A clinical trial to compare two drugs Novel Erythropoiesis Stimulating Protein (NESP) and Recombinant Human Erythropoietin (r-HuEPO) for the treatment of low blood hemoglobin concentration in patients with chronic kidney failure Receiving HemoDialysis.

Phase 3

Conditions: Health Condition 1: null- Anaemia in Patients with Chronic Renal Failure

Registration Number: CTRI/2011/03/001655

Lead Sponsor: Kyowa Hakko Kirin Co Ltd

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Other

Sex: Not specified

Target Recruitment: 126

Inclusion Criteria

Inclusion criteria for first registration:

Following patients will be included in the study at first registration:

1. Male or female patients diagnosed with CRF, aged 18 to 80 years, inclusive.

2. Patient/LAR (legally acceptable representative)of patient willing to sign and date written informed consent to participate in the study. However, if the patient/LAR of patient is illiterate, the impartial witness would sign the ICF.

3.Patients receiving HD two to three times per week for at least 12 weeks before first registration

4.Patients with no planned change in dialysis modality and with no planned renal transplant.

5.Patients managing renal anaemia by receiving an administration of r-HuEPO intravenous or sub-cutaneous (at least once per week) for at least 8 weeks before the first registration

Inclusion criteria for second registration:

1.Patients receiving HD (includes hemodialysis filtration) two to three times per week for 8 weeks after the first registration

2. Patients who received sub cutaneous r HuEPO before first registration and then are continued and stabilized on IV administration of r HuEPO during the 8 weeks of Screening and Baseline period before second registration.

3. Patients receiving an administration of IV r-HuEPO product twice or three times weekly (dose levels 2, 3 and 4) for 8 weeks after the first registration.

4.Patients with at least 9.0 g/dL and

less than or equal to 12.0 g/dL of the average Hb concentration during the baseline period (Week -4, Week -3, Week -2 and Week 1)

5.Patients with at least 9.0 g/dL and less than or equal to 12.0 g/dL of the average Hb concentration during the screening period (Week -7, -6 and -5)

6.Patients with at least 20% of TSAT and more than or equal to 100 ng/mL of ferritin at the test during the baseline period (Week -4 or -2)

Exclusion Criteria

Exclusion criteria for second registration:

1.Patients with uncontrolled hypertension (patients with over 100 mm Hg of diastolic blood pressure before HD at over 1/3rd of the BP measurements for 12 weeks before the second registration

2.Patients with congestive heart failure (CHF) of grade III or higher (as per New York Heart Association Class III)

3.Patients with malignancy (including hematologic malignancy), systemic blood disorder (myelodysplastic syndrome, pure red cell aplasia, hemolytic anaemia, or the like)

4.Patients who have known human immunodeficiency virus (HIV) infection

5. Patients who have received an administration of anabolic hormone or testosterone enanthate within 12 weeks before the second registration.

6.Patients who had received administration of another study drug within 12 weeks before the second registration

7.Patients who have previously received an administration of darbepoetin

8.Patients who are confirmed to have a serious allergy or serious drug allergy

9.Patients who are hypersensitive to r-HuEPO

10.Female patients who are pregnant, breast feeding, or suspected to be pregnant

11.Patients whose aspartate transaminase (AST)/ serum glutamate oxaloacetate transaminase (SGOT) or alanine transaminase (ALT)/ serum glutamate pyruvate transaminase (SGPT) is 2 times the institutional upper normal limit at the test during the baseline period (Week 4)

12.Patients who have undergone major surgery associated with major bleeding within 16 weeks before the second registration (excluding vascular access surgery)

13.Patients who have received a blood transfusion within 16 weeks before the second registration

14.Patients with immunosuppressive therapy

15.Patients who are judged by the investigators to be ineligible for participation in this study