This 2 arm study will compare the efficacy and safety of monthly administration of subcutaneous Mircera versus epoetin alfa for the maintenance of hemoglobin levels in dialysis patients with chronic renal anemia. Patients currently receiving maintenance treatment with epoetin alfa will be randomized to receive either monthly injections of Mircera with a starting dose (120, 200 or 360 micrograms) derived from the dose of epoetin alfa they were receiving in the week preceding study start, or to continue on epoetin alfa treatment. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
233
120, 200 or 360 micrograms sc monthly (starting dose)
As prescribed
Unnamed facility
Belo Horizonte, Brazil
Unnamed facility
Brasília, Brazil
Unnamed facility
Campinas, Brazil
Unnamed facility
Campo Grande, Brazil
Unnamed facility
Cariacica, Brazil
Unnamed facility
Curitiba, Brazil
Unnamed facility
Curitiba, Brazil
Unnamed facility
Fortaleza, Brazil
Unnamed facility
Jaboatão dos Guararapes, Brazil
Unnamed facility
Joinville, Brazil
...and 16 more locations
Percentage of Participants Maintaining Their Mean Hemoglobin Concentration Within Plus or Minus 1 Gram/Deciliter of Their Reference Hemoglobin and Between the Target Range During Efficacy Evaluation Period
The target hemoglobin (Hb) range was defined as Hb concentration (gram/deciliter \[g/dL\]) between 10.5 and 12.5 g/dL during the efficacy evaluation period (EEP). EEP was from Week 29 to Week 36.
Time frame: EEP (Week 29 to Week 36)
Mean Change From Baseline in Hemoglobin Concentration Between Baseline and at the Efficacy Evaluation Period
The Baseline (Safety Verification Period) was from Week - 4 to Week -1.
Time frame: Baseline (Weeks -4 to 0) and at EEP (Weeks 29 to 36)
Percentage of Participants Maintaining Individual Hemoglobin Concentration Within the Range of 10.5 - 12.5 Gram/Decilitre Throughout the Efficacy Evaluation Period
Percentage of participants maintaining individual Hb concentration within the Hb range 10.5 - 12.5 g/dL were reported during EEP. The EEP was from Week 29 to Week 36 of the study period.
Time frame: EEP (Weeks 29 to 36)
Mean Time Spent in Hemoglobin Range of 10.5 - 12.5 Gram/Decilitre During the Efficacy Evaluation Period
Mean time to maintain Hb in the range of 10.5-12.5 g/dL during EEP is presented.
Time frame: EEP (Week 29 to Week 36)
Number of Participants Who Required Dose Adjustments During the Dose Titration Period
The number of participants who required dose adjustments of C.E.R.A and epoetin alpha were reported during the Dose Titration Period (DTP). The DTP was from Week 0 to Week 28.
Time frame: DTP (Weeks 0 to 28)
Number of Participants Who Required Dose Adjustments During the Efficacy Evaluation Period
The number of participants who required dose adjustments of C.E.R.A and epoetin alpha were reported during the Efficacy Evaluation Period (EEP). The EEP was from Week 29 to Week 36.
Time frame: EEP (Weeks 29 to 36)
Number of Participants Received Red Blood Cells Transfusions
The number of participants who received at least 1 red blood cell (RBC) transfusion (packed RBC or whole blood) during the study was reported. For this study, blood transfusion was reported during the titration period. No transfusion occurred in the EEP.
Time frame: Up to Week 28
Mean Values of Hemoglobin Concentration at Baseline and Week 36
The mean Hb concentration for each participant throughout the study was estimated. Summary data of mean values of Hb concentration at Baseline and Week 36 are presented.
Time frame: Baseline and Week 36
Mean Values of Hematocrit at Baseline and Week 36
Hematocrit is the volume percentage of red blood cells in blood. The mean hematocrit for each participant was estimated throughout the study. Summary data of mean values of Hb at Baseline and Week 36 are presented.
Time frame: Baseline and Week 36
Mean Values of Mean Corpuscular Volume at Baseline and Week 36
Mean corpuscular volume (MCV) is the average volume of red cells. The mean MCV concentration for each participant throughout the study was estimated. Summary data of mean values of MCV concentration at Baseline and Week 36 are presented.
Time frame: Baseline and Week 36
Mean Values of Leukocytes and Platelets Count at Baseline and Week 36
The mean values of laboratory parameters: leukocytes and platelets count for each participant was estimated throughout the study. Summary data of mean values of leukocytes and platelets count at Baseline and Week 36 are presented.
Time frame: Baseline and Week 36
Mean Values of Creatinine, Potassium, Phosphate, Parathyroid Hormone , Iron and Total Iron Binding Capacity Parameters at Baseline and Week 36
Mean values of laboratory parameters: creatinine, potassium, phosphate, parathyroid hormone (PTH), iron and total iron binding capacity (TIBC) for each participant were estimated throughout the study. Summary data of mean values of laboratory parameters are presented at Baseline and Week 36.
Time frame: Baseline and Week 36
Mean Values of Albumin and Transferrin Concentration at Baseline and Week 36
The mean values of albumin and transferrin concentration for each participant throughout the study was estimated. Summary data of mean values of albumin and transferrin concentration at baseline and week 36 are presented.
Time frame: Baseline and Week 36
Mean Values of Ferritin Concentration at Baseline and Week 36
Mean values of ferritin concentration for each participant throughout the study was estimated. Summary data of mean values of ferritin concentration at Baseline and Week 36 are presented.
Time frame: Baseline and Week 36
Mean Values of Transferrin Saturation at Baseline and Week 36
The mean values of transferrin saturation (TS) for each participant were estimated throughout the study. Summary data of mean values of TS at Baseline and Week 36 are presented.
Time frame: Baseline and Week 36
Mean Values of Aspartate Transaminase and Alkaline Phosphatase at Baseline and Week 36
The mean values of aspartate transaminase (AST) and alkaline phosphatase (ALP) levels in serum for each participant were estimated throughout the study. Summary data of mean values of Potassium and alkaline phosphatase level in serum at Baseline and Week 36 are presented.
Time frame: Baseline and Week 36
Number of Participants With Adverse Events and Serious Adverse Events
An adverse event (AE) was defined as any untoward medical occurrence in a subject who is administered a study treatment regardless of whether or not the event has a causal relationship with the treatment. An AE, therefore, could be any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the study treatment, whether or not related to the treatment. A Serious Adverse Event (SAE) is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect. Number of participants with at least one AE and SAE were reported.
Time frame: Up to Week 40
Number of Participants With Abnormal Changes in ECG From Baseline to Week 40
Twelve-lead ECG was performed.
Time frame: From Baseline to Week 40
Number of Participants With Abnormal Changes in Vital Signs From Baseline to Week 40
Vital signs included blood pressure, pulse rate and body weight.
Time frame: From Baseline to Week 40
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