A Study to Evaluate Safety and Efficacy of GSK1278863 in Non-Dialysis Dependent (NDD) Subjects With Anemia Associated With Chronic Kidney Diseases (CKD)

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Completed
CT.gov ID
NCT01977573
Collaborator
(none)
252
123
2
19.4
2
0.1

Study Details

Study Description

Brief Summary

This study will be conducted in approximately 228 subjects with anemia associated with CKD who are not on dialysis. Two groups of subjects will be enrolled into the study: Group 1: recombinant human erythropoietin (rhEPO) naive subjects; Group 2: rhEPO users, who are currently receiving rhEPO. Subjects who are rhEPO naive will be randomized to receive either GSK1278863 once daily (QD) or rhEPO in a 3:1 fashion; subjects who are receiving an rhEPO before enrolling (rhEPO users) will be randomized in a 1:1 fashion to GSK1278863 QD or to the control arm. For those randomized to the control arm, the decision around whether the subject requires rhEPO, the selection of the type of rhEPO (if needed) and the choice of rhEPO dose to achieve and maintain Hgb concentrations within the target range should be based on Investigator clinical judgment, with the historical rhEPO dose and the current Hgb value being considered. The study consists of a screening phase of at least 4 weeks, a 24-week treatment phase and a follow-up visit that will occur approximately 4 weeks after completing treatment. It is anticipated that the data generated will enable selection of the starting dose(s) and optimize dose adjustment regimen(s) for Phase 3 clinical trials.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
252 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Treatment
Official Title:
A 24-week, Phase IIB, Randomized, Controlled, Parallel Group, Multi-center Study to Evaluate the Safety and Efficacy of GSK1278863 in Subjects With Anemia Associated With Chronic Kidney Diseases Who Are Not on Dialysis.
Study Start Date :
Oct 31, 2013
Actual Primary Completion Date :
May 1, 2015
Actual Study Completion Date :
Jun 15, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: GSK1278863

Subjects will be administered GSK1278863 QD. Starting dose will be based on data from previous studies with GSK1278863 and dose-response modelling, as well as Baseline Hgb concentration. After 4 Week of fixed dose period, dose may be adjusted to achieve Hgb 9.0 to 10.5 g/dL

Drug: GSK1278863
Film-coated tablets containing 0.5 mg, 1 mg, 2 mg, 5mg or matching placebo

Other: Control

All subjects who are randomized to the Control arm will receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, to maintain Hgb levels within the target range. The decision around whether a subject requires rhEPO, selection of the type of rhEPO and rhEPO dose should be based on Investigator clinical judgment, with the historical rhEPO dose (where applicable) and the current Hgb value being considered.

Drug: rhEPO
Locally sourced rhEPO. All subjects who are randomized to the Control arm will receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, to maintain Hgb levels within the target range. The decision around whether a subject requires rhEPO, selection of the type of rhEPO and rhEPO dose should be based on Investigator clinical judgment, with the historical rhEPO dose (where applicable) and the current Hgb value being considered..

Outcome Measures

Primary Outcome Measures

  1. Summary of Hemoglobin (Hgb) Concentration at Week 24 [Week 24]

    The original Hgb Criteria for Group 1- rhEPO naive participants with a stable baseline Hgb of 8.0-10.0 g/dL (8.0-10.0 g/dL USA site only) and for Group 2- rhEPO users with a stable baseline Hgb of 9.0-10.5 g/dL (9.0-10.5 g/dL USA site only); the Hgb target range was 9.0 to 10.5 g/dL (9.0-10.5 g/dL USA site only). The study amended Hgb Criteria for Group 1- rhEPO naive participants with a stable baseline Hgb of 8.0-11.0 g/dL and Group 2- rhEPO users with a stable baseline Hgb of 9.0-11.5 g/dL; Hgb target range - 10.0 to 11.5 g/dL. Data are presented for those participants following the original criteria ("Original") and those following the amended ("Amended") criteria. The primary objective was to characterize the ability of GSK1278863 to achieve mean Hgb response within the target range.

Secondary Outcome Measures

  1. Number of Participants With Hemoglobin (Hgb) in the Target Range at Week 24 [Week 24]

    Target range is defined as: Original Hgb Criteria of 9.0 to 10.5 gram/deciliter (g/dL), and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL.

  2. Number of Participants Reaching Pre-defined Hgb Stopping Criteria [Over a period of 24 Weeks]

    The Hgb stopping criteria was a value of <7.5 mg/dL obtained on-site via a validated point-of-care Hgb measurement device, which necessitated permanent discontinuation of the study medication. None of the participants met the stopping criteria therefore there is no data to present for this outcome measure.

  3. Percent Change From Baseline in Hepcidin Concentration at Week 24 [Baseline and Week 24]

    Baseline is the last pre-dose hepcidin value. Percent change was calculated as 100 multiplied by (exponential of mean change on log scale minus 1). Change was calculated by subtracting the Baseline value from the Week 24 value.

  4. Maximum Observed Change From Baseline in Serum Erythropoietin (EPO) [Baseline to Week 24]

    Blood samples for control arm were collected pre-dose for EPO measurement. Blood samples for GSK1278863 arms were collected on Day 1 (pre-dose ), Week 4 (6-12 hours post-dose ), Week 4 (7-13, 8-14, 9-15, hours post-dose ), Week 8 (pre -dose ), Week 12 (pre -dose ), Week 16 (pre -dose ), Week 20 (pre -dose , 3 hour post-dose ) Week 24 (pre -dose ), and Week 28 (pre -dose ) for EPO measurement. The maximum observed change from baseline in EPO was recorded for each arm. Baseline value for EPO is the pre-dose value on Day 1. Change from Baseline in EPO was calculated as the individual post-baseline values minus the Baseline value.

  5. Maximum Observed Percent Change From Baseline in Vascular Endothelial Growth Factor (VEGF) [Baseline and up to Week 24]

    Blood samples for control arm were collected pre-dose for VEGF measurement. Blood samples for GSK1278863 arms were collected on Day 1 (pre-dose ), Week 4 (6-12 hours post-dose ), Week 4 (7-13, 8-14, 9-15, hours post-dose ), Week 8 (pre -dose ), Week 12 (pre -dose ), Week 16 (pre -dose ), Week 20 (pre -dose , 3 hour post-dose ) Week 24 (pre -dose ), and Week 28 (pre -dose ) for VEGF measurement. The maximum observed change from baseline in VEGF was recorded for each arm . Baseline value for VEGF is the pre-dose value on Day 1. Change from Baseline in VEGF was calculated as the individual post-baseline values minus the Baseline value.

  6. Percentage of Time Within, Below, and Above Hemoglobin (Hgb) Target Range, Between Weeks 12 and 24 [Weeks 12 to 24]

    The number of days a participant's Hgb was within target range was calculated by estimating (using linear interpolation) the number of days within target range between two scheduled Hgb visits. Percentage of time within range for a participant was calculated by dividing the total number of days that Hgb was within range during Weeks 12 to 24 by the total number of days the participant remained on treatment during Weeks 12 to 24. Similary, percent of time above and below Hgb target range was calculated. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL.

  7. Change From Baseline in Ferritin Concentration at Week 24 [Baseline and Week 24]

    Baseline is the last pre-dose ferritin value. Change was calculated by subtracting the Baseline value from the Week 24 value.

  8. Change From Baseline in Transferrin Concentration at Week 24 [Baseline and Week 24]

    Baseline is the last pre-dose transferrin value. Change from Baseline in transferrin was calculated by subtracting the Baseline value from the Week 24 value.

  9. Percent Change From Baseline in Transferrin Saturation at Week 24 [Baseline and Week 24]

    Transferrin saturation is measured as a percentage; it is a ratio of serum iron and total iron-binding capacity. Baseline is the last pre-dose transferrin saturation value. Percent change was calculated as 100 multiplied by (exponential of mean change on log scale minus 1). Change was calculated by subtracting the Baseline value from the post-dose value.

  10. Change From Baseline in Total Iron at Week 24 [Baseline and Week 24]

    Baseline is the last pre-dose total iron value. Change from Baseline was calculated by subtracting the Baseline value from the Week 24 value.

  11. Change From Baseline in Total Iron Binding Capacity (TIBC) at Week 24 [Baseline and Week 24]

    TIBC measures the blood's capacity to bind iron with transferrin. Baseline is the last pre-dose TIBC value. Change from Baseline in TIBC was calculated by subtracting the Baseline value from the Week 24 value.

  12. Change From Baseline in Reticulocyte Hemoglobin (CHr) at Week 24 [Baseline and Week 24]

    Reticulocytes are slightly immature red blood cells. Reticulocyte Hgb content is used to differentiate iron deficiency from other causes of anemia. Baseline is the last pre-dose CHr value. Change from Baseline in reticulocyte Hgb was calculated by subtracting the Baseline value from the post-dose value.

