This open-label single-arm study will evaluate the efficacy, safety and tolerability of methoxy polyethylene glycol epoetin beta on long-term maintenance of haemoglobin levels in patients with chronic renal anaemia. Patients will receive methoxy polyethylene glycol-epoetin beta intravenously once monthly at initial doses of either 120 micrograms or 200 micrograms or 360 micrograms in the titration phase of 16 weeks with a potential dose adjustment in the evaluation phase of 8 weeks. The anticipated time on study treatment is 24 weeks. The target sample size is 50-100 patients.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
33
initial doses of either 120 micrograms or 200 micrograms or 360 micrograms, once monthly
Advent Hospital; Kidney and Hipertension
Bandung, Indonesia
Sanglah Hospital; Kidney and Hipertension
Denpasar, Indonesia
Rumah Sakit Pgi Cikini; Renal & Hypertension
Jakarta, Indonesia
Cipto Mangunkusumo Hospital; Renal and Hypertension division, Internal Medecine Department
Jakarta, Indonesia
Pelni Hospital; Kidney and Hipertension
Jakarta, Indonesia
Pondok Indah Hospital; Kidney and Hipertension
Jakarta, Indonesia
Pantai Indah Kapuk Hospital; Kidney and Hipertension
Jakarta, Indonesia
Klinik Spesialis Ginjal dan hipertensi Rasyida; Renal and Hypertension
Medan, Indonesia
Pirngadi; Renal and Hypertension
Medan, Indonesia
Telogorejo Hospital; Renal and Hypertension
Semarang, Indonesia
...and 2 more locations
Proportion of Participants Maintaining Average Haemoglobin During the Efficacy Evaluation Period Within the Target Range (10-12 g/dl)
The proportion of participants with their mean haemoglobin (Hb) concentration (g/dL) within the target range during the efficacy evaluation period was assessed. The target range is the reference Hb not \>12 g/dL and not \< 10 g/dL.
Time frame: Up to Week 24
Number of Participants With Adverse Events and Serious Adverse Events
An adverse event (AE) was defined as any untoward medical occurrence that occurred during the course of the trial after study treatment had started. An adverse event was therefore any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. 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. The AEs were assessed from baseline to every visit throughout the treatment, post study drug discontinuation, and follow up period.
Time frame: Up to Week 28
Mean Change in Haemoglobin Concentration From Screening Period and Efficacy Evaluation Period
The mean haemoglobin (Hb) concentration (g/dL) change from the baseline (Week 0) till efficacy evaluation period (EEP) was assessed and reported.
Time frame: Up to Week 24
Proportion of Participants Maintaining Haemoglobin Concentration Within the Haemoglobin Range 10-12g/dL Throughout the Efficacy Evaluation Period
The proportion of participants maintaining haemoglobin concentration within the haemoglobin range 10-12g/dL throughout the efficacy evaluation period (EEP) was assessed and reported.
Time frame: Up to Week 24
Mean Time Spent by Participants in the Haemoglobin Range of 10 - 12 g/dL During the Efficacy Evaluation Period
Mean time spent in the haemoglobin range 10 - 12 g/dL during the efficacy evaluation period (EEP) was assessed and reported.
Time frame: Up to Week 24
Mean Number of Months Per Participant Requiring Dose Adjustment During the Dose Titration and Evaluation Periods
Mean number of months per participant requiring dose adjustment during the dose titration and evaluation periods was assessed and reported.
Time frame: Up to Week 24
Mean Monthly Dose of Methoxy Polyethylene Glycol-epoetin Beta During the Dose Titration and Evaluation Periods
Mean monthly dose of methoxy polyethylene glycol-epoetin beta during the dose titration and evaluation periods was assessed and reported.
Time frame: Baseline, Week 4, Week 8, Week 12, Week 16, and Week 20
Number of Participants With Marked Laboratory Abnormalities
A marked laboratory abnormality is defined as above and/or below the normal range of a laboratory parameter which was considered to be potentially clinically relevant. The number of participants with marked laboratory abnormality are presented. Marked laboratory abnormalities were analyzed according to the Roche specified limits for the following reference range: Haemoglobin (Hb) (11.7-17.3 g/dL), Haematocrit (Hct) (35-47%), White blood cells (WBC) (3.6-11.0 10\^3/µL), Red blood cells (RBC) (3.8- 5.9 10\^6/µL), MCV (80-100 fL) Platelets (150-440 10\^3/µL), Iron (37-158 µg/dL), Ferritin (10-365 ng/mL), Transferrin (170-340 mg/dL), TIBC (250-450 µg/dL), TSAT (15-50%), Albumin (3.4-4.8 g/dL), hs-CRP (\<= 10.000 mg/dL), Potassium (3.5-5.1 mmol/L), and Phosphorus (2.7-4.5 mg/dL).
Time frame: Up to Week 28
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.