UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000008617
Receipt number R000010129
Scientific Title Renal prognoses by different target hemoglobin levels achieved by therapy with epoetin beta pegol dosing to chronic kidney disease patients with hyporesponsive anemia to erythropoiesis stimulating agent: multicenter open-label randomized controlled study
Date of disclosure of the study information 2012/08/10
Last modified on 2019/08/21 09:27:27

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Basic information

Public title

Renal prognoses by different target hemoglobin levels achieved by therapy with epoetin beta pegol dosing to chronic kidney disease patients with hyporesponsive anemia to erythropoiesis stimulating agent: multicenter open-label randomized controlled study

Acronym

RADIANCE-CKD Study

Scientific Title

Renal prognoses by different target hemoglobin levels achieved by therapy with epoetin beta pegol dosing to chronic kidney disease patients with hyporesponsive anemia to erythropoiesis stimulating agent: multicenter open-label randomized controlled study

Scientific Title:Acronym

RADIANCE-CKD Study

Region

Japan


Condition

Condition

Renal anemia in chronic kidney disease

Classification by specialty

Medicine in general Nephrology Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the renal prognoses by different target hemoglobin levels achieved by epoetin beta pegol dosing to chronic kidney disease patients with hyporesponsive anemia to erythropoiesis stimulating agent

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Renal prognosis
Time to events indicated by renal prognoses such as: i) induction of kidney alternative therapy (dialysis or renal-transplant), ii) decrease in eGFR to <6.0 mL/min/1.73 m2, iii) eGFR declines of 30% and over.

Key secondary outcomes

(1) Renal function (the rate of change of eGFR)
(2) Cardiovascular events
(3) Safety


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

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Active group:
Patients take epoetin beta pegol for 21 months with the target hemoglobin level of 11 g/dL or more.

Interventions/Control_2

Maintenance group:
Patients take epoetin beta pegol for 21 months maintaining a hemoglobin level at enrollment of each patient(range: within +-1g/dL)

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) Erythropoiesis stimulating agent(ESA) hyporesponsiveness as defined by A) or B):

A) Initial phase: 8-12 weeks after ESA therapy (epoetin alfa and beta dose 6000 IU/W, darbepoetin alfa dose 30 microgram/2W, epoetin beta pegol dose 25 microgram/2W)

-Hemoglobin (Hgb) level(>=8 g/dL and <11 g/dL) or difference between the Hgb level from baseline must be <1.0 g/dL.

B) Maintenance phase:>=12 weeks after ESA therapy

-Stable Hgb level (>=8 g/dL and <11 g/dL)
-ESA dose must be within the following ranges:
Epoetin alfa and beta dose >= 6000 IU/W (24000IU/4W)
Darbepoetin alfa dose >=30 microgram/2W (60 microgram/4W)
Epoetin beta pegol dose >=25 microgram/2W (50 microgram/4W)

(2) No plan of dialysis induction for six months or more from starting the epoetin beta pegol

(3) Age >- 20 years at informed consent

(4) Obtained written informed consent from the patient for the study participation

Key exclusion criteria

(1) Anemia for other reasons than the renal anemia:
Complication of apparent hemorrhagic lesion, hematologic disease (e.g. leukemia, malignant lymphoma, myelodysplastic syndrome, aplastic anemia), apparent chronic inflammation (e.g. rheumatoid arthritis, inflammatory bowel disease), or being on myelosuppressive therapy (chemotherapy or radiotherapy) for malignant tumor
(2) Iron deficiency:
Serum ferritin <100 ng/mL and transferrin saturation (TSAT) <20%
(3) Received renal-transplant
(4) eGFR <6.0 mL/min/1.73 m2
(5) Hypersensitivity to epoetin beta pegol, erythropoietin, or darbepoetin alfa
(6) Pregnancy, nursing or planning to become pregnant during the study (women only)
(7) Participation in other clinical trials at enrollment
(8) Judged as ineligible in the opinion of the investigator

Target sample size

500


Research contact person

Name of lead principal investigator

1st name Hideki
Middle name
Last name Hirakata

Organization

Fukuoka Renal Clinic

Division name

Division of Nephrology

Zip code

810-0004

Address

4-6-20 Watanabedori, Chuo-ku, Fukuoka 810-0004, Japan

TEL

092-761-4936

Email

prj-radiance-ckd@eps.co.jp


Public contact

Name of contact person

1st name Katsuhiko
Middle name
Last name Omote

Organization

EP-CRSU Co., Ltd.

Division name

Clinical Research Promotion Dept.1

Zip code

162-0814

Address

3F Acropolis Tokyo 6-29 Shinogawamchi, Shinjyuku-ku,Tokyo,162-0814

TEL

03-5842-7480

Homepage URL


Email

prj-radiance-ckd@eps.co.jp


Sponsor or person

Institute

Fukuoka Renal Clinic/J-CRSU Co., Ltd.

Institute

Department

Personal name



Funding Source

Organization

Chugai Pharmaceutical Co., Ltd.
Medical Science Dept.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

NPO MINS

Address

401-5-20-9 Mita Minato-ku, Tokyo, 108-0073

Tel

03-6416-1868

Email

npo-mins@j-irb.com


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 08 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 07 Month 09 Day

Date of IRB

2012 Year 07 Month 09 Day

Anticipated trial start date

2012 Year 09 Month 01 Day

Last follow-up date

2017 Year 12 Month 31 Day

Date of closure to data entry

2018 Year 02 Month 28 Day

Date trial data considered complete

2018 Year 03 Month 31 Day

Date analysis concluded

2018 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2012 Year 08 Month 04 Day

Last modified on

2019 Year 08 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010129


Research Plan
Registered date File name
2019/08/21 研究実施計画書version_4.0_20151005.pdf

Research case data specifications
Registered date File name

Research case data
Registered date File name