effective in the treatment of anemia in participants with chronic kidney disease and not on dialysis. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- CKD Anemia
- What is being tested?
- Roxadustat
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 922 participants
- Where
- 145 sitesin 16 countries
- Study dates
- 5 Nov 2012to 24 Sep 2018
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Chronic kidney disease Stages 3, 4, or 5 and not receiving dialysis
- Anemia qualified by measurements of hemoglobin values during screening
- Additional blood work must be in a safe range for study entry
- Body weight 45 to 160 kilograms (kg)
- Willingness to use contraception if of child-bearing potential
Who cannot join
- Treatment with an erythropoiesis-stimulating agent (ESA) within 12 weeks prior to study participation
- More than 1 dose of intravenous iron within 12 weeks prior to study participation
- Blood transfusion within 8 weeks prior to study participation
- Active infection
- Chronic liver disease
- Severe congestive heart failure, recent heart attack, stroke, seizure, or blood clot
Show all 15Show fewer
- Uncontrolled blood pressure within 2 weeks prior to study participation
- Renal cell carcinoma
- History of malignancy, including multiple myeloma or other myelodysplastic syndrome
- Chronic inflammatory disease that could impact red blood cell production
- Any prior organ transplant or a scheduled organ transplantation
- Anticipated elective surgery that is expected to lead to significant blood loss or anticipated elective heart procedure
- Gastrointestinal bleeding
- Any prior treatment with roxadustat or a hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI)
- Recent use of an investigational drug or treatment, or participation in an investigational study
Trial locations and contacts
145 sites in 16 countries.
145 sites in 16 countries
United States55 sites
Investigational Site
Albuquerque, New Mexico, 87109
Investigational Site
Alhambra, California, 91801
Investigational Site
Arlington, Texas, 76015
Investigational Site
Asheville, North Carolina, 28801
Investigational Site
Augusta, Georgia, 30909
Investigational Site
Baltimore, Maryland, 21218
Investigational Site
Beaver, Pennsylvania, 15009
Investigational Site
Boston, Massachusetts, 02215
Investigational Site
Caldwell, Idaho, 83605
Investigational Site
Chula Vista, California, 91910
Investigational Site
Coral Gables, Florida, 33134
Investigational Site
Corsicana, Texas, 75110
Investigational Site
Cutler Bay, Florida, 33157
Investigational Site
Dallas, Texas, 75246
Investigational Site
Detroit, Michigan, 48202
Investigational Site
Fairfax, Virginia, 22033
Investigational Site
Flint, Michigan, 48503
Investigational Site
Flint, Michigan, 48532
Investigational Site
Hialeah, Florida, 33016
Investigational Site
Houston, Texas, 77030
Investigational Site
Huntsville, Alabama, 35801
Investigational Site
Inglewood, California, 90301
Investigational Site
La Mesa, California, 91942
Investigational Site
La Palma, California, 91324
Investigational Site
Lynwood, California, 90262
Investigational Site
Miami, Florida, 33015
Investigational Site
Miami, Florida, 33122
Investigational Site
Miami, Florida, 33135
Investigational Site
Miami, Florida, 33150
Investigational Site
Mineola, New York, 11501
Investigational Site
Morgantown, West Virginia, 26506
Investigational Site
Nashville, Tennessee, 37232
Investigational Site
New Brunswick, New Jersey, 08903
Investigational Site
Northridge, California, 91325
Investigational Site
Ocala, Florida, 34471
Investigational Site
Orangeburg, South Carolina, 29118
Investigational Site
Paramount, California, 90723
Investigational Site
Pembroke Pines, Florida, 33028
Investigational Site
Pontiac, Michigan, 48341
Investigational Site
Raleigh, North Carolina, 27609
Investigational Site
Riverside, California, 92503
Investigational Site
Rocky Mount, North Carolina, 27804
Investigational Site
Roseville, California, 95661
Investigational Site
Roseville, Michigan, 48066
Investigational Site
San Antonio, Texas, 78229
Investigational Site
San Dimas, California, 91773
Investigational Site
Shreveport, Louisiana, 71101
Investigational Site
South Miami, Florida, 33143
Investigational Site
St Louis, Missouri, 63110
Investigational Site
Sumter, South Carolina, 29150
Investigational Site
Tempe, Arizona, 85284
Investigational Site
The Bronx, New York, 10461
Investigational Site
Whittier, California, 90603
Investigational Site
