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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02055482
Registration number
NCT02055482
Ethics application status
Date submitted
4/02/2014
Date registered
5/02/2014
Date last updated
22/11/2017
Titles & IDs
Public title
Long-term Pre-dialysis Extension in Europe and Asia Pacific
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Scientific title
A Controlled, Parallel Group, Open-label, Multicenter Extension Study to Investigate Efficacy and Safety of Oral BAY85-3934 and Darbepoetin Alfa Comparator in the Long Term Treatment of Anemia in Pre-dialysis Subjects With Chronic Kidney Disease in Europe and Asia Pacific
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Secondary ID [1]
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2013-001190-24
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Secondary ID [2]
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15653
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Universal Trial Number (UTN)
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Trial acronym
DIALOGUE 3
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Anemia
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Renal Insufficiency, Chronic
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Condition category
Condition code
Renal and Urogenital
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Kidney disease
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Renal and Urogenital
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Other renal and urogenital disorders
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Blood
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0
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Anaemia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Molidustat (BAY85-3934)
Treatment: Other - Darbepoetin
Experimental: BAY85-3934 -
Active comparator: Darbepoetin -
Treatment: Drugs: Molidustat (BAY85-3934)
BAY85-3934 will be titrated at the scheduled dose control visits to maintain the Hb in the target range of 10.0 to 12.0 g/dL. Available doses include 15, 25, 50, 75, 100, and 150 mg/day OD. Treatment will be for minimum of 6 months to up to a maximum of 36 months.
Treatment: Other: Darbepoetin
Darbepoetin will be administered according to the local label and titrated at the scheduled dose by intravenous injection. Treatment will be for a minimum of 6 months to up to a maximum of 36 months.
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change in local laboratory hemoglobin level from baseline
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Assessment method [1]
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Timepoint [1]
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Baseline up to 36 months
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Primary outcome [2]
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Number of participants with serious adverse events (SAEs) and adjucated adverse events as a measure of safety and tolerability
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Assessment method [2]
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Timepoint [2]
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Up to 36 months
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Primary outcome [3]
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Number of participants with liver function-related AEs including abnormal liver function tests and any hospitalization
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Assessment method [3]
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Timepoint [3]
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Up to 36 months
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Secondary outcome [1]
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Time within hemoglobin target range (10.0 to 12.0 g/dL)
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Assessment method [1]
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Timepoint [1]
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Up to 36 months
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Secondary outcome [2]
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Duration of treatment exposure
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Assessment method [2]
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Timepoint [2]
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Up to 36 months
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Secondary outcome [3]
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Number of subjects requiring titration of dose
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Assessment method [3]
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Timepoint [3]
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Up to 36 months
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Secondary outcome [4]
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Change of reticulocyte count from baseline of this study
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Assessment method [4]
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Timepoint [4]
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Baseline up to 36 months
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Secondary outcome [5]
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Change of red blood cell count from baseline of this study
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Assessment method [5]
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Timepoint [5]
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Baseline up to 36 months
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Secondary outcome [6]
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Change of hematocrit from baseline of this study
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Assessment method [6]
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Timepoint [6]
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Baseline up to 36 months
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Secondary outcome [7]
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Change of central laboratory hemoglobin level from baseline of this study
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Assessment method [7]
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Timepoint [7]
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Baseline up to 36 months
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Secondary outcome [8]
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Responders in Hb levels
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Assessment method [8]
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Timepoint [8]
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Up to 36 months
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Secondary outcome [9]
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Number of subjects meeting specific Hb criteria
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Assessment method [9]
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Timepoint [9]
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Baseline up to 36 months
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Secondary outcome [10]
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Number of subjects with Hb values >13 g/dL or having excessive Hb increase
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Assessment method [10]
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Timepoint [10]
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Baseline up to 36 months
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Secondary outcome [11]
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Number of participants with non-serious adverse events
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Assessment method [11]
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Timepoint [11]
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Up to 36 months
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Secondary outcome [12]
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Change in heart rate (HR)
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Assessment method [12]
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Timepoint [12]
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Up to 36 months
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Secondary outcome [13]
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Change in blood pressure (BP)
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Assessment method [13]
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Timepoint [13]
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Up to 36 months
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Secondary outcome [14]
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Laboratory abnormalities
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Assessment method [14]
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Timepoint [14]
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Up to 36 months
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Eligibility
Key inclusion criteria
* Men who agree to use adequate contraception when sexually active or women without childbearing potential
* Not on dialysis at study entry
* Serum ferritin levels = 100 µg/L and < 1000 µg/L or transferrin saturation = 20%
* Inclusion criteria for inclusion into the Hb Stabilization (HbS) Phase: Requires Hb stabilization (at 10.0 to 12..0g/dL for a minimum of 4 weeks) as follows: Received BAY 85-3934 and reached a stopping event in Study 15141 or received placebo and reached a stopping event in Study 15141 or completed 16 weeks of treatment with BAY 85-3934 in Study 15141or 15261 but had mean Hb during the evaluation period outside the target range of 10.0 to 12.0 g/dL, or Completed 16 weeks of treatment with placebo in Study 15141 and was re-assessed at 4 weeks after end of study as eligible for Study 15653 (this study)
* Inclusion criteria for inclusion into the Main Phase: Mean Hb concentration of 10.0 to 12.0 g/dL who completed 16 weeks of treatment (BAY85-3934 arm) in Study 15141, or completed 16 weeks of treatment (BAY-3934 or darbepoetin arm)in study 15261 without a dose suspension lasting > 6 consecutive weeks, or mean Hb concentration of 10.0 to 12.0g/dL during the HbS phase of Study 15653 for a minimum of 4 weeks after visit 3.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* A scheduled kidney transplant or any other organ transplant within the next 6 months (being on a waiting list does not exclude the subject)
* Red blood cell (RBC) containing transfusion within the 8 weeks before baseline
* Phosphodiesterase type 5 (PDE5) inhibitor (e.g., sildenafil, vardenafil, tadalafil) or nitrates
* Sustained, poorly controlled arterial hypertension or hypotension at baseline, defined as blood pressure = 180/110 mmHg or systolic blood pressure < 95 mmHg, respectively
* Severe rhythm or conduction disorders (e.g., heart rate [HR] < 50 or > 110 bpm, atrial flutter, prolonged QT > 500 msec, second or third degree atrioventricular [AV] block), if not reacted with a pace marker)
* New York Heart Association Class III or IV congestive heart failure
* Severe hepatic insufficiency (defined as alanine aminotransferase [ALT], aspartate aminotransferase [AST]>3x the upper limit of normal [ULN], total bilirubin > 2 mg/dL, or Child Pugh B or C) or active hepatitis, in the investigator's opinion
* An ongoing serious adverse event (SAE) from Study 15141 or Study 15261 that is assessed as related to study drug
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/06/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
12/12/2016
