The purpose of this study is to evaluate the efficacy and safety of Molidustat in dialysis subjects with renal anemia who are not treated with Erythropoiesis-Stimulating Agents (ESAs)
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
25
Starting dose of molidustat once daily (OD) will be titrated based on the subject's Hb (Hemoglobin) response
Houshikai Kano hospital
Kasuya-gun, Fukuoka, Japan
Matsunami General Hospital
Hashima-gun, Gifu, Japan
Rate of rise in Hb (Hemoglobin) level (g/dL/week)
Time frame: Up to 8 weeks
Responder rate: proportion of responders among the subjects
Responder is defined as meeting all of the following criteria: (i) Mean of the Hb levels in the target range (ii) ≥ 50% of the Hb levels in the target range (iii) No rescue treatment
Time frame: Week 21 to 24
Rate of rise in Hb (Hemoglobin) level (g/dL/week)
Time frame: Up to 4 weeks
Proportion of subjects who meet each component of the response
Response: (i) Mean of the Hb levels in the target range (ii) ≥ 50% of the Hb levels in the target range (iii) No rescue treatment
Time frame: Week 21 to 24
Cumulative proportion of subjects who achieve the lower limit of the target Hb range at least once at each visit
Time frame: Up to 24 weeks
Hb level
Time frame: Baseline and up to 24 weeks
Change in Hb level
Time frame: Baseline and up to 24 weeks
Proportion of subjects whose mean hemoglobin levels are above the target range during the evaluation period
Time frame: Week 21 to 24
Proportion of subjects whose mean hemoglobin levels are below the target range during the evaluation period
Time frame: Week 21 to 24
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Asahikawa-Kosei General Hospital
Asahikawa, Hokkaido, Japan
Ishikari Hospital
Ishikari, Hokkaido, Japan
Itami Kidney Clinic
Noboribetsu, Hokkaido, Japan
Souen Central Hospital
Sapporo, Hokkaido, Japan
Takasago Seibu Hospital
Takasago, Hyōgo, Japan
Japanese Red Cross Koga Hospital
Koga, Ibaraki, Japan
Mito Kyodo General Hospital
Mito, Ibaraki, Japan
Tokiwa Clinic
Totte, Ibaraki, Japan
...and 10 more locations
Proportion of subjects whose mean hemoglobin levels are in the target range during the evaluation period
Time frame: Week 21 to 24
Proportion of subjects with hemoglobin levels above the target range
Time frame: Up to 24 weeks
Proportion of subjects with hemoglobin levels below the target range
Time frame: Up to 24 weeks
Proportion of subjects with hemoglobin levels in the target range
Time frame: Up to 24 weeks
Proportion of subjects whose maximum rise in Hb between each consecutive visits is above 0.5 g/dL/week
Defined as change in Hb level / duration between two visits (weeks)
Time frame: Up to 24 weeks
Number of participants with serious adverse events
Time frame: Up to 24 weeks
Maximum concentration (Cmax) of Molidustat
Time frame: Baseline, Week 8, Week16 and Week 24
Area under the concentration-time curve (AUC) of Molidustat
Time frame: Baseline, Week 8, Week16 and Week 24
EPO (Erythropoietin) serum concentration of Molidustat
Time frame: Baseline, Week 8, Week16 and Week 24