Winston-Salem, North Carolina, 27103
Investigational Site
Winter Park, Florida, 32789
Argentina17 sites
Investigational Site
Buenos Aires, B1852FZD
Investigational Site
Buenos Aires, C1425BPJ
Investigational Site
Buenos Aires, C1429BWN
Investigational Site
Ciudad Evita, Buenos Aires, B1178IFA
Investigational Site
Córdoba, Córdoba Province, X5002HWE
Investigational Site
Córdoba, 5000
Investigational Site
Córdoba, X5002AOQ
Investigational site
Córdoba, X5016KET
Investigational Site
Corrientes, 3400
Investigational Site
González Catán, Buenos Aires, B1759LTF
Investigational Site
Junín, Buenos Aires, B6000GMA
Investigational Site
Mendoza, 5500
Investigational Site
Morón, Buenos Aires, B1708DPN
Investigational Site
Pergamino, Buenos Aires, B2700CPM
Investigational Site
Salta, A4402BGJ
Investigational Site
Santa Fe, 3000
Investigational Product
Villa Domínico, Buenos Aires, B1874GBA
South Korea12 sites
Investigational Site
Anyang-si, Gyeonggi-do, 431-796
Investigational Site
Busan, 614-735
Investigational Site
Goyang-si, Gyeonggi-do, 410-719
Investigational Site
Guri-si, Gyeonggi-do, 471-701
Investigational Site
Seongnam-si, Gyeonggi-do, 463-712
Investigational Site
Seoul, 110-744
Investigational Site
Seoul, 130-872
Investigational Site
Seoul, 133-791
Investigational Site
Seoul, 134-727
Investigational Site
Seoul, 137-701
Investigational Site
Seoul, 143-729
Investigational Site
Seoul
Taiwan12 sites
Investigational Site
Changhua, 500
Investigational Site
Hualien City, 970
Investigational Site
Kaohsiung City, 40705
Investigational Site
Kaohsiung City, 81362
Investigational Site
Kaohsiung City, 83301
Investigational Site
Taichung, 40705
Investigational Site
Taichung, 433
Investigational Site
Tainan, 433
Investigational Site
Tainan, 704
Investigational Site
Taipei, 10002
Investigational Site
Taipei, 110
Investigational Site
Taipei, 11490
Malaysia8 sites
Investigational Site
Alor Star, 05460
Investigational Site
Kajang, 43000
Investigational Site
Kuala Lumpur, 50586
Investigational Site
Kuala Lumpur, 59100
Investigational Site
Kuching, 93586
Investigational Site
Pulau Pinang, 10990
Investigational Site
Sungai Petani, 080000
Investigational Site
Taiping, 34000
Australia7 sites
Investigational Site
Gosford, 2250
Investigational Site
Hobart, 7000
Investigational Site
Launceston, 7250
Investigational Site
Liverpool, New South Wales, 2170
Investigational Site
Melbourne, 3004
Investigational Site
New Lambton Heights, 2305
Investigational Site
Randwick, 2031
Mexico6 sites
Investigational Site
Aguascalientes, 20128
Investigational Site
Guadalajara, Jalisco, 44280
Investigational Site
Mérida, Yucatán, 97133
Investigational Site
Mexico City, Mexico City, 06100
Investigational Site
Monterrey, Nuevo León, 64000
Investigational Site
San Luis Potosí City, 78240
Philippines5 sites
Investigational Site
Dasmariñas, Cavite, 4114
Investigational Site
Davao City, Davao Region, 8000
Investigational site
Pasig
Investigational Site
Quezon City, 1100
Investigational Site
Quezon City, 1102
Hong Kong4 sites
Investigational Site
Chai Wan
Investigational Site
Hong Kong, Pokfulam
Investigational Site
Shatin, 852
Investigational Site
Tai Po
Peru4 sites
Investigational Site
Bellavista, Provincia Constitucional del Callao, Callao 2
Investigational site
Lima, Lima 13
Investigational Site
Lima, Lima 1
Investigational Site
San Martín de Porres, Lima region, Lima 31
New Zealand3 sites
Investigational Site
Auckland
Investigational Site
Hamilton, 3240
Investigational Site
Tauranga, 3143
Singapore3 sites
Investigational Site
Singapore, 119074
Investigational Site
Singapore, 768828
Investigational Site
Singapore
Thailand3 sites
Investigational Site
Bangkok, 10330
Investigational Site
Bangkok, 10400
Investigational Site
Chiang Mai, 50200
Chile2 sites
Investigational Site
Santiago, Santiago Metropolitan, 8431657
Investigational Site
Temuco, Araucania, 4781151
Colombia2 sites
Investigational Site
Barranquilla, Atlántico
Investigational Site
Bogota, Cundinamarca
Puerto Rico2 sites
Investigational Site
Ponce, 00716
Investigational Site
San Juan, 00918
About this study
Official title: A Phase 3, Randomized, Double-Blind, Placebo Controlled Study of the Efficacy and Safety of Roxadustat (FG-4592) for the Treatment of Anemia in Chronic Kidney Disease Patients Not on Dialysis
The purpose of this study is to determine whether roxadustat is safe and effective in the treatment of anemia in participants with chronic kidney disease and not on dialysis.