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Sample size
Target
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Accrual to date
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Final
166
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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- Gosford
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Recruitment hospital [2]
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- Melbourne
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Recruitment hospital [3]
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- Reservoir
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Recruitment postcode(s) [1]
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2250 - Gosford
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Recruitment postcode(s) [2]
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3052 - Melbourne
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Recruitment postcode(s) [3]
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3073 - Reservoir
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Recruitment outside Australia
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Bulgaria
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Burgas
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Bulgaria
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Dobrich
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Bulgaria
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Gabrovo
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Bulgaria
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Karlovo
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Bulgaria
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Lovech
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Bulgaria
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Montana
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Bulgaria
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Pazardjik
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Bulgaria
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Sofia
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Bulgaria
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Stara Zagora
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Bulgaria
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State/province [10]
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Veliko Tarnovo
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France
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Brest Cedex
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France
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Grenoble Cedex 9
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France
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Limoges Cedex1
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France
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Pierre Benite Cedex
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France
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Valenciennes
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Germany
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Baden-Württemberg
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Germany
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Nordrhein-Westfalen
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Germany
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Sachsen-Anhalt
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Germany
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Berlin
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Germany
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Wuppertal
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Hungary
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Baja
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Hungary
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Budapest
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Hungary
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Debrecen
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Hungary
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Esztergom
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Hungary
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Kaposvar
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Hungary
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Pecs
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Hungary
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Szigetvar
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Israel
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Ashkelon
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Israel
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Hadera
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Israel
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Jerusalem
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Israel
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Kfar Saba
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Israel
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Nahariya
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Italy
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Abruzzo
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Italy
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Campania
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Italy
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Fukuoka
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Hokkaido
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Japan
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Japan
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Iwate
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Mie
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Japan
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Chiba
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Japan
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Nagano
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Japan
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Nara
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Korea, Republic of
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Gyeonggido
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Korea, Republic of
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Seoul
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Poland
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Bialystok
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Radom
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Szczecin
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Zyrardow
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Romania
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Brasov
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Romania
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Romania
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Constanta
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Romania
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Oradea
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Romania
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Targu-Mures
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Spain
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A Coruña
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Spain
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Barcelona
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Spain
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Madrid
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Spain
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Alicante
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Spain
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Córdoba
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Turkey
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Ankara
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Turkey
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Izmir
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Berkshire
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United Kingdom
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Cambridgeshire
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United Kingdom
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Dundee City
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United Kingdom
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East Sussex
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United Kingdom
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Manchester
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Northumberland
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United Kingdom
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West Yorkshire
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United Kingdom
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Chorley
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Glasgow
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Liverpool
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bayer
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Anaemia is a condition in which blood has a lower than normal number of red blood cells. It can also occur if red blood cells do not contain enough haemoglobin, an oxygen carrying part of blood. Anaemia is common in patients with chronic kidney disease. Healthy kidneys produce a hormone called erythropoietin, which stimulates the bone marrow to produce the proper number of red blood cells needed to carry oxygen to vital organs. Chronic kidney disease is a general term that means that the kidneys are not functioning to their full potential. The study drug, BAY85-3934, is being evaluated as a drug to increase the body's ability to produce erythropoietin. The purpose of this extension study is to find out if the study drug, a tablet taken orally, is safe and effective for the treatment of anaemia associated with chronic kidney disease. The extension study will enroll up to 240 patients at multiple locations in Europe, Asia and Australia. Patients who participated in Studies 15141 or 15261 may be eligible to take part in the extension study. The study consists of the Haemoglobin (Hb) Stabilisation Phase and the Main Phase. The Hb Stabilisation Phase involves up to 10 study visits scheduled over 16 weeks. The Main Phase will last for at least 6 months and up to a maximum of 36 months, with visits every 4 weeks. During these scheduled visits patients will undergo a number of procedures to confirm efficacy and safety of the study drug, including measurement of heart rate and blood pressure, physical examination, Electrocardiogram and blood/urine sample collection for laboratory tests. The study will be conducted at 5 hospitals in the UK. Bayer HealthCare AG is funding this research. This study will include subjects who either completed the treatment period in their respective Phase 2 parent study (i.e., Study 15141 or Study 15261) or experienced a stopping event in the fixed dose parent study (Study 15141). As Study 15141 is a double-blind study, subjects will be unblinded as per the Study 15141 protocol prior to entry into the extension study.
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Trial website
https://clinicaltrials.gov/study/NCT02055482
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Bayer Study Director
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Address
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Bayer
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02055482
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