CClinicalTrials.gg
CompletedNCT01121237MONITOR-CKD5Updated Apr 6, 2016

MONITOR-CKD5 - Multi-level Evaluation of Anaemia Treatment, Outcomes, and Determinants in Chronic Kidney Disease Stage 5

An observational study in Chronic Kidney Disease, End-stage Renal Disease and Anaemia, sponsored by Sandoz. Completed at 95 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-04-06.

Sponsored by Sandoz · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,086
Ages
18 Years and older
Sex
All
01

Study summary

MONITOR-CKD5 is an observational, pharmaco-epidemiological study to evaluate the multi-level factors and outcomes associated with the treatment of renal anaemia with biosimilar epoetin alfa in Stage 5 CKD patients requiring haemodialysis.

Read the detailed description

See the following publication:

Gesualdo, L., London, G., Turner, M., Lee, C., MacDonald, K., Covic, A., Zaoui, P., Combe, C., Dellana, F., Muenzberg, M., \& Abraham, I. (in press). A pharmacoepidemiological study of the multi-level determinants, predictors, and clinical outcomes of biosimilar epoetin alfa for renal anemia in hemodialysis patients: background and methodology of the MONITOR-CKD5 study. Internal and Emergency Medicine. (DOI 10.1007/511739-011-0622-7)

02

Conditions studied

  • Chronic Kidney Disease
  • End-stage Renal Disease
  • Anaemia

Keywords

  • chronic kidney disease
  • end-stage renal disease
  • renal anaemia
  • epoetin alfa
03

In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's enrollment of 2,086 is above the median of 192 across 1,033 observational studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

Sandoz is the lead sponsor of 136 studies on the registry; none are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 5 (50%) have results posted.

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

04

Who can participate

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

Study population

Patients with chronic kidney disease stage 5 with renal anemia and on haemodialysis

Inclusion criteria

  • Male or female adults (age > 18 years).
  • On chronic haemodialysis due to end-stage renal disease (CKD5) of original or grafted kidneys for any duration.
  • Diagnosed with renal anaemia; i.e., anaemia due to impaired production of endogenous erythropoietin secondary to kidney failure.
  • Treated with commercially available intravenous EPOETIN ALFA HEXAL® per physician's best clinical judgment and under consideration of available guidance and evidence.
  • Female patients must be either post-menopausal for one year or surgically sterile or using effective contraceptive methods such as barrier method with spermicide or an intra-uterine device. Oral contraceptive use is allowed.
  • Informed written consent to participate in the study by patients or their legal guardian.

Exclusion criteria

Exclusion Criteria:

  • Known sensitivity to EPOETIN ALFA HEXAL® or any other ESA.
  • Solid or hematological neoplasia being treated with chemotherapy.
  • Treatment with any myelosuppressant medications.
  • Blood transfusion dependency.
  • History of pure red cell aplasia.
  • Bleeding episode in 30 days prior to enrollment.
  • Orthopaedic surgery in 30 days prior to enrollment.
  • Patients with several medical condition(s) that in view of the investigator prohibits participation in the study.
  • Patients with willfully negligent nonadherence to their haemodialysis, medication, nutrition, and/or other recommended treatment regimens.
  • Use of any investigational agent in the 30 days prior to enrollment.
  • Women of childbearing potential not using the contraception method(s) described above.
  • Women who are breastfeeding.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,086 participants (actual)

Groups and cohorts

  • CKD5, renal anaemia, haemodialysis

    CKD5, renal anaemia, haemodialysis receiving recombinant human erythropoietin alfa (biosimilar)

    Drug: Recombinant human erythropoietin alfa (biosimilar)

Interventions

  • DrugRecombinant human erythropoietin alfa (biosimilar)

    Recombinant human erythropoietin alfa (biosimilar) commercially available as prescribed per treating physician

    Also known as: biosimilar epoetin alfa

06

What researchers measure

Primary outcomes

  1. Haemoglobin outcomes, including haemoglobin levels in g/dL, change in haemoglobin levels over time (in g/dL and %), number and proportion of patients with haematopoietic response, number and proportion of patients reaching target haemoglobin levels.

    Time frame: every month for 24 months

Secondary outcomes

  1. Number and proportion of participants with thrombovascular events, hospitalization,and mortality as measures of safety.

    Safety will be assessed every month for 24 months. In addition, any safety events reported by the patient or observed by clinicians in-between the monthly assessments will be recorded at the time of report or occurrence, and will be addressed at that time as necessary.

