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Peginesatide

Phase 3

Chronic Kidney Disease | Small molecule | Hematology |Takeda Pharmaceutical Company Limited|Last Updated: Mar 14, 2019

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment184

FDA Designations

No designations recorded

Clinical trial landscape

Peginesatide · 7 trials · 4 indications

Phase 3 3Phase 2 4
NCT00597753Safety & Efficacy of Peginesatide for Maintenance Treatment of Anemia in Participants With Chronic Kidney Disease on HemodialysisChronic Renal Failure
COMPLETED803 Analytics
NCT01478971Conversion Study From Epoetin Alfa to Monthly Peginesatide Injection in Patients With Chronic Kidney Disease on DialysisChronic Kidney Disease
COMPLETED184 Analytics
NCT00598273Safety & Efficacy of Peginesatide for the Treatment of Anemia in Participants With Chronic Renal Failure Not on DialysisChronic Renal Failure
COMPLETED490 Analytics
PHASE3COMPLETED
Safety & Efficacy of Peginesatide for Maintenance Treatment of Anemia in Participants With Chronic Kidney Disease on Hemodialysis
Chronic Renal FailureUnlock trial analytics
PHASE3COMPLETED
Conversion Study From Epoetin Alfa to Monthly Peginesatide Injection in Patients With Chronic Kidney Disease on Dialysis
Chronic Kidney DiseaseUnlock trial analytics
PHASE3COMPLETED
Safety & Efficacy of Peginesatide for the Treatment of Anemia in Participants With Chronic Renal Failure Not on Dialysis
Chronic Renal FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Change in Hemoglobin Between Baseline and the Evaluation Period
Baseline and Weeks 29-36

The baseline hemoglobin value is defined as the mean of five hemoglobin values: the four most recent hemoglobin values taken prior to the day of randomization and the value obtained on the day of randomization. The mean hemoglobin during the Evaluation Period for each participant is calculated as the mean of the available hemoglobin values during study Weeks 29 through 36.

Percentage of Participants Undergoing Conversion to Peginesatide Injection
6 months
Percentage of Participants Who Experienced Increase and Maintain Hemoglobin Levels (Two Consecutive Values) Greater Than or Equal to the Lower Limit of the Target Range in the Absence of Red Blood Cell Transfusion in the Previous 28 Days by Week 24
Up to Week 24

Percentage of participants who experienced increase and maintain hemoglobin levels (two consecutive values) greater than or equal to the lower limit (11 g/dL) in the absence of red blood cell transfusion in the previous 28 days by week 24 were reported.

Secondary Endpoints

Proportion of Participants Who Receive Red Blood Cell (RBC) Transfusions During the Titration and Evaluation Periods
Weeks 0 to 36
Proportion of Participants Whose Mean Hemoglobin Level During the Evaluation Period is Within the Target Range of 10.0 - 12.0 Grams Per Deciliter (g/dL)
Weeks 29 to 36
Peginesatide Dosing
Month 6 - 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PeginesatideEXPERIMENTAL -
Epoetin alfaACTIVE_COMPARATOR -
peginesatide injectionEXPERIMENTALIn the first 6 months participants received standard of care treatment with epoetin (the Standard of Care Period \[SCP\]), followed by a 1-week erythropoiesis-stimulating agent (ESA)-Free Period, followed by peginesatide injection for 6 months (the Peginesatide Treatment Period \[PTP\]).
Peginesatide 0.025 mg/kgEXPERIMENTAL -
Peginesatide 0.04 mg/kgEXPERIMENTAL -
Darbepoetin AlfaACTIVE_COMPARATOR -
Peginesatide 0.08 mg/kgEXPERIMENTAL -

Interventions

NameTypeDescription
peginesatideDRUGParticipants received peginesatide by intravenous injection once every 4 weeks. The starting dose was based on the participant's total weekly epoetin alfa dose during the last week of the Screening Period; the first dose was administered one week after the last epoetin alfa dose. The dose was adjusted to maintain hemoglobin levels in a target range of 10.0-12.0 grams per deciliter (g/dL) and ± 1.5 g/dL from baseline during the Titration and Evaluation Periods, and 10.0-12.0 g/dL during the Long-Term Safety and Efficacy Period.
Epoetin AlfaDRUGParticipants continued to receive commercially available epoetin alfa by intravenous injection, at the same starting dose and frequency as received during the last week of the Screening Period, with the first study dose of epoetin alfa administered after randomization at Week 0. The dose was adjusted to maintain hemoglobin levels in a target range of 10.0-12.0 g/dL and ± 1.5 g/dL from baseline during the Titration and Evaluation Periods, and 10.0-12.0 g/dL during the Long-Term Safety and Efficacy Period.
EpoetinDRUGCommercially available epoetin alfa administered weekly, twice weekly, or thrice weekly at an initial starting dose, frequency of administration, and mode of administration (intravenous \[IV\] or subcutaneous \[SC\]) individually determined for each participant using the site's usual standard of care. Subsequent dose adjustments or dose holds may have been made in order to maintain a hemoglobin concentration of \<11 g/dL.
Darbepoetin alfaDRUGAs prescribed, starting dose of 0.75 microgram per kilogram (mcg/kg) administered by subcutaneous injection once every 2 weeks. The dose was adjusted throughout the study to maintain a hemoglobin target range of 11.0-12.0 g/dL.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites89

Inclusion Criteria 1. Participants with chronic renal failure on hemodialysis for ≥ 3 months prior to randomization. 2. On intravenous epoetin alfa maintenance therapy continuously prescribed for a minimum of 8 weeks prior to randomization. 3. Four consecutive hemoglobin values with a mean ≥ 10.0 a...

Countries:United StatesPuerto RicoRussiaAustraliaItalyNew ZealandUnited KingdomFranceGermany
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Frequently asked questions about Peginesatide

What is Peginesatide used for?

Peginesatide is an investigational small molecule being studied for the treatment of anemia in patients with chronic kidney disease and chronic renal failure. It is being developed by Takeda Pharmaceutical Company Limited (TAK). The drug is intended to manage anemia in this patient population, including those on dialysis.

Who makes Peginesatide?

Peginesatide is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The company is conducting clinical trials to evaluate the drug's safety and efficacy for treating anemia associated with chronic kidney disease and chronic renal failure.

What phase is Peginesatide in?

Peginesatide is in clinical development, with trials completed in Phase 2 and Phase 3. The drug is investigational and not yet approved by regulatory authorities. Four clinical trials have been completed, with a total enrollment of 1,293 participants.

What clinical trials is Peginesatide in?

Peginesatide has completed four clinical trials, including NCT00314795, NCT00752609, NCT00752791, and NCT01478971. These trials evaluated the drug for treating anemia in chronic kidney disease and chronic renal failure patients, including those on hemodialysis or peritoneal dialysis. All trials have been completed.

Is Peginesatide the same as AF37702?

Peginesatide is also known as AF37702, as referenced in clinical trial NCT00314795. This trial evaluated the efficacy and safety of Peginesatide (AF37702) in treating anemia in participants with chronic kidney disease. The drug is being developed by Takeda Pharmaceutical Company Limited.