Read the detailed description
There is a screening period of up to 6 weeks, a variable treatment period for individual participants. In order to complete the treatment period simultaneously for all study participants, the minimum treatment duration may be less than 52 weeks, with a maximum treatment duration of up to 3 years after the last participant is randomized, and a post-treatment follow-up period of 4 weeks. Participants who prematurely discontinued from treatment will be expected to complete the Early Termination (ET) and End of Study (EOS) visits. Such participants will be considered non-completers, but they will be expected to participate in long-term follow-up (LTFU) for cardiovascular events (CV) of interest, vital status, and hospitalizations until overall study closure unless the participant withdrew consent for this LTFU data collection. Participants were randomized in a 2:1 ratio to receive either roxadustat or placebo in a double-blind manner.
- Conditions
- CKD Anemia
- Being tested
- Roxadustat, Placebo
- Keywords
- anemia, chronic kidney disease (CKD), non-dialysis, Hemoglobin (Hb), End-Stage Renal Disease, erythropoeitin, ASP1517, erythropoeisis stimulating-agent, AZD9941
- Medical subject headings
- Anemia, Renal Insufficiency, Chronic, Kidney Failure, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RoxadustatDrug
Also called FG-4592, ASP1517, AZD9941
Oral tablets
PlaceboDrug
Oral tablets
| Study group | Role | What they receive |
|---|---|---|
| Roxadustat | Experimental | Participants will receive roxadustat tablets orally 3 times a week (TIW). The initial dose will be according to the tiered weight-based approach, with starting roxadustat doses of 70 milligrams (mg) TIW to participants weighing <70 kilograms (kg) and roxadustat doses of 100 mg TIW to participants weighing ≥70 kg. Dose-titration (up to a maximum dose of 300 mg) will be performed based upon regular measurement of Hb levels until the participant achieves central Hb value of ≥11.0 grams/deciliter (g/dL) and Hb increase from baseline (BL) of ≥1.0 g/dL at 2 consecutive study visits, separated by at least 5 days. Once target Hb level is reached, the participant will enter the maintenance period during which roxadustat dosage will be adjusted every 4 weeks to maintain participant's Hb level within the target range of 10.0 g/dL and 12.0 g/dL. The maximum treatment duration will be up to 234.9 weeks. Receives: Drug: Roxadustat |
| Placebo | Placebo comparator | Participants will receive roxadustat-matching placebo tablets orally TIW. The initial dose will be according to the tiered weight-based approach, with starting roxadustat-matching placebo doses of 70 mg TIW to participants weighing <70 kg and roxadustat-matching placebo doses of 100 mg TIW to participants weighing ≥70 kg. Dose-titration (up to a maximum dose of 300 mg) will be performed based upon regular measurement of Hb levels until the participant achieves central Hb value of ≥11.0 g/dL and Hb increase from BL of ≥1.0 g/dL at 2 consecutive study visits, separated by at least 5 days. Once target Hb level is reached, the participant will enter the maintenance period during which roxadustat dosage will be adjusted every 4 weeks to maintain participant's Hb level within the target range of 10.0 g/dL and 12.0 g/dL. The maximum treatment duration will be up to 208.1 weeks. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
United States (US FDA) Submission: Mean Change From Baseline in Hb (g/dL) Over Weeks 28 to 52 Regardless of Rescue Therapy
The change in Hb from baseline to the average level during the evaluation period (defined as Week 28 until Week 52) is reported. Hb values under the influence of a rescue therapy were not censored. The intermittent missing hemoglobin data were imputed for each treatment relying on non-missing data from all participants within each treatment group using the Monte Carlo Markov Chain (MCMC) imputation model, Monotone missing data were imputed by regression from its own treatment group. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study drug.
