Anemia Clinical Trial
Official title:
Safety, PK/PD, and Efficacy of NOX-H94 in Dialysis Patients With ESA-hyporesponsive Anemia: A Randomized, Double Blind, Placebo Controlled Parallel Group Study With a Single Blind Cross-over Group
Dialysis patients regularly suffer from anemia which may be caused by various contributing
factors, alone or in combination, including blood loss, low erythropoietin and iron
sequestration. In most patients, the anemia is responsive to treatment with erythropoietin
or other erythropoiesis stimulating agents (ESA) alone or in combination with intravenous
(i.v.) iron. In about 10% of patients however, the anaemia does not respond appropriately to
this standard treatment and high to very high doses of ESA and i.v. iron are used to
maintain acceptable hemoglobin concentrations. In these patients, hepcidin was identified as
a causative factor leading to anemia of chronic disease with functional iron deficiency and
ESA-hyporesponsiveness.
The Spiegelmer lexaptepid pegol (NOX-H94) offers a hepcidin-specific approach to the
treatment of anemia of chronic disease. The safety and the activity of lexaptepid pegol are
supported by data from healthy subjects and patients with multiple myeloma or lymphoma. The
present study in dialysis patients with functional iron deficiency and
ESA-hyporesponsiveness is conducted to demonstrate the safety of lexaptepid pegol in this
population, to investigate its pharmacokinetic (PK) and pharmacodynamic (PD) profiles and
its efficacy in increasing haemoglobin (Hb) in dialysis patients.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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