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epoetin alfa

Phase 3

Anemia | Small molecule | Hematology |Johnson & Johnson|Last Updated: Mar 19, 2018

Target and mechanism

ModalitySmall molecule

Also known as Group 1: Epoetin alfa

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials28
Total Enrollment6,485

FDA Designations

No designations recorded

Clinical trial landscape

epoetin alfa · 43 trials · 40 indications

Phase 3 20Phase 2 22Phase 1 1
NCT01381809An Efficacy Study for Epoetin Alfa in Anemic Patients With Myelodysplastic SyndromesMyelodysplastic Syndromes
COMPLETED130 Analytics
NCT00440466PROCRIT Extended Dosing For Maintenance of Hemoglobin in Pre-Dialysis CKD PatientsAnemia
COMPLETED430 Analytics
NCT00338286A Study of Epoetin Alfa Plus Standard Supportive Care Versus Standard Supportive Care Only in Anemic Patients With Metastatic Breast Cancer Receiving Standard ChemotherapyBreast Cancer
COMPLETED2,098 Analytics
NCT00210587An Efficacy and Safety Study for Epoetin Alfa (PROCRIT) in Cancer Patients Not Receiving Chemotherapy or RadiationAnemia
COMPLETED51 Analytics
NCT00091910Research Into the Treatment of Anemia for Critically Ill Patients Admitted to Intensive Care Units (ICU)Anemia
COMPLETED1,460 Analytics
NCT00341055A Study to Evaluate the Hematologic Response Rate (the Rate at Which the Hemoglobin Level Rises) of PROCRIT (Epoetin Alfa) Given at a Dose of 80,000 Units Once Weekly to Cancer Patients With Anemia Who Are Receiving Chemotherapy.Anemia
COMPLETED69 Analytics
NCT00364455Impact of Erythropoietin Treatment Versus Placebo on Quality-of-life in Patients With Advanced Prostate Cancer.Prostate
COMPLETED56 Analytics
NCT00036400Study of the Efficacy and Safety of Epoetin Alfa Administered Weekly in Patients With Gastric or Rectal Cancers Undergoing a Treatment Plan of Preoperative Chemotherapy and Radiation Therapy, Followed by SurgeryStomach Neoplasms
COMPLETED60 Analytics
NCT00211133A Study to Evaluate the Impact of Maintaining Hemoglobin Levels Using Epoetin Alfa in Patients With Metastatic Breast Cancer Receiving ChemotherapyAnemia
COMPLETED939 Analytics
NCT00261521A Study of the Safety and Efficacy of Long-term Correction of Anemia With Epoetin Alfa in Early Hemodialysis PatientsKidney Failure, Chronic
COMPLETED596 Analytics
PHASE3COMPLETED
An Efficacy Study for Epoetin Alfa in Anemic Patients With Myelodysplastic Syndromes
Myelodysplastic SyndromesUnlock trial analytics
PHASE3COMPLETED
PROCRIT Extended Dosing For Maintenance of Hemoglobin in Pre-Dialysis CKD Patients
AnemiaUnlock trial analytics
PHASE3COMPLETED
A Study of Epoetin Alfa Plus Standard Supportive Care Versus Standard Supportive Care Only in Anemic Patients With Metastatic Breast Cancer Receiving Standard Chemotherapy
Breast CancerUnlock trial analytics
PHASE3COMPLETED
An Efficacy and Safety Study for Epoetin Alfa (PROCRIT) in Cancer Patients Not Receiving Chemotherapy or Radiation
AnemiaUnlock trial analytics
PHASE3COMPLETED
Research Into the Treatment of Anemia for Critically Ill Patients Admitted to Intensive Care Units (ICU)
AnemiaUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Hematologic Response Rate (the Rate at Which the Hemoglobin Level Rises) of PROCRIT (Epoetin Alfa) Given at a Dose of 80,000 Units Once Weekly to Cancer Patients With Anemia Who Are Receiving Chemotherapy.
AnemiaUnlock trial analytics
PHASE3COMPLETED
Impact of Erythropoietin Treatment Versus Placebo on Quality-of-life in Patients With Advanced Prostate Cancer.
ProstateUnlock trial analytics
PHASE3COMPLETED
Study of the Efficacy and Safety of Epoetin Alfa Administered Weekly in Patients With Gastric or Rectal Cancers Undergoing a Treatment Plan of Preoperative Chemotherapy and Radiation Therapy, Followed by Surgery
Stomach NeoplasmsUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Impact of Maintaining Hemoglobin Levels Using Epoetin Alfa in Patients With Metastatic Breast Cancer Receiving Chemotherapy
AnemiaUnlock trial analytics
PHASE3COMPLETED
A Study of the Safety and Efficacy of Long-term Correction of Anemia With Epoetin Alfa in Early Hemodialysis Patients
Kidney Failure, ChronicUnlock trial analytics

