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epoetin alfa or beta

Phase 3

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

epoetin alfa or beta development status

Highest phase Phase 3
Registered trials 6 across 2 sponsors since Feb 2004

epoetin alfa or beta target and mechanism

Molecular targetEPOR
Target classAgonist
ModalitySmall molecule

Also known as Epoetin

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials4
Total Enrollment1,763

FDA Designations

No designations recorded

epoetin alfa or beta clinical trials

epoetin alfa or beta · 4 trials · 1 indication

Phase 3 4
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
NCT00077597A Study of Mircera for the Treatment of Anemia in Dialysis PatientsAnemia
COMPLETED182 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
PHASE3COMPLETED
A Study of 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.

Hemoglobin response rate
Weeks 1-24

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.
epoetinDRUG3 times a week iv, as prescribed.
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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 AfricaSwedenNorwaySwitzerlandGreeceRussia
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Frequently asked questions about epoetin alfa or beta

What is epoetin alfa or beta used for?

Epoetin alfa or beta is used for the treatment of anemia, including anemia in dialysis patients. It is a Phase 3 therapy in the hematology area developed by Roche Holding AG. The clinical program studied its use in adults 18 years and older with anemia.

What does epoetin alfa or beta target?

Epoetin alfa or beta targets EPOR, the erythropoietin receptor, and acts as an agonist at that receptor. By binding and activating EPOR, it stimulates erythropoiesis, the production of red blood cells, which is the basis for its use in anemia.

Who makes epoetin alfa or beta?

Epoetin alfa or beta is developed by Roche Holding AG, which trades under the ticker RHHBY. Roche is the sponsor behind the Phase 3 clinical program evaluating the drug in anemia, including studies conducted in dialysis patients across multiple countries.

What phase is epoetin alfa or beta in?

Epoetin alfa or beta is in Phase 3 development for anemia. Three Phase 3 trials have been completed, and none are currently active. The drug is investigational and is not described as approved for any indication.

What clinical trials is epoetin alfa or beta in?

Three completed Phase 3 trials studied epoetin alfa or beta in anemia: NCT00081484 with 336 patients, NCT00077623 with 572 patients, and NCT00077610 with 673 patients. Together they enrolled 1,581 participants, all adults 18 years and older, in active-controlled studies.

Is epoetin alfa or beta the same as Mircera?

Yes, epoetin alfa or beta is also known as Mircera. The Phase 3 trials are titled as studies of intravenous or subcutaneous Mircera for the treatment of anemia in dialysis patients, so searches for Mircera refer to the same Roche asset.