4 Week Correction Study in Subjects With Anemia Associated With Chronic Kidney Disease Who Are Not Undergoing Dialysis

This study is currently recruiting participants.
Verified October 2012 by GlaxoSmithKline
Sponsor:
Collaborator:
PPD
Information provided by (Responsible Party):
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01587898
First received: April 19, 2012
Last updated: October 11, 2012
Last verified: October 2012
  Purpose

This is a four-week Phase IIa, randomized, double-blind, placebo-controlled, parallel-group, multi-center study to evaluate the safety, efficacy and pharmacokinetics of GSK1278863 in approximately 68 subjects with anemia associated with chronic kidney disease who are not taking rhEPO and are not undergoing dialysis. The range of Hgb values for study eligibility is 8.5-11.0 g/dL. Eligible subjects will be randomized in equal proportions to receive once daily (QD) placebo or GSK1278863 0.5 mg, 2 mg or 5 mg in a double-blind fashion.


Condition Intervention Phase
Anaemia
Drug: GSK1278863
Other: Placebo
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: A Four-week Phase IIa, Randomized, Double-blind, Placebo-controlled, Parallel-group, Multi-center Study to Evaluate the Safety, Efficacy and Pharmacokinetics of GSK1278863 in Subjects With Anemia Associated With Chronic Kidney Disease Who Are Not Taking Recombinant Human Erythropoietin and Are Not Undergoing Dialysis

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Hemoglobin change from baseline [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
    Modelled Hgb change from baseline over 4 weeks of treatment.


Secondary Outcome Measures:
  • Additional hemogoblin measures [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
    Maximum Hgb changes over 4 weeks, the number and percentage of subjects who achieve an Hgb response (defined as achieving an increase of at least 0.5 g/dL, 1.0 g/dL, 1.5 g/dL and 2.0g/dL in Hgb during the trial) and the number of subjects who have reached Hgb stopping criteria.

  • Population pharmacokinetic measures [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
    Evaluation of population pharmacokinetic parameters of GSK1278863 and relevant metabolites. These include fixed-effect (clearance, volumes, covariate effects) and random-effect (within and between subject variability, residual variability) parameters.

  • Safety markers [ Time Frame: 4 weeks ] [ Designated as safety issue: Yes ]
    Discontinuation for safety related reasons, e.g. pre-specified stopping criteria or AE, incidence and severity of AEs and SAEs, absolute values and changes from baseline over time in laboratory parameters, ECGs and vital signs

  • Markers of iron metabolism and utilization [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
    Evaluation of change in hepcidin, ferritin, transferrin, transferrin saturation, total iron, total iron binding capacity

  • High sensitivity C-reactive protein (hsCRP) [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
    Evaluation of change in hsCRP

  • Erythropoietin [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
    Evaluation of change in erythropoietin levels

  • Hematologic measures [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
    Evaluation of change in hematocrit, red blood cells and reticulocytes

  • Vascular Endothelial Growth Factor (VEGF) [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
    Evaluation of change in VEGF levels


Estimated Enrollment: 78
Study Start Date: May 2012
Estimated Study Completion Date: December 2012
Estimated Primary Completion Date: December 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 0.5mg GSK1278863
Once daily
Drug: GSK1278863
Tablet
Experimental: 2mg GSK1278863
Once daily
Drug: GSK1278863
Tablet
Experimental: 5mg GSK1278863
Once daily
Drug: GSK1278863
Tablet
Experimental: Placebo
Once daily
Other: Placebo
Tablet

Detailed Description:

This is a four-week Phase IIa, randomized, double-blind, placebo-controlled, parallel-group, multi-center study to evaluate the safety, efficacy and pharmacokinetics of GSK1278863 in approximately 68 subjects with anemia associated with chronic kidney disease who are not taking rhEPO and are not undergoing dialysis. The study consists of a screening phase of up to 2 weeks, a 4-week treatment phase and a 2-week follow-up phase. The range of Hgb values for study eligibility is 8.5-11.0 g/dL. Eligible subjects will be randomized in equal proportions to receive once daily (QD) placebo or GSK1278863 0.5 mg, 2 mg or 5 mg in a double-blind fashion. Study treatment will be stopped if Hgb values fall outside of the range pre-specified in the protocol.

