Renal Anemia of Chronic Kidney DiseasePhase 2NCT04885647
A Study of YPEG-rhEPO in Patients Suffered From Anemia Due to Chronic Kidney Disease
A Phase 2 study testing YPEG-rhEPO in people with Renal Anemia of Chronic Kidney Disease, run by Xiamen Amoytop Biotech Co., Ltd. at 17 sites in China.
Trial summary
The purpose of this study is to evaluate the effectiveness and safety of YPEG rhEPO, a recombinant human erythropoietin pegylated by Y shape polyethylene glycol, in patients with anemia due to Chronic Kidney Disease (CKD), assessed by hemoglobin maintenance, adverse events and health-related quality of life. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Renal Anemia of Chronic Kidney Disease
- What is being tested?
- YPEG-rhEPO
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 17 sitesChina
- Study dates
- 12 Mar 2021to 5 Jan 2022
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged between 18 and 70 years old, including 18 and 70 years.
- Subjects who are diagnosed of chronic kidney disease and receiving hemodialysis (KT/V greater than or equal to 1.2). And those who had received hemodialysis, performed 2 to 3 times a week and 4 to 5 hours for every dialysis, for at least 12 weeks prior to deliver of YPEG-EPO.
- Subjects receiving rhEPO treatment, including subcutaneous and intravenous injection, for anemia due to chronic kidney disease for at least 12 weeks before randomized. And in addition, the serum hemoglobin should keep stable during the previous 12 weeks, which was defined as serum hemoglobin obtained from tests taken once a month (once a month means at least 4 weeks interval between two tests) were always kept between 100g/L and 120g/L, or else mean hemoglobin of two different tests, which were taken at least 4 weeks apart, is between 100g/L and 120g/L.
- Transferrin saturation (TSAT) greater than 20% or serum ferritin (SF) greater than 200ng/mL, serum folate greater or equal to the lower normal limit (ULN), serum vitamin B12 greater or equal to ULN,before enrollment.
- Understand and sign the informed consent form voluntarily.
Who cannot join
- Women of pregnancy, lactating, or planning to pregnant, or patients who are planning to donate sperms/eggs during the study period.
- Subjects who are allergic to rhEPO or any of its components, or with any other evidenced allergy history that make it not suitable for participation.
- Subjects who are receiving Roxadustat Capsules at screening.
- Anemia caused by diseases or causes other than CKD, such as bleeding, hemolysis, vitamin or folate deficiency. Obvious bleeding evidence that requires blood transfusion during the lead-in period.
- Subjects suffering from pure red-cell anemia (PRCA) according to previously erythropoietin treatment.
- Subjects with serious disease or function deficiency in major organ/system, such as:
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- Medical history of myocardial infarction, cerebral stroke, vascular access thrombosis, or pulmonary embolism. Combined congestive heart failure (NYHA cardiac function equal to or grade than III). Hypertensions poorly controlled by medication (systolic blood pressure higher than 170mmHg and/or diastolic blood pressure higher than 100mmHg), or postural hypotension (systolic blood pressure below 90mmHg).
- Medical history of malignancy, hematological disease, obvious bleeding disease, epilepsy, neuropsychiatric disease, or family history of neuropsychiatric disease.
- Poorly controlled autoimmune diseases (including but not limit to systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, autoimmune thrombocytopenia).
- Poorly controlled endocrine diseases, (including but not limit to thyroid disease, parathyroid disease, diabetes mellitus).
- Co-infected with HAV, HBV, HCV, HIV, Syphilis, etc..
- Currently suffering from severe infection or inflammation (C-reactive protein greater than 30mg / L), or currently receiving antibiotics.
- Red blood cell count greater than 6.0×10^12/L for men while greater than 5.5×10^12/L for female; Platelets greater than 500×10^9/L; serum albumin lower than 30g/L; Alanine aminotransferase higher than 2 ULN, aspartame aminotransferase higher than 2ULN; Parathyroid hormone greater than 800pg/mL.
- Subjects who plan to undergo coronary artery bypass grafting (CABG), to undergo orthopedic surgery, to receive kidney transplantation, or to undergo any other major operation during the study period.
- Drug addicts or alcoholics.
- Vascular malformations (such as internal jugular vein malformation) makes it inappropriately for Hemodialysis catheterization.
- Expected survival of a certain subject is less than 12 months.
- Subjects participated in any other clinical trial within 3 months prior to screening.
- Any other situation that is not suitable for participation in this study according to the investigator's judgment.
Trial locations and contacts
17 sites in 1 country.