Study Endpoints

Primary Endpoints

Erythroid response
at week 24
Change in Hemoglobin Concentration in Grams Per Deciliter (g/dL) From Baseline to the Average of the Last 12 Weeks of Treatment
from baseline (Week 1) to the last 12 weeks of treatment
Progression Free Survival
From the date of randomization to the date of disease progression (PD) or death, whichever occurred first (up to 8.4 years)

Progression free survival was based in investigator-determined progressive disease (PD) and calculated from the date of randomization to the date of PD or the date of death, whichever occurred first. Participants who had not progressed and were still alive at the time of clinical cut off were censored at the last disease assessment prior to the clinical cutoff. For PD or death with a missing interval immediately preceding the event, progression-free survival (PFS) was censored at the last disease assessment prior to the missing interval. Participants who withdrew from the study (withdrawal of consent or lost to follow-up) without progression were censored at the time of the last disease assessment.

Percent of patients that achieved a hematopoietic response, defined as a Hb increase >= 2 g/dL and/or Hb = 12 g/dL during the study independent of transfusion within 28 days
The primary objective of this study is to demonstrate that the administration of epoetin alfa to critically ill subjects reduces the proportion of subjects requiring red blood cell (RBC) transfusion as compared with placebo at Study Day 29.
The primary efficacy endpoint was major response defined as the proportion of patients with >= 2 g/dL hemoglobin (Hb) increase from baseline or Hb >= 12 g/dL and independent of transfusion within 28 days.
The primary outcome was change in Quality of Life (FACT-An Anemia scale) from baseline to 16 weeks.
Number of red blood cell transfusions
12-month survival rate, defined as the proportion of patients alive at 12 months after the start of the study.
Percent change in left ventricular volume index (LVVI) at Week 96.
Absolute change in left ventricular mass index
The incidence of DVT as determined by color flow duplex imaging
The change in left ventricular mass index from baseline to 24 months as measured by 2-dimensional targeted M-mode echocardiography.
Proportion of patients transfused after one month
Proportion of patients without transfusion after first month.
Proportion of patients requiring transfusion and number of units transfused relative to whether or not patients received transfusion(s) before the study.
Proportion of patients in each treatment group, overall, and within each baseline hemoglobin group requiring blood transfusion following major orthopedic surgery
Number of units of units of blood donated by the patient; Number of units of donor blood transfused during surgery; Total red cell volume and percentage in self-donated blood; Percentage of sub-standard units of blood self-donated
Number of units of blood self-donated; Number of donor-donated units of blood used; Total red blood cell volume; Total red blood cell production; Change in hemoglobin from baseline to after the final dose of study medication, but before surgery
Units of blood that can be obtained per patient; Change from pre-study to post-study in hemoglobin and hematocrit; Transfusions required around the time of surgery
Mean Change in Hemoglobin Level From Baseline to the End of Study (26 Weeks)
Week 0 to Week 26
Change in hemoglobin (Hb) from baseline to the end of the study; Primarily interested in the change in Hb between Q2W vs Q4W groups. Protocol Addendum: Hb change from baseline to end of open-label extension (no more than 36 weeks)
The primary endpoint is the number of subjects who achieve a hemoglobin response after receiving PROCRIT every 2 weeks. Hemoglobin response is defined as achieving a target hemoglobin range of 11-12 g/dL for at least 2 consecutive weeks by Week 28.
The end of study Hb. The end of study Hb is defined as the patient's final Hb level, taken 2 weeks after the last dose of PROCRIT or at Week 13, whichever comes first.
The primary objective of this study is to describe the PK profiles of six different dosing regimens of epoetin alfa in anemic critically ill subjects, including regimen A, that is being used in a large registration trial
The primary endpoint was to evaluate hematopoietic response, defined as >= 2 g/dL Hb increase from baseline and/or Hb >= 12 g/dL over the course of the study and independent of transfusion within 28 days.
Proportion of patients with a >= 1 g/dL increase in Hb above baseline in Phase A independent of transfusion within 4 weeks
Proportion of patients achieving >= 2 g/dL Hb increase from baseline or Hb >= 12 g/dL in the Initiation Phase (up to 12 weeks).
Transfusion requirements following surgery; Changes in hematocrit, hemoglobin, and reticulocyte count from the start of the study to the end of the study
Percentage of patients who reach the target of 38% to 40% red blood cells at the end of the study; Safety including the incidence of adverse events
Number of self-donated units of blood collected within 2 weeks; Change in hemoglobin level from before the start of the study to the end of the study
Change in hemoglobin and hematocrit (laboratory tests used to evaluate the severity of anemia); Transfusion requirements; Patient's quality of life assessment
Number of transfusions; Change from baseline in levels of hemoglobin, hematocrit, reticulocytes (immature red blood cells)
Change in hemoglobin, hematocrit, and reticulocytes (laboratory tests used to evaluate the severity of anemia), transfusion requirements, and patient's quality of life assessment.
Change in hemoglobin, hematocrit, and reticulocyte count (laboratory tests used to evaluate the severity of anemia); Transfusion requirements; Safety evaluations including adverse events
Proportion of patients needing blood transfusions; proportion of patients who develop anemia (defined as hemoglobin <80 grams per liter).
Number of self-donated units of blood and the total volume of red blood cells donated; Number of blood units from other donors used for transfusion during surgery
Number of self-donated units of blood obtained within 11 days; Assessment of safety (laboratory tests, vital signs, and adverse events) from before the study to the end of the study
Change in hemoglobin and hematocrit (laboratory tests used to evaluate the severity of anemia), transfusion requirements, and patient's quality of life assessment.
Number of transfusions required; Changes in hemoglobin, hematocrit, and reticulocyte (immature red blood cells) levels from before the study to the end of the study
Changes in hemoglobin, hematocrit, and reticulocyte (immature red blood cells) count from before the study to the end of the study
The primary objective of the study is to describe the pharmacokinetic (PK) profiles of 4 different dosing regimens of PROCRIT in patients with anemia secondary to chronic kidney disease (CKD) not on dialysis.

