Ferric Carboxymaltose (FCM) Assessment in Subjects With Iron Deficiency Anaemia and Non-dialysis-dependent Chronic Kidney Disease (NDD-CKD)

Last updated: May 9, 2014
Sponsor: Vifor (International) Inc.
Overall Status: Completed

Phase

3

Condition

Nephropathy

Kidney Failure

Kidney Disease

Treatment

N/A

Clinical Study ID

NCT00994318
FER-CKD-01
  • Ages > 18
  • All Genders

Study Summary

Phase IIIb study to evaluate the long-term efficacy of ferric carboxymaltose (FCM) (using targeted ferritin levels to determine dosing) or oral iron in non-dialysis-dependent chronic kidney disease (NDD-CKD) subjects with iron deficiency anaemia (IDA).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. At least 18 years of age.

  2. NDD-CKD subjects with an estimated glomerular filtration rate (eGFR) ≤60 mL/min/1.73m2 using modification of diet in renal disease 4 (MDRD-4) calculation.

  3. NDD-CKD subjects with an eGFR loss ≤12 mL/min/1.73 m2/year and a predicted eGFR of ≥15mL/min/1.73 m2 in 12 months.

  4. Any single Hb between 9 and 11 g/dL within 4 weeks of randomisation. A value taken aspart of routine medical care was used.

  5. Any single serum ferritin <100 mcg/L or <200 mcg/L with TSAT <20% within 4 weeks ofrandomisation. Measurements taken as part of routine medical care were used.

  6. ESA naïve; no exposure to ESA in last 4 months prior to randomisation.

  7. Females of childbearing potential must have had a negative pregnancy test, using anymedically acceptable assessment, prior to randomisation.

  8. Before any study specific procedure, the appropriate written informed consent musthave been obtained.

Exclusion

Exclusion Criteria:

  1. History of acquired iron overload.

  2. Known hypersensitivity reaction to any component of ferrous sulphate or FCM. Subjectswith hypersensitivity to other forms of iron were permitted to participate.

  3. Documented history of discontinuing oral iron products due to significantgastrointestinal (GI) distress.

  4. Screening TSAT >40%.

  5. Known active infection, C-reactive protein >20 mg/L, clinically significant overtbleeding, active malignancy (i.e., clinical evidence of current malignancy or not instable remission for at least 5 years since completion of last treatment withexception of basal cell or squamous cell carcinoma of the skin, and cervicalintraepithelial neoplasia).

  6. History of chronic alcohol abuse (alcohol consumption >40 g/day).

  7. Chronic liver disease and/or screening alanine transaminase or aspartate transaminaseabove 3 times the upper limit of the normal range.

  8. Active human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome or activehepatitis B or C virus infection.

  9. Anaemia due to reasons other than iron deficiency (e.g., haemoglobinopathy). Subjectswith treated Vitamin B12 or folic acid deficiency were permitted.

  10. IV iron and/or blood transfusion in previous 30 days prior to screening (or during thescreening period).

  11. Oral iron therapy at doses >100 mg/day dosing must have been discontinued at least 1week prior to randomisation. If subject had received this therapy for >3 months (atdoses >100 mg/day) then subject was not eligible. Ongoing use of multivitaminscontaining iron was permitted.

  12. Immunosuppressive therapy that may have led to anaemia (e.g., cyclophosphamide,azathioprine, or mycophenolate mofetil). Steroid therapy was permitted.

  13. Currently requiring renal dialysis.

  14. Anticipated dialysis or transplant during the study.

  15. Anticipated need for surgery that may have resulted in significant bleeding (>100 mL).

  16. Currently suffering from chronic heart failure New York Heart Association Class IV.

  17. Poorly controlled hypertension (>160 mmHg systolic pressure or >100 mmHg diastolicpressure).

  18. Acute coronary syndrome or stroke within the 3 months prior to screening.

  19. Currently suffering from concomitant, severe psychiatric disorders or other conditionswhich, in the opinion of the Investigator, would have made participation unacceptable.

  20. Subject was not using adequate contraceptive precautions.

  21. Subject of childbearing potential was evidently pregnant (e.g., positive humanchorionic gonadotropin test) or was breast feeding.

  22. Body weight <35 kg.

  23. Subject currently was enrolled in or had not yet completed at least 30 days sinceending other investigational device or drug studies, or subject was receiving otherinvestigational agent(s).

  24. Subject would not be available for follow-up assessment.

  25. Subject had any kind of disorder that compromised the ability of the subject to givewritten informed consent and/or to comply with study procedures.

Study Design

Total Participants: 626
Study Start date:
December 01, 2009
Estimated Completion Date:
February 28, 2014

Study Description

After an initial screening period of up to 4 weeks, eligible subjects were randomised (1:1:2) to 1 of the following 3 treatment arms for a period of 52 weeks.