This study aims to estimate the relationship between dose of GSK1278863 and Hgb response for correcting anemia in non-dialysis subjects with CKD who are not taking rhEPO (NDD). In addition, the study will characterize the effect of GSK1278863 on various pharmacokinetic/pharmacodynamic (PK/PD) markers, and will investigate the safety and tolerability of GSK1278863.

An early interim analysis of the Hgb data is planned after approximately 20 subjects from cohort 1 have completed 3 weeks of treatment. Depending upon the interim findings, a second cohort of subjects may be added to investigate an additional GSK1278863 dose arm. Recruitment to the first cohort will continue during the interim analysis.

A second interim analysis is planned after approximately 48 subjects from cohort 1 have completed 4 weeks treatment. The purpose of this interim is three-fold, to investigate whether a second cohort of subjects may be added, to facilitate early development of dose-response and PK/PD statistical models, and to generate interim results to facilitate design and dosing decisions for the next trial.

Subject completion is defined as completion of all study phases including the follow-up phase.

  Eligibility

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

Inclusion Criteria:

  1. Age and weight: >/= 18 years of age and >/= 45 kg.
  2. Not routinely undergoing dialysis, regardless of the modality (either hemodialysis or peritoneal dialysis) or dialysis planned during the time the subject would be enrolled in the study.
  3. No current or prior rhEPO use within the past 7 weeks; e.g., epoetins (or their biosimilars), darbepoetin, Mircera (methoxy polyethylene glycol epoetin beta), peginesatide or their biosimilars..
  4. KDOQI CKD stages 3/4/5 defined by eGFR using the Modification of Diet for Renal Disease (MDRD).
  5. Hgb: Hgb concentrations 8.5-11.0 g/dL (inclusive) as outlined in Section 4.2.
  6. Vitamin B12: Above the lower limit of the reference range (may rescreen in 2 months).
  7. Folate: >/=2.0 ng/mL at Screening. May rescreen in a month.
  8. Ferritin: >/=40 ng/mL with the absence of microcytic or hypochromic RBCs.
  9. TSAT within the reference range.
  10. Iron replacement therapy: Stable maintenance dose of oral iron replacement therapy, if required, that will be maintained throughout the study. NOTE: IV iron replacement therapy is not allowed the two weeks prior to Screening through the end of the study (Week 6).
  11. QTc: QTcB <470 msec or QTcB <480 msec in subjects with bundle branch block obtained at Screening Visit, based on Central Reader's interpretation.
  12. Females: Eligible to participate if she is of childbearing potential, and must agree to use approved contraception methods from Screening until completion of the Follow-up Visit OR of non-childbearing potential defined as pre-menopausal females with a documented tubal ligation of hysterectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea [in questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH)>40 MIU/ml and estradiol <40 pg/ml is confirmatory]. Females on hormone replacement therapy (HRT) whose menopausal status is in doubt will be required to use one of the approved contraception methods if they wish to continue their HRT during the study. Otherwise they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrollment. For most types of HRT, at least 2 weeks will elapse between the cessation of therapy and the blood draw; this interval depends on the type and dosage of HRT. Following confirmation of their post-menopausal status, they can resume use of HRT during the study without use of a contraceptive method.
  13. Males: Must agree to use approved contraceptive methods from the time of Screening until completion of the Follow-up Visit.

