A multicenter randomized, single blind, active comparator controlled phase 2 study which is to evaluate the effectiveness, safety and the PK/PD characteristics of different doses, frequencies and routes of pegerythropoietin Injection (RD01) as maintenance therapy in the treatment of anemia in chronic renal failure patients with hemodialysis
This trial is a multicenter randomized, single blind, active comparator controlled phase 2 study. The study is divided into two stages. The first stage lasts for 18 weeks, and is divided into fixed dose period (day 1\~ 6th week ) and dose adjustment period (7th \~ 18th week). The second stage lasts for 28 weeks, and is also divided into dose adjustment period (19th \~ 38th week) and evaluation period (39th \~ 46th week). Patients are randomly assigned to seven study groups in the first stage. Of all these seven groups, six groups are: Group A (0.8μg/kg RD01, once every two weeks, subcutaneous injection, for 18 weeks)、Group B (1.2μg/kg RD01, once every two weeks, subcutaneous injection, for 18 weeks)、Group C (1.6μg/kg RD01, once every two weeks, subcutaneous injection, for 18 weeks)、 Group D (0.8ug/kg RD01, once every two weeks, intravenous injection, for 18 weeks)、Group E ( 150 IU/kg rHuEPO, once a week, subcutaneous injection, for 18 weeks )、Group F (8μl /kg placebo, once every two weeks, for 6 weeks; then 150 IU/kg rHuEPO, once a week, subcutaneous injection, 7th \~ 18th week ). At the beginning of the second stage, some patients in these six goups need to be be randomized again. Of which patients in Group A、B、C are randomly assigned to Group a ( RD01, once every two weeks, subcutaneous injection, 19th \~ 46th week )、Group b (RD01, once every four weeks, subcutaneous injection, 19th \~ 46th week)、Group c (RD01, once every six weeks, subcutaneous injection, 19th \~ 46th week); Patients in Group D enter directly to Group d (RD01, once every four weeks, intravenous injection, 19th \~ 46th week); Patients in Group E and F are randomly assigned to Group e (rHuEPO once a week, intravenous injection, 19th \~ 46th week ) and Group f (rHuEPO once a week, subcutaneous injection, 19th \~ 46th week). The starting dose of the second stage for individual patient in all groups refers to the weekly dose at the end of the first stage . During the whole study period, all patients in six groups are not allowed to adjust dosage in the first 6 weeks, while in the remaining trial period dosage adjustment was allowed once every two weeks if necessary. There is a special Group G (1.6μg/kg RD01, once every four weeks, subcutaneous injection, Day 1 \~ 28th week), all patients are allowed to adjust dosage during the whole 28 weeks. This phase 2 study is to evaluate the effectiveness, safety and the PK/PD characteristics of different doses, frequencies and routes of pegerythropoietin Injection (RD01) as maintenance therapy in the treatment of anemia in chronic renal failure patients with hemodialysis
Renal Rheumatology and Immunology department Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, China
RECRUITINGPrimary efficacy index : The change of hemoglobin concentration of experimental group from baseline to the end of 4th and 6th week
Time frame: Day 1~4th week & Day 1~6th week
Primary efficacy index: The difference of hemoglobin concentration between the experimental group and the placebo group at the end of 4th and 6th week;
Time frame: Day 1~4th week & Day 1~6th week
Primary efficacy index: hemoglobin concentration change from baseline to the end of first stage
The amount of change in hemoglobin concentration from baseline to the end of the first stage
Time frame: Day 1~18th week
Primary efficacy index: hemoglobin concentration change from baseline to the evaluation periods in the second stage (39th ~46th week)
The amount of change in hemoglobin concentration from baseline to the evaluation periods in the second stage (39th \~46th week).
Time frame: Day 1~ evaluation periods (39th ~46th week)
Secondary efficacy index: the optimal dosage
The optimal dosage of the subjects at the end of the first stage and the evaluation period (39th \~46th week) in the second stage
Time frame: the end of 18th week & 39th ~46th week
Secondary efficacy index: maintenance rate
the proportion of subjects whose average Hb concentration remain within the target range during the evaluation period
Time frame: 39th-46th week
Secondary efficacy index : Proportion of subjects with unstable Hb during the evaluation period
Time frame: 39th-46th week
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Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
105
Secondary efficacy index: proportion of times of Hb remains within the target range
the proportion of times the measured Hb concentration remains within the target range during the evaluation period;
Time frame: 39th-46th week
Secondary efficacy index: EPO dose conversion coefficient of RD01
EPO dose conversion factor for subjects at the end of the first stage and evaluation periods in the second stage
Time frame: end of 18th week & 39th ~46th week
Safety indicator: adverse events
the type, proportion and severity of adverse events
Time frame: for 46 weeks
Immunogenicity indicator: incidence of anti-RD01 antibodies
incidence of anti-RD01 antibodies
Time frame: for 46 weeks
Maximum Plasma Concentration (Cmax)
the Cmax of RD01 in patients with long-term medication.
Time frame: for 46 weeks
Area Under the Curve (AUC)
the AUC of RD01 in patients with long-term medication.
Time frame: for 46 weeks