Measured: Baseline (Day 1, Week 0), Weeks 28 to 52
Ex-US Submission: Number (%) of Participants Who Achieved a Hb Response During the First 24-Weeks of Treatment Censoring for Rescue Therapy
The number of participants who achieved a Hb response at 2 consecutive visits at least 5 days apart during the first 24 weeks of treatment, without rescue therapy (that is, red blood cell [RBC] transfusion, erythropoiesis-stimulating agent [ESA], or intravenous [IV] iron) are reported. A Hb response is defined, using central laboratory values, as the following:
- Hb ≥11 g/dL and Hb increase from baseline by ≥1 g/dL in participants with baseline Hb >8 g/dL, or
- An increase in Hb by ≥2 g/dL in participants with baseline Hb ≤8.0 g/dL
Measured: Baseline up to Week 24
Secondary outcomes (10)
Mean Change From Baseline in Hb Averaged Over Weeks 28 to 36 With Censoring for Rescue Therapy
For Ex-US submission only: Hb values under the influence of a rescue therapy were censored by mixed effect model of repeated measures (MMRM) for up to 6 weeks. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study drug.
Measured: Baseline (Day 1, Week 0), Weeks 28 to 36
Mean Change From Baseline in Hb Averaged Over Weeks 28 to 52 Regardless of Rescue Therapy in Participants With Baseline C-Reactive Protein (CRP) >Upper Limit of Normal (ULN)
Hb values under the influence of a rescue therapy were not censored in the analysis. The intermittent missing hemoglobin data were imputed for each treatment relying on non-missing data from all participants within each treatment group using the MCMC imputation model, Monotone missing data were imputed by regression from its own treatment group. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study treatment.
Measured: Baseline (Day 1, Week 0), Weeks 28 to 52
Number (%) of Participants With Hb ≥10 g/dL Averaged Over Weeks 28 to 36 With Censoring for Rescue Therapy
Hb values under the influence of a rescue therapy were censored by Cochran-Mantel-Haenszel Test for up to 6 weeks. Responder was defined as: Hb ≥10.0 g/dL, which was based on central laboratory values.
Measured: Weeks 28 to 36
Mean Change From Baseline in Low-Density Lipoprotein (LDL) Cholesterol Averaged Over Weeks 12 to 28
Baseline LDL cholesterol was defined as the last LDL cholesterol value prior to the first dose of study drug.
Measured: Baseline (Day 1, Week 0), Weeks 12 to 28
Rate of Change in eGFR From Baseline up to 12 Months (Linear Random Coefficient Model With Observed Data)
Progression of chronic kidney disease was measured by rate of change in eGFR over time adjusted by baseline eGFR, with censoring for chronic dialysis or kidney transplant, using random slope and intercept model. Least Square Mean of change from baseline at 1 year was derived based on a random slopes and intercepts model using all available eGFR values (1 baseline and all post-treatment values up to end of treatment period + 7 days or start of dialysis) adjusted on treatment, baseline Hb, baseline eGFR, geographical region, cardiovascular events history at Baseline (yes vs. no), time (continuous value), the interaction terms of baseline eGFR by time, baseline Hb by time, and treatment by time as fixed effects, with random effects of intercept and linear slope of time. All assessments collected after the start of stable dialysis or kidney transplant were excluded from the analysis.
Measured: Baseline, Month 12
Number of Participants Who Received Blood/RBC Transfusion in the First 52 Weeks of Treatment
Participants with any use of blood/RBC transfusion were reported.
Measured: Baseline up to Week 52
Number (%) of Participants Who Received Rescue Therapy in the First 24 Weeks and in the First 52 Weeks of Treatment
Rescue therapy included any use of RBC transfusion, ESA, or IV iron.
