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CompletedNCT00264108Updated May 7, 2014

Cost-effectiveness Study of Epoetin Alfa and Darbepoetin Alfa in Adult Patients With Cancer Who Have Anemia

An observational study in Anemia and Neoplasms, sponsored by Janssen-Cilag B.V.. Completed at 20 sites in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-05-07.

Sponsored by Janssen-Cilag B.V. · Observational

Study type
Observational
Time perspective
Prospective
Enrollment
492
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the cost-effectiveness of epoetin alfa compared with darbepoetin alfa in the treatment of anemia in adults receiving chemotherapy for cancer. Epoetin alfa and darbepoetin alfa are genetically engineered proteins that stimulate red blood cell production.

Read the detailed description

Anemia has been identified as a common complication and a widespread problem in the cancer population. Anemia is a condition in which a patient has below normal levels of hemoglobin, the substance in red blood cells that carries oxygen to all parts of the body. People with severe anemia may experience fatigue and shortness of breath with activity. Therefore, this condition can have a negative influence on a person's quality of life. Epoetin alfa and darbepoetin alfa, used to treat anemia in cancer patients, are genetically engineered proteins that stimulate red blood cell production. This study investigates treatment of anemia using either epoetin alfa or darbepoetin alfa during chemotherapy in adult patients with cancer. The study is intended to collect information on normal medical practice and routine anemia management performed at the participating centers. This is an observational, non-randomized, prospective, comparative, parallel-group survey performed in The Netherlands. Patients with various severities of disease may enter the survey as soon as either their epoetin alfa or their darbepoetin alfa treatment starts and will be followed until the end of their epoetin alfa/darbepoetin alfa treatment. Patient data are collected, on average, once monthly (depending on the treatment being received) and this continues until 4 weeks after the end of treatment with epoetin alfa or darbepoetin alfa. An assessment of cost-effectiveness will be made for both treatments. The assessment of cost-effectiveness will be based on the following: cancer type and status, chemotherapy and other anti-cancer treatment, hemoglobin levels, use of either epoetin alfa or darbepoetin alfa, use of blood transfusions, and serum iron levels and iron supplementation. Safety evaluations include the incidence of serious and non-serious adverse events. Because the study involves only collection of information, no treatment will be required by the Sponsor and no medication will be supplied by the Sponsor. Epoetin alpha and darbepoetin alpha are administered according to routine clinical practice.

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Conditions studied

  • Anemia
  • Neoplasms

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Keywords

  • Antineoplastic agents
  • Chemotherapy
  • Cost-effectiveness
  • Epoetin alfa
  • Darbepoetin alfa
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In context

Anemia

1,733 studies on the registry are indexed under Anemia; 246 are open to participants now.

This study's enrollment of 492 is above the median of 200 across 326 observational studies indexed under Anemia.

Browse Anemia studies →

Lead sponsor

Janssen-Cilag B.V. is the lead sponsor of 9 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Cancer patients receiving epoetin- or darbepoetin alfa as anemia treatment during chemotherapy, as part of the common practice of participating physicians. Patients may enter the study as soon as either their epoetin alfa or their darbepoetin alfa treatment starts.

Inclusion criteria

  • Patients with a diagnosis of solid tumors, multiple myeloma (Kahlers' disease), non-Hodgkin lymphoma or Hodgkins' disease
  • Patients must already be receiving chemotherapy or start their first cycle within a week of enrollment
  • Patients must receive either epoetin alfa or darbepoetin alfa treatment (expected treatment duration is at least 4 weeks)

Exclusion criteria

Exclusion Criteria:

  • Patients not meeting all of the inclusion criteria for entry into the study
  • Patients who cannot read the Dutch language and/or do not understand the Dutch Informed Consent Form
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Study design

Time perspective
Prospective
Enrollment
492 participants (actual)
Patient registry
No

Groups and cohorts

  • 1

    Epoetin alfa 40 000 IU once weekly variable treatment length.

    Drug: Epoetin alfa

  • 2

    Darbepoetin alfa Either 150 ug once weekly or 500 ug once every 3 wks variable treatment length.

    Drug: Darbepoetin alfa

Interventions

  • DrugDarbepoetin alfa

    Either 150 ug once weekly or 500 ug once every 3 wks, variable treatment length.

  • DrugEpoetin alfa

    40,000 IU once weekly, variable treatment length.

06

What researchers measure

Primary outcomes

  1. Cost-effectiveness based on: cancer type and status, chemotherapy and other anti-cancer treatment, hemoglobin levels, use of either epoetin alfa or darbepoetin alfa, use of blood transfusions, serum iron levels and iron supplementation.

    Time frame: 4 weeks, 8 weeks and end of treatment

Secondary outcomes

  1. Safety evaluations including the incidence of serious and non-serious adverse events.

    Time frame: from start of (Darb)epoetin treatment to end of study.

07

Study locations

20 sites
  • 'S-Hertogenbosch, Netherlands
  • Amstelveen, Netherlands
  • Amsterdam, Netherlands
  • Bergen Op Zoom, Netherlands
  • Den Helder, Netherlands
  • Dirksland, Netherlands
  • Ede Gld, Netherlands
  • Eindhoven, Netherlands
  • Goes, Netherlands
  • Gorinchem, Netherlands
  • Helmond, Netherlands
  • Hoofddorp, Netherlands
  • Meppel, Netherlands
  • Purmerend, Netherlands
  • Rotterdam, Netherlands
  • Spijkenisse, Netherlands
  • Tilburg, Netherlands
  • Utrecht, Netherlands
  • Winterswijk, Netherlands
  • Zeist, Netherlands
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 7, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00264108
Lead sponsor
Janssen-Cilag B.V.
Responsible party
Sponsor
First posted
Dec 12, 2005
Start date
Jun 2005
Primary completion
Feb 2011
Completion
Feb 2011
Last update
May 7, 2014

Study contacts

Janssen-Cilag B.V. Clinical Trial
study director · Janssen-Cilag B.V.
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2014. You cannot join it, but the record below documents what was studied.

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