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Roxadustat

Phase 3

Anemia | Small molecule | Hematology |AstraZeneca PLC|Last Updated: Dec 16, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment4,914
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02174731Safety and Efficacy Study of Roxadustat to Treat Anemia in Patients With Chronic Kidney Disease, on Dialysis.PHASE3 COMPLETED 2,133Jul 1, 2014Sep 26, 2018Dec 16, 2019188 United States, Australia +16
NCT02174627Safety and Efficacy Study of Roxadustat to Treat Anemia in Patients With Chronic Kidney Disease (CKD), Not on DialysisPHASE3 COMPLETED 2,781Jun 26, 2014Oct 4, 2018Dec 16, 2019359 United States, Argentina +24
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Study Endpoints
Primary Endpoints
Mean Change From Baseline in Hb Averaged Over Week 28 to Week 52
Baseline (Day 1, Week 0), Week 28 to 52

Baseline Hb was defined as the mean of the three last central laboratory Hb values from the screening and randomization visits. Mean change in Hb from baseline to the participants mean level from Week 28 to Week 52 was analyzed using a missing at random (MAR) based multiple imputation Analysis of Covariance (ANCOVA). Baseline Hb was used as a covariate and treatment group, cardiovascular (CV) history, geographic region and dialysis duration as fixed effects. The adjusted least squares (LS) mean estimates of change from baseline during Week 28 to Week 52 are presented.

Secondary Endpoints
Change in Hb From Baseline to the Mean Level During the Evaluation Period (Week 28 to Week 36) Without Having Received Rescue Therapy Within 6 Weeks Prior to and During the 8-Week Evaluation Period
Baseline (Day 1, Week 0), Week 28 to 36
Proportion of Total Time of Hb Within the Interval of >=10 g/dL From Week 28 to Week 52
Week 28 to 52
Proportion of Total Time of Hb Within the Interval of 10 to 12 g/dL From Week 28 to Week 52
Week 28 to 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
RoxadustatEXPERIMENTAL -
Epoetin alfaACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
RoxadustatDRUGRoxadustat will be administered orally three times a week (TIW) to achieve an Hb level of 11 g/dL and maintain a Hb level of 11±1 g/dL.
Epoetin alfaDRUGEpoetin alfa will be administered TIW consistent with approved prescribing information for epoetin alfa to achieve an Hb level of 11 g/dL and maintain a Hb level of 11±1 g/dL.
PlaceboDRUGThe initial study drug dose is 70 mg three times a week (TIW). The dose is subsequently adjusted to achieve and maintain Hb 11±1 g/dL.
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Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites188

Inclusion criteria: 1. Provision of Informed Consent prior to any study specific procedures 2. Age ≥18 years at screening visit 1 3. Previous versions of the protocol prior to US amendment ver 6.0 and outside of US amendment ver 7.0: Receiving or initiating hemodialysis or peritoneal dialysis f...

Countries:United StatesAustraliaBulgariaCanadaCzechiaHungaryIndiaMexicoPeruPhilippinesPolandRussiaSlovakiaSpainSwedenThailandUkraineVietnamArgentinaBrazilColombiaGermanyMalaysiaPuerto RicoRomaniaSouth KoreaTaiwanTurkey (Türkiye)
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