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Safety of Single Doses of Hematide in Patients With Chronic Kidney Disease
This study has been completed.
First Received: April 27, 2005   Last Updated: June 6, 2008   History of Changes
Sponsored by: Affymax
Information provided by: Affymax
ClinicalTrials.gov Identifier: NCT00109291
  Purpose

To evaluate the safety profile of single intravenous (IV) dose levels of Hematide™ in CKD patients not on dialysis (pre-dialysis patients)


Condition Intervention Phase
Kidney Diseases
Drug: Hematide™
Drug: Placebo
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Safety Study
Official Title: A Phase 2a, Randomized, Double-Blind, Placebo-Controlled, Sequential Dose Escalation Study of the Safety, Pharmacodynamics, and Pharmacokinetics of Single Intravenous Doses of Hematide™ in Patients With Chronic Kidney Disease Who Are Not on Dialysis and Who Have Not Had Prior Erythropoiesis Stimulating Agent (ESA) Treatment

Further study details as provided by Affymax:

Primary Outcome Measures:
  • Evaluate the safety profile of single intravenous (IV) dose levels of Hematide™ in CKD patients not on dialysis (pre-dialysis patients) [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Evaluate the dose response relationships of a single dose of Hematide™ on pharmacodynamic parameters including hemoglobin, reticulocytes, and iron stores [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]
  • Evaluate the pharmacokinetic profiles of single dose levels of Hematide™ administered intravenously in pre-dialysis patients [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]
  • Determine the pharmacologically active dose (PAD) of Hematide™ administered intravenously in pre-dialysis patients [ Time Frame: 28 days ] [ Designated as safety issue: Yes ]

Enrollment: 17
Study Start Date: March 2005
Study Completion Date: April 2006
Primary Completion Date: December 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: Hematide™
2: Placebo Comparator Drug: Placebo

Detailed Description:

Up to a maximum of 54 pre-dialysis patients, aged 18-75 years, with hemoglobin ≥ 9 g/dL and ≤ 11 g/dL secondary to chronic kidney disease who have not had previous treatment with ESAs and who meet eligibility criteria will be enrolled in up to 6 dose cohorts (9 patients per cohort, 7 on study drug and 2 on placebo). Patients will be followed through Day 29 or until stabilization of adverse events.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patient is informed of the investigational nature of this study and has given written, witnessed informed consent in accordance with institutional, local, and national guidelines;
  2. Males or females ≥ 18 and ≤ 75 years of age. Pre-menopausal females (with the exception of those who are surgically sterile) must have a negative pregnancy test at screening; those who are sexually active must practice an adequate form of contraception for at least 2 weeks prior to study start, and must be willing to continue contraception for at least 4 weeks after receiving study drug;
  3. Chronic kidney disease stage 3 or 4 (glomerular filtration rate [GFR] of 15-60 mL/min within 28 days prior to administration of study drug,) not requiring dialysis;
  4. Two hemoglobin values of ≥ 9 g/dL and ≤ 11 g/dL within 14 days prior to administration of study drug, with one of the values drawn within 7 days prior to administration of study drug;
  5. One serum ferritin level ≥ 100 µg/L and one transferrin saturation ≥ 20% within 28 days prior to administration of study drug;
  6. One serum folate level above the lower limit of normal within 28 days prior to administration of study drug;
  7. One vitamin B12 level above the lower limit of normal within 28 days prior to administration of study drug;
  8. Weight ≥ 45 kg within 28 days prior to administration of study drug;
  9. One white blood cell count ≥ 3.0 x 109/L within 28 days prior to administration of study drug; and
  10. One platelet count ≥ 140 x 109/L and ≤ 500 x 109/L within 28 days prior to administration of study drug.

Exclusion Criteria:

  1. Prior treatment with any erythropoiesis stimulating agent;
  2. History of pure red cell aplasia;
  3. RBC transfusion within 3 months prior to study drug administration;
  4. Hemoglobinopathy (e.g., homozygous sickle-cell disease, thalassemia of all types, etc.);
  5. Hemolysis based on medical judgment;
  6. Chronic, uncontrolled, or symptomatic inflammatory disease (e.g., rheumatoid arthritis, systemic lupus erythematosus, etc.);
  7. C Reactive Protein (CRP) greater than 30 mg/L within 14 days prior to administration of study drug;
  8. Significant infection within 4 weeks prior to study drug administration, per Investigator's clinical judgment ;
  9. Febrile illness within 7 days prior to administration of study drug;
  10. Uncontrolled or symptomatic secondary hyperparathyroidism;
  11. Poorly controlled hypertension within 4 weeks prior to study drug administration, per Investigator's clinical judgment (e.g. systolic ≥ 170mm Hg, diastolic ≥ 100 mm Hg on repeat readings);
  12. Epileptic seizure in the 6 months prior to study drug administration;
  13. Chronic congestive heart failure (New York Heart Association Class IV);
  14. High likelihood of early withdrawal or interruption of the study (e.g., myocardial infarction, severe or unstable coronary artery disease, stroke, respiratory, autoimmune, neuropsychiatric, or neurological abnormalities, liver disease including active hepatitis B or C, active HIV disease, or any other clinically significant medical diseases or conditions within the past 6 months that may, in the Investigator's opinion, interfere with assessment or follow-up of the patient);
  15. Malignancy (except non-melanoma skin cancer);
  16. Life expectancy < 12 months;
  17. Anticipated elective surgery during the study period;
  18. Previous exposure to any investigational agent within 4 months prior to administration of study drug or planned receipt during the study period.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00109291

Locations
United Kingdom, London
Research Facility
Harrow, London, United Kingdom, HA1 3UJ
Sponsors and Collaborators
Affymax
Investigators
Study Director: Chief Medical Officer Affymax, Inc
  More Information

No publications provided

Responsible Party: Affymax, Inc. ( Chief Medical Officer )
Study ID Numbers: AFX01-02
Study First Received: April 27, 2005
Last Updated: June 6, 2008
ClinicalTrials.gov Identifier: NCT00109291     History of Changes
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency

Keywords provided by Affymax:
Chronic Kidney Disease

Study placed in the following topic categories:
Renal Insufficiency
Urologic Diseases
Hematinics
Renal Insufficiency, Chronic
Kidney Failure, Chronic
Kidney Diseases
Kidney Failure

Additional relevant MeSH terms:
Renal Insufficiency
Urologic Diseases
Hematinics
Renal Insufficiency, Chronic
Therapeutic Uses
Hematologic Agents
Kidney Failure, Chronic
Kidney Diseases
Pharmacologic Actions
Kidney Failure

ClinicalTrials.gov processed this record on September 03, 2009