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Safety & Efficacy of Pegolsihematide for Treatment of Anemia in Participants on Dialysis

Phase 2
Conditions
Chronic Renal Failure
Anemia
Dialysis
Interventions
Registration Number
NCT02586402
Lead Sponsor
Jiangsu Hansoh Pharmaceutical Co., Ltd.
Brief Summary

The purpose of this study is to evaluate the safety and efficacy of multiple intravenous doses of pegol-Sihematide in participants with chronic kidney disease (CKD) who are on dialysis.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  1. Males or females≥18 and≤70, Weight ≥ 45 kilograms (kg)
  2. Participants with chronic renal failure on dialysis for ≥ 3 months prior to randomization.
  3. On ESAs treatment for ≥8 weeks prior to randomization with stable doses and the average doses ≤ 10000 IU/week
  4. Hemoglobin values of ≥ 10.0 and≤ 12.0 g/dL at Screening
  5. Patients with a transferrin saturation≥ 20% and a ferritin≥ 100 ng/mL. vitamin B12 and folic acid level above lower limit of normal.
  6. Signed informed consent
Exclusion Criteria
  1. Pregnant or lactating females
  2. Red blood cell transfusion within 3 months prior to randomization
  3. Known intolerance to any erythropoiesis stimulating agent (ESA) or pegylated molecule or to all parenteral iron supplementation products
  4. hemolytic syndromes or coagulation disorder
  5. hematological disease (including but not limited to myelodysplastic syndrome, hematological malignancy, , hemoglobinopathy, pure red cell aplasia),
  6. Chronic, uncontrolled, or symptomatic inflammatory disease (e.g., rheumatoid arthritis, systemic lupus erythematosus, etc.);
  7. C Reactive Protein (CRP) greater than 30 mg/L within the 4 weeks prior to randomization
  8. Uncontrolled or symptomatic secondary hyperparathyroidism(iPTH>800pg/ml)
  9. Poorly controlled hypertension within 4 weeks prior to randomization
  10. Chronic congestive heart failure (New York Heart Association Class Ⅲ or IV)
  11. significant symptom within 6 months prior to randomization (e.g. myocardial infarction, serious or precarious coronary artery disease,stroke, respiratory disease, autoimmune disease, neuropathy, phrenopathy, hepatopathy including Active hepatitis B, Active hepatitis C, A positive test for HIV antibody or ALT> 2 x upper limit of normal (ULN), AST> 2 x upper limit of normal (ULN))
  12. tumor malignancy
  13. Expected survival less than 12 months
  14. A scheduled kidney transplant
  15. Major surgery (may Massive bleeding) during the study
  16. expected conception within 4 Weeks after the end of the Study Treatment
  17. The subject has participated in other clinical trial within the 12 weeks prior to randomization
  18. Have any other condition or prior therapy that, in the investigator's opinion, would make the subject unsuitable for the study, or unable or unwilling to comply with the study procedures

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Epoetin AlfaEpoetin AlfaEpoetin Alfa administration 1 to 3 times per week. The dose was adjusted throughout the study to maintain a hemoglobin target range of 11.0-12.0 g/dL.
Pegolsihematidepegol-SihematideParticipants received Pegolsihematide by intravenous injection once every 4 weeks ; the dose was adjusted throughout the study to maintain a hemoglobin target range of 11.0-12.0 grams per deciliter (g/dL).
Primary Outcome Measures
NameTimeMethod
Average reticulocytes and hemoglobin change from baselineBaseline to Week 16
Secondary Outcome Measures
NameTimeMethod
Proportion of patients whose Hb within ±1.0 g/dL of baseline during Weeks 12 to 16week 12 to 16
Average RBC, hematokrit and reticulocytes change from baselineBaseline to Week 16
Proportion of patients whose Hb levels were maintained within 10 to 12.0g/dL during Weeks 12 to 16week 12 to 16
Incidence of adverse events and serious adverse eventsBaseline to Week 16

Trial Locations

Locations (1)

Changzheng Hospital

🇨🇳

Shanghai, Shanghai, China

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