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临床试验/NCT01964196
NCT01964196已完成2 期

ASP1517 Phase 2 Clinical Trial -A Multi-center, Randomized, Parallel Groups, Placebo-controlled, Double-Blind Study of ASP1517 for the Treatment of Anemia in Chronic Kidney Disease Patients Not on Dialysis-

Astellas Pharma Inc0 个研究点目标入组 107 人开始时间: 2013年9月17日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
入组人数
107
主要终点
Rate of rise in Hb (g/dL/week) at Week 6

研究概览

简要总结

This study is to evaluate the safety and the dose-response of ASP1517 in the treatment of anemia in non-dialysis Chronic Kidney Disease (CKD) patients when ASP1517 is applied intermittently.

详细描述

To evaluate the safety and the dose-response of ASP1517 on Hemoglobin (Hb) correction in the treatment of anemia in non-dialysis Chronic Kidney Disease (CKD) patients when ASP1517 is applied intermittently. Patients will receive ASP1517 three times a week (TIW) for first 6weeks. Patients may have the second-randomization to TIW dosing or once-a-week (QW) dosing at Week 6, 8, 10, 12, 14 or 16 if patients meet the criteria.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
20 Years 至 74 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Chronic kidney disease with an estimated glomerular filtration rate (as calculated by the Japanese GFR estimation equation) of =<89 mL/min/1.73 m2, and not required dialysis for 3 months since study completion
  • The mean of two Hb values at screening test and Hb test (at least one week apart form the screening test) is <10.0 g/dL, with a difference of ≤1.0 g/dL between the two values
  • Both TSAT>=5% and ferritin >=30 ng/mL at screening test
  • Serum folate ≥4.0 ng/mL and Vitamin B12 ≥180 pg/mL at screening test

排除标准

  • Proliferative retinopathy, age-related macular degeneration, retinal vein occlusion and/or macular edema that is considered to require treatment
  • Immunological disease with severe inflammation as assessed by the Investigator; even if the inflammation is in remission, the subject is excluded (e.g. lupus erythematosus, rheumatoid arthritis, Sjogren's syndrome, celiac disease, etc).
  • Having a history of gastric/intestinal resection considered influential on the absorption of the drug in the gastrointestinal tract or evidence of active gastroparesis.
  • Uncontrollable hypertension (more than one third blood pressure values of diastolic BP >100 mmHg within 16 weeks prior to screening test including)
  • Congestive heart failure (NYHA classification III or higher)
  • Having a history of hospitalization for stroke, myocardial infarction or lung infarction within 24 weeks before screening test
  • Positive for any of the following: anti-hepatitis C virus antibody (anti-HCV Ab); hepatitis B surface antigen (HBsAg); or human immunodeficiency virus (HIV)
  • Anemia other than anemia due to low/absent renal production of EPO (e.g., iron deficiency anemia, hemolytic anemia, pancytopenia, etc)
  • Using ESA, anabolic androgenic steroid, testosterone enanthate or mepitiostane within 6 weeks before screening test

研究组 & 干预措施

ASP1517 low dose group

Experimental

Oral

干预措施: ASP1517 (Drug)

ASP1517 middle dose group

Experimental

Oral

干预措施: ASP1517 (Drug)

ASP1517 high dose group

Experimental

Oral

干预措施: ASP1517 (Drug)

Placebo group

Placebo Comparator

Oral

干预措施: Placebo (Drug)

结局指标

主要结局

Rate of rise in Hb (g/dL/week) at Week 6

时间窗: Baseline and at 6 weeks after dosing

次要结局

  • Percentage of visits at which patients maintain Hb between 10.0-12.0 g/dL after achieving Hb ≥10.0 g/dL for each patients(for 28 weeks after dosing)
  • Change from baseline in Hb(Before and Week-2, -3, -4, -6, -8, -10, -12, -14, -16, -18, -20, -22, -24 and -28)
  • Safety assessed as the incidence of adverse events, vital signs, 12-lead ECGs and lab-tests(for 28 weeks after dosing)
  • Percentage of cumulative number of responder patients(for 28 weeks after dosing)
  • Percentage of patients who maintain Hb between 10.0-12.0 g/dL at each visit(Before and Week-2, -3, -4, -6, -8, -10, -12, -14, -16, -18, -20, -22, -24 and -28)

研究者

申办方类型
Industry
责任方
Sponsor

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