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Darbepoetin Alfa With or Without IV Iron
This study has been completed.
Sponsored by: Amgen
Information provided by: Amgen
ClinicalTrials.gov Identifier: NCT00401544
  Purpose

Two different doses of darbepoetin alfa will be administered subcutaneous (SC) on a Q3W schedule with or without the administration of intravenous (IV) iron supplementation in the treatment of anemia in subjects with non myeloid malignancies receiving multicycle chemotherapy and have hemoglobin levels ≤10.0 g/dL.


Condition Intervention Phase
Anemia
Non-Myeloid Malignancies
Drug: darbepoetin alfa
Drug: IV iron dextran
Phase II

MedlinePlus related topics: Anemia Cancer
Drug Information available for: Darbepoetin alfa Dextrans Iron-dextran complex
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study
Official Title: Once Per Cycle Treatment of Anemia With Darbepoetin Alfa With Iron in Subjects With Non Myeloid Malignancies

Further study details as provided by Amgen:

Primary Outcome Measures:
  • The proportion of subjects who achieve the target hemoglobin (Hgb 11 g/dL) during the treatment period in the absence of a RBC transfusion within the prior 28 days [ Time Frame: 3 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Time to achieving target hemoglobin (Hgb 11 g/dL) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  • Incidence and severity of adverse events including historical events of interest [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]

Enrollment: 243
Study Start Date: December 2006
Study Completion Date: March 2008
Primary Completion Date: December 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
darbepoetin alfa 300mcg plus IV iron Q3W: Active Comparator Drug: darbepoetin alfa
Darbepoetin alfa will be administered at a fixed dose of either 300mcg or 500 mcg Q3W based on the subject's treatment arm assignment.
Drug: IV iron dextran
400 mg at each dosing visit if assigned
darbepoetin alfa 300mcg Q3W: Active Comparator Drug: darbepoetin alfa
Darbepoetin alfa will be administered at a fixed dose of either 300mcg or 500 mcg Q3W based on the subject's treatment arm assignment.
darbepoetin alfa 500 mcg Q3W: Active Comparator Drug: darbepoetin alfa
Darbepoetin alfa will be administered at a fixed dose of either 300mcg or 500 mcg Q3W based on the subject's treatment arm assignment.
darbepoetin alfa 500 mcg plus IV iron Q3W: Active Comparator Drug: darbepoetin alfa
Darbepoetin alfa will be administered at a fixed dose of either 300mcg or 500 mcg Q3W based on the subject's treatment arm assignment.
Drug: IV iron dextran
400 mg at each dosing visit if assigned

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Subjects with active non myeloid malignancy(cies) including lymphocytic leukemias
  • Received chemotherapy and expected to receive at least 8 additional weeks of cyclic cytotoxic chemotherapy
  • Anemia due to chemotherapy (screening Hgb <or = 10.0 g/dL)
  • at least 18 years of age at screening

Exclusion Criteria:

  • Subjects with acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), or myelodysplastic syndromes (MDS)
  • Other underlying hematologic disorder, which could cause anemia, other than a non myeloid malignancy
  • Active bleeding
  • Severe, unstable, active chronic inflammatory disease (eg ulcerative disease, peptic ulcer disease, rheumatoid arthritis)
  • Active, unstable systemic or chronic infection
  • Planned elective surgery during the study where significant blood loss is expected
  • Unstable angina, or uncontrolled cardiac arrhythmia
  • Uncontrolled hypertension (diastolic blood pressure > 100 mmHg)
  • History of pure red cell aplasia (PRCA)
  • History of deep venous thrombosis
  • Known positive human immunodeficiency virus (HIV) test or acquired immune deficiency syndrome (AIDS) status
  • Any RBC transfusion within 28 days before randomization and/or during screening
  • Subjects currently receiving thalidomide or lenalidomide without prophylactic anticoagulant therapy
  • Subjects currently receiving or planned to receive myeloablative radiation therapy
  • Subjects who have received bone marrow or stem cell transplant in the 6 months prior to screening or planned during the study
  • Received any erythropoietic therapy within 28 days before randomization and/or during screening (eg rHuEPO or darbepoetin alfa)
  • Subject has known sensitivity to any erythropoietic agents, the investigational product or its excipients to be administered during this study
  • Subject has known sensitivity to iron administration
  • Subjects who are pregnant or breast feeding
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00401544

Sponsors and Collaborators
Amgen
Investigators
Study Director: MD Amgen
  More Information

AmgenTrials clinical trials website  This link exits the ClinicalTrials.gov site

Responsible Party: Amgen Inc. ( Global Development Leader )
Study ID Numbers: 20060103
Study First Received: November 16, 2006
Last Updated: August 5, 2008
ClinicalTrials.gov Identifier: NCT00401544  
Health Authority: Romania: Ministry of Public Health;   Russia: Ministry of Health and Social Development of the Russian Federation;   United States: Food and Drug Administration;   United States: Institutional Review Board

Keywords provided by Amgen:
anemia
chemotherapy induced anemia
darbepoetin alfa
cancer

Study placed in the following topic categories:
Iron-Dextran Complex
Hematologic Diseases
Darbepoetin alfa
Anemia
Iron
Dextrans

Additional relevant MeSH terms:
Neoplasms
Hematinics
Therapeutic Uses
Growth Substances
Hematologic Agents
Physiological Effects of Drugs
Trace Elements
Micronutrients
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009