  13. Change From Baseline in Hematocrit at Week 24 [Baseline and Week 24]

    Baseline is the last pre-dose hematocrit value. Change from Baseline was calculated by subtracting the Baseline value from the Week 24 value.

  14. Change From Baseline in Red Blood Cell Count at Week 24 [Baseline and Week 24]

    Baseline is the last pre-dose red blood cell count. Change from Baseline in red blood cell count was calculated by subtracting the Baseline count from the post-dose count.

  15. Change From Baseline in Reticulocyte Cell Count at Week 24 [Baseline and Week 24]

    Reticulocyte count is a blood test that measures the percentage of reticulocytes in the blood. Reticulocytes are slightly immature red blood cells. Baseline is the last pre-dose red reticulocyte count. Change from Baseline in reticulocyte cell count was calculated by subtracting the Baseline count from the Week 24 count.

  16. Concentration of GSK1278863 and Relevant Metabolites as a Population Pharmacokinetic Endpoint [Day 1 (pre-dose), Week (Wk) 4 (6-12 hour, 7-13 hour, 8-14 hour, 9-15 hour post-dose), and Wk 20 (pre-dose, 1 hour, 2 hour, 3 hour post-dose)]

    Blood samples were collected for individual plasma GSK1278863 and metabolite (GSK2391220, GSK2487818, GSK2506102, GSK2531398, GSK2531401, and GSK2531403) concentration measurement on Day 1 (pre-dose), Wk 4 (6-12 hour, 7-13 hour, 8-14 hour, 9-15 hour post-dose), and Wk 20 (pre-dose, 1 hour, 2 hour, 3 hour post-dose). Participants available in each arm at the specified time points have been presented.

  17. Mean Number of Dose Adjustments up to 24 Weeks [From Week 4 up to 24 Weeks]

    After 4 Weeks, the need to adjust the dose of GSK1278863 was evaluated at every scheduled visit, to maintain hemoglobin within the target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL. Dose adjustments were assigned automatically via the interactive voice/web response system.

  18. Number of Participants With Dose Adjustments up to 24 Weeks, as a Measure of Dose Adjustment Frequency [From week 4 up to 24 weeks]

    After 4 Weeks, the need to adjust the dose of GSK1278863 was evaluated at every scheduled visit, to maintain hemoglobin within the target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL. Dose adjustments were assigned automatically via the interactive voice/web response system. Frequency is presented as the number of participants with dose adjustment(s) once, twice, thrice, four times, or five times.

  19. Timing of Dose Adjustments at Weeks 4, 8, 12, 16, and 20 [From Week 4 up to Week 20]

    After 4 Weeks, the need to adjust the dose of GSK1278863 was evaluated at every scheduled visit, to maintain hemoglobin within the target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL. Dose adjustments were assigned automatically via the interactive voice/web response system. The number of participants with an adjustment are presented at the timings at which adjustments were done.

  20. Mean Total Cumulative Dose of GSK1278863 up to 24 Weeks [Up to 24 Weeks]

    The starting dose was kept constant for the first 4 Weeks after randomization. Later, the need to adjust the dose of GSK1288863 was evaluated at every scheduled visit according to a pre-specified algorithm, to achieve and maintain hemoglobin within the specified target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL.

  21. Mean Final Dose of GSK1278863 up to 24 Weeks [Up to 24 Weeks]

    The starting dose was kept constant for the first 4 Weeks after randomization. Later, the need to adjust the dose of GSK1288863 was evaluated at every scheduled visit according to a pre-specified algorithm, to achieve and maintain hemoglobin within the specified target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL.

  22. Number of Hemoglobin (Hgb) Excursions [Up to 24 Weeks.]

    A Hgb excursion is a series of decreasing or increasing Hgb values differing by >=1.5 grams per deciliter. Hgb cycle is calculated as two consecutive Hgb excursions in different directions.

  23. Number of Hemoglobin (Hgb) Cycles up to 24 Weeks [Up to 24 Weeks]

    A Hgb cycle is calculated as two consecutive Hgb excursions in different directions. A Hgb excursion is a series of decreasing or increasing Hgb values differing by >=1.5 grams per deciliter.

  24. Number of Dose Cycles up to 24 Weeks [Up to 24 weeks]

    A dose cycle is a series of three directional dose changes (that is, increase, decrease, increase; or decrease, increase, decrease).

  25. Number of Participants With at Least One Hemoglobin (Hgb) Excursion up to 24 Weeks. [Up to 24 weeks]

    A Hgb excursion is a series of decreasing or increasing Hgb values differing by >=1.5 grams per deciliter.

  26. Number of Participants With at Least One Hemoglobin (Hgb) Cycle up to 24 Weeks [Up to 24 weeks]

    A Hgb excursion is a series of decreasing or increasing Hgb values differing by >=1.5 grams per deciliter. A Hgb cycle is two consecutive Hgb excursions in different directions.

  27. Number of Participants With at Least One Dose Cycle up to 24 Weeks [Up to 24 weeks]

    A dose cycle is a series of three directional dose changes (that is, increase, decrease, increase; or decrease, increase, decrease). participants

  28. Number of Participants Receiving Additional Therapies of Blood Transfusions, Intravenous (IV) Iron or rhEPO at Any Time Post-Baseline [From Day 1 up to Week 28]

    Participants receiving additional therapies of blood transfusions, intravenous (IV) iron or rhEPO any time Post Baseline were analyzed. RhEPO was not applicable for the control arms since it was a planned therapy in those arms, hence presented as NA. (EudraCT only: A value of 99999 is used where no data is available or NA.)

  29. Number of Weeks Dose Withheld Because Hemoglobin (Hgb) Exceeded the Upper Limit [From Week 4 up to Week 24]

    Number of Weeks dose was withheld because hemoglobin exceed the upper limit is presented as the number of participants with withheld dose during the time periods categorized by Weeks.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 99 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Age: >=18 years of age. (Week -4 verification only)

  • Gender: Female and male subjects. (Week -4 verification only) Females: If of childbearing potential, must agree to use one of the approved contraception methods, from Screening until completion of the Follow-up Visit OR Of non-childbearing potential defined as pre-menopausal females with a documented tubal ligation, hysterectomy, or oophorectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea. Females on hormone replacement therapy (HRT) whose menopausal status is in doubt will be required to use one of the approved contraception methods if they wish to continue their HRT during the study. Otherwise they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrolment.

  • Corrected QT interval (QTc): Bazett's Correction of QT Interval (QTcB) <470 milliseconds (msec) or QTcB <480 msec in subjects with bundle branch block. There is no QTc criterion for subjects with a predominantly paced rhythm.

  • CKD stage: Kidney Disease Outcomes Quality Initiative (KDOQI) CKD stages 3/4/5 defined by electronic estimated glomerular filtration rate (eGFR) using the CKD Epidemiology Collaboration (CKD-EPI) formula.

  • Hgb: Group 1 (rhEPO naïve): Baseline Hgb of 8.0-11.0 g/dL (inclusive) (USA sites only: 8.0-10.0 g/dL, inclusive); Group 2 (rhEPO users): Baseline Hgb of 9.0-11.5 g/dL (inclusive) (USA sites only: 9.0-10.5, inclusive).

  • Stable rhEPO dose for rhEPO users: Group 2 subjects must be using the same rhEPO (epoetins or their biosimilars, or darbepoetin) with total weekly doses that varied by no more than 50% during the 4 weeks prior to Week -4. At Day 1 (randomization), confirm that total weekly doses varied by no more than 50% during the screening period.

  • Oral iron therapy: If on oral iron, then doses must not be changed for the 4 weeks prior to Week -4, during the screening phase, and through the first 4 weeks after Randomization.

Exclusion Criteria:
  • Dialysis: On dialysis or planning to initiate dialysis during the study.

  • Renal transplant: Pre-emptive or scheduled renal transplant.

  • High rhEPO dose: An epoetin dose of >=360 IU/kg/week intravenous (IV) or >=250 IU/kg/week subcutaneous (SC) or darbepoetin dose of >=1.8 microgram per kilogram per week (mcg/kg/week) IV or SC within the prior 8 weeks through Day 1 (randomization).

  • Use of methoxy polyethylene glycol epoetin beta within the prior 8 weeks through Day 1 (randomization).

  • IV iron therapy: Use of IV iron for 4 weeks prior to Screening Week -4, during the screening phase, and through the first 4 weeks after Randomization

  • Vitamin B12: Below the lower limit of the reference range (may rescreen in a minimum of 8 weeks).

