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Completed

NCT Number: NCT02185911

Observational Study of Correction of Anaemia With Darbepoetin Alfa at QM Dosing Interval in Patients With CKD Not on Dialysis

To describe anaemia correction via haemoglobin measurements taken throughout observation period in ESA naive patients with chronic kidney disease initiated on darbepoetin alfa QM

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Key information

About this study

Darbepoetin alfa (Aranesp) is a long-acting ESA approved for treatment of anaemia in CKD patients, and may be administered once a week (QW), once every two weeks (Q2W) or once a month (QM) for correction and for maintenance in CKD patients not on dialysis. Prescribing information for darbepoetin alfa was updated in August 2013 (in EU and Australia), to incorporate the option for correction at QM dosing frequency in CKD patients not on dialysis. There is very little published literature describing QM correction in a real-world setting.

Data obtained from this study are intended to contribute to filling a literature gap and to provide a robust source of information for physicians.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients ≥18 years of age.
  • Patients with CKD:
  • Not on dialysis at time of darbepoetin alfa initiation at QM dosing frequency.
  • Hb <10g/dL immediately prior to initiation of darbepoetin alfa at QM dosing.
  • Commenced darbepoetin alfa at QM dosing frequency during or after August 2013.
  • Received at least three consecutive doses of darbepoetin alfa at QM dosing frequency, being the initiation dose and two further doses at QM dosing frequency.
  • Patient or patient's legally acceptable representative has provided informed consent, if applicable according to local requirements.

Exclusion criteria

  • Treatment with an ESA within 14 weeks prior to initiation of darbepoetin alfa.
  • Patient was enrolled in an interventional device or drug study at any time during the 46-week data observation period or within 30 days prior to commencement of the data observtion period.

Treatment and study plan

Primary outcomes

  1. Monthly Haemoglobin values

    Time frame: During the 32 weeks post initiation of darbepoetin alfa QM

    Monthly Hb within 10-12g/dL during the 32 weeks post initiation of darbepoetin alfa QM

Secondary outcomes

  1. Doses of darbepoetin alfa/other ESAs over time

    Time frame: Throughout the 46 week observation period

    Doses of darbepoetin alfa/other ESAs over time (dose, route, frequency)

  2. Haemoglobin values

    Time frame: Throughout the 46 week observation period

    Haemoglobin over the observation period

  3. Change in Haemoglobin values

    Time frame: Throughout the 46 week observation period

    Change in haemoglobin from baseline

  4. Increase in haemoglobin from baseline

    Time frame: Throughout the 46 week observation period

    Increase in haemoglobin of at least 1g/dL from baseline

  5. Haemoglobin excursions

    Time frame: Throughout the 46 week observation period

    Haemoglobin excursions (<10,>12 g/dL) over the observation period

  6. First haemoglobin within 10-12g/dL

    Time frame: During the 32 weeks post initiation of darbepoetin alfa QM

    Time from initiation of darbepoetin alfa QM to first haemoglobin within 10-12g/dL

  7. first dose frequency change after third dose of darbepoetin alfa QM

    Time frame: During the 32 weeks post initiation of darbepoetin alfa QM

    Time from third dose of darbepoetin alfa at QM dosing frequency to first frequency change

  8. Subjects remaining on darbepoetin alfa QM

    Time frame: During the 32 weeks post initiation of darbepoetin alfa QM

    Remaining on darbepoetin alfa QM for the full 32 weeks post initiation

  9. TSAT, ferritin and albumin values

    Time frame: Throughout the 46 week observation period

    TSAT, ferritin and albumin over the observation period

  10. Iron Use

    Time frame: Throughout the 46 week observation period

    Iron use (dose/route) over the observation period

  11. Transfusions

    Time frame: Throughout the 46 week observation period

    Transfusions over the observation period (number of tranfusions and the number of units transfused)

  12. Hospitalisations

    Time frame: Throughout the 46 week observation period

    Hospitalisations (duration and primary cause) over the observation period

Sponsors and collaborators

Lead sponsor

Amgen

Industry

Registry information

Official study title

Observational Study of Correction of Anaemia With Darbepoetin Alfa at Monthly Dose Frequency in EU and Australian Patients With Chronic Kidney Disease Not on Dialysis

Acronym: ADAPTATION

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Jul 10, 2014
Registry last updated
Mar 8, 2016

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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