Measured: Baseline (Day 1, Week 0) up to Week 24 and up to Week 52
Change From Baseline in Short Form 36 (SF-36) Version 2 Physical Functioning Subscore and Vitality Subscore at Weeks 12 to 28
The SF-36 V2 consists of 36 questions covering 8 health domains: physical functioning, bodily pain, role limitations due to physical problems, role limitations due to emotional problems, general health perceptions, mental health, social function, and vitality. The physical functioning subscore and vitality subscore are reported. The scores ranged from 0 (worst) to 100 (Best). A higher score indicates a general improvement of life quality or well-being. Baseline score was defined as the last physical functioning value or vitality value, as applicable, prior to the first dose of study drug.
Measured: Baseline (Day 1, Week 0), Weeks 12 to 28
Number (%) of Participants Who Experienced Exacerbation of Hypertension
Exacerbation of hypertension was defined as an increase from baseline of ≥20 millimeter of mercury (mmHg) in systolic blood pressure (sBP) and sBP ≥170 mmHg or an increase from baseline of ≥15 mmHg in diastolic blood pressure (dBP) and dBP ≥110 mmHg.
Measured: Baseline up to Week 52
Mean Change From Baseline in Mean Arterial Pressure (MAP) Averaged Over Weeks 20 to 28
Baseline MAP was defined as the last MAP value prior to the first dose of study drug.
Measured: Baseline, Weeks 20 to 28
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Dec 2012 (estimated)
- Study start5 Nov 2012
- Primary completion24 Sep 2018
- Study completion24 Sep 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for CKD AnemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 922 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kyntra Bio
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Europe B.V., AstraZeneca
- Responsible party
- Sponsor
- Investigators
- Mark Eisner, MD, MPH, Study chair, Kyntra Bio
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01750190
- Sponsor's protocol ID
- FGCL-4592-060
- Status last verified
- Sep 2021
- First submitted
- 11 Dec 2012
- Last updated
- 1 Oct 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Natale P, Palmer SC, Jaure A, Hodson EM, Ruospo M, Cooper TE, Hahn D, Saglimbene VM, Craig JC, Strippoli GF. Hypoxia-inducible factor stabilisers for the anaemia of chronic kidney disease. Cochrane Database Syst Rev. 2022 Aug 25;8(8):CD013751. doi: 10.1002/14651858.CD013751.pub2.
PubMed 36005278Provenzano R, Szczech L, Leong R, Saikali KG, Zhong M, Lee TT, Little DJ, Houser MT, Frison L, Houghton J, Neff TB. Efficacy and Cardiovascular Safety of Roxadustat for Treatment of Anemia in Patients with Non-Dialysis-Dependent CKD: Pooled Results of Three Randomized Clinical Trials. Clin J Am Soc Nephrol. 2021 Aug;16(8):1190-1200. doi: 10.2215/CJN.16191020.
PubMed 34362786Coyne DW, Roger SD, Shin SK, Kim SG, Cadena AA, Moustafa MA, Chan TM, Besarab A, Chou W, Bradley C, Eyassu M, Leong R, Lee TT, Saikali KG, Szczech L, Yu KP. Roxadustat for CKD-related Anemia in Non-dialysis Patients. Kidney Int Rep. 2020 Dec 5;6(3):624-635. doi: 10.1016/j.ekir.2020.11.034. eCollection 2021 Mar.
PubMed 33732977
Study at a glance
From the registry record, last updated by the sponsor on 1 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind, Placebo Controlled Study of the Efficacy and Safety of Roxadustat (FG-4592) for the Treatment of Anemia in Chronic Kidney Disease Patients Not on Dialysis
- ClinicalTrials.gov ID
- NCT01750190
- Acronym / sponsor ID
- FGCL-4592-060
- Conditions
- CKD Anemia
- Keywords
- anemia, chronic kidney disease (CKD), non-dialysis, Hemoglobin (Hb), End-Stage Renal Disease, erythropoeitin, ASP1517, erythropoeisis stimulating-agent
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 922 participants (actual)
- Lead sponsor
- Kyntra BioIndustry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Europe B.V., AstraZeneca
- Study start
- 5 Nov 2012 (actual)
- Primary completion
- 24 Sep 2018 (actual)
- Study completion
- 24 Sep 2018 (actual)
- First posted
- 17 Dec 2012 (estimated)
- Results
- Posted 1 Oct 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether roxadustat is safe and effective in the treatment of anemia in participants with chronic kidney disease and not on dialysis.