  • Folate: <2.0 nanogram per millilitre (ng/mL) (<4.5 nanomoles per liter [nmol/L]) (may rescreen in a minimum of 4 weeks).

  • Ferritin: <40 ng/mL (<40 mcg/L).

  • Transferrin saturation (TSAT): Below the lower limit of the reference range

  • Myocardial infarction or acute coronary syndrome: Within the 8 weeks prior to Screening through Day 1 (randomization).

  • Stroke or transient ischemic attack: Within the 8 weeks prior to Week -4 Screening through Day 1 (randomization).

  • Heart failure: Class III/IV heart failure as defined by the New York Heart Association (NYHA) functional classification system diagnosed prior to Week -4 Screening through Day 1 (randomization), symptomatic right heart failure diagnosed prior to Week -4 Screening through Day 1 (randomization).

  • Uncontrolled hypertension: Defined as diastolic blood pressure (DBP) >100 mmHg or systolic blood pressure (SBP) >170 mmHg at Week -4 and reconfirmed at Day 1.

  • Thrombotic Disease: History of thrombotic disease (e.g., venous thrombosis such as deep vein thrombosis or pulmonary embolism, or arterial thrombosis such as new onset or worsening limb ischemia requiring intervention), except vascular access thrombosis within the 8 weeks prior to Week -4 Screening through Day 1 (randomization).

  • Ophthalmology disease: Meeting any ophthalmologic-related exclusion criteria determined at the Screening ophthalmology exam.

  • Inflammatory disease: Active chronic inflammatory disease that could impact erythropoiesis (e.g., scleroderma, systemic lupus erythematosis, rheumatoid arthritis, celiac disease) diagnosed prior to Week -4 Screening through Day 1 (randomization).

  • Hematological disease: Any hematological disease including those affecting platelets, white or red blood cells (e.g. sickle cell anemia, myelodysplastic syndromes, hematological malignancy, myeloma, hemolytic anemia and thalassemia), coagulation disorders (e.g., antiphospholipid syndrome, Protein C or S deficiency), or any other cause of anemia other than renal disease diagnosed prior to Week -4 Screening through Day 1 (randomization).

  • Liver disease: Current liver disease, known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones) or evidence at Screening of abnormal liver function tests [alanine transaminase (ALT) or aspartate transaminase (AST) >2.0 x upper limit of normal (ULN) or total bilirubin >1.5 x ULN]; or other hepatic abnormalities that in the opinion of the investigator would preclude the subject from participation in the study.

  • Major surgery: Major surgery (excluding vascular access surgery) within the prior 8 weeks, during the Week -4 Screening phase or planned during the study.

  • Transfusion: Blood transfusion within the prior 8 weeks, during the Week -4 Screening phase or an anticipated need for blood transfusion during the study.

  • Gastrointestinal (GI) Bleeding: Evidence of actively bleeding peptic, duodenal, or esophageal ulcer disease OR clinically significant GI bleeding within the 8 weeks prior to Week -4 Screening through Day 1 (randomization).

  • Acute infection: Clinical evidence of acute infection or history of infection requiring IV antibiotic therapy within the 8 weeks prior to Week -4 Screening through Day 1 (randomization).

  • Malignancy: Subjects with a history of malignancy within the prior 5 years, who receiving treatment for cancer, or who have a strong family history of cancer (e.g., familial cancer disorders); with the exception of squamous cell or basal cell carcinoma of the skin that has been definitively treated prior to Week -4 Screening through Day 1 (randomization).

  • Severe allergic reactions: History of severe allergic or anaphylactic reactions or hypersensitivity to excipients in the investigational product (see GSK1278863 IB for list of excipients and rhEPO (refer to local product labelling for details).

  • Drugs and supplements: Use of any prescription or non-prescription drugs or dietary supplements that are prohibited from Week -4 Screening until the Follow-up Visit.

  • Prior investigational product exposure: The Subject has participated in a clinical trial and has received an experimental investigational product within the prior 30 days from Week -4 Screening through Day 1 (randomization).

  • Other Conditions: Any other condition, clinical or laboratory abnormality, or examination finding that the Investigator considers would put the subject at unacceptable risk.

  • Patient participation: Unwillingness or inability of the subject to follow the procedures or lifestyle or dietary restrictions outlined in the protocol.

  • Pregnancy or Lactation: Pregnant females as determined by positive urine human chorionic gonadotropin (hCG) test OR women who are lactating at Week -4 Screening or during the trial.

Contacts and Locations

Locations

Site City State Country Postal Code
1 GSK Investigational Site Peoria Arizona United States 85381
2 GSK Investigational Site Azusa California United States 91702
3 GSK Investigational Site La Mesa California United States 91942
4 GSK Investigational Site Laguna Hills California United States 92653
5 GSK Investigational Site Los Angeles California United States 90022
6 GSK Investigational Site Los Angeles California United States 90025
7 GSK Investigational Site San Diego California United States 92103
8 GSK Investigational Site San Dimas California United States 91773
9 GSK Investigational Site West Hills California United States 91307
10 GSK Investigational Site Lauderdale Lakes Florida United States 33313
11 GSK Investigational Site Miami Florida United States 33150
12 GSK Investigational Site Pembroke Pines Florida United States 33028
13 GSK Investigational Site Macon Georgia United States 31217
14 GSK Investigational Site Savannah Georgia United States 31406
15 GSK Investigational Site Evergreen Park Illinois United States 60805
16 GSK Investigational Site Shreveport Louisiana United States 71101
17 GSK Investigational Site Farmington Missouri United States 63640
18 GSK Investigational Site Charlotte North Carolina United States
19 GSK Investigational Site Bethlehem Pennsylvania United States 18017
20 GSK Investigational Site Uniontown Pennsylvania United States 15401
21 GSK Investigational Site Knoxville Tennessee United States 37923
22 GSK Investigational Site Corsicana Texas United States 75110
23 GSK Investigational Site San Antonio Texas United States 78229
24 GSK Investigational Site Temple Texas United States 76508
25 GSK Investigational Site Salt Lake City Utah United States 84112
26 GSK Investigational Site Liverpool New South Wales Australia 2170
27 GSK Investigational Site Westmead New South Wales Australia 2145
28 GSK Investigational Site Adelaide South Australia Australia 5000
29 GSK Investigational Site Nedlands Western Australia Australia 6009
30 GSK Investigational Site Edmonton Alberta Canada T6G 2B7
31 GSK Investigational Site Brampton Ontario Canada L6T 0G1
32 GSK Investigational Site Kitchener Ontario Canada N2G 1E8
33 GSK Investigational Site London Ontario Canada N6A 5A5
34 GSK Investigational Site Mississauga Ontario Canada L5M 2V8
35 GSK Investigational Site Sudbury Ontario Canada P3E 5J1
36 GSK Investigational Site Montreal Quebec Canada H1T 2M4
37 GSK Investigational Site Pointe-Claire Quebec Canada H9R 4S3
38 GSK Investigational Site Cheb Czechia 350 02
39 GSK Investigational Site Liberec Czechia 460 63
40 GSK Investigational Site Louny Czechia 440 01
41 GSK Investigational Site Marianske Lazne Czechia 353 01
42 GSK Investigational Site Most Czechia 434 64
43 GSK Investigational Site Praha 10 Czechia 100 34
44 GSK Investigational Site Praha 2 Czechia 128 08
45 GSK Investigational Site Praha 4 Czechia 142 00
46 GSK Investigational Site Sokolov Czechia 356 01
47 GSK Investigational Site Odense C Denmark 5000
48 GSK Investigational Site Roskilde Denmark DK-4000
49 GSK Investigational Site Amiens cedex 1 France 80054
50 GSK Investigational Site Bordeaux France 33000
51 GSK Investigational Site Caen Cedex 9 France 14033
52 GSK Investigational Site Créteil Cedex France 94010
53 GSK Investigational Site Lyon Cedex 03 France 69437
54 GSK Investigational Site Paris Cedex 15 France 75743
55 GSK Investigational Site Sainte Foy-Lès-Lyon France 69110
56 GSK Investigational Site Mannheim Baden-Wuerttemberg Germany 68167
57 GSK Investigational Site Ulm Baden-Wuerttemberg Germany 89081
58 GSK Investigational Site Muenchen Bayern Germany 81675
59 GSK Investigational Site Demmin Mecklenburg-Vorpommern Germany 17109
60 GSK Investigational Site Duesseldorf Nordrhein-Westfalen Germany 40210
61 GSK Investigational Site Leipzig Sachsen Germany 04129
62 GSK Investigational Site Berlin Germany 12053
63 GSK Investigational Site Hamburg Germany 22297
64 GSK Investigational Site Budapest Hungary 1036
65 GSK Investigational Site Budapest Hungary 1097
66 GSK Investigational Site Budapest Hungary 1115
67 GSK Investigational Site Budapest Hungary 1135
68 GSK Investigational Site Székesfehérvár Hungary 8000
69 GSK Investigational Site Aichi Japan 455-8530
70 GSK Investigational Site Gifu Japan 500-8717
71 GSK Investigational Site Gunma Japan 370-0001
72 GSK Investigational Site Ibaraki Japan 302-0014
73 GSK Investigational Site Ibaraki Japan 302-0022
74 GSK Investigational Site Kanagawa Japan 210-0852
75 GSK Investigational Site Kyoto Japan 604-8845
76 GSK Investigational Site Nagano Japan 388-8004
77 GSK Investigational Site Osaka Japan 558-8558
78 GSK Investigational Site Shiga Japan 523-0082
79 GSK Investigational Site Anyang-Si Gyeonggi-do Korea, Republic of 431-070
80 GSK Investigational Site Daegu Korea, Republic of 700-721
81 GSK Investigational Site Daejeon Korea, Republic of 301-721
82 GSK Investigational Site Gwangju Korea, Republic of 501-757
83 GSK Investigational Site Krakow Poland 31-501
84 GSK Investigational Site Lublin Poland 20-081
85 GSK Investigational Site Tarnow Poland 33-100
86 GSK Investigational Site Warszawa Poland 02-507
87 GSK Investigational Site Zabrze Poland 41-800
88 GSK Investigational Site Izhevsk Russian Federation 426063
89 GSK Investigational Site Kaluga Russian Federation 248007
90 GSK Investigational Site Khantymansiysk Russian Federation 628012
91 GSK Investigational Site Krasnodar Russian Federation 350029
92 GSK Investigational Site Krasnoyarsk Russian Federation 660062
93 GSK Investigational Site Moscow Russian Federation 119121
94 GSK Investigational Site Moscow Russian Federation 125101
95 GSK Investigational Site St-Petersburg Russian Federation 197110
96 GSK Investigational Site Ulyanovsk Russian Federation 432063
97 GSK Investigational Site Yaroslavl Russian Federation 150062
98 GSK Investigational Site Alcala de Henares Spain 28805
99 GSK Investigational Site Badalona Spain 08916
100 GSK Investigational Site Barcelona Spain 08011
101 GSK Investigational Site Barcelona Spain 08035
102 GSK Investigational Site Barcelona Spain 08907
103 GSK Investigational Site Cordoba Spain 14004
104 GSK Investigational Site Granada Spain 18014
105 GSK Investigational Site Madrid Spain 28041
106 GSK Investigational Site Madrid Spain 28224
107 GSK Investigational Site San Sebastian de los Reyes Spain 28702
108 GSK Investigational Site Santander Spain 39008
109 GSK Investigational Site Santiago de Compostela Spain 15706
110 GSK Investigational Site Göteborg Sweden SE-413 45
111 GSK Investigational Site Karlstad Sweden SE-651 85
112 GSK Investigational Site Stockholm Sweden SE-141 86
113 GSK Investigational Site Uppsala Sweden SE-751 85
114 GSK Investigational Site Örebro Sweden SE-701 85
115 GSK Investigational Site Chelmsford United Kingdom CM1 7ET
116 GSK Investigational Site Dorchester United Kingdom DT1 2JY
117 GSK Investigational Site Dundee United Kingdom DD1 9SY
118 GSK Investigational Site Hull United Kingdom HU3 2JZ
119 GSK Investigational Site Leeds United Kingdom LS9 7TF
120 GSK Investigational Site London United Kingdom E1 1BB
121 GSK Investigational Site London United Kingdom NW3 2QG
122 GSK Investigational Site Manchester United Kingdom M13 9WL
123 GSK Investigational Site Oxford United Kingdom OX3 7LE

