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Completed

NCT Number: NCT00661388

A Study of Monthly Subcutaneous Mircera for the Treatment of Chronic Renal Anemia in Predialysis Patients Not Treated With ESA.

This single arm study will assess the efficacy and safety of subcutaneous methoxy polyethylene glycol-epoetin beta (Mircera) for the correction and maintenance of hemoglobin levels in predialysis patients with renal anemia who are not currently treated with erythropoietin stimulating agents (ESA). Eligible patients will receive monthly subcutaneous injections of Mircera at an initial recommended dose of 1.2 micrograms/kg. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Ankara, Turkey (Türkiye)

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • adult patients, >=18 years of age;
  • chronic renal anemia;
  • predialysis stage;
  • no ESA therapy during previous 3 months.

Exclusion criteria

  • transfusion of red blood cells during previous 2 months;
  • poorly controlled hypertension requiring hospitalization in previous 6 months;
  • significant acute or chronic bleeding.

Treatment and study plan

methoxy polyethylene glycol-epoetin beta [Mircera]

Drug

sc every month (starting dose 1.2 micrograms/kg)

Primary outcomes

  1. Mean Change in Hb Concentration Between Baseline and the Efficacy Evaluation Period

    Time frame: From Baseline (Week 0) to EEP (Week 29 to Week 36)

    Mean change in Hb concentration was calculated as the difference between the time adjusted average of Hb during the efficacy evaluation period (EEP [Week 29 to Week 36]), and the Hb at Baseline (Week 0). A positive change from baseline indicates improvement.

Secondary outcomes

  1. Mean Time to Achievement of Response During the EEP

    Time frame: From Week 29 to Week 36

    Participants with Hb concentrations within target range of 10-12 g/dl were considered to be responders. Mean time to achievement of response during the EEP (Week 29 to Week 36) is presented.

  2. The Percentage of Participants Whose Hb Concentrations Remained Within the Target Range of 10.0- 12.0 g/dLThroughout the EEP

    Time frame: From Week 29 to Week 36

    The percentage of participants whose Hb Concentrations remained within the target range of 10.0- 12.0 g/dL throughout the EEP (Week 29 to Week 36) is presented.

  3. Mean Time Spent by Participants in the Target Range of 10.0- 12.0 g/dL During the EEP

    Time frame: From Week 29 to Week 36

    Mean time spent by participants in the target range of 10.0- 12.0 g/dL during the EEP (Week 29 to Week 36) is presented.

  4. Percentage of Participants Requiring Dose Adjustments During Dose Titration Period and EEP

    Time frame: Weeks 0 to Week 36

    Percentage of participants requiring dose adjustments during dose titration period (DTP [Week 0 to Week 28]) and EEP (Week 29 to Week 36) is presented. The dose adjustments (increase or decrease) were required: if a single Hb concentration was either ≥ 13 g/dL or < 9 g/dL; if the difference of 2 consecutive Hb concentrations was ≥2 g/dL; if the values of scheduled Hb assessments on the day of administration of C.E.R.A. and on the previous study visit were both out of range of 10 to 12 g/dL; if the values of the scheduled Hb assessments on the day of administration of C.E.R.A. and on the previous study visit were both out of the range 10.5 to 11.5 g/dL. Dose adjustment could be made at any time at the discretion of the clinician if clinically warranted.

  5. Number of Participants Who Received Red Blood Cell Transfusions During the Study Period

    Time frame: Up to Week 52

    Red blood cell transfusions were given during the treatment period in case of medical need. Blood transfusions occurred during the DTP (Week 0 to Week 28), EEP (Week 29 to Week 36), and during the long term safety period (LSTP [Week 37 to Week 52]) are presented.

  6. Number of Participants Who Experienced Any Adverse Events or Serious Adverse Events

    Time frame: Up to Week 52

    An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect.

  7. Mean Change From Baseline in Hb Concentration Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48

    Mean change from Baseline in Hb concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  8. Mean Change From Baseline in Hematocrit Level Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48

    Mean change from Baseline in hematocrit level was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  9. Mean Change From Baseline in Erythrocyte Mean Corpuscular Volume Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, and 48

    Mean change from Baseline in erythrocyte mean corpuscular volume was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  10. Mean Change From Baseline in White Blood Cells and Platelets Concentrations Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48

    Mean change from Baseline in white blood cells (WBCs) and platelets concentrations was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  11. Mean Change From Baseline in Albumin Concentration Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48

    Mean change from Baseline in albumin concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  12. Mean Change From Baseline in C-Reactive Protein Concentration Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48

    Mean change from Baseline in C-Reactive Protein concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  13. Mean Change From Baseline in Phosphate and Potassium Concentrations Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48

    Mean change from Baseline in phosphate and potassium concentrations was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  14. Mean Change From Baseline in Total Iron Binding Capacity and Iron Concentrations Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48

    Mean change from Baseline in total iron binding capacity (TIBC) and iron concentrations was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  15. Mean Change From Baseline in Creatinine Concentration Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 32, 40

    Mean change from Baseline in creatinine concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  16. Mean Change From Baseline in Ferritin Concentration Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48

    Mean change from Baseline in ferritin concentration was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

  17. Mean Change From Baseline in Transferrin Saturation Over Time

    Time frame: Baseline (Week 0), Weeks 8, 16, 24, 32, 40, and 48

    Mean change from Baseline in transferrin saturation (TSAT) was calculated as the difference between Baseline and post-baseline measurements. It was recorded for each participant at enrollment (Week 0) and at different time points during the study up to Week 48.

Sponsors and collaborators

Lead sponsor

Hoffmann-La Roche

Industry

Registry information

Official study title

A Single Arm, Open Label Study to Assess the Efficacy, Safety and Tolerability of Once-monthly Administration of Subcutaneous C.E.R.A. for the Treatment of Chronic Renal Anaemia in Pre-dialysis Patients Not Currently Treated With ESA.

Important dates

Study start
2008
Primary completion
2010
Study completion
2010
First posted
Apr 18, 2008
Registry last updated
Sep 11, 2025

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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