17 sites in 1 country
China17 sites
Beijing Anzhen Hospital,Capital Medical University
Beijing, Beijing Municipality
The Third Xiangya Hospital Of Central South University
Changsha, Hunan
Xiangya Hospital Central South University
Changsha, Hunan
The First Affiliated Hospital Of Chengdu Medical college
Chengdu, Sichuan, 361028
The Second Affiliated Hospital Of Chongqing Medical University
Chongqing, Chongqing Municipality
Affiliated Zhongshan Hospital of Dalian University
Dalian, Liaoning
The First Affiliated Hospital Of Guangzhou Medical University
Guangzhou, Guangdong
The First Affiliated Hospital of Jinan University
Guangzhou, Guangdong
The Third Affiliated Hospital of Sun Yat sen University
Guanzhou, Guangdong
The First Affiliated Hospital, College of Medicine, Zhejiang University
Hangzhou, Zhejiang
The First Affiliated Hospital Of Baotou Medical college,Inner Mongolia University Of Science and Technology
Hohhot, Inner Mongol
Huai'an Second People's Hospital/The Affiliated Huaian Hospital Of Xuzhou Medical University
Huai'an, Jiangsu
Lishui Municipal Central Hospital
Lishui, Zhejiang
Tianjin First Central Hospital
Tianjin, Tianjin Municipality
Tianjin People's Hospital
Tianjin, Tianjin Municipality
Renmin Hospital of Wuhan University/Hubei General Hospital
Wuhan, Hubei
Xi'an Gaoxin Hospital
Xi’an, Shanxi
About this study
Official title: A Multicenter, Randomized, Open-label, Phase 2 Study of YPEG-rhEPO in Patients Suffered From Anemia Due to Chronic Kidney Disease, Who Has Previously Treated With rhEPO and Maintains the Hemoglobin in a Stabilize State
The purpose of this study is to evaluate the effectiveness and safety of YPEG rhEPO, a recombinant human erythropoietin pegylated by Y shape polyethylene glycol, in patients with anemia due to Chronic Kidney Disease (CKD), assessed by hemoglobin maintenance, adverse events and health-related quality of life.
- Conditions
- Renal Anemia of Chronic Kidney Disease
- Being tested
- YPEG-rhEPO
- Keywords
- YPEG rhEPO, rhEPO, erythropoietin, anemia, dialysis, hemodialysis, chronic kidney disease
- Medical subject headings
- Anemia, Renal Insufficiency, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
YPEG-rhEPODrug
YPEG-rhEPO,low dose,were subcutaneous injected once every two weeks for 13 weeks.
YPEG-rhEPODrug
YPEG-rhEPO,low dose,were subcutaneous injected once every four weeks for 13 weeks.
YPEG-rhEPODrug
YPEG-rhEPO, high dose,were subcutaneous injected once every two weeks for 13 weeks.
YPEG-rhEPODrug
YPEG-rhEPO,high dose,were subcutaneous injected once every four weeks for 13 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Arm1 | Experimental | Low dose once every 2 weeks group Receives: Drug: YPEG-rhEPO |
| Arm2 | Experimental | Low dose once every 4 weeks group Receives: Drug: YPEG-rhEPO |
| Arm3 | Experimental | High dose once every 2 weeks group Receives: Drug: YPEG-rhEPO |
| Arm4 | Experimental | High dose once every 4 weeks group Receives: Drug: YPEG-rhEPO |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes of mean hemoglobin compared to baseline.
Measured: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Secondary outcomes (7)
Proportion of patients with hemoglobin keeping within the target range (the target hemoglobin range is defined as hemoglobin keeping between 100g/L and 120g/L).
Measured: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Proportion of patients with hemoglobin fluctuations within ±10g/L compared to baseline.
Measured: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Mean time of hemoglobin keeping within the target range.
Measured: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Mean time from baseline to the first dose adjustment.
Measured: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Changes of hemoglobin compared to baseline at the time of first dose adjustment.
Measured: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Proportion of patients with dose adjustment.
Measured: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Proportion of patients requiring blood transfusion.
Measured: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 May 2021
- Study start12 Mar 2021
- Primary completion5 Jan 2022
- Study completion5 Jan 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Renal Anemia of Chronic Kidney DiseaseStudies of the same condition, open and under way.
