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15141 Fixed Dose Correction / naïve and Pre Dialysis (Europe and Asia Pacific) (DIALOGUE 1)

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Bayer

Status and phase

Completed
Phase 2

Conditions

Anemia
Renal Insufficiency, Chronic

Treatments

Drug: BAY85-3934
Drug: Placebo

Study type

Interventional

Funder types

Industry

Identifiers

NCT02021370
15141
2013-001193-14 (EudraCT Number)

Details and patient eligibility

About

Anaemia is a condition in which blood has a lower than normal number of red blood cells. It can also occur if red blood cells do not contain enough haemoglobin, an oxygen carrying part of blood. Anaemia is common in patients with chronic kidney disease. Healthy kidneys produce a hormone called erythropoietin, which stimulates the bone marrow to produce the proper number of red blood cells needed to carry oxygen to vital organs. Chronic kidney disease is a general term that means that the kidneys are not functioning to their full potential. The study drug, BAY85-3934, is being evaluated as a drug to increase the body's ability to produce erythropoietin.

The purpose of this study is to find out if the study drug, a tablet taken orally, is safe and effective for the treatment of anaemia associated with chronic kidney disease.

The study will enroll 120 patients at multiple locations in Europe, Asia and Australia. Participation will involve a screening visit and between 12 and 14 study visits scheduled over a period of approximately 5 to 7 months. The estimated total duration of study treatment will be 16 weeks. During these scheduled visits patients will undergo a number of procedures to confirm efficacy and safety of the study drug, including measurement of heart rate and blood pressure, physical examination, Electrocardiogram and blood/urine sample collection for laboratory tests.

The study will be conducted at 5 hospitals in the UK. Bayer HealthCare AG is funding this research.

Enrollment

121 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Women without childbearing potential
  • Male or female subjects ≥ 18 years of age with anemia of chronic kidney disease (CKD) at screening
  • Estimated glomerular filtration rate of < 60 mL/min/1.73 m2 (Modification of Diet in Renal Disease [MDRD] or the formula according to Matsuo, et al)
  • Not on dialysis and not expected to begin dialysis during the treatment period of the study (at least 16 weeks from randomization)
  • Not treated with any erythropoiesis-stimulating agent (ESA) within 8 weeks before randomization
  • Mean screening Hb concentration </= 10.5 g/dL
  • Body weight of 45 kg to 125 kg, inclusive, at screening

Exclusion criteria

  • Subjects with significant acute or chronic bleeding, such as overt gastrointestinal bleeding
  • Chronic inflammatory disease that could impact erythropoiesis (e.g., systemic lupus erythematosis, rheumatoid arthritis, celiac disease) even if it is currently in remission
  • Previous or concurrent cancer except cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors (Ta, Tis, and T1) or any cancer curatively treated > 3 years prior to randomization
  • Subjects treated with any ESA within the 8 weeks before randomization
  • Red blood cell (RBC) containing transfusion within the 8 weeks before randomization
  • History of cardio- (cerebro-) vascular events (e.g., unstable angina, myocardial infarction, stroke, transient ischemic attack, deep vein thrombosis, pulmonary embolism) within the last 6 months from initial screening visit
  • Severe rhythm or conduction disorders (e.g., HR < 50 or > 110 bpm, atrial flutter, prolonged QT > 500 msec, third degree atrioventricular [AV] block)
  • New York Heart Association Class III or IV congestive heart failure
  • Severe hepatic insufficiency (defined as alanine aminotransferase [ALT] or aspartate aminotransferase [AST] > 3 x the upper limit of normal [ULN], total bilirubin > 2 mg/dL, or Child-Pugh B and C) or active hepatitis, in the investigator's opinion

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

121 participants in 6 patient groups, including a placebo group

BAY85-3934 (25mg OD)
Experimental group
Description:
25 mg once daily (OD) of BAY85-3934 Morning: 1 tablet BAY85-3934 25 mg and 2 tablets matching placebo Evening: 3 tablets matching placebo
Treatment:
Drug: BAY85-3934
Drug: Placebo
BAY85-3934 (50mg OD)
Experimental group
Description:
50 mg OD of BAY85-3934 Morning: 2 tablets BAY85-3934 25 mg and 1 tablet matching placebo Evening: 3 tablets matching placebo
Treatment:
Drug: BAY85-3934
Drug: Placebo
BAY85-3934 (75mg OD)
Experimental group
Description:
75 mg OD of BAY85-3934 Morning: 3 tablets BAY85-3934 25 mg Evening: 3 tablets matching placebo
Treatment:
Drug: BAY85-3934
Drug: Placebo
BAY85-3934 (25mg BID)
Experimental group
Description:
25 mg twice daily (BID) of BAY85-3934 Morning and evening: 1 tablet BAY85-3934 25 mg and 2 tablets matching placebo
Treatment:
Drug: BAY85-3934
Drug: Placebo
BAY85-3934 (50mg BID)
Experimental group
Description:
50 mg BID of BAY85-3934 Morning and evening: 2 tablets BAY85-3934 25 mg and 1 tablet matching placebo
Treatment:
Drug: BAY85-3934
Drug: Placebo
Placebo BID
Placebo Comparator group
Description:
Placebo BID Morning and evening: 3 tablets of placebo matching BAY85-3934 25 mg
Treatment:
Drug: Placebo

Trial contacts and locations

56

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Data sourced from clinicaltrials.gov

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