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Phase 3 Completed N=28 Treatment

Efficacy and Safety Study of GSK1278863 in Japanese Hemodialysis Subjects With Anemia Associated With Chronic Kidney Disease Who Are Not Taking Erythropoiesis Stimulating Agents

Source: ClinicalTrials.gov NCT02829320 ↗
Enrolled (actual)
28
Serious AEs
10.7%
Results posted
Jul 2018
Primary outcomePrimary: Change From Baseline in Hgb at Week 4 — 0.79 G/dL
◆ Published Evidence
No publication linked

No peer-reviewed publication reporting this trial's results has been linked yet. This can indicate results are unpublished — a known publication-bias signal. We re-check periodically.

Summary

This 24-week, Phase 3, open-label, non-comparative, multicentre study aims to evaluate the efficacy and safety of GSK1278863 in Japanese hemodialysis (HD) patients with renal anemia not using erythropoiesis-stimulating agents (ESAs). The primary objective is to evaluate the initial response to GSK1278863 measured by hemoglobin (Hgb) levels in HD patients not using ESAs enrolled in this study. The study is designed to evaluate the appropriateness of the starting dose of GSK1278863 and of the GSK1278863 dose adjustment regimen to achieve or maintain the target Hgb levels. This study will consist of a 4-week screening period, a 24-week treatment period (4-week fixed-dose period and a 20-week dose adjustment period), and a 2- to 4-week follow-up period.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Hgb at Week 4
0.79
PRIMARY
Number of Participants by Hgb Change From Baseline Category at Week 4
0; 0; 4; 13; 11; 0
SECONDARY
Hgb Values at the Indicated Time Points
9.10; 9.90; 10.76; 11.09; 11.38; 11.34
SECONDARY
Change From Baseline in Hgb at the Indicated Time Points
0.79; 1.66; 1.98; 2.28; 2.24; 2.01
SECONDARY
Number of Participants Who Had Hgb Level Within the Target Range (10.0-12.0 g/dL)
3; 13; 20; 18; 17; 20
SECONDARY
Time to Reach the Lower Target Hgb Level (10.0 g/dL)
57.0
SECONDARY
Number of Participants Who Had Hgb Level of Less Than 7.5 g/dL
SECONDARY
Number of Participants Who Had Hgb Increase of More Than 2 g/dL Over Any 4 Weeks
1
SECONDARY
Number of Participants Who Had Hgb Level of More Than 13.0 g/dL
3
SECONDARY
Number of Episodes of Achieving Hgb Level of More Than 13.0 g/dL
7
SECONDARY
Area Under the Concentration-time Curve (AUC) From Time Zero to 4 Hours (AUC [0-4]) of GSK1278863
25.7228; 95.1319; 200.6036; 233.3933; 43.3100; 33.8941
SECONDARY
Maximum Observed Concentration (Cmax) of GSK1278863
13.9578; 57.6572; 122.9883; 179.0000; 27.5000; 18.3448
SECONDARY
Monthly Average Dose of Intravenous (IV) Iron During the Treatment Period
231.61; 217.19
SECONDARY
Number of Participants Who Used Iron During the Treatment Period
9; 4; 12
SECONDARY
Change From Baseline in Ferritin
-80.11; -126.29; -107.03
SECONDARY
Percent Change From Baseline in TSAT
-23.06; -15.31; -10.07
SECONDARY
Percent Change From Baseline in Hepcidin
-64.78; -61.74; -55.67
SECONDARY
Change From Baseline in Serum Iron
-0.8123; 2.0916; 1.4584
SECONDARY
Change From Baseline in Total Iron Binding Capacity (TIBC)
8.5904; 10.8611; 9.3388
SECONDARY
Dose Level of GSK1278863 at Indicated Time Points
4.0; 4.0; 4.0; 4.0; 4.0; 4.0
SECONDARY
Number of Participants With Frequency of Dose Adjustments
21; 7; 9; 7; 4; 1
SECONDARY
Duration of Treatment Interruption Due to Hgb >13 g/dL
84

Eligibility Criteria

Inclusion Criteria

  • Age (at the time of informed consent): >=20 years
  • Dialysis: Patients on hemodialysis (HD) or hemodiafiltration (HDF)
  • Use of any erythropoiesis stimulating agent (ESA): Newly started dialysis (Dialysis newly started =12 weeks before screening): Patients not using ESAs within 8 weeks before screening (including interruption of ESA therapy)
  • Hemoglobin (Hgb): >=8.0 to 100 nanograms (ng)/milliliter (mL) or transferrin saturation (TSAT) >20% (at screening only)
  • Gender (at screening only): Female or male.

A female subject is eligible to participate if she is not pregnant (as confirmed by a negative serum human chorionic gonadotropin [hCG] test for females of reproductive potential [FRP] only), not breastfeeding, and at least one of the following conditions applies:

  • Females of non-reproductive potential defined as: Pre-menopausal with one of the following and no plans to utilise assisted reproductive techniques (example [e.g.], in vitro fertilisation or donor embryo transfer): documented bilateral tubal ligation or salpingectomy; documented hysteroscopic tube occlusion procedure with follow-up confirmation of bilateral tubal occlusion; hysterectomy; documented bilateral oophorectomy
  • Post-menopausal defined as females 60 years of age or older or In females 500 milliseconds (msec), or QTc >530 msec in subject with bundle branch block. Note: Corrected QT interval using Bazett's formula (QTcB) (machine-read or manually) will be used.

Other disease-related criteria

  • Liver disease (if any of the following occurs):
  • Alanine transaminase (ALT) >2x upper limit of normal (ULN)
  • Bilirubin >1.5xULN (If bilirubin fractions are measured and direct bilirubin is 1.5xULN will be acceptable.)
  • Current unstable active liver or biliary disease (generally defined by the onset of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal/gastric varices, persistent jaundice, or cirrhosis). Note: The only exception is squamous cell or basal cell carcinoma of the skin that has been definitively treated >=8 weeks before screening.
  • Malignancy: History of malignancy within the two years prior to screening, known complex kidney cyst >3 centimeters (cm) (II F, III or IV based on the Bosniak classification) or currently receiving treatment for cancer. Note: The only exception is squamous cell or basal cell carcinoma of the skin that has been definitively treated >=8 weeks before screening.

Concomitant medications and other study treatment-related criteria

  • Iron medication: Planned use of any intravenous iron during the screening period or from Day 1 to Week 4.

Note:

  • Patients on oral iron may be enrolled if the iron dose regimen is unchanged during the screening period and from Day 1 to Week 4.
  • Patients on anti-hyperphosphatemia medication containing iron (e.g., ferric citrate hydrate) for at least 12 weeks before screening may be enrolled if the medication is continued during the screening and from Day 1 to Week 4.
  • Severe allergic reactions: History of severe allergic or anaphylactic reactions or hypersensitivity to any excipients in the investigational product
  • Drugs and dietary supplements: Current use of prohibited prescription drugs, non-prescription drugs, or dietary supplements or planned use of any of these drugs during the study period (prohibited drugs: strong cytochrome P450 (CYP)2C8 inducers and inhibitors)
  • Exposure to any other investigational product: Use of an investigational product within the past 30 days or five half lives of that investigational product (whichever is longer).
  • Prior treatment with GSK1278863: Prior treatment with GSK1278863 for >30 days General health-related criteria
  • Other conditions: Any other condition, clinical or laboratory abnormality, or examination finding that the investigator considers would put the subject at unacceptable risk, which may affect study compliance or prevent understanding of the aims or investigational procedures or possible consequen
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02829320). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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