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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00229099
Other study ID # CT05-02
Secondary ID
Status Completed
Phase Phase 3
First received September 28, 2005
Last updated October 25, 2006
Start date April 2005
Est. completion date November 2005

Study information

Verified date December 2005
Source Ministry of Health, Malaysia
Contact n/a
Is FDA regulated No
Health authority Malaysia: Ministry of Health
Study type Interventional

Clinical Trial Summary

The purpose of the study is to establish the equivalence of GerEpo with the standard treatment Eprex® for a treatment period of 12 weeks in patients on Hemodialysis with respect to hemoglobin response and to establish the longer-term safety profile of GerEpo, with special regards for the occurrence of Pure Red Cell Aplasia (PRCA) and other immunogenicity related adverse event


Description:

270 patients on Hemodialysis from 25 participating sites who meet inclusion/exclusion criteria will be enrolled into the trial. At the end of the comparative trial, subjects on either arm of the study may opt to enter a longer term cohort study designed to establish the longer-term safety profile of GerEpo, with special regards for the occurrence of Pure Red Cell Aplasia (PRCA) and other immunogenicity related adverse event.

This second part of the study is also opened to all subjects who have given written informed consent, and have ESRF with CRF related anemia who according to current guideline should be treated with Epoetin. Subjects need not be included in the first part of the study.

All patients shall be treated with GerEpo and thereafter observed for at least 1 year to actively monitor for the occurrence of PRCA and other immunogenicity related adverse events. The cohort study shall continue until at least 10,000 patient-years of observation have accrued on the study database.


Recruitment information / eligibility

Status Completed
Enrollment 270
Est. completion date November 2005
Est. primary completion date
Accepts healthy volunteers No
Gender Both
Age group 18 Years to 70 Years
Eligibility Inclusion Criteria:

1. Written informed consent obtained.

2. Patients age between 18 and 70 years.

3. Patients who are medically stable on hemodialysis for a minimum of 3 months.

4. Patients on Eprex® treatment for CRF related anemia and maintaining Hb level at or above 9 g/dL(90g/L) while on a stable dose (no change in dose) of Epoetin within 6 weeks preceding the screening phase of this study.

5. Patients who have a serum ferritin level greater than 100µg/L and/or transferrin saturation at least 20% within 3 months preceding the screening phase of this study.

Exclusion Criteria:

1. Pregnant or nursing woman, or women of childbearing potential without an effective method of birth control. Effective birth control methods are oral contraception, Norplant, surgical sterilization, IUD or diaphragms in conjunction with spermicidal foam and condom on the male partner.

2. Participation in any drug trial in which the patient received an Epoetin investigational drug within 30 days preceding the screening phase of this study.

3. Those persons directly involved in the conduct of the study.

4. Poorly controlled hypertension with diastolic blood pressures persistently greater than 110 mmHg at baseline observation.

5. History of seizure disorder.

6. Active acute or chronic infection or inflammatory disease.

7. Any illness that had required hospitalization within the last one month.

8. Had blood transfusion within the last three months.

9. Significant hematologic abnormalities (Evidence of hemolysis by laboratory tests, unexplained acquired microcytosis, thrombocytosis (>500,000/mm3))

10. Severe hyperparathyroidism

11. Diagnosed to have malignant tumor or who have residual tumor after anti-cancer therapy.

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
GerEPO


Locations

Country Name City State
Malaysia Hospital Alor Setar Alor Setar Kedah
Malaysia Ampang Putri Specialist Hospital Ampang Selangor
Malaysia Hospital Selayang Batu Caves Selangor
Malaysia Asia Renal Care,Bukit Mertajam Bukit Mertajam Pulau Pinang
Malaysia Hospital Ipoh Ipoh Perak
Malaysia Hospital Sultanah Aminah Johor Bharu Johor
Malaysia Hospital Kangar Kangar Perlis
Malaysia Hospital Tengku Ampuan Rahimah Klang Selangor
Malaysia SP Menon Dialysis Centre Klang Selangor
Malaysia Hospital Kota Bharu Kota Bharu Kelantan
Malaysia Hospital Queen Elizabeth Kota Kinabalu Sabah
Malaysia Persatuan Buah Pinggang Sabah Kota Kinabalu Sabah
Malaysia Hospital Kuala Lumpur Kuala Lumpur Wilayah Persekutuan
Malaysia Pantai Medical Centre, Kuala Lumpur Kuala Lumpur Wilayah Persekutuan
Malaysia Pusat Hemodialisis, Yayasan Felda Kuala Lumpur Wilayah Persekutuan
Malaysia SP Menon Dialysis Centre Kuala Lumpur Wilayah Persekutuan
Malaysia The Kidney Dialysis Centre Kuala Lumpur Wilayah Persekutuan
Malaysia Tung Shin Hospital Kuala Lumpur Wilayah Persekutuan
Malaysia Hospital Kuala Terengganu Kuala Terengganu Terengganu
Malaysia Hospital Tengku Ampuan Afzan Kuantan Pahang
Malaysia Pahang Buddhist Association Kuantan Pahang
Malaysia Hospital Umum Sarawak Kuching Sarawak
Malaysia MAA Medicare Kidney Charity Dialysis Centre Kuching Sarawak
Malaysia Timberland Medical Centre Kuching Sarawak
Malaysia Hospital Melaka Melaka
Malaysia Haemodialysis Unit , Sunway Medical Centre Petaling Jaya Selangor
Malaysia SP Menon Dialysis Centre, Megah Medical Specialist Centre PJ Selangor
Malaysia Pontian Rotary Haemodialysis Centre Pontian Johor
Malaysia Penang General Hospital Pulau Pinang
Malaysia Pusat Hemodialisis Mawar (Seremban) Seremban Negeri Sembilan
Malaysia Seremban General Hospital Seremban Negeri Sembilan
Malaysia Hospital Taiping Taiping Perak

Sponsors (1)

Lead Sponsor Collaborator
Ministry of Health, Malaysia

Country where clinical trial is conducted

Malaysia, 

Outcome

Type Measure Description Time frame Safety issue
Primary To establish the therapeutic equivalence of GerEpo with the standard treatment Eprex® for a treatment period of 12 weeks in patients on Hemodialysis with respect to hemoglobin response.
Secondary • To compare GerEpo with Eprex® with respect to their respective frequency of adverse events
Secondary To monitor the occurrence of PRCA and other immunogenicity related adverse events among patients on GerEpo observed for at least a year on therapy.