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epoetin alfa or beta

Phase 3

Anemia | Small molecule | Hematology |Roche Holding AG|Last Updated: Jan 13, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials3
Total Enrollment1,581

FDA Designations

No designations recorded

Clinical trial landscape

epoetin alfa or beta · 3 trials · 1 indication

Phase 3 3
NCT00081484A Study of Intravenous or Subcutaneous Mircera for the Treatment of Anemia in Dialysis PatientsAnemia
COMPLETED336 Analytics
NCT00077623A Study of Subcutaneous Mircera for the Treatment of Anemia in Dialysis Patients.Anemia
COMPLETED572 Analytics
NCT00077610A Study of Intravenous Mircera for the Treatment of Anemia in Dialysis PatientsAnemia
COMPLETED673 Analytics
PHASE3COMPLETED
A Study of Intravenous or Subcutaneous Mircera for the Treatment of Anemia in Dialysis Patients
AnemiaUnlock trial analytics
PHASE3COMPLETED
A Study of Subcutaneous Mircera for the Treatment of Anemia in Dialysis Patients.
AnemiaUnlock trial analytics
PHASE3COMPLETED
A Study of Intravenous Mircera for the Treatment of Anemia in Dialysis Patients
AnemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in hemoglobin concentration
Weeks 1-36
Mean Change in Hemoglobin Concentration From Baseline to Evaluation Periods
Baseline (Week -4 to Week -1) and Evaluation period (Week 29 to Week 36)

A time adjusted mean change in hemoglobin (Hb) concentration was calculated using an area under the curve (AUC) approach, for both periods separately. Change in Hb concentration between the baseline and evaluation periods was calculated by subtracting the calculated average baseline Hb value from the average evaluation period Hb value. All blood samples for Hb measurements were taken prior to study drug administration. Analysis used last observation carried forward (LOCF) for missing Hb values to correct for the impact of early dropouts. The baseline period is defined as Week -4 to Week -1. The evaluation period is defined as Week 29 to Week 36.

Mean Change in Hemoglobin (Hb) Concentration From Baseline to Evaluation Period
Baseline, Week 29 to Week 36

A time adjusted mean change in Hb concentration was calculated using an Area Under the Curve (AUC) approach, for both periods separately. Change in Hb concentration between the Baseline and evaluation periods was calculated by subtracting the calculated average baseline Hb from the average evaluation period Hb. At the end of the Week 36, data allowing the evaluation of the therapeutic response was available for 188 out of 221 eligible participants in RO0503821 (1x/2 Weeks) arm; 172 out of 220 eligible participants in RO0503821 (1x/4 Weeks); and 180 out of 225 participants in Epoetin (1-3x/Weeks) arm.

Secondary Endpoints

Number of patients maintaining average Hb concentration within +/- 1g/dL of average baseline Hb concentration
Weeks 29-36
RBC transfusions
Weeks 1-36
AEs, laboratory parameters, vital signs
Throughout study
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL -
2ACTIVE_COMPARATOR -
RO0503821 (1x/2 Weeks)EXPERIMENTALEligible participants received RO0503821 (Mircera \[methoxy polyethylene glycol-epoetin beta\]) subcutaneously, once every two weeks for 52 weeks. Participants received a starting dose of RO0503821 60, 100, or 180 microgram (mcg) which was based on the epoetin dose of\<8000, 8000-16000, or \>16000 international units (IU)/week, administered during the week preceding the switch to the study drug.
RO0503821 (1x/4 Weeks)EXPERIMENTALEligible participants received RO0503821 subcutaneously, once every four weeks for 52 weeks. Participants received a starting dose of RO0503821 120, 200, or 360 mcg which was based on the epoetin dose of\<8000, 8000-16000, or \>16000 IU/week administered during the week preceding the switch to the study drug.
Epoetin ReferenceACTIVE_COMPARATOREligible participants received their ongoing weekly subcutaneous dose of epoetin alfa or beta one, two or three times weekly for 52 weeks .
Epoetin (1-3x/Weeks)ACTIVE_COMPARATORParticipants received their ongoing weekly intravenous dose of Epoetin alfa or beta one, two or three times weekly for 52 weeks.

Interventions

NameTypeDescription
epoetin alfa or betaDRUGiv or sc, as prescribed
methoxy polyethylene glycol-epoetin beta [Mircera]DRUG30, 50 or 90 micrograms iv or sc (starting dose) every 2 weeks
methoxy polyethylene glycol-epoetin beta (Mircera)DRUG60, 100 or 180 micrograms sc (starting dose) every 2 weeks
RO0503821 (1x/2 Weeks)DRUG60, 100, or 180 microgram (mcg) (starting dose) once every two weeks intravenously for 52 weeks.
RO0503821 (1x/4 Weeks)DRUG120, 200 or 360 mcg (starting dose) once every four weeks intravenously for 52 weeks.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites66

Inclusion Criteria: * adult patients \>=18 years of age; * chronic renal anemia; * on dialysis therapy for at least 12 weeks before screening; * receiving iv or sc epoetin for at least 8 weeks before screening. Exclusion Criteria: * women who are pregnant, breastfeeding or using unreliable birth ...

Countries:United StatesCanadaFranceGermanyItalyPolandPortugalPuerto RicoSpainTaiwanThailandUnited KingdomBelgiumBrazilCzechiaDenmarkFinlandHungaryMexicoNew ZealandPanamaSouth AfricaSwedenNorwaySwitzerland
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