Estudio abierto, aleatorizado, controlado y de grupos paralelos para evaluar la eficacia, seguridad y tolerabilidad de MIRCERA por vía subcutánea frente a la ausencia de tratamiento con ESA, en el tratamiento de la anemia en pacientes con nefropatía crónica después del trasplante renal. A controlled open label randomised parallel group study to evaluate the efficacy, safety, and tolerability of subcutaneous MIRCERA, versus no ESA therapy, in the treatment of anaemia in CKD patients after kidney transplant.
- Conditions
- Anemia Renal Crónica This study is being performed to investigate the efficacy, safety and tolerability of administration of MIRCERA to anaemic patients with chronic kidney disease and reduced renal function following renal transplant, who are not expected to be considered for dialysis during the course of the study. Hereafter for the purposes of this protocol this population will be referred to as ‘post renal transplant anaemia’ patients.MedDRA version: 9.1 Level: PT Classification code 10058116 Term: Nephrogenic anaemia
- Registration Number
- EUCTR2007-003955-35-ES
- Lead Sponsor
- F. Hoffmann-La Roche Ltd
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- Not specified
- Target Recruitment
- 318
• Written informed consent
• Age 18 years or older
• Renal transplant =6 months and <5 years prior to randomization (including re-transplant patients)
• Haemoglobin concentration between 9.5 and 10.5 g/dl at Baseline (mean of the two values obtained at week -4 and -2 during screening period).
• No ESA therapy during the 3 months prior to randomization
• Adequate iron status (serum ferritin =100 ng/mL AS WELL AS TSAT =20% OR Hypochromic red cells <10% if serum transferrin or TIBC are unavailable) The mean of the two values obtained during screening period, at week -4 and -2, should be considered.
• GFR (estimated using the aMDRD equation) between 20 and 60 mL/min during screening period (at week -4 and -2).
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range
Requirement for haemodialysis or peritoneal dialysis therapy within 3 months prior to randomization
• Change in haemoglobin concentration = 1.5 g/dL during the screening period (week -4 and -2)
• Change in GFR >30% during the screening period
Treatment for clinical acute rejection during screening period with GFR stability below 30%
• Recipients of other solid organs in addition to kidneys
• Patients planned to be switched from one immunosuppressive agent to another during study participation
• History of positive Anti-phospholipid antibodies
• Transfusion of red blood cells during the 3 months prior to randomization
• Poorly controlled hypertension as judged by the investigator, OR requiring more than 3 antihypertensive drugs (excluding diuretics)
• Significant acute or chronic bleeding, such as overt gastrointestinal bleeding, i.e. requiring therapy within 3 months prior to randomization
• Active malignant disease (except non-melanoma skin cancer).
• Haemolysis
• Haemoglobinopathies (e.g. homozygous sickle-cell disease, thalassemia of all types)
• Folic acid deficiency
• Vitamin B12 deficiency
• Platelet count >500 x 10 exp9/L or <100 x 10 exp9/L
• Pure red cell aplasia
• Epileptic seizure in the 6 months prior to randomization
• Congestive heart failure (NYHA Class IV)
• Myelofibrosis
• Active systemic lupus erythematosus
• Myocardial infarction or stroke, severe or unstable coronary artery disease, severe liver disease during the 3 months prior to randomization
• Uncontrolled or symptomatic secondary hyperparathyroidism
• Women with positive pregnancy tests prior to randomization
• Women of childbearing potential without effective contraception or women in lactation period
• Women of childbearing potential without effective contraception
• Participation in a clinical trial or receipt of investigational compound or treatment within the 3 months prior to randomization
• Planned elective surgery during the study period Exceptions are:
• Cataract surgery
• Vascular access surgery
• Urethral stent removal
• Nephrostomy tube replacement
• Minor surgery not requiring hospitalisation
• Known HIV infection
• Known hypersensitivity to recombinant human erythropoietin, polyethylene glycol or to any constituent of the study medication
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method