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Completed

NCT Number: NCT03350321

A Study of Molidustat for Correction of Renal Anemia in Non-dialysis Subjects

The purpose of this study is to evaluate the efficacy and safety of molidustat in non-dialysis subjects with renal anemia who are not treated with Erythropoiesis-Stimulating Agents (ESAs).

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Key information

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Kainan Hospital, Yatomi, Aichi-ken, Japan

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects with estimated glomerular filtration rate (eGFR)< 60 mL/min/1.73m^2 (Chronic kidney disease [CKD] stages 3 to 5)
  • Body weight > 40 and ≤ 160 kg at screening
  • Male or female subject ≥ 20 years of age at screening
  • Not on dialysis and not expected to start dialysis during the study period
  • Not treated with ESAs and/or HIF-PH inhibitors within 8 weeks prior to randomization
  • Mean of the last 2 central laboratory Hb levels during the screening period must be ≥ 8.0 and < 11.0 g/dL (2 measurements must be taken ≥ 2 days apart and the difference between the 2 measurements must be < 1.2 g/dL) and the last measurements must be taken within 14 days prior to randomization
  • Ferritin ≥ 50 ng/mL at screening

Exclusion criteria

  • New York Heart Association (NYHA) Class III or IV congestive heart failure
  • History of cardio- (cerebro-) vascular events (e.g., unstable angina, myocardial infarction, stroke, pulmonary thromboembolism, and acute limb ischemia) within 6 months prior to randomization
  • Sustained and poorly controlled arterial hypertension (defined as systolic BP≥ 180mmHg or diastolic BP ≥ 110mmHg) or hypotension (defined as systolic BP < 90mmHg) at randomization
  • Proliferative choroidal or retinal disease, such as neovascular age-related macular degeneration or proliferative diabetic retinopathy requiring invasive treatment (e.g., intraocular injections or laser photocoagulation)

Treatment and study plan

Molidustat (BAY85-3934)

Drug

Starting dose of molidustat once daily (OD) will be titrated based on the subject's Hb (Hemoglobin) response

darbepoetin alfa

Drug

Starting dose of darbepoetin alfa once every 2 weeks will be titrated based on the subject's Hb (Hemoglobin) response

Primary outcomes

  1. Mean Hb (Hemoglobin) level

    Time frame: From week 30 to 36

  2. Change in hemoglobin level from baseline to the average during the evaluation period

    Time frame: Baseline and week 30 to 36

Secondary outcomes

  1. Responder rate: proportion of responders among the subjects

    Time frame: From week 30 to 36

    Responder is defined as meeting all of the following criteria:

    (i) Mean of the Hb levels in the target range (ii) ≥ 50% of the Hb levels in the target range (iii) No rescue treatment

  2. Rate of rise in Hb (Hemoglobin) level (g/dL/week)

    Time frame: Up to 8 weeks

  3. Rate of rise in Hb (Hemoglobin) level (g/dL/week)

    Time frame: Up to 4 weeks

  4. Proportion of subjects who meet each component of the response

    Time frame: From week 30 to 36

    Response:

    (i) Mean of the Hb levels in the target range (ii) ≥ 50% of the Hb levels in the target range (iii) No rescue treatment

  5. Cumulative proportion of subjects who achieve the lower limit of the target Hb range at least once

    Time frame: Up to 52 weeks

  6. Change in Hb level

    Time frame: Baseline and up to 52 weeks

  7. Hb level

    Time frame: Baseline and up to 52 weeks

  8. Proportion of subjects whose mean hemoglobin level is in the target range

    Time frame: From week 30 to 36

  9. Proportion of subjects whose mean hemoglobin level is above the target range

    Time frame: From week 30 to 36

  10. Proportion of subjects whose mean hemoglobin level is below the target range

    Time frame: From week 30 to 36

  11. Proportion of subjects with hemoglobin levels in the target range

    Time frame: Up to 52 weeks

  12. Proportion of subjects with hemoglobin levels above the target range

    Time frame: Up to 52 weeks

  13. Proportion of subjects with hemoglobin levels below the target range

    Time frame: Up to 52 weeks

  14. Proportion of subjects whose maximum rise in Hb between each consecutive visits is above 0.5 g/dL/week

    Time frame: Up to 52 weeks

    Defined as change in Hb level / duration between two visits (weeks)

  15. Number of participants with serious adverse events

    Time frame: Up to 52 weeks

  16. Maximum concentration (Cmax)

    Time frame: At baseline, week 12, week 24 and week 52

  17. Area under the concentration-time curve (AUC)

    Time frame: At baseline, week 12, week 24 and week 52

  18. EPO (Erythropoietin) serum concentration

    Time frame: At baseline, week 12, week 24 and week 52

Sponsors and collaborators

Lead sponsor

Bayer

Industry

Registry information

Official study title

A Randomized, Open-label, Active-controlled, Parallel-group, Multicenter Study to Investigate the Efficacy and Safety of Oral Molidustat in Comparison to Darbepoetin Alfa in Non-dialysis Subjects With Renal Anemia Who Are Not Treated With Erythropoiesis-Stimulating Agents (ESAs)

Acronym: MIYABI ND-C

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Nov 22, 2017
Registry last updated
Jan 29, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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