  1. FCM regimen (maximum single intravenous doses of 1,000 mg of iron) targeting a ferritin level of 400-600 mcg/L.

  2. FCM regimen (maximum single intravenous doses of 200 mg of iron) targeting a ferritin level of 100-200 mcg/L.

  3. Daily oral iron with 200 mg iron/day (100 mg twice daily)

Connect with a study center

  • Gosford Hospital - Renal Research

    Gosford, 2250
    Australia

    Site Not Available

  • Medizinische Universität Innsbruck Univ.-Klinik für Innere Medizin IV

    Innsbruck, 6020
    Austria

    Site Not Available

  • Medizinische Universität Wien - Universitäts Klinik für Innere Medizin III

    Wien, 1090
    Austria

    Site Not Available

  • University Hospital Gent - Dept. of Medicine, Nefrologie

    Gent, East Flanders 9000
    Belgium

    Site Not Available

  • RHMS Baudour - Department of Nephrology and Dialysis

    Baudour, 7331
    Belgium

    Site Not Available

  • Nemocnice s poliklinikou v Novem Jicine, p.o. p.o. Interni oddeleni - nefrologie a dialyza

    Novy Jicin, 74101
    Czech Republic

    Site Not Available

  • Institut klinicke a experimentalni mediciny (IKEM) - Klinika nefrologie

    Praha, 140 21
    Czech Republic

    Site Not Available

  • Rigshospitalet University Hospital - Department of Nephrology

    Copenhagen, 2100
    Denmark

    Site Not Available

  • Lillebalt Frederica Sygehus Department of Nephrology

    Frederica, 7000
    Denmark

    Site Not Available

  • Hôpital Lapeyronie

    Montpellier, Languedoc-Roussillon region 34295
    France

    Site Not Available

  • CHU grenoble - Service de Nephrologie

    Grenoble Cedex, 38043
    France

    Site Not Available

  • Universitätsklinikum Würzburg - Medizinische Klinik und Poliklinik I ,

    Würzburg, Bavaria 97080
    Germany

    Site Not Available

  • Universitätsklinikum Würzburg - Medizinische Klinik und Poliklinik I ,

    Würzburg, Bavaria 97080
    Germany

    Site Not Available

  • Praxis Dr. Kraatz

    Demmin, 17109
    Germany

    Site Not Available

  • General Hospital of Thessaloniki - Department of Nephrology

    Thessaloniki, Macedonia 564 29
    Greece

    Site Not Available

  • General Hospital of Arta - Nephrology Department

    Arta, 47100
    Greece

    Site Not Available

  • Azienda Ospedaliera Provinciale Di Lecco Ospedale

    Lecco, Lombardy 23900
    Italy

    Site Not Available

  • Ospedali Riuniti Anzio-Nettuno ASL ROMA H U.O. Nefrologia e Dialisi

    Anzio, 00042
    Italy

    Site Not Available

  • Meander Medisch Centrum - Locatie Amersfoort Lichtenberg

    Amersfoort, 3816 CP
    Netherlands

    Site Not Available

  • St. Olav's Hospital

    Trondheim, 7006
    Norway

    Site Not Available

  • Uniwersyteckie Centrum Kliniczne - Katedra i Klinika Nefrologii, Transplantologii i Chorob Wewnetrznych

    Gdansk, Tricity 80-952
    Poland

    Site Not Available

  • Miedzyleski Szpital Spec. Oddzial I Wewnetrzny I Nefrologii

    Warszawa, 04-749
    Poland

    Site Not Available

  • Eurodial clinic - Rua da Carrasqueira

    Leiria, Leiria district 2400-441
    Portugal

    Site Not Available

  • Hospital Santa Maria - Nefrologia

    Lisboa, 1649-035
    Portugal

    Site Not Available

  • Spitalul Clinic Judetean de Urgenta Craiova

    Craiova, Dolj County 200642
    Romania

    Site Not Available

  • Spitalul Clinic de Nefrologie"Dr Carol Davila"

    Bucuresti, 010731
    Romania

    Site Not Available

  • Hospital Universitario Marqués de Valdecilla - Servicio de Nefrología

    Santander, 39008
    Spain

    Site Not Available

  • Karolinska University Hospital

    Stockholm, 141
    Sweden

    Site Not Available

  • Kantonsspital Aarau - Nephrology Department

    Aarau, Aargau 5001
    Switzerland

    Site Not Available

  • Cukurova University Medical Faculty Balcali Hospital - Department of Nephrology

    Adana, 01330
    Turkey

    Site Not Available

  • Ankara University - School of Medicine

    Ankara, 06100
    Turkey

    Site Not Available

  • King's College Hospital

    London, SE5 9RS
    United Kingdom

    Site Not Available

  • New York Hospital Queens

    New York, New York 11355
    United States

    Site Not Available

  • Trial Management Associates

    Wilmington, North Carolina 28401
    United States

    Site Not Available

  • Salem VA Medical Center

    Salem, Virginia 24153
    United States

    Site Not Available

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