A Study of Intravenous Mircera for the Treatment of Anemia in Pediatric Patients on Hemodialysis.
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Purpose
This sequential study will assess the efficacy and safety of multiple doses of intravenous Mircera, and will determine the optimum starting dose for maintenance treatment of anemia in children with chronic kidney disease on hemodialysis. Pediatric patients will remain on epoetin alfa, epoetin beta or darbepoetin alfa during the screening period, after which they will receive intravenous Mircera monthly, at a starting dose related to the previous weekly epoetin or darbepoetin alfa dose. Depending on the response achieved, another group may be selected to receive a higher or a lower dose. The anticipated time on study treatment is 3-12 months, and the target sample size is <100 individuals.
| Condition | Intervention | Phase |
|---|---|---|
|
Anemia |
Drug: methoxy polyethylene glycol-epoetin beta [Mircera] |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open Label Multi-center, Multiple Dose Study to Determine the Optimum Starting Dose of Intravenous MIRCERA for Maintenance Treatment of Anemia in Pediatric Patients With Chronic Kidney Disease on Dialysis. |
- Change in Hb concentration between baseline and evaluation period [ Time Frame: Weeks 17-20 ] [ Designated as safety issue: No ]
- Number of patients with average Hb concentration above, below or within range of 10-12g/dL during evaluation period [ Time Frame: Weeks 17-20 ] [ Designated as safety issue: No ]
- Incidence of RBC transfusions, reticulocyte counts, AEs, laboratory parameters. [ Time Frame: Throughout study ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 41 |
| Study Start Date: | July 2008 |
| Estimated Study Completion Date: | April 2017 |
| Estimated Primary Completion Date: | April 2017 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: methoxy polyethylene glycol-epoetin beta [Mircera]
Intermediate starting dose iv weekly, based on previous weekly epoetin dose
|
| Experimental: 2 |
Drug: methoxy polyethylene glycol-epoetin beta [Mircera]
High or low dose iv weekly, based on previous weekly epoetin dose
|
Eligibility| Ages Eligible for Study: | 5 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- children aged 5-17 years with clinically stable chronic renal anemia;
- hemodialysis for >=8 weeks;
- intravenous stable maintenance epoetin alfa, epoetin beta or darbepoetin alfa for >= 8 weeks before screening;
- stable maintenance epoetin alfa, epoetin beta or darbepoetin alfa with no more than one dose change <=25% during the 2 weeks of screening.
Exclusion Criteria:
- overt gastrointestinal bleeding, or bleeding episode necessitating transfusion within 8 weeks before screening;
- red blood cell transfusions within 8 weeks before screening;
- active malignant disease.
Contacts and Locations| Contact: Please reference Study ID Number: NH19707 www.roche.com/about_roche/roche_worldwide.htm | 888-662-6728 (U.S. Only) | genentechclinicaltrials@druginfo.com |
Show 33 Study Locations| Study Director: | Clinical Trials | Hoffmann-La Roche |
More Information
No publications provided
| Responsible Party: | Hoffmann-La Roche |
| ClinicalTrials.gov Identifier: | NCT00717366 History of Changes |
| Other Study ID Numbers: | NH19707 |
| Study First Received: | July 16, 2008 |
| Last Updated: | May 7, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Anemia Renal Insufficiency, Chronic Hematologic Diseases Renal Insufficiency Kidney Diseases Urologic Diseases |
Epoetin Alfa Hematinics Hematologic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013