    Time frame: Every month for 24 months + as occurring between visits

07

Study locations

95 sites
  • Sandoz Investigational Site
    Bregenz, Austria
  • Sandoz Investigational Site
    Eisenstadt, Austria
  • Sandoz Investigational Site
    Feldkirch, Austria
  • Sandoz Investigational Site
    Nenzing, Austria
  • Sandoz Investigational Site
    Vienna, Austria
  • Sandoz Investigational Site
    Ajaccio, France
  • Sandoz Investigational Site
    Dourlers, France
  • Sandoz Investigational Site
    Fourmies Cedex, France
  • Sandoz Investigational Site
    Lille, France
  • Sandoz Investigational Site
    St. Quentin, France
  • Sandoz Investigational Site
    Alsfeld, Germany
  • Sandoz Investigational Site
    Arnstadt, Germany
  • Sandoz Investigational Site
    Bad Neustadt a. d. Saale, Germany
  • Sandoz Investigational Site
    Bassum, Germany
  • Sandoz Investigational Site
    Berlin, Germany
  • Sandoz Investigational Site
    Bochum, Germany
  • Sandoz Investigational Site
    Cloppenburg, Germany
  • Sandoz Investigational Site
    Cochem, Germany
  • Sandoz Investigational Site
    Darmstadt, Germany
  • Sandoz Investigational Site
    Dresden, Germany
  • Sandoz Investigational Site
    Duisburg, Germany
  • Sandoz Investigational Site
    Düsseldorf, Germany
  • Sandoz Investigational Site
    Erftstadt, Germany
  • Sandoz Investigational Site
    Georgsmarienhütte, Germany
  • Sandoz Investigational Site
    Greifswald, Germany
  • Sandoz Investigational Site
    Güstrow, Germany
  • Sandoz Investigational Site
    Herne, Germany
  • Sandoz Investigational Site
    Herzberg, Germany
  • Sandoz Investigational Site
    Hoyerswerda, Germany
  • Sandoz Investigational Site
    Höchstadt, Germany
  • Sandoz Investigational Site
    Kamen, Germany
  • Sandoz Investigational Site
    Kiel, Germany
  • Sandoz Investigational Site
    Magdeburg, Germany
  • Sandoz Investigational Site
    Mettmann, Germany
  • Sandoz Investigational Site
    Munich, Germany
  • Sandoz Investigational Site
    Nürnberg, Germany
  • Sandoz Investigational Site
    Osnabrück, Germany
  • Sandoz Investigational Site
    Pinneberg, Germany
  • Sandoz Investigational Site
    Quedlinburg, Germany
  • Sandoz Investigational Site
    Remagen, Germany
  • Sandoz Investigational Site
    Rendsburg, Germany
  • Sandoz Investigational Site
    Schrobenhausen, Germany
  • Sandoz Investigational Site
    Schwabach, Germany
  • Sandoz Investigational Site
    Seehausen, Germany
  • Sandoz Investigational Site
    Viersen, Germany
  • Sandoz Investigational Site
    Wetzlar, Germany
  • Sandoz Investigational Site
    Wilhelmshaven, Germany
  • Sandoz Investigational Site
    Acireale, Italy
  • Sandoz Investigational Site
    Altamura, Italy
  • Sandoz Investigational Site
    Arenzano, Italy
  • Sandoz Investigational Site
    Arezzo, Italy
  • Sandoz Investigational Site
    Biella, Italy
  • Sandoz Investigational Site
    Catania, Italy
  • Sandoz Investigational Site
    Chivasso, Italy
  • Sandoz Investigational Site
    Cinisello Balsamo, Italy
  • Sandoz Investigational Site
    Cirié, Italy
  • Sandoz Investigational Site
    Cosenza, Italy
  • Sandoz Investigational Site
    Cuneo, Italy
  • Sandoz Investigational Site
    Ivrea, Italy
  • Sandoz Investigational Site
    Montevarchi, Italy
  • Sandoz Investigational Site
    Pavia, Italy
  • Sandoz Investigational Site
    Pontecorvo, Italy
  • Sandoz Investigational Site
    Putignano, Italy
  • Sandoz Investigational Site
    Roma, Italy
  • Sandoz Investigational Site
    Torino, Italy
  • Sandoz Investigational Site
    Bialystok, Poland
  • Sandoz Investigational Site
    Ciechanów, Poland
  • Sandoz Investigational Site
    Gdańsk, Poland
  • Sandoz Investigational Site
    Lublin, Poland
  • Sandoz Investigational Site
    Poznań, Poland
  • Sandoz Investigational Site
    Rzeszów, Poland
  • Sandoz Investigational Site
    Wołomin, Poland
  • Sandoz Investigational Site
    Bistrita, Romania
  • Sandoz Investigational Site
    Braila, Romania
  • Sandoz Investigational Site
    Brasov, Romania
  • Sandoz Investigational Site
    Bucharest, Romania
  • Sandoz Investigational Site
    Miercurea Ciuc, Romania
  • Sandoz Investigational Site
    Odorheiu Secuiesc, Romania
  • Sandoz Investigational Site
    Resita, Romania
  • Sandoz Investigational Site
    Roman, Romania
  • Sandoz Investigational Site
    TG. Jiu, Romania
  • Sandoz Investigational Site
    Maribor, Slovenia
  • Sandoz Investigational Site
    San Pietro, Slovenia
  • Sandoz Investigational Site
    Avila, Spain
  • Sandoz Investigational Site
    León, Spain
  • Sandoz Investigational Site
    Sevilla, Spain
  • Sandoz Investigational Site
    Zamora, Spain
  • Sandoz Investigational Site
    Fribourg, Switzerland
  • Sandoz Investigational Site
    Lausanne, Switzerland
  • Sandoz Investigational Site
    Nyon, Switzerland
  • Sandoz Investigational Site
    Zürich, Switzerland
  • Sandoz Investigational Site
    Cambridge, United Kingdom
  • Sandoz Investigational Site
    Chester, United Kingdom
  • Sandoz Investigational Site
    Norwich, United Kingdom
  • Sandoz Investigational Site
    Plymouth, United Kingdom
08

References and documents

Publications

  • Combe C, Mann J, Goldsmith D, Dellanna F, Zaoui P, London G, Denhaerynck K, Krendyukov A, Abraham I, MacDonald K. Potential life-years gained over a 5-year period by correcting DOPPS-identified modifiable practices in haemodialysis: results from the European MONITOR-CKD5 study. BMC Nephrol. 2019 Mar 5;20(1):81. doi: 10.1186/s12882-019-1251-z. PubMed 30836953 ↗
  • Gesualdo L, London G, Turner M, Lee C, Macdonald K, Goldsmith D