Sponsors and Collaborators

  • GlaxoSmithKline

Investigators

  • Study Director: GSK Clinical Trials, GlaxoSmithKline

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01977573
Other Study ID Numbers:
  • 113747
First Posted:
Nov 6, 2013
Last Update Posted:
Oct 12, 2018
Last Verified:
Sep 1, 2018

Study Results

Participant Flow

Recruitment Details Two groups of participants(par.) were enrolled in this study. Group 1 consisted of recombinant human erythropoietin(rhEPO)-naive par. whereas Group 2 consisted of rhEPO users.
Pre-assignment Detail Post screening, eligible par. were randomized to receive either GSK1278863 once a day (QD) or to the Control arm in a 3:1 fashion in Group 1 and 1:1 fashion in Group 2.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Period Title: Overall Study
STARTED 136 44 36 36
COMPLETED 116 41 32 33
NOT COMPLETED 20 3 4 3

Baseline Characteristics

Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control Total
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28. Total of all reporting groups
Overall Participants 123 43 33 36 235
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
67.6
(12.21)
64.3
(14.22)
62.0
(14.06)
66.7
(12.89)
66.1
(13.04)
Sex: Female, Male (Count of Participants)
Female
75
61%
23
53.5%
17
51.5%
23
63.9%
138
58.7%
Male
48
39%
20
46.5%
16
48.5%
13
36.1%
97
41.3%
Race/Ethnicity, Customized (Number) [Number]
African American/African Heritage
14
11.4%
2
4.7%
2
6.1%
4
11.1%
22
9.4%
Central/South Asian Heritage
0
0%
0
0%
0
0%
1
2.8%
1
0.4%
Japanese/East Asian/South East Asian Heritage
28
22.8%
11
25.6%
9
27.3%
12
33.3%
60
25.5%
White
81
65.9%
30
69.8%
22
66.7%
19
52.8%
152
64.7%

Outcome Measures

1. Primary Outcome
Title Summary of Hemoglobin (Hgb) Concentration at Week 24
Description The original Hgb Criteria for Group 1- rhEPO naive participants with a stable baseline Hgb of 8.0-10.0 g/dL (8.0-10.0 g/dL USA site only) and for Group 2- rhEPO users with a stable baseline Hgb of 9.0-10.5 g/dL (9.0-10.5 g/dL USA site only); the Hgb target range was 9.0 to 10.5 g/dL (9.0-10.5 g/dL USA site only). The study amended Hgb Criteria for Group 1- rhEPO naive participants with a stable baseline Hgb of 8.0-11.0 g/dL and Group 2- rhEPO users with a stable baseline Hgb of 9.0-11.5 g/dL; Hgb target range - 10.0 to 11.5 g/dL. Data are presented for those participants following the original criteria ("Original") and those following the amended ("Amended") criteria. The primary objective was to characterize the ability of GSK1278863 to achieve mean Hgb response within the target range.
Time Frame Week 24

Outcome Measure Data

Analysis Population Description
Intent-to-Treat (ITT): The ITT population consisted of all randomized participants who received at least one dose of study drug, had a Baseline and at least one corresponding on-treatment assessment. Only participants who were available at the indicated time point were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 123 43 33 36
Original n=45,15,19,13
10.20
(0.906)
10.64
(0.664)
10.03
(0.522)
10.66
(0.620)
Amended n=61,21,11,17
10.96
(1.044)
11.05
(1.144)
10.42
(0.827)
10.86
(1.182)
2. Secondary Outcome
Title Number of Participants With Hemoglobin (Hgb) in the Target Range at Week 24
Description Target range is defined as: Original Hgb Criteria of 9.0 to 10.5 gram/deciliter (g/dL), and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL.
Time Frame Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants who were available at the indicated time point were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 106 36 30 30
Number [participants]
78
63.4%
20
46.5%
22
66.7%
19
52.8%
3. Secondary Outcome
Title Number of Participants Reaching Pre-defined Hgb Stopping Criteria
Description The Hgb stopping criteria was a value of <7.5 mg/dL obtained on-site via a validated point-of-care Hgb measurement device, which necessitated permanent discontinuation of the study medication. None of the participants met the stopping criteria therefore there is no data to present for this outcome measure.
Time Frame Over a period of 24 Weeks