- More trials run by Xiamen Amoytop Biotech Co., Ltd.The sponsor's other registered studies.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Xiamen Amoytop Biotech Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- First Affiliated Hospital of Zhejiang University
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04885647
- Sponsor's protocol ID
- TB1901EPO
- Status last verified
- Dec 2022
- First submitted
- 8 May 2021
- Last updated
- 16 Dec 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Dec 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Open-label, Phase 2 Study of YPEG-rhEPO in Patients Suffered From Anemia Due to Chronic Kidney Disease, Who Has Previously Treated With rhEPO and Maintains the Hemoglobin in a Stabilize State
- ClinicalTrials.gov ID
- NCT04885647
- Acronym / sponsor ID
- TB1901EPO
- Conditions
- Renal Anemia of Chronic Kidney Disease
- Keywords
- YPEG rhEPO, rhEPO, erythropoietin, anemia, dialysis, hemodialysis, chronic kidney disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Xiamen Amoytop Biotech Co., Ltd.Industry (pharma, biotech, devices)
- Collaborators
- First Affiliated Hospital of Zhejiang University
- Study start
- 12 Mar 2021 (actual)
- Primary completion
- 5 Jan 2022 (actual)
- Study completion
- 5 Jan 2022 (actual)
- First posted
- 13 May 2021 (actual)
- Results
- Not posted in the source record
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 evaluate the effectiveness and safety of YPEG rhEPO, a recombinant human erythropoietin pegylated by Y shape polyethylene glycol, in patients with anemia due to Chronic Kidney Disease (CKD), assessed by hemoglobin maintenance, adverse events and health-related quality of life.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm1 | Experimental | Drug: YPEG-rhEPOLow dose once every 2 weeks group |
| Arm2 | Experimental | Drug: YPEG-rhEPOLow dose once every 4 weeks group |
| Arm3 | Experimental | Drug: YPEG-rhEPOHigh dose once every 2 weeks group |
| Arm4 | Experimental | Drug: YPEG-rhEPOHigh dose once every 4 weeks group |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Aged between 18 and 70 years old, including 18 and 70 years.
- Subjects who are diagnosed of chronic kidney disease and receiving hemodialysis (KT/V greater than or equal to 1.2). And those who had received hemodialysis, performed 2 to 3 times a week and 4 to 5 hours for every dialysis, for at least 12 weeks prior to deliver of YPEG-EPO.
- Subjects receiving rhEPO treatment, including subcutaneous and intravenous injection, for anemia due to chronic kidney disease for at least 12 weeks before randomized. And in addition, the serum hemoglobin should keep stable during the previous 12 weeks, which was defined as serum hemoglobin obtained from tests taken once a month (once a month means at least 4 weeks interval between two tests) were always kept between 100g/L and 120g/L, or else mean hemoglobin of two different tests, which were taken at least 4 weeks apart, is between 100g/L and 120g/L.
- Transferrin saturation (TSAT) greater than 20% or serum ferritin (SF) greater than 200ng/mL, serum folate greater or equal to the lower normal limit (ULN), serum vitamin B12 greater or equal to ULN,before enrollment.
- Understand and sign the informed consent form voluntarily.
Key exclusion criteria (19 listed)
- Women of pregnancy, lactating, or planning to pregnant, or patients who are planning to donate sperms/eggs during the study period.
- Subjects who are allergic to rhEPO or any of its components, or with any other evidenced allergy history that make it not suitable for participation.
- Subjects who are receiving Roxadustat Capsules at screening.
- Anemia caused by diseases or causes other than CKD, such as bleeding, hemolysis, vitamin or folate deficiency. Obvious bleeding evidence that requires blood transfusion during the lead-in period.
- Subjects suffering from pure red-cell anemia (PRCA) according to previously erythropoietin treatment.
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 |
|---|---|---|
| YPEG-rhEPOYPEG-rhEPO,low dose,were subcutaneous injected once every two weeks for 13 weeks. | Drug | Arm1 |
| YPEG-rhEPOYPEG-rhEPO,low dose,were subcutaneous injected once every four weeks for 13 weeks. | Drug | Arm2 |
| YPEG-rhEPOYPEG-rhEPO, high dose,were subcutaneous injected once every two weeks for 13 weeks. | Drug | Arm3 |
| YPEG-rhEPOYPEG-rhEPO,high dose,were subcutaneous injected once every four weeks for 13 weeks. | Drug | Arm4 |
Primary outcome
Changes of mean hemoglobin compared to baseline.
Time frame: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
7 secondary outcomes
Proportion of patients with hemoglobin keeping within the target range (the target hemoglobin range is defined as hemoglobin keeping between 100g/L and 120g/L).
Time frame: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Proportion of patients with hemoglobin fluctuations within ±10g/L compared to baseline.
Time frame: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Mean time of hemoglobin keeping within the target range.
Time frame: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Mean time from baseline to the first dose adjustment.
Time frame: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Changes of hemoglobin compared to baseline at the time of first dose adjustment.
Time frame: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Proportion of patients with dose adjustment.
Time frame: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Proportion of patients requiring blood transfusion.
Time frame: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Dec 2022.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
17 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing YPEG-rhEPO in people with Renal Anemia of Chronic Kidney Disease, run by Xiamen Amoytop Biotech Co., Ltd. at 17 sites in China.
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 19 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 16 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in China. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Changes of mean hemoglobin compared to baseline. (time frame: 14 weeks for every two weeks groups, and 16 weeks for every four weeks groups.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 16 Dec 2022.