ClinicalTrials.gg
TerminatedNCT00312871Updated May 17, 2011

Effects of Early Correction of Anemia in Patients With Chronic Renal Insufficiency

A Phase 4 interventional study of Epoetin alfa in Anemia and Renal Failure, Chronic Renal Failure, sponsored by Janssen Cilag S.A.S.. Terminated. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2011-05-17.

Sponsored by Janssen Cilag S.A.S. (part of Johnson & Johnson) · Phase 4, Interventional, and Treatment

Why this study was terminated
Study was stopped due to restrictions in labeling for the subcutaneous route of administration of EPREX.

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Phase
Phase 4
Study type
Interventional
Enrollment
217
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 126 studies testing Epoetin Alfa in Anemia — 2 open to participants now, 3 under way, 2 of them phase 3. Epoetin Alfa · Anemia.

Enrollment
29th of 112
217 · median 71
Started
2001
with 3 others
Phase 4
20 of 126
none open now
Registered
71st of 126
by date

Among the 126 studies testing Epoetin Alfa in Anemia, this one is the 29th largest by enrollment of the 112 interventional ones that give a count, is one of 4 that started in 2001, is one of 20 in phase 4, and was the 71st registered.

Anemia

1,810 studies on the registry are indexed under Anemia; 215 are open to participants now.

Browse Anemia studies →

Open to participants now

2 of the 126 studies testing Epoetin Alfa in Anemia are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About Epoetin Alfa

Epoetin Alfa: first FDA approval 1989 (EPOGEN/PROCRIT), first EMA approval 1997. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 122 Anemia studies recruiting now, 67 (55%) set no upper age limit and 37 (30%) stop at 75 or younger; 34 take children under 18; 23 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

The purpose of the study is to assess the effect of an early and complete correction of anemia after treatment with epoetin alfa on the rate of progression of chronic renal failure (which involves improper functioning of the kidneys). It also assesses the effect of hemoglobin normalization (correction of anemia) on the need for renal (kidney) replacement therapy, quality of life, blood pressure control, hospital admissions, mortality, cardiovascular events, nutritional status and safety.

Read the detailed description

Epoetin alfa can increase hemoglobin levels in chronic renal failure patients (patients with persistent kidney dysfunction) resulting in minimal transfusion requirements and improved kidney function capacity. This study is a randomized (patients randomly divided into groups), multicenter, open-label (study drug is known to the patients) clinical trial to assess the effect of normalization of hemoglobin (defined as a hemoglobin level of 13-14 g/dL in women and 14-15 g/dL in men) on the rate of progression of chronic renal failure (persistent kidney dysfunction). The study duration is 40 months. The study is in two phases (Phase A = stabilization, Phase B = maintenance) with two patient groups (Group 1, Group 2) per phase. In Phase A (lasting 4 months) for patients in Group 1, hemoglobin is progressively increased to a target level. Phase A can be extended up to 6 months for Group 1 patients in whom the target hemoglobin (13-14 g/dL in women, 14-15 g/dL in men) is not reached. Patients in Group 2, hemoglobin is progressively increased up to 12 g/dL with epoetin alfa if it drops below 11 g/dL. For all patients in Phase A, Iron and vitamin deficiencies will also be corrected, and factors known to affect progression of renal failure (kidney dysfunction) will be optimized. In Phase B (lasting 36 months), effectiveness of anemia correction by epoetin alfa will be compared against non-correction (continued anemia) with regard to changes in kidney function. During this phase, patients will be maintained at the higher (Group 1) or lower (Group 2) target hemoglobin level. Safety data (including cardiovascular events, seizures, and hypertension) will be collected and monitored throughout the study. The hypothesis of the study is that correction of anemia may slow down kidney deterioration and progression of kidney failure to end-stage kidney disease that is caused by anemia-induced hypoxia, a state of oxygen deficiency in the kidney. Another hypothesis of the study is that genetic mutations (changes in the genes) may play a role in the progression of chronic renal failure. For those patients wishing to participate in this aspect of the study, blood samples will be collected for genomic DNA analysis and the results will be compiled to determine which genes are generally associated in the study population with kidney deterioration. Patients will receive epoetin alfa injections (25 to 100 IU/kg) under the skin 1 time per week. Dosage may be increased by 25 IU/kg increments to reach or maintain target hemoglobin, then dose maintained for study duration, as long as hemoglobin stays within range.

03

Conditions studied

  • Anemia
  • Renal Failure, Chronic Renal Failure

Keywords

  • Chronic renal failure
  • Anemia
  • Renal replacement therapy
  • Epoetin
  • Epoetin alfa
  • erythropoietin
  • Chronic kidney failure
  • end-stage renal disease
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with a history of chronic renal failure, and at least a 6-month follow-up with at least 3 measurements of serum creatinine
  • patients with a rate of decline in (GFR--a measure of kidney function) below 0.6 mL/min/month
  • patients with a level \<13 g/dL for men and \<12.5 g/dL for women without active blood loss or iron deficiency
  • patients with a glomerular filtration rate (a measure of kidney function) between 25 and 60 mL/min/1.73m2)
  • patients with blood pressure \<=160/100 mm Hg (with or without antihypertensive therapy)

Exclusion criteria

Exclusion Criteria:

  • Patients with chronic renal failure (kidney dysfunction) associated with inherited polycystic kidney disease
  • patients currently receiving treatment with epoetin for anemia secondary to chronic renal failure, and having a level >11 g/dL
  • patients receiving epoetin but having a hemoglobin level below 11 g/dL will not be excluded
  • patients with severe hypertension (blood pressure >= 180/110 mm Hg) within 3 months prior to study entry
  • patients with a history of (NYHA) class III or IV congestive heart failure within the preceding two years - NYHA class I and II congestive heart failure is accepted
  • patients with a history of ischemic heart disease (deficient blood supply to the heart due to constricted or obstructed arteries)
  • concurrent
  • patients who have had a transfusion of red blood cells within 30 days prior to study
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
217 participants (actual)

Interventions

06

What researchers measure

Primary outcomes

  1. Rate of progression of chronic renal failure over 36 months as measured by at least 2 glomerular filtration rate assessments.

Secondary outcomes

  1. Need for renal replacement therapy; quality of life; blood pressure control; hospital admissions; mortality; cardiovascular events; nutritional status.

07

Study locations

No study locations are listed for this record.

08

References and documents

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Feb 2001 and a completion of Jun 2003. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 7, 2006
First posted
Apr 11, 2006
Start
Feb 2001
CompletionActual
Jun 2003
Last update
May 17, 2011
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 17, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00312871
First posted
Apr 11, 2006
Start date
Feb 2001
Completion
Jun 2003
Last update
May 17, 2011

Study contacts

Janssen-Cilag S.A.S. Clinical Trial
study director · Janssen Cilag S.A.S.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Apr 2010. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Epoetin Alfa

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