A Prospective, Multicentre, Longitudinal Disease Registry of Indian Patients with Chronic Kidney Disease, with and without Dialysis, to assess the Clinical management of Anaemia
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 1,000
- Locations
- 16
- Primary Endpoint
- 1. Clinical characteristics in terms of demographics and medical condition of CKD
Study Overview
Brief Summary
Chronic kidney disease (CKD) is a significant public health issue worldwide, characterized by a reduction in estimated glomerular filtration rate (eGFR) to less than 60 ml/min/1.73 m², as well as structural or functional renal abnormalities. One of the kidneys’ essential functions is the production of erythropoietin, a signaling molecule that stimulates red blood cell production in response to decreased oxygen levels in the blood. Thus, haemoglobin (Hb) levels are typically lower in CKD patients compared to the general population. (Sofue T et al., 2024).
Anaemia is a common and serious complication of chronic kidney disease (CKD), affecting a significant proportion of patients as CKD progresses. It is associated with increased morbidity, reduced quality of life, and higher mortality rates (Portolés et al., 2021). The primary causes of Anaemia in CKD include reduced erythropoietin production, iron deficiency, and chronic inflammation (Hain et al., 2023; Shaikh et al., 2024).
Management of anaemia in CKD varies in India based on whether the patient is on dialysis. According to the KDIGO guidelines, the use of erythropoiesis-stimulating agents (ESAs) is recommended for patients with anemia associated with chronic kidney disease (CKD). Furthermore, the guidelines emphasize the importance of iron supplementation to enhance the efficacy of ESAs, particularly in cases of iron deficiency with careful considerations. (Babitt JL et al., 2012).
For non-dialysis-dependent CKD patients, treatment primarily involves oral or intravenous iron supplements and erythropoiesis-stimulating agents (ESAs) such as darbepoetin alfa, or epoetin alfa. (Shaikh et al., 2024; Biju et al., 2024).
This prospective, multicenter longitudinal disease registry aims to collect comprehensive data on the clinical characteristics, outcomes and usage trends associated with various treatment modalities for managing Anaemia in CKD patients. The registry will provide valuable insights to guide clinical decision-making and improve the management of Anaemia in CKD across India.
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 18.00 Year(s) to 99.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Male and female subjects, aged ≥18 years.
- •CKD patients (as defined in KDIGO guidelines) with Hb level less than 10g/dl (as per the latest available test report), with/without the need of dialysis and who have newly commenced therapy for anemia, including at least one agent each for stimulating erythropoiesis and iron supplementation, with or without any other agents.
- •Willing to provide inform consent to share the data.
Exclusion Criteria
- •Patients with presence of uncontrolled hypertension, uncontrolled hyperparathyroidism or hypothyroidism or bleeding disorders or acute illness or chronic blood loss or hemoglobinopathy, or malignancy.
Outcomes
Primary Outcomes
1. Clinical characteristics in terms of demographics and medical condition of CKD
Time Frame: Baseline, 3 months, 6 months
2. Utilization patterns of various pharmacological classes including but not limited to
Time Frame: Baseline, 3 months, 6 months
agents administered to stimulate erythropoiesis, iron supplementation used in
Time Frame: Baseline, 3 months, 6 months
management of anaemia in CKD.
Time Frame: Baseline, 3 months, 6 months
3. Assessment of response to various treatment approaches in terms of
Time Frame: Baseline, 3 months, 6 months
haematological parameters and quality of life (QoL) based on KDQOL (KDQOL-SFâ„¢
Time Frame: Baseline, 3 months, 6 months
v1.3)
Time Frame: Baseline, 3 months, 6 months
4. Analysis of observed side effects during the management of anaemia in CKD
Time Frame: Baseline, 3 months, 6 months
patients with anaemia.
Time Frame: Baseline, 3 months, 6 months
Secondary Outcomes
- NA(NA)
Investigators
Dr Sagar Katare
Dr. Reddys Laboratories Ltd
