Study of Roxadustat Conversion in Subjects Receiving Stable ESA or as Initial Anemia Treatment in Chronic Dialysis Patients

Sponsor
FibroGen (Industry)
Overall Status
Completed
CT.gov ID
NCT04410198
Collaborator
AstraZeneca (Industry)
203
9
1
16.5
22.6
1.4

Study Details

Study Description

Brief Summary

The purpose of this study is to assess the safety and effectiveness of Roxadustat dosing regimens among chronic dialysis subjects converted from ESA therapy or who are ESA-naïve.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
203 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Phase 3b Multicenter, Open-Label Single Arm Study of Roxadustat: Either as Conversion From a Continuous Erythropoietin Receptor Activator (CERA), or as Initial Anemia Treatment in Hemodialysis (HD) Patients
Actual Study Start Date :
May 26, 2020
Actual Primary Completion Date :
Jun 30, 2021
Actual Study Completion Date :
Oct 11, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: Roxadustat

Drug: Roxadustat
This open-label single arm study is designed to evaluate roxadustat dosing in maintaining hemoglobin in ESRD subjects receiving chronic dialysis treatments

Outcome Measures

Primary Outcome Measures

  1. Proportion of subjects with mean Hb >= 10g/dL [Week 16-24]

  2. Mean hemoglobin change from baseline to average Hb from week 16-24 [Week 16-24]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Key Inclusion Criteria:
  • Receiving chronic dialysis for end stage renal disease (ESRD)

  • Vascular access must be a functioning native arteriovenous fistula or graft with adequate flow in the opinion of the investigator, or permanent tunneled catheter

  • Screening hemoglobin criteria: Subjects converting from an ESA: between 9.0 to 12.0 g/dL; Subjects initiating anemia treatment: < 10.0 g/dL

  • Ferritin ≥ 50 ng/mL, Transferrin saturation (TSAT) ≥ 10% at screening

  • Subject's alanine aminotransferase (ALT) and aspartate aminotransferase (AST) are ≤ 3 x upper limit of normal (ULN), and total bilirubin (TBL) is ≤ 1.5 x ULN at screening and prior to initiating roxadustat treatment.

  • Body weight between 45.0 to 160.0 kg

Key Exclusion Criteria:
  • Red blood cell (RBC) transfusion within 4 weeks prior to enrollment

  • Known history of myelodysplastic syndrome or multiple myeloma

  • Known hereditary hematologic disease or other known causes for anemia other than chronic kidney disease (CKD)

  • Known chronic inflammatory disease that is determined by the investigator to be the primary cause of anemia

  • Active or chronic gastrointestinal bleeding

  • Treated with iron-chelating agents within 4 weeks prior to enrollment

  • History of New York Heart Association (NYHA) Class III or IV congestive heart failure

  • History of MI, acute coronary syndrome, stroke, seizure, or a thrombotic/thromboembolic event (excluding vascular dialysis access stenosis/thrombosis) within 12 weeks prior to enrollment

  • Uncontrolled hypertension, in the opinion of the Investigator

  • Diagnosis or suspicion of renal cell carcinoma as shown on renal imaging performed within 24 weeks prior to enrollment

  • History of malignancy, except for cancers determined to be cured or in remission for ≥ 2 years, curatively resected basal cell or squamous cell skin cancers, cervical cancer in situ, or resected colonic polyps

Contacts and Locations

Locations

Site City State Country Postal Code
1 Investigational Site Englewood Colorado United States 80110
2 Investigational Site Caldwell Idaho United States 83642
3 Investigational Site Baton Rouge Louisiana United States 70808
4 Investigational Site Kalamazoo Michigan United States 49009
5 Investigational Site Tupelo Mississippi United States 38801
6 Investigational Site Saint Ann Missouri United States 63074
7 Investigational Site Las Vegas Nevada United States 89106
8 Investigational Site Sugar Land Texas United States 77479
9 Investigational Site Saint George Utah United States 84790

Sponsors and Collaborators

  • FibroGen
  • AstraZeneca

Investigators

  • Study Chair: Mark Eisner, FibroGen

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
FibroGen
ClinicalTrials.gov Identifier:
NCT04410198
Other Study ID Numbers:
  • FGCL-4592-097
First Posted:
Jun 1, 2020
Last Update Posted:
Feb 2, 2022
Last Verified:
Jan 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Feb 2, 2022