Detailed description
There is a screening period of up to 6 weeks, a variable treatment period for individual participants. In order to complete the treatment period simultaneously for all study participants, the minimum treatment duration may be less than 52 weeks, with a maximum treatment duration of up to 3 years after the last participant is randomized, and a post-treatment follow-up period of 4 weeks. Participants who prematurely discontinued from treatment will be expected to complete the Early Termination (ET) and End of Study (EOS) visits. Such participants will be considered non-completers, but they will be expected to participate in long-term follow-up (LTFU) for cardiovascular events (CV) of interest, vital status, and hospitalizations until overall study closure unless the participant withdrew consent for this LTFU data collection. Participants were randomized in a 2:1 ratio to receive either roxadustat or placebo in a double-blind manner.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Roxadustat | Experimental | Drug: RoxadustatParticipants will receive roxadustat tablets orally 3 times a week (TIW). The initial dose will be according to the tiered weight-based approach, with starting roxadustat doses of 70 milligrams (mg) TIW to participants weighing <70 kilograms (kg) and roxadustat doses of 100 mg TIW to participants weighing ≥70 kg. Dose-titration (up to a maximum dose of 300 mg) will be performed based upon regular measurement of Hb levels until the participant achieves central Hb value of ≥11.0 grams/deciliter (g/dL) and Hb increase from baseline (BL) of ≥1.0 g/dL at 2 consecutive study visits, separated by at least 5 days. Once target Hb level is reached, the participant will enter the maintenance period during which roxadustat dosage will be adjusted every 4 weeks to maintain participant's Hb level within the target range of 10.0 g/dL and 12.0 g/dL. The maximum treatment duration will be up to 234.9 weeks. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants will receive roxadustat-matching placebo tablets orally TIW. The initial dose will be according to the tiered weight-based approach, with starting roxadustat-matching placebo doses of 70 mg TIW to participants weighing <70 kg and roxadustat-matching placebo doses of 100 mg TIW to participants weighing ≥70 kg. Dose-titration (up to a maximum dose of 300 mg) will be performed based upon regular measurement of Hb levels until the participant achieves central Hb value of ≥11.0 g/dL and Hb increase from BL of ≥1.0 g/dL at 2 consecutive study visits, separated by at least 5 days. Once target Hb level is reached, the participant will enter the maintenance period during which roxadustat dosage will be adjusted every 4 weeks to maintain participant's Hb level within the target range of 10.0 g/dL and 12.0 g/dL. The maximum treatment duration will be up to 208.1 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Chronic kidney disease Stages 3, 4, or 5 and not receiving dialysis
- Anemia qualified by measurements of hemoglobin values during screening
- Additional blood work must be in a safe range for study entry
- Body weight 45 to 160 kilograms (kg)
- Willingness to use contraception if of child-bearing potential
Key exclusion criteria (15 listed)
- Treatment with an erythropoiesis-stimulating agent (ESA) within 12 weeks prior to study participation
- More than 1 dose of intravenous iron within 12 weeks prior to study participation
- Blood transfusion within 8 weeks prior to study participation
- Active infection
- Chronic liver disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RoxadustatAlso: FG-4592, ASP1517, AZD9941Oral tablets | Drug | Roxadustat |
| PlaceboOral tablets | Drug | Placebo |
Primary outcome
United States (US FDA) Submission: Mean Change From Baseline in Hb (g/dL) Over Weeks 28 to 52 Regardless of Rescue Therapy
Time frame: Baseline (Day 1, Week 0), Weeks 28 to 52
The change in Hb from baseline to the average level during the evaluation period (defined as Week 28 until Week 52) is reported. Hb values under the influence of a rescue therapy were not censored. The intermittent missing hemoglobin data were imputed for each treatment relying on non-missing data from all participants within each treatment group using the Monte Carlo Markov Chain (MCMC) imputation model, Monotone missing data were imputed by regression from its own treatment group. Baseline Hb was defined as the mean of up to 4 last central laboratory values prior to the first dose of study drug.
