UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008505
Receipt number R000009994
Scientific Title A prospective comparison of epoetin beta pegol and darbepoetin alpha in the variability of blood pressure in pre-dialysis chronic kidney disease (CKD).
Date of disclosure of the study information 2012/07/23
Last modified on 2020/07/31 22:16:18

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

A prospective comparison of epoetin beta pegol and darbepoetin alpha in the variability of blood pressure in pre-dialysis chronic kidney disease (CKD).

Acronym

A prospective comparison of epoetin beta pegol and darbepoetin alpha in the variability of blood pressure in pre-dialysis chronic kidney disease (CKD).

Scientific Title

A prospective comparison of epoetin beta pegol and darbepoetin alpha in the variability of blood pressure in pre-dialysis chronic kidney disease (CKD).

Scientific Title:Acronym

A prospective comparison of epoetin beta pegol and darbepoetin alpha in the variability of blood pressure in pre-dialysis chronic kidney disease (CKD).

Region

Japan


Condition

Condition

Chronic kidney disease
anemia

Classification by specialty

Medicine in general Cardiology Hematology and clinical oncology
Nephrology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study compares effects of epoetin beta pegol and darbepoetin alpha on blood pressure variability, in pre-dialysis chronic kidney disease patients who have not been treated with recombinant human erythropoietin (rHuEPO) yet.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

Blood pressure variability(clinical BP, pulse rate, central blood pressure, PWV, pulse pressure, CAVI, ABPM)

Key secondary outcomes

1.Cardio vascular events
2.Hemoglobin
3.Estimated GFR
4.Serum creatinine
5.Proteinuria
6.Dialysis initiation
7.Renal transplantation
8.mortality


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Epoetin beta pegol groups: Patients are initially given 25-250 micrograms of epoetin beta pegol once a month for 48 weeks.

Interventions/Control_2

darbepoetin alpha groups: Patients are initially given 60-180 micrograms of darbepoetin alpha once a month for 48 weeks.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Pre-dialysis chronic kidney disease
2.20 years and over
3.Above 40 kg, below 80 kg
4.estimated GFR<60 ml/min/1.73m2 (within 12 weeks)
5.TSAT=>20% (within 4 weeks)
6.Hemoglobin level<=11.0g/dL (within 8 weeks)
7.Patients who have not recieved rHuEPO within 12 weeks

Key exclusion criteria

1.Severe hypertension(diastolic blood pressure is over 100 mmHg within 12 weeks)
2.Congestive heart failure(NYHA class3, 4)
3.Pregnant women and/or women who are suspect of pregnancy
4.History or complication of cardiac infarction, pulmonary embolism or symptomatic cerebral infarction
5.History of hypersensitivity to epoetin beta pegol and/or darbepoetin alpha
6.Patients with malignancy, severe infection, systemic blood disease(MDS, etc.), hemolytic anemia or hemorrhagic disease
7.Administration of anabolic steroids, testosterone enanthate or mepitiostane within 12 weeks
8.Erythrocyte transfusion within 16 weeks
9.Patients who will plan to undergo a severe bleeding surgery
10.Patients judged as inappropriate for the study

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Kouichi
Middle name
Last name TAMURA

Organization

Yokohama City University School of Medicine

Division name

Department of Cardiorenal Medicine

Zip code

236-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JAPAN

TEL

045-787-2635

Email

tamukou@med.yokohama-cu.ac.jp


Public contact

Name of contact person

1st name Kouichi
Middle name
Last name TAMURA

Organization

Yokohama City University School of Medicine

Division name

Department of Cardiorenal Medicine

Zip code

236-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, JAPAN

TEL

045-787-2635

Homepage URL


Email

tamukou@med.yokohama-cu.ac.jp


Sponsor or person

Institute

Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Self

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yokohama City University

Address

3-9, Fukuura, Kanazawa-ku, Yokohama, Japan

Tel

045-787-2800

Email

onodera@yokohama-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2012 Year 07 Month 23 Day


Related information

URL releasing protocol

https://www.karger.com/Article/FullText/507396

Publication of results

Published


Result

URL related to results and publications

https://www.karger.com/Article/FullText/507396

Number of participants that the trial has enrolled

36

Results

Office/ambulatory BP, renal function, and
other parameters were not significantly different between groups. Although office/ambulatory BP profiles had not worsened after 24 weeks of ESA treatment, more than half of the patients required an increase in the antihypertensive agent dose.

Results date posted

2020 Year 07 Month 31 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Age (years);CERA vs DA: 72.1+-9.4 vs 75.9+-8.0.
eGFR (mL/min/1.73m^2);CERA vs DA: 20.3+-6.3 vs 20.7+-14.0.

Participant flow

Thirty-six eligible patients with renal anemia were enrolled and were randomly assigned to the CERA group (n = 18) or the DA group (n = 18) .

Adverse events

No.

Outcome measures

office BP and ambulatory BP profiles.
renal function, Hb levels, the number of patients who required dialysis, and the number of CVD events and other adverse events.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 07 Month 01 Day

Date of IRB

2012 Year 06 Month 13 Day

Anticipated trial start date

2012 Year 07 Month 01 Day

Last follow-up date

2018 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 07 Month 23 Day

Last modified on

2020 Year 07 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009994


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name