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A Study to Assess the Effectiveness of PROCRIT® (Epoetin Alfa) Dosing Every 2 Weeks Versus Once a Week in Anemic HIV-Infected Patients
This study has been terminated.
( OBI business decision not to complete any additional research in HIV. )
First Received: October 28, 2005   Last Updated: April 24, 2008   History of Changes
Sponsors and Collaborators: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Ortho Biotech Products, L.P.
Information provided by: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
ClinicalTrials.gov Identifier: NCT00246298
  Purpose

The purpose of this study is to determine if PROCRIT® (a glycoprotein that stimulates red blood cell production) initiated at once every 2 weeks dosing is as effective as PROCRIT® initiated at once a week dosing, in increasing hemoglobin levels in anemic HIV-infected subjects.


Condition Intervention Phase
Anemia
HIV
Drug: epoetin alfa
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Parallel Assignment, Safety/Efficacy Study
Official Title:

A Randomized, Open-Label Study Assessing the Efficacy of Initiating PROCRIT® (Epoetin Alfa) Dosing at Q2W vs.

PROCRIT® Dosing at QW in Anemic HIV-Infected Subjects


Resource links provided by NLM:


Further study details as provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.:

Primary Outcome Measures:
  • Change in hemoglobin from baseline to the end of study at Week 12

Secondary Outcome Measures:
  • Safety and tolerability of every other week dosing and once a week dosing.

Estimated Enrollment: 128
Study Start Date: October 2005
Study Completion Date: September 2006
Detailed Description:

In the Highly Active Antiretroviral Treatment (HAART) era, anemia is one of the most common abnormalities in HIV-infected subjects. Epoetin alfa is proven to increase hemoglobin levels and improve quality of life in HIV-infected subjects. Although there are data to show that epoetin alfa dosed weekly significantly increases hemoglobin to a target level of 13 g/dL and every other week dosing can maintain target hemoglobin, there is no data to show that initiation of epoetin alfa every 2 weeks will increase hemoglobin levels significantly. This randomized, two-arm, open-label study will evaluate if initiating PROCRIT® every other week dosing is as effective as initiating PROCRIT® weekly dosing, in increasing hemoglobin in anemic HIV-infected subjects. The Screening phase will start 2 weeks prior to the first dose of PROCRIT®. HIV-infected subjects who have a hemoglobin level of <12.0 g/dL and are on a stable antiretroviral regimen will be screened for study eligibility. In the treatment phase, subjects will be randomized in a 1:1 ratio to receive 40,000 IU PROCRIT® subcutaneous injections either weekly (QW) or every other week (Q2W). The primary endpoint is the change in hemoglobin from baseline to the end of study at Week 12. The safety and tolerability of PROCRIT® in this subject population will be assessed by evaluating adverse events, laboratory results and vital signs. The total duration of this study is 14 weeks, including a 2-week screening phase and a 12-week treatment phase. The primary hypothesis is that the mean increase in hemoglobin for subjects receiving PROCRIT® every 2 weeks is not lower than those receiving weekly PROCRIT® dosing by more than 1 g/dL.

Subjects will initially receive 40,000 IU PROCRIT® subcutaneous injections either weekly (QW) or every other week (Q2W), with subsequent dose adjustments, if appropriate. The maximum length of PROCRIT® treatment for this study is 12 weeks.

  Eligibility

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

Inclusion Criteria:

  • Subjects must be documented HIV positive and on a stable antiretroviral regimen for at least four weeks prior to enrollment
  • Have a hemoglobin level <12.0 g/dL
  • Have not undergone cancer therapy (chemotherapy and/or radiation therapy) within 12 months prior to enrollment

Exclusion Criteria:

  • History of acute, symptomatic opportunistic infection or other acute AIDS defining illness within six months of enrollment
  • History of any primary hematologic disease
  • Have anemia attributable to factors other than HIV infection (i.e. iron, or vitamin B12 deficiency, hemolysis, or gastrointestinal bleeding)
  • Have Hepatitis C virus (HCV) co-infection
  • Have uncontrolled or severe cardiovascular disease including recent myocardial infarction, hypertension, or congestive heart failure
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00246298

Sponsors and Collaborators
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Ortho Biotech Products, L.P.
Investigators
Study Director: Johnson & Johnson Pharmaceutical Research and Development, L.L.C. Clinical Trial Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
  More Information

Additional Information:
No publications provided

Study ID Numbers: CR003220
Study First Received: October 28, 2005
Last Updated: April 24, 2008
ClinicalTrials.gov Identifier: NCT00246298     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.:
HIV infection
erythropoetin
erythropoietin recombinant
Epoetin alfa
AIDS
Anemia
HIV

Study placed in the following topic categories:
Epoetin Alfa
Hematinics
Hematologic Diseases
HIV Infections
Acquired Immunodeficiency Syndrome
Anemia

Additional relevant MeSH terms:
Epoetin Alfa
Hematinics
Hematologic Diseases
Therapeutic Uses
Hematologic Agents
Anemia
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 10, 2009