Exclusion Criteria:

  1. Dialysis: Planning to initiate dialysis during the study or who have a high potential for initiating dialysis during study participation.
  2. Renal transplant: Renal transplant anticipated or scheduled within the study time period or subjects with a functioning renal transplant.
  3. Total CPK: >5x the upper limit of the reference range.
  4. HIV: Positive HIV antibody.
  5. History of myocardial infarction or acute coronary syndrome within the prior 6 months.
  6. History of stroke or TIAs.
  7. Heart failure: Class III/IV heart failure, as defined by the New York Heart Association (NYHA) functional classification system.
  8. Hypertension: Poorly controlled hypertension, whether due to inadequate treatment, or lack of treatment, defined as DBP >100 mmHg or SBP>160 mmHg.
  9. Thrombotic disease: History of thrombotic disease (e.g., venous thrombosis such as deep vein thrombosis or pulmonary embolism, or arterial thrombosis such as new onset or worsening limb ischemia requiring intervention), or other thrombosis related condition) within the prior 6 months.
  10. Pulmonary hypertension: Known pulmonary hypertension and those at higher risk (than normally associated with CKD) for pre-existing elevation in pulmonary pressure (e.g., significant heart failure or lung disease requiring supplemental oxygen, or those with connective tissue diseases).
  11. Inflammatory disease: Chronic inflammatory disease that could impact erythropoiesis (e.g., scleroderma, systemic lupus erythematosis, rheumatoid arthritis, celiac disease).
  12. Hematological disease: Any hematological disease including those affecting platelets, the coagulation disorders (e.g., Protein C or S deficiency) or red blood cells (e.g. sickle cell anemia, myelodysplastic syndromes, hematological malignancy, myeloma, hemolytic anemia) or any other cause of anemia other than renal disease.
  13. Liver disease: Current liver disease, known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones) or evidence at Screening of abnormal liver function tests [alkaline phosphatase, ALT or AST > 2.0 x upper limit of normal (ULN) or total bilirubin > 1.5 x ULN]; or other hepatic abnormalities that in the opinion of the investigator would preclude the subject from participation in the study.
  14. Major surgery: Within the prior 12 weeks or planned during the study.
  15. Transfusion: Blood transfusion within the prior 12 weeks or an anticipated need for blood transfusion during the study.
  16. Ulcer and Active GI Bleeding: Evidence of active peptic, duodenal, or esophageal ulcer disease or active GI bleeding within the prior 12 weeks.
  17. Acute infection: Clinical evidence of acute infection or history of infection requiring intravenous (IV) antibiotic therapy the eight weeks prior to Screening through Day 1 (randomization).
  18. Malignancy: History of malignancy within 5 years of Screening or are receiving treatment for cancer or those with a strong family history of cancer (e.g., familial cancer disorders), with the exception of squamous cell or basal cell carcinoma of the skin that has been definitively treated.
  19. Hyperparathyroidism: Clinically significant hyperparathyroidism in the opinion of the Investigator, including subjects with parathyroid hormone (PTH) values ≥600 pg/mL.
  20. Eyes: History of proliferative retinopathy requiring treatment within the prior 12 months, or macular edema requiring treatment.
  21. Severe reactions: History of severe allergic or anaphylactic reactions or hypersensitivity to excipients in the investigational product.
  22. Drugs and supplements: Use of any prescription or non-prescription drugs or dietary supplements that are prohibited from Screening until the Follow-up Visit.
  23. Androgens: New androgen therapy or changes to pre-existing androgen regimen within prior 12 weeks.
  24. Prior investigational product exposure: The subject has participated in a clinical trial and has received an experimental investigational product within prior 30 days.
  25. Protocol compliance: Unwillingness or inability to follow the procedures, or lifestyle and/or dietary restrictions outlined in the protocol.
  26. Other conditions: Any condition which in the investigators opinion should exclude the subject from participating in the study.
  27. Pregnancy and lactation: Pregnant females as determined by positive urine hCG test, OR women who are lactating at Screening or during the trial.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01587898

Contacts
Contact: US GSK Clinical Trials Call Center 877-379-3718 GSKClinicalSupportHD@gsk.com

  Show 33 Study Locations
Sponsors and Collaborators
GlaxoSmithKline
PPD
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT01587898     History of Changes
Other Study ID Numbers: 116581
Study First Received: April 19, 2012
Last Updated: October 11, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by GlaxoSmithKline:
Anemia
Prolyl hydroxylase inhibitor
Hemoglobin
Chronic kidney disease
pharmacokinetics
recombinant human erythropoietin
GSK1278863

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

ClinicalTrials.gov processed this record on October 17, 2012