NCT04012957
Completed
Phase 3
A Phase 3, Multicenter, Multi-country, Open-label, Randomized, Active-controlled Clinical Trial to Evaluate the Efficacy and Safety of Desidustat Versus Darbepoetin for the Treatment of Anemia in Patients With Chronic Kidney Disease (CKD) Who Are Not on Dialysis
Overview
- Phase
- Phase 3
- Intervention
- Darbepoetin Alfa
- Conditions
- Chronic Kidney Disease Stage 3
- Sponsor
- Zydus Lifesciences Limited
- Enrollment
- 588
- Locations
- 30
- Primary Endpoint
- Hemoglobin level
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This is a phase III, multicenter, multi-country, open-label, randomized, active-controlled clinical trial to evaluate the efficacy and safety of Desidustat versus Darbepoetin for the treatment of anemia in patients with CKD who are not on dialysis. The study will be conducted over a period of up to 30 weeks.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Current clinical diagnosis of anemia due to CKD, baseline hemoglobin concentrations must be 7.0-10.0 g/dL (both inclusive) before the enrollment.
- •Ability to understand and give informed consent for participation.
- •Male or female patients diagnosed with CKD (stage III to V, not receiving dialysis) defined by estimated glomerular filtration rate (eGFR) using the CKD Epidemiology Collaboration (CKD-EPI) formula.
- •Male or female, 18 to 80 years of age.
- •Body weight \> 40 kg.
- •Subjects not on dialysis and not expected to start dialysis during the study period.
- •Patients must not be treated with erythropoiesis-stimulating agent (ESA) therapy within 6 weeks prior to enrollment.
- •Estimated GFR ≥10 mL/min/1.73 m
- •Serum ferritin ≥100 ng/mL and/or Transferrin Saturation \>20%.
- •No iron, folate or Vitamin B12 deficiency.
Exclusion Criteria
- •Prior chronic hemodialysis or chronic peritoneal dialysis treatment.
- •Intravenous iron within 14 days prior to enrollment.
- •Prior exposure of rhEPO analogues less than 04 weeks.
- •Red blood cell transfusion within 8 weeks prior to enrollment.
- •History of previous or concurrent cancer.
- •Serologic status reflecting active hepatitis B or C infection or Human immunodeficiency virus (HIV) infection.
- •Active infection prior to enrollment.
- •History of renal transplant.
- •Major surgery within 90 days of the first day of study drug dosing, and minor surgery within 30 days of the first day of study drug dosing.
- •Unable to swallow tablets or disease significantly affecting gastrointestinal function and/or inhibiting small intestine absorption such as; mal-absorption syndrome, resection of the small bowel or poorly controlled inflammatory bowel disease affecting the small intestine.
Arms & Interventions
Darbepoetin Alfa Injection
Randomly assigned to receive Darbepoetin in a 1:1 ratio for 24 weeks.
Intervention: Darbepoetin Alfa
Desidustat oral tablet
Randomly assigned to receive Desidustat 100 mg in a 1:1 ratio for 24 weeks.
Intervention: Desidustat Oral Tablet
Outcomes
Primary Outcomes
Hemoglobin level
Time Frame: 24 weeks
Change in Hb levels from baseline
Secondary Outcomes
- Hemoglobin Response(24 weeks)
- Hemoglobin target range(24 weeks)
Study Sites (30)
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