Status:

TERMINATED

REPEAT Study - Resistance to ErythroPoietin Effectiveness Algorithm Trial

Lead Sponsor:

Queen's University

Collaborating Sponsors:

Ortho Biotech, Inc.

Conditions:

Kidney Failure, Chronic

Drug Resistance

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

A strategy for optimizing erythropoietin therapy in patients with erythropoietin resistance. A multi-centered, open-label, randomized, controlled trial.

Detailed Description

Study Rationale Many treatable causes of erythropoietin resistance (also known as erythropoietin hypo-responsiveness) exist in patients with chronic kidney disease (CKD) stages 3 to 5 . Well recogniz...

Eligibility Criteria

Inclusion

  • written informed consent
  • Adult patients \> 18 years old with current Epoetin Alpha dose \>250 units/kg/wk
  • Hemoglobin \>90g/L or \<130g/L
  • Patients whom a temporary fall in Hb of up to 10g/L is deemed safe
  • Patients not expected to have a change in the type of Epo or route of Epo therapy for the duration of the Study period

Exclusion

  • Known iron deficiency (% saturation \<20 or ferritin \<100)
  • Vit B12 or folate deficiency (levels below normal limit for centre lab)
  • Known malignancy (solid organ, leukemia or multiple myeloma)
  • Jehovah's witness patients/those who refuse transfusion
  • Expected to die in the next 6 months
  • On dialysis less than 3 months
  • Temporary (not tunneled) dialysis access catheter
  • Pure red cell aplasia
  • High likelihood of early withdrawal or interruption of the study (eg. severe or unstable coronary artery disease, stroke, severe liver disease within the 12 weeks before screening)
  • Planned major elective surgery during the study period
  • Pregnancy or breast-feeding
  • Women of child-bearing potential without effective contraception (abstinence, oral contraceptives, diaphragm, IUD)
  • Administration of another investigational drug within 4 weeks before screening or planned during study period

Key Trial Info

Start Date :

October 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2009

Estimated Enrollment :

6 Patients enrolled

Trial Details

Trial ID

NCT00319150

Start Date

October 1 2006

End Date

February 1 2009

Last Update

February 12 2009

Active Locations (7)

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Page 1 of 2 (7 locations)

1

Foothills Hospital

Calgary, Alberta, Canada

2

St. Paul's Hospital

Vancouver, British Columbia, Canada

3

Memorial University Medical Centre

St. John's, Newfoundland and Labrador, Canada

4

Kingston General Hospital

Kingston, Ontario, Canada