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An Observational Study to Evaluate the Effectiveness of Mircera Treatment for Renal Anemia in Pre-dialysis Participants With Chronic Kideny Disease (CKD)

Completed
Conditions
Kidney Disease, Chronic
Interventions
Registration Number
NCT02547454
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This observational trial will examine the efficacy and safety of Mircera for renal anemia in participants with stage III-IV CKD in daily clinical practice. Mircera will be prescribed by treating physician and followed for approximately 36 months.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
393
Inclusion Criteria
  • Participants aged > 18 years with CKD
  • Participants who are eligible for Mircera treatment according to current guidelines and summary of product characteristics (SmPC)
Read More
Exclusion Criteria
  • Non-renal anemia
  • Pregnancy and breast-feeding
  • Uncontrolled hypertension
  • Known hypersensitivity to methoxy polyethylene glycol-epoetin beta
  • Administration of any other study drug within 30 days prior to study enrollment
Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
CKD participants treated with MirceraMethoxy polyethylene glycol-epoetin betaParticipants with CKD received Mircera, as per routine clinical practice and was followed for approximately 36 months.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Hb Value Within the Target Range (110 to 120 g/L) at Months 7-9At Months 7-9

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (110 to 120 g/L) at Months 13-15At Months 13-15

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (110 to 120 g/L) at Months 16-18At Months 16-18

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (100 to 130 g/L) at Months 1-3At Months 1-3

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (100 to 130 g/L) at Months 10-12At Months 10-12

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hemoglobin (Hb) Value Within the Target Range (110 to 120 Grams Per Liter [g/L]) at BaselineBaseline

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (110 to 120 g/L) at Months 1-3At Months 1-3

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (110 to 120 g/L) at Months 10-12At Months 10-12

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (100 to 130 g/L) at Months 13-15At Months 13-15

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (110 to 120 g/L) at Months 4-6At Months 4-6

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (110 to 120 g/L) at Months 19-21At Months 19-21

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hemoglobin (Hb) Value Within the Target Range (100 to 130 g/L) at BaselineAt Baseline

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (110 to 120 g/L) After 21 Months up to 36 MonthsAfter 21 Months up to 36 Months

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (100 to 130 g/L) at Months 4-6At Months 4-6

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (100 to 130 g/L) at Months 7-9At Months 7-9

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (100 to 130 g/L) at Months 19-21At Months 19-21

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (100 to 130 g/L) After 21 Months up to 36 MonthsAfter 21 Months up to 36 Months

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Percentage of Participants With Hb Value Within the Target Range (100 to 130 g/L) at Months 16-18At Months 16-18

If a participant had more than 1 assessment during the specified time frame, the last observed Hb value was considered for calculation.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants With Iron ReplacementUp to 36 Months

Iron replacement was given to the participants either in oral iron replacement or intravenous replacement or both.

Median Time in Which Hb Value Was Maintained Within Target Range of 110-120 g/LUp to 36 Months
Average Dose of Methoxy Polyethylene Glycol-Epoetin BetaBaseline

Average dose of methoxy polyethylene glycol-epoetin beta administered at Baseline

Number of Dose AdaptationsUp to 36 Months

Total number of changes (increase or decrease) in daily methoxy polyethylene glycol-epoetin beta doses. The reasons for dose-adaptations included: inflammation or infection; kidney function decline; over-response; iron deficiency; insufficient response; adverse effect; start of maintenance dose; kidney function improvement; re-introduction of treatment; and others (other reasons than specified).

Median Time in Which Hb Value Was Maintained Within Target Range of 100-130 g/LUp to 36 Months
Median Dose of Methoxy Polyethylene Glycol-Epoetin BetaMonth 1, Month 3, Month 6, Month 9, Month 12, Month 15, Month 18, Month 21 and After 21 Months up to 36 Months

Median monthly dose of methoxy polyethylene glycol-epoetin beta administered in the study up to 36 months.

Percentage of Participants With Dose 0Up to 36 Months

Percentage of participants who did not use methoxy polyethylene glycol-epoetin beta (Dose 0) at atleast one visit during study period.

Trial Locations

Locations (12)

Hospital Celje; Dept For Kidney Disease & Dialysis

๐Ÿ‡ธ๐Ÿ‡ฎ

Celje, Slovenia

Splosna Bolnisnica Izola; Oddelek Za Nefrologijo

๐Ÿ‡ธ๐Ÿ‡ฎ

Izola, Slovenia

Clinical Centre Ljubljana; Clinical Dep. For Nephrology

๐Ÿ‡ธ๐Ÿ‡ฎ

Ljubljana, Slovenia

Nefroloska Ambulanta

๐Ÿ‡ธ๐Ÿ‡ฎ

Ljubljana, Slovenia

Hospital Maribor; Clinical Dept For Internal Medicine

๐Ÿ‡ธ๐Ÿ‡ฎ

Maribor, Slovenia

Splosna Bolnisnica Murska Sobota; Oddelek Za Nefrologijo

๐Ÿ‡ธ๐Ÿ‡ฎ

Murska Sobota, Slovenia

Zdravstveni Zavod Medicinski Center ล inigoj Nova Gorica

๐Ÿ‡ธ๐Ÿ‡ฎ

Nova Gorica, Slovenia

Hospital Dr.Joze Potre; Dialysis Dept

๐Ÿ‡ธ๐Ÿ‡ฎ

Ptuj, Slovenia

Hospital Novo Mesto; Dialysis Dept

๐Ÿ‡ธ๐Ÿ‡ฎ

Novo Mesto, Slovenia

Splosna Bolnisnica Franc Derganc; Oddelek Za Nefrologijo

๐Ÿ‡ธ๐Ÿ‡ฎ

Sempeter Pri Novi Gorici, Slovenia

Hospital Slovenj Gradec; Hemodialysis Dept

๐Ÿ‡ธ๐Ÿ‡ฎ

Slovenj Gradec, Slovenia

Splosna Bolnisnica Trbovlje; Oddelek Za Nefrologijo

๐Ÿ‡ธ๐Ÿ‡ฎ

Trbovlje, Slovenia

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