Secondary Endpoints

Maintenance of Erythroid response
every 4 weeks from week 24 to week 48
Duration of response
every 4 weeks after week 24
Time to first Red Blood Cell transfusion
from baseline to study end (week 28 for non responders, week 54 for responders or 4 weeks after early withdrawal)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Epoetin alfaEXPERIMENTALGroup 1: Epoetin alfa type = range unit= IU/Kg number= 337.5 to 1050 IU/Kg form= solution for injection route= subcutaneous use weekly injections (max 40 000 IU per week for first 8 weeks of treatment max 80 000 IU per week later) using pre-filled 1mL 40 000 IU syringes for 24 to 48 weeks
No treatmentPLACEBO_COMPARATORGroup 2: Placebo form= solution for injection route= subcutaneous use weekly injections for 24 to 48 weeks
001EXPERIMENTALepoetin alfa Continue pre-study once weekly dose of epoetin alfa for 36 weeks
003EXPERIMENTALepoetin alfa Quadruple the pre-study once weekly dose of epoetin alfa every 4 weeks for 36 wk
002EXPERIMENTALepoetin alfa Double the pre-study once weekly dose of epoetin alfa every 2 weeks for 36 wks
Group 2OTHERStandard treatment of anemia excluding use of erythropoetin stimulating agents (ESAs).

Interventions

NameTypeDescription
Group 2: PlaceboDRUGform= solution for injection, route= subcutaneous use, weekly injections for 24 to 48 weeks
Group 1: Epoetin alfaDRUGtype = range, unit= IU/Kg, number= 337.5 to 1050 IU/Kg, form= solution for injection, route= subcutaneous use, weekly injections (max 40,000 IU per week for first 8 weeks of treatment, max 80,000 IU per week later) using pre-filled 1mL 40,000 IU syringes for 24 to 48 weeks
epoetin alfaDRUGContinue pre-study once weekly dose of epoetin alfa for 36 weeks
Standard supportive care (packed RBC transfusion)OTHERPer doctor prescription
epoetin alfa + packed RBC transfusionDRUG40,000 IU SC once a week.
Standard of careOTHER -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites28

Inclusion Criteria: * Diagnosis of MDS according to World Health Organization or French-American-British pathologic classification (confirmed via bone marrow aspirate/biopsy) within 12 weeks prior to screening * Documentation of an International Prognostic Scoring System score indicating Low- or In...

Countries:BulgariaFranceGermanyGreeceRussiaUnited StatesArgentinaBrazilChileColombiaEcuadorGeorgiaHong KongIndiaIndonesiaMalaysiaMexicoNorth MacedoniaPhilippinesPolandRomaniaSouth AfricaTaiwanUkraine
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