Ex-US Submission: Number (%) of Participants Who Achieved a Hb Response During the First 24-Weeks of Treatment Censoring for Rescue Therapy
Time frame: Baseline up to Week 24
The number of participants who achieved a Hb response at 2 consecutive visits at least 5 days apart during the first 24 weeks of treatment, without rescue therapy (that is, red blood cell [RBC] transfusion, erythropoiesis-stimulating agent [ESA], or intravenous [IV] iron) are reported. A Hb response is defined, using central laboratory values, as the following: * Hb ≥11 g/dL and Hb increase from baseline by ≥1 g/dL in participants with baseline Hb >8 g/dL, or * An increase in Hb by ≥2 g/dL in participants with baseline Hb ≤8.0 g/dL
10 secondary outcomes
Mean Change From Baseline in Hb Averaged Over Weeks 28 to 36 With Censoring for Rescue Therapy
Time frame: Baseline (Day 1, Week 0), Weeks 28 to 36
Mean Change From Baseline in Hb Averaged Over Weeks 28 to 52 Regardless of Rescue Therapy in Participants With Baseline C-Reactive Protein (CRP) >Upper Limit of Normal (ULN)
Time frame: Baseline (Day 1, Week 0), Weeks 28 to 52
Number (%) of Participants With Hb ≥10 g/dL Averaged Over Weeks 28 to 36 With Censoring for Rescue Therapy
Time frame: Weeks 28 to 36
Mean Change From Baseline in Low-Density Lipoprotein (LDL) Cholesterol Averaged Over Weeks 12 to 28
Time frame: Baseline (Day 1, Week 0), Weeks 12 to 28
Rate of Change in eGFR From Baseline up to 12 Months (Linear Random Coefficient Model With Observed Data)
Time frame: Baseline, Month 12
Number of Participants Who Received Blood/RBC Transfusion in the First 52 Weeks of Treatment
Time frame: Baseline up to Week 52
Number (%) of Participants Who Received Rescue Therapy in the First 24 Weeks and in the First 52 Weeks of Treatment
Time frame: Baseline (Day 1, Week 0) up to Week 24 and up to Week 52
Change From Baseline in Short Form 36 (SF-36) Version 2 Physical Functioning Subscore and Vitality Subscore at Weeks 12 to 28
Time frame: Baseline (Day 1, Week 0), Weeks 12 to 28
Number (%) of Participants Who Experienced Exacerbation of Hypertension
Time frame: Baseline up to Week 52
Mean Change From Baseline in Mean Arterial Pressure (MAP) Averaged Over Weeks 20 to 28
Time frame: Baseline, Weeks 20 to 28
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Oct 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36005278Natale P, Palmer SC, Jaure A, Hodson EM, Ruospo M, Cooper TE, Hahn D, Saglimbene VM, Craig JC, Strippoli GF. Hypoxia-inducible factor stabilisers for the anaemia of chronic kidney disease. Cochrane Database Syst Rev. 2022 Aug 25;8(8):CD013751. doi: 10.1002/14651858.CD013751.pub2.
- Derived from this study: PubMed 34362786Provenzano R, Szczech L, Leong R, Saikali KG, Zhong M, Lee TT, Little DJ, Houser MT, Frison L, Houghton J, Neff TB. Efficacy and Cardiovascular Safety of Roxadustat for Treatment of Anemia in Patients with Non-Dialysis-Dependent CKD: Pooled Results of Three Randomized Clinical Trials. Clin J Am Soc Nephrol. 2021 Aug;16(8):1190-1200. doi: 10.2215/CJN.16191020.
- Derived from this study: PubMed 33732977Coyne DW, Roger SD, Shin SK, Kim SG, Cadena AA, Moustafa MA, Chan TM, Besarab A, Chou W, Bradley C, Eyassu M, Leong R, Lee TT, Saikali KG, Szczech L, Yu KP. Roxadustat for CKD-related Anemia in Non-dialysis Patients. Kidney Int Rep. 2020 Dec 5;6(3):624-635. doi: 10.1016/j.ekir.2020.11.034. eCollection 2021 Mar.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mark Eisner, MD, MPH study chair
Kyntra Bio
145 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Roxadustat in people with CKD Anemia, run by Kyntra Bio at 145 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 145 sites in United States, Argentina, South Korea, Taiwan, Malaysia and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 Oct 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
United States (US FDA) Submission: Mean Change From Baseline in Hb (g/dL) Over Weeks 28 to 52 Regardless of Rescue Therapy (time frame: Baseline (Day 1, Week 0), Weeks 28 to 52). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01750190, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2021.