Outcome Measure Data

Analysis Population Description
ITT population.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 136 44 36 36
Number [Participants]
0
0%
0
0%
0
0%
0
0%
4. Secondary Outcome
Title Percent Change From Baseline in Hepcidin Concentration at Week 24
Description Baseline is the last pre-dose hepcidin value. Percent change was calculated as 100 multiplied by (exponential of mean change on log scale minus 1). Change was calculated by subtracting the Baseline value from the Week 24 value.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
Intent-to-Treat (ITT) population consisted all randomized participants who received at least one dose of study drug, had a Baseline and at least one corresponding on-treatment assessment. Only participants with available hepcidin values at Baseline and Week 24 were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 106 35 30 29
Geometric Mean (95% Confidence Interval) [percent change in Hepcidin]
-19.27
6.67
-9.87
-17.12
5. Secondary Outcome
Title Maximum Observed Change From Baseline in Serum Erythropoietin (EPO)
Description Blood samples for control arm were collected pre-dose for EPO measurement. Blood samples for GSK1278863 arms were collected on Day 1 (pre-dose ), Week 4 (6-12 hours post-dose ), Week 4 (7-13, 8-14, 9-15, hours post-dose ), Week 8 (pre -dose ), Week 12 (pre -dose ), Week 16 (pre -dose ), Week 20 (pre -dose , 3 hour post-dose ) Week 24 (pre -dose ), and Week 28 (pre -dose ) for EPO measurement. The maximum observed change from baseline in EPO was recorded for each arm. Baseline value for EPO is the pre-dose value on Day 1. Change from Baseline in EPO was calculated as the individual post-baseline values minus the Baseline value.
Time Frame Baseline to Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants having a Baseline EPO measurement and at least one post-baseline EPO measurement were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 123 42 33 36
Mean (Standard Deviation) [International Units per liter]
7.27
(12.744)
27.05
(94.999)
3.69
(20.554)
25.85
(38.890)
6. Secondary Outcome
Title Maximum Observed Percent Change From Baseline in Vascular Endothelial Growth Factor (VEGF)
Description Blood samples for control arm were collected pre-dose for VEGF measurement. Blood samples for GSK1278863 arms were collected on Day 1 (pre-dose ), Week 4 (6-12 hours post-dose ), Week 4 (7-13, 8-14, 9-15, hours post-dose ), Week 8 (pre -dose ), Week 12 (pre -dose ), Week 16 (pre -dose ), Week 20 (pre -dose , 3 hour post-dose ) Week 24 (pre -dose ), and Week 28 (pre -dose ) for VEGF measurement. The maximum observed change from baseline in VEGF was recorded for each arm . Baseline value for VEGF is the pre-dose value on Day 1. Change from Baseline in VEGF was calculated as the individual post-baseline values minus the Baseline value.
Time Frame Baseline and up to Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at Baseline and a maximum observed change were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 123 42 33 36
Geometric Mean (95% Confidence Interval) [percent change in VEGF concentration]
76.36
26.84
49.99
40.85
7. Secondary Outcome
Title Percentage of Time Within, Below, and Above Hemoglobin (Hgb) Target Range, Between Weeks 12 and 24
Description The number of days a participant's Hgb was within target range was calculated by estimating (using linear interpolation) the number of days within target range between two scheduled Hgb visits. Percentage of time within range for a participant was calculated by dividing the total number of days that Hgb was within range during Weeks 12 to 24 by the total number of days the participant remained on treatment during Weeks 12 to 24. Similary, percent of time above and below Hgb target range was calculated. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL.
Time Frame Weeks 12 to 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at specific time points were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 112 38 30 32
Percentage of time within target range
68.99
(34.612)
51.01
(41.403)
75.06
(32.485)
61.29
(43.352)
Percentage of time above target range
22.84
(33.825)
45.10
(42.579)
17.96
(28.809)
31.10
(41.683)
Percentage of time below target range
8.17
(20.301)
3.89
(16.175)
6.98
(21.118)
7.61
(25.113)
8. Secondary Outcome
Title Change From Baseline in Ferritin Concentration at Week 24
Description Baseline is the last pre-dose ferritin value. Change was calculated by subtracting the Baseline value from the Week 24 value.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at specific time point were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 108 36 30 30
Mean (Standard Deviation) [micrograms per liter]
-30.8
(110.50)
-2.4
(77.06)
-63.4
(141.93)
-20.4
(63.38)
9. Secondary Outcome
Title Change From Baseline in Transferrin Concentration at Week 24
Description Baseline is the last pre-dose transferrin value. Change from Baseline in transferrin was calculated by subtracting the Baseline value from the Week 24 value.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at specific time point were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 107 36 30 30
Mean (Standard Deviation) [grams per liter]
0.077
(0.3577)
-0.008
(0.2694)
0.171
(0.4124)
0.018
(0.2395)
10. Secondary Outcome
Title Percent Change From Baseline in Transferrin Saturation at Week 24
Description Transferrin saturation is measured as a percentage; it is a ratio of serum iron and total iron-binding capacity. Baseline is the last pre-dose transferrin saturation value. Percent change was calculated as 100 multiplied by (exponential of mean change on log scale minus 1). Change was calculated by subtracting the Baseline value from the post-dose value.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at specific time point were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 106 35 30 30
Geometric Mean (95% Confidence Interval) [percent change]
-1.1
12.3
-15.7
11.4
11. Secondary Outcome
Title Change From Baseline in Total Iron at Week 24
Description Baseline is the last pre-dose total iron value. Change from Baseline was calculated by subtracting the Baseline value from the Week 24 value.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with available total iron values at Baseline and Week 24 were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 107 36 30 30
Mean (Standard Deviation) [micromoles per liter]
1.0
(5.01)
2.5
(5.98)
-1.8
(5.54)
0.7
(8.36)
12. Secondary Outcome
Title Change From Baseline in Total Iron Binding Capacity (TIBC) at Week 24
Description TIBC measures the blood's capacity to bind iron with transferrin. Baseline is the last pre-dose TIBC value. Change from Baseline in TIBC was calculated by subtracting the Baseline value from the Week 24 value.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at specific timepoint were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 106 35 30 30
Mean (Standard Deviation) [micromoles per liter]
3.2
(6.46)
0.1
(5.17)
3.0
(9.44)
-1.0
(6.69)
13. Secondary Outcome
Title Change From Baseline in Reticulocyte Hemoglobin (CHr) at Week 24
Description Reticulocytes are slightly immature red blood cells. Reticulocyte Hgb content is used to differentiate iron deficiency from other causes of anemia. Baseline is the last pre-dose CHr value. Change from Baseline in reticulocyte Hgb was calculated by subtracting the Baseline value from the post-dose value.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at specific time point were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 108 35 30 30
Mean (Standard Deviation) [picogram]
-0.19
(1.109)
-0.33
(1.085)
-0.32
(0.864)
-0.19
(1.546)
14. Secondary Outcome
Title Change From Baseline in Hematocrit at Week 24
Description Baseline is the last pre-dose hematocrit value. Change from Baseline was calculated by subtracting the Baseline value from the Week 24 value.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at specific timepoint were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 111 36 30 30
Mean (Standard Deviation) [percentage change in Fraction of 1]
2.64
(3.389)
3.13
(3.245)
-0.66
(3.074)
2.09
(3.243)
15. Secondary Outcome
Title Change From Baseline in Red Blood Cell Count at Week 24
Description Baseline is the last pre-dose red blood cell count. Change from Baseline in red blood cell count was calculated by subtracting the Baseline count from the post-dose count.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at specific time point were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 111 36 30 30
Mean (Standard Deviation) [10^12 cells per liter]
0.28
(0.377)
0.34
(0.365)
-0.08
(0.312)
0.22
(0.318)
16. Secondary Outcome
Title Change From Baseline in Reticulocyte Cell Count at Week 24
Description Reticulocyte count is a blood test that measures the percentage of reticulocytes in the blood. Reticulocytes are slightly immature red blood cells. Baseline is the last pre-dose red reticulocyte count. Change from Baseline in reticulocyte cell count was calculated by subtracting the Baseline count from the Week 24 count.
Time Frame Baseline and Week 24

Outcome Measure Data

Analysis Population Description
ITT population. Only participants with data available at specific timepoint were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 111 36 30 31
Mean (Standard Deviation) [percentage of reticulocytes]
-0.02
(0.551)
-0.12
(0.648)
0.27
(0.892)
-0.09
(0.755)
17. Secondary Outcome
Title Concentration of GSK1278863 and Relevant Metabolites as a Population Pharmacokinetic Endpoint
Description Blood samples were collected for individual plasma GSK1278863 and metabolite (GSK2391220, GSK2487818, GSK2506102, GSK2531398, GSK2531401, and GSK2531403) concentration measurement on Day 1 (pre-dose), Wk 4 (6-12 hour, 7-13 hour, 8-14 hour, 9-15 hour post-dose), and Wk 20 (pre-dose, 1 hour, 2 hour, 3 hour post-dose). Participants available in each arm at the specified time points have been presented.
Time Frame Day 1 (pre-dose), Week (Wk) 4 (6-12 hour, 7-13 hour, 8-14 hour, 9-15 hour post-dose), and Wk 20 (pre-dose, 1 hour, 2 hour, 3 hour post-dose)

Outcome Measure Data

Analysis Population Description
Pharmacokinetics (PK) population: All participants from whom a PK sample was obtained and analyzed. This population did not include participants from the control groups.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-User GSK1278863
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy).
Measure Participants 134 35
GSK1278863, Day 1, Pre-Dose, n=128, 35
0.0
(0.00)
0.0
(0.00)
GSK1278863, Wk 4, 6-12 hour Post-Dose, n=116, 31
2.0
(5.18)
1.1
(1.69)
GSK1278863, Wk 4, 7-13 hour Post-Dose, n=117, 31
2.3
(7.06)
0.8
(1.22)
GSK1278863, Wk 4, 8-14 hour Post-Dose, n=116, 31
1.6
(4.93)
1.6
(5.49)
GSK1278863, Wk 4, 9-15 hour Post-Dose, n=116, 31
1.4
(4.52)
1.6
(4.60)
GSK1278863, Wk 20, Pre-Dose, n=111, 29
0.6
(3.07)
0.3
(0.92)
GSK1278863, Wk 20, 1 hour Post-Dose, n=110, 28
22.8
(35.93)
19.8
(19.66)
GSK1278863, Wk 20, 2 hour Post-Dose, n=109, 29
17.0
(28.57)
19.4
(21.92)
GSK1278863, Wk 20, 3 hour Post-Dose, n=109, 29
11.6
(19.56)
13.9
(19.12)
GSK2391220, Day 1, Pre-Dose, n=128, 35
0.0
(0.00)
0.0
(0.00)
GSK2391220, Wk 4, 6-12 hour Post-Dose, n=116, 31
3.2
(5.21)
3.7
(2.89)
GSK2391220, Wk 4, 7-13 hour Post-Dose, n=117, 31
3.1
(5.67)
3.2
(2.43)
GSK2391220, Wk 4, 8-14 hour Post-Dose, n=116, 31
2.8
(5.01)
2.9
(2.54)
GSK2391220, Wk 4, 9-15 hour Post-Dose, n=116, 31
2.6
(4.89)
3.1
(2.76)
GSK2391220, Wk 20, Pre-Dose, n=111, 29
1.0
(2.06)
0.8
(0.98)
GSK2391220, Wk 20, 1 hour Post-Dose, n=110, 28
2.1
(3.52)
1.6
(1.39)
GSK2391220, Wk 20, 2 hour Post-Dose, n=109, 29
3.8
(5.08)
3.7
(2.98)
GSK2391220, Wk 20, 3 hour Post-Dose, n=109, 29
4.5
(5.43)
4.7
(3.53)
GSK2487818, Day 1, Pre-Dose, n=128, 35
0.0
(0.00)
0.0
(0.00)
GSK2487818, Wk 4, 6-12 hour Post-Dose, n=116, 31
1.2
(3.87)
1.0
(0.96)
GSK2487818, Wk 4, 7-13 hour Post-Dose, n=116, 31
1.1
(4.11)
0.7
(0.70)
GSK2487818, Wk 4, 8-14 hour Post-Dose, n=116, 31
1.0
(4.48)
0.6
(0.66)
GSK2487818, Wk 4, 9-15 hour Post-Dose, n=116, 31
0.9
(4.09)
0.8
(1.16)
GSK2487818, Wk 20, Pre-Dose, n=111, 29
0.2
(0.56)
0.1
(0.31)
GSK2487818, Wk 20, 1 hour Post-Dose, n=110, 28
1.4
(3.07)
1.0
(1.09)
GSK2487818, Wk 20, 2 hour Post-Dose, n=109, 29
2.8
(4.28)
2.7
(2.21)
GSK2487818, Wk 20, 3 hour Post-Dose, n=109, 29
3.1
(4.07)
3.1
(2.56)
GSK2506102, Day 1, Pre-Dose, n=128, 35
0.0
(0.00)
0.0
(0.00)
GSK2506102, Wk 4, 6-12 hour Post-Dose, n=116, 31
1.0
(1.30)
1.2
(0.65)
GSK2506102, Wk 4, 7-13 hour Post-Dose, n=117, 31
1.0
(1.51)
1.1
(0.61)
GSK2506102, Wk 4, 8-14 hour Post-Dose, n=116, 31
0.9
(1.19)
1.0
(0.61)
GSK2506102, Wk 4, 9-15 hour Post-Dose, n=116, 31
0.9
(1.29)
1.1
(0.69)
GSK2506102, Wk 20, Pre-Dose, n=111, 29
0.4
(0.73)
0.4
(0.42)
GSK2506102, Wk 20, 1 hour Post-Dose, n=110, 28
0.6
(0.88)
0.5
(0.40)
GSK2506102, Wk 20, 2 hour Post-Dose, n=109, 29
0.9
(1.15)
1.0
(0.71)
GSK2506102, Wk 20, 3 hour Post-Dose, n=109, 29
1.1
(1.25)
1.2
(0.88)
GSK2531398, Day 1, Pre-Dose, n=128, 35
0.0
(0.01)
0.0
(0.00)
GSK2531398, Wk 4, 6-12 hour Post-Dose, n=116, 31
1.3
(2.06)
1.4
(1.08)
GSK2531398, Wk 4, 7-13 hour Post-Dose, n=117, 31
1.2
(2.50)
1.2
(0.99)
GSK2531398, Wk 4, 8-14 hour Post-Dose, n=116, 31
1.1
(2.01)
1.1
(0.93)
GSK2531398, Wk 4, 9-15 hour Post-Dose, n=116, 31
1.0
(2.10)
1.2
(1.12)
GSK2531398, Wk 20, Pre-Dose, n=111, 29
0.3
(0.87)
0.3
(0.38)
GSK2531398, Wk 20, 1 hour Post-Dose, n=110, 28
0.8
(1.53)
0.6
(0.54)
GSK2531398, Wk 20, 2 hour Post-Dose, n=109, 29
1.6
(2.31)
1.5
(1.22)
GSK2531398, Wk 20, 3 hour Post-Dose, n=109, 29
2.0
(2.42)
2.0
(1.57)
GSK2531401, Day 1, Pre-Dose, n=128, 35
0.0
(0.00)
0.0
(0.00)
GSK2531401, Wk 4, 6-12 hour Post-Dose, n=116, 31
2.8
(4.00)
4.3
(2.55)
GSK2531401, Wk 4, 7-13 hour Post-Dose, n=117, 31
2.7
(3.58)
4.0
(2.29)
GSK2531401, Wk 4, 8-14 hour Post-Dose, n=116, 31
2.7
(3.74)
3.8
(2.31)
GSK2531401, Wk 4, 9-15 hour Post-Dose, n=116, 31
2.5
(3.53)
3.8
(2.29)
GSK2531401, Wk 20, Pre-Dose, n=111, 29
1.3
(2.41)
1.4
(1.38)
GSK2531401, Wk 20, 1 hour Post-Dose, n=110, 28
1.6
(2.65)
1.6
(1.29)
GSK2531401, Wk 20, 2 hour Post-Dose, n=109, 29
2.3
(3.14)
2.5
(1.85)
GSK2531401, Wk 20, 3 hour Post-Dose, n=109, 29
2.8
(3.50)
3.2
(2.22)
GSK2531403, Day 1, Pre-Dose, n=128, 35
0.0
(0.00)
0.0
(0.00)
GSK2531403, Wk 4, 6-12 hour Post-Dose, n=116, 31
3.7
(5.43)
4.5
(3.14)
GSK2531403, Wk 4, 7-13 hour Post-Dose, n=117, 31
3.5
(5.27)
3.9
(2.56)
GSK2531403, Wk 4, 8-14 hour Post-Dose, n=116, 31
3.4
(5.68)
3.7
(2.72)
GSK2531403, Wk 4, 9-15 hour Post-Dose, n=116, 31
3.2
(5.42)
3.8
(3.01)
GSK2531403, Wk 20, Pre-Dose, n=111, 29
1.4
(2.65)
1.2
(1.25)
GSK2531403, Wk 20, 1 hour Post-Dose, n=110, 28
2.3
(3.69)
1.9
(1.38)
GSK2531403, Wk 20, 2 hour Post-Dose, n=109, 29
3.9
(5.03)
3.8
(2.95)
GSK2531403, Wk 20, 3 hour Post-Dose, n=109, 29
4.7
(5.43)
4.9
(3.75)
18. Secondary Outcome
Title Mean Number of Dose Adjustments up to 24 Weeks
Description After 4 Weeks, the need to adjust the dose of GSK1278863 was evaluated at every scheduled visit, to maintain hemoglobin within the target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL. Dose adjustments were assigned automatically via the interactive voice/web response system.
Time Frame From Week 4 up to 24 Weeks

Outcome Measure Data

Analysis Population Description
Intent-to-Treat population. Only those participants with at least one dose adjustment of GSK1278863 were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-User GSK1278863
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy).
Measure Participants 102 26
Mean (Standard Deviation) [number of adjustments]
1.8
(0.82)
1.7
(0.72)
19. Secondary Outcome
Title Number of Participants With Dose Adjustments up to 24 Weeks, as a Measure of Dose Adjustment Frequency
Description After 4 Weeks, the need to adjust the dose of GSK1278863 was evaluated at every scheduled visit, to maintain hemoglobin within the target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL. Dose adjustments were assigned automatically via the interactive voice/web response system. Frequency is presented as the number of participants with dose adjustment(s) once, twice, thrice, four times, or five times.
Time Frame From week 4 up to 24 weeks

Outcome Measure Data

Analysis Population Description
Intent-to-Treat population. Only those participants with at least one dose adjustment of GSK1278863 were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-User GSK1278863
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy).
Measure Participants 102 26
Once
39
31.7%
11
25.6%
Twice
50
40.7%
11
25.6%
Thrice
8
6.5%
4
9.3%
Four times
4
3.3%
0
0%
Five times or more
1
0.8%
0
0%
20. Secondary Outcome
Title Timing of Dose Adjustments at Weeks 4, 8, 12, 16, and 20
Description After 4 Weeks, the need to adjust the dose of GSK1278863 was evaluated at every scheduled visit, to maintain hemoglobin within the target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL. Dose adjustments were assigned automatically via the interactive voice/web response system. The number of participants with an adjustment are presented at the timings at which adjustments were done.
Time Frame From Week 4 up to Week 20

Outcome Measure Data

Analysis Population Description
ITT population. Only those participants with at least one dose adjustment of GSK1278863 were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-User GSK1278863
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy).
Measure Participants 102 26
Week 4
78
63.4%
21
48.8%
Week 8
24
19.5%
6
14%
Week 12
30
24.4%
7
16.3%
Week 16
30
24.4%
6
14%
Week 20
22
17.9%
5
11.6%
21. Secondary Outcome
Title Mean Total Cumulative Dose of GSK1278863 up to 24 Weeks
Description The starting dose was kept constant for the first 4 Weeks after randomization. Later, the need to adjust the dose of GSK1288863 was evaluated at every scheduled visit according to a pre-specified algorithm, to achieve and maintain hemoglobin within the specified target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL.
Time Frame Up to 24 Weeks

Outcome Measure Data

Analysis Population Description
ITT population.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-User GSK1278863
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy).
Measure Participants 123 33
Mean (Standard Deviation) [milligrams]
249.75
(186.921)
320.42
(214.865)
22. Secondary Outcome
Title Mean Final Dose of GSK1278863 up to 24 Weeks
Description The starting dose was kept constant for the first 4 Weeks after randomization. Later, the need to adjust the dose of GSK1288863 was evaluated at every scheduled visit according to a pre-specified algorithm, to achieve and maintain hemoglobin within the specified target range. Target range was defined as: Original Hgb Criteria of 9.0 to 10.5 g/dL, and Amended Hgb Criteria of 10.0 to 11.5 g/dL. Sites in the USA used 9.0 to 10.5 g/dL.
Time Frame Up to 24 Weeks

Outcome Measure Data

Analysis Population Description
ITT population.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-User GSK1278863
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy).
Measure Participants 123 33
Mean (Standard Deviation) [milligrams per day]
1.75
(1.809)
1.86
(1.692)
23. Secondary Outcome
Title Number of Hemoglobin (Hgb) Excursions
Description A Hgb excursion is a series of decreasing or increasing Hgb values differing by >=1.5 grams per deciliter. Hgb cycle is calculated as two consecutive Hgb excursions in different directions.
Time Frame Up to 24 Weeks.

Outcome Measure Data

Analysis Population Description
Completers Population: ITT participants who fully completed study without prematurely discontinuing study drug. Only participants with Hgb excursions were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 23 10 4 8
Number [number of excursions]
26
10
4
9
24. Secondary Outcome
Title Number of Hemoglobin (Hgb) Cycles up to 24 Weeks
Description A Hgb cycle is calculated as two consecutive Hgb excursions in different directions. A Hgb excursion is a series of decreasing or increasing Hgb values differing by >=1.5 grams per deciliter.
Time Frame Up to 24 Weeks

Outcome Measure Data

Analysis Population Description
Completers population. Only participants with Hgb cycles were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 3 0 0 0
Number [number of Hgb cycles]
3
25. Secondary Outcome
Title Number of Dose Cycles up to 24 Weeks
Description A dose cycle is a series of three directional dose changes (that is, increase, decrease, increase; or decrease, increase, decrease).
Time Frame Up to 24 weeks

Outcome Measure Data

Analysis Population Description
Completers population. Only participants in the GSK1278863 arms with dose cycles were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-User GSK1278863
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy).
Measure Participants 1 0
Number [number]
1
26. Secondary Outcome
Title Number of Participants With at Least One Hemoglobin (Hgb) Excursion up to 24 Weeks.
Description A Hgb excursion is a series of decreasing or increasing Hgb values differing by >=1.5 grams per deciliter.
Time Frame Up to 24 weeks

Outcome Measure Data

Analysis Population Description
Completers population.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 106 36 30 30
Number [participants]
23
18.7%
10
23.3%
4
12.1%
8
22.2%
27. Secondary Outcome
Title Number of Participants With at Least One Hemoglobin (Hgb) Cycle up to 24 Weeks
Description A Hgb excursion is a series of decreasing or increasing Hgb values differing by >=1.5 grams per deciliter. A Hgb cycle is two consecutive Hgb excursions in different directions.
Time Frame Up to 24 weeks

Outcome Measure Data

Analysis Population Description
Completers population.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 106 36 30 30
Number [participants]
3
2.4%
0
0%
0
0%
0
0%
28. Secondary Outcome
Title Number of Participants With at Least One Dose Cycle up to 24 Weeks
Description A dose cycle is a series of three directional dose changes (that is, increase, decrease, increase; or decrease, increase, decrease). participants
Time Frame Up to 24 weeks

Outcome Measure Data

Analysis Population Description
Completers population. Only participants in the GSK1278863 arms with dose cycles were analyzed.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-User GSK1278863
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy).
Measure Participants 106 30
Number [participants]
1
0.8%
0
0%
29. Secondary Outcome
Title Number of Participants Receiving Additional Therapies of Blood Transfusions, Intravenous (IV) Iron or rhEPO at Any Time Post-Baseline
Description Participants receiving additional therapies of blood transfusions, intravenous (IV) iron or rhEPO any time Post Baseline were analyzed. RhEPO was not applicable for the control arms since it was a planned therapy in those arms, hence presented as NA. (EudraCT only: A value of 99999 is used where no data is available or NA.)
Time Frame From Day 1 up to Week 28

Outcome Measure Data

Analysis Population Description
ITT Population
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
Measure Participants 123 43 33 36
Blood Transfusions
3
2.4%
1
2.3%
1
3%
0
0%
IV Iron
20
16.3%
3
7%
3
9.1%
4
11.1%
Inadvertent rhEPO use
4
3.3%
NA
NaN
9
27.3%
NA
NaN
Rescue rhEPO
1
0.8%
NA
NaN
0
0%
NA
NaN
30. Secondary Outcome
Title Number of Weeks Dose Withheld Because Hemoglobin (Hgb) Exceeded the Upper Limit
Description Number of Weeks dose was withheld because hemoglobin exceed the upper limit is presented as the number of participants with withheld dose during the time periods categorized by Weeks.
Time Frame From Week 4 up to Week 24

Outcome Measure Data

Analysis Population Description
ITT population.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-User GSK1278863
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy).
Measure Participants 123 33
0 Weeks
102
82.9%
30
69.8%
>0-4 Weeks
4
3.3%
2
4.7%
>4-8 Weeks
8
6.5%
0
0%
>8-12 Weeks
8
6.5%
0
0%
>12 Weeks
1
0.8%
0
0%

Adverse Events

Time Frame Adverse events (AEs) and serious adverse events (SAEs) were collected from the start of study treatment until the follow-up contact (up to 28 weeks).
Adverse Event Reporting Description AEs and SAEs were collected from participants of the safety population, comprised of all participants who received at least one dose of study drug.
Arm/Group Title rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Arm/Group Description RhEPO-naive participants were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863, and returned for the follow-up visit at Week 28. RhEPO-naive participants were randomly assigned to receive open-label rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator's clinical judgment, for 24 weeks. At Week 24, participants stopped taking rhEPO (if applicable) and remained off rhEPO or other Erythropoiesis Stimulating Agents (ESA) until at least the follow-up visit at Week 28. RhEPO users were randomly assigned to receive GSK1278863 QD for 24 weeks. Participants were blinded to the dose-level they received throughout the study. At Week 24, participants stopped taking GSK1278863 and did not re-start rhEPO or other ESAs until after the follow-up visit at Week 28 (except in cases where there was a compelling clinical reason [based on Investigator's opinion] to start rhEPO therapy). RhEPO users were randomly assigned to receive rhEPO (epoetins or their biosimilars, or darbepoetin) as necessary per standard of care, based on the Investigator clinical judgment, for 24 weeks. Participants were allowed to continue rhEPO therapy between Week 24 and 28.
All Cause Mortality
rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 23/134 (17.2%) 7/45 (15.6%) 7/36 (19.4%) 7/35 (20%)
Cardiac disorders
ANY EVENT 4/134 (3%) 1/45 (2.2%) 0/36 (0%) 1/35 (2.9%)
ANGINA PECTORIS 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
ATRIOVENTRICULAR BLOCK COMPLETE 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
CARDIAC FAILURE CONGESTIVE 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
MYOCARDIAL ISCHAEMIA 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
CARDIAC FAILURE 0/134 (0%) 1/45 (2.2%) 0/36 (0%) 0/35 (0%)
Acute myocardial infarction 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Atrial fibrillation 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Gastrointestinal disorders
ANY EVENT 1/134 (0.7%) 0/45 (0%) 1/36 (2.8%) 1/35 (2.9%)
GASTRIC ULCER 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
SMALL INTESTINAL OBSTRUCTION 0/134 (0%) 0/45 (0%) 1/36 (2.8%) 0/35 (0%)
RECTAL HAEMORRHAGE 0/134 (0%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
Vomiting 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
General disorders
ANY EVENT 0/134 (0%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
CHEST PAIN 0/134 (0%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
Fatigue 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Infections and infestations
ANY EVENT 2/134 (1.5%) 3/45 (6.7%) 1/36 (2.8%) 1/35 (2.9%)
PNEUMONIA 1/134 (0.7%) 1/45 (2.2%) 1/36 (2.8%) 0/35 (0%)
PYELONEPHRITIS CHRONIC 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
APPENDICITIS 0/134 (0%) 1/45 (2.2%) 0/36 (0%) 0/35 (0%)
CELLULITIS 0/134 (0%) 1/45 (2.2%) 0/36 (0%) 0/35 (0%)
PNEUMONIA PNEUMOCOCCAL 0/134 (0%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
Biliary sepsis 0/134 (0%) 0/45 (0%) 1/36 (2.8%) 0/35 (0%)
Bronchitis 0/134 (0%) 1/45 (2.2%) 0/36 (0%) 0/35 (0%)
Gastroenteritis 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
Sepsis 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Subcutaneous abscess 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Injury, poisoning and procedural complications
Shunt malfunction 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Investigations
ANY EVENT 2/134 (1.5%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
ALANINE AMINOTRANSFERASE INCREASED 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
FALSE POSITIVE INVESTIGATION RESULT 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Metabolism and nutrition disorders
ANY EVENT 2/134 (1.5%) 1/45 (2.2%) 0/36 (0%) 0/35 (0%)
FLUID OVERLOAD 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
HYPOKALAEMIA 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
HYPOGLYCAEMIA 0/134 (0%) 1/45 (2.2%) 0/36 (0%) 0/35 (0%)
Gout 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Musculoskeletal and connective tissue disorders
ANY EVENT 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
CHONDROCALCINOSIS PYROPHOSPHATE 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
ANY EVENT 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
HEPATIC CANCER 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Gallbladder adenocarcinoma 0/134 (0%) 0/45 (0%) 1/36 (2.8%) 0/35 (0%)
Nervous system disorders
ANY EVENT 1/134 (0.7%) 0/45 (0%) 1/36 (2.8%) 1/35 (2.9%)
CARPAL TUNNEL SYNDROME 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
CEREBRAL MICROANGIOPATHY 0/134 (0%) 0/45 (0%) 1/36 (2.8%) 0/35 (0%)
NEURALGIA 0/134 (0%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
Metabolic encephalopathy 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Psychiatric disorders
ANY EVENT 2/134 (1.5%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
CONFUSIONAL STATE 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
MENTAL STATUS CHANGES 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Renal and urinary disorders
ANY EVENT 2/134 (1.5%) 3/45 (6.7%) 2/36 (5.6%) 3/35 (8.6%)
RENAL FAILURE CHRONIC 2/134 (1.5%) 2/45 (4.4%) 1/36 (2.8%) 1/35 (2.9%)
GLOMERULONEPHRITIS CHRONIC 0/134 (0%) 0/45 (0%) 1/36 (2.8%) 0/35 (0%)
DIABETIC NEPHROPATHY 0/134 (0%) 1/45 (2.2%) 0/36 (0%) 0/35 (0%)
RENAL FAILURE 0/134 (0%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
RENAL IMPAIRMENT 0/134 (0%) 0/45 (0%) 0/36 (0%) 1/35 (2.9%)
Respiratory, thoracic and mediastinal disorders
ANY EVENT 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Asthma 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Vascular disorders
ANY EVENT 2/134 (1.5%) 0/45 (0%) 1/36 (2.8%) 0/35 (0%)
DIABETIC VASCULAR DISORDER 0/134 (0%) 0/45 (0%) 1/36 (2.8%) 0/35 (0%)
HYPERTENSION 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
ORTHOSTATIC HYPOTENSION 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Hypotension 1/134 (0.7%) 0/45 (0%) 0/36 (0%) 0/35 (0%)
Other (Not Including Serious) Adverse Events
rhEPO-Naive GSK1278863 rhEPO-Naive Control rhEPO-User GSK1278863 rhEPO-User Control
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 47/134 (35.1%) 14/45 (31.1%) 20/36 (55.6%) 13/35 (37.1%)
Blood and lymphatic system disorders
Anaemia 0/134 (0%) 1/45 (2.2%) 3/36 (8.3%) 0/35 (0%)
Gastrointestinal disorders
DIARRHOEA 10/134 (7.5%) 0/45 (0%) 0/36 (0%) 6/35 (17.1%)
NAUSEA 8/134 (6%) 1/45 (2.2%) 1/36 (2.8%) 0/35 (0%)
CONSTIPATION 5/134 (3.7%) 1/45 (2.2%) 1/36 (2.8%) 2/35 (5.7%)
General disorders
OEDEMA PERIPHERAL 5/134 (3.7%) 0/45 (0%) 2/36 (5.6%) 3/35 (8.6%)
FATIGUE 3/134 (2.2%) 1/45 (2.2%) 1/36 (2.8%) 2/35 (5.7%)
Asthenia 1/134 (0.7%) 3/45 (6.7%) 1/36 (2.8%) 0/35 (0%)
Infections and infestations
NASOPHARYNGITIS 15/134 (11.2%) 2/45 (4.4%) 7/36 (19.4%) 2/35 (5.7%)
CONJUNCTIVITIS 1/134 (0.7%) 0/45 (0%) 2/36 (5.6%) 0/35 (0%)
BRONCHITIS 2/134 (1.5%) 1/45 (2.2%) 0/36 (0%) 3/35 (8.6%)
Investigations
BLOOD PRESSURE INCREASED 1/134 (0.7%) 0/45 (0%) 1/36 (2.8%) 2/35 (5.7%)
Metabolism and nutrition disorders
HYPERKALAEMIA 2/134 (1.5%) 0/45 (0%) 2/36 (5.6%) 1/35 (2.9%)
GOUT 2/134 (1.5%) 0/45 (0%) 1/36 (2.8%) 2/35 (5.7%)
Hypoglycaemia 1/134 (0.7%) 0/45 (0%) 2/36 (5.6%) 1/35 (2.9%)
Musculoskeletal and connective tissue disorders
ARTHRALGIA 2/134 (1.5%) 2/45 (4.4%) 1/36 (2.8%) 3/35 (8.6%)
BACK PAIN 1/134 (0.7%) 1/45 (2.2%) 1/36 (2.8%) 2/35 (5.7%)
Respiratory, thoracic and mediastinal disorders
EPISTAXIS 3/134 (2.2%) 0/45 (0%) 1/36 (2.8%) 2/35 (5.7%)
Skin and subcutaneous tissue disorders
PRURITUS 0/134 (0%) 4/45 (8.9%) 0/36 (0%) 0/35 (0%)
Vascular disorders
HYPERTENSION 2/134 (1.5%) 1/45 (2.2%) 4/36 (11.1%) 1/35 (2.9%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.

Results Point of Contact

Name/Title GSK Response Center
Organization GlaxoSmithKline
Phone 866-435-7343
Email
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01977573
Other Study ID Numbers:
  • 113747
First Posted:
Nov 6, 2013
Last Update Posted:
Oct 12, 2018
Last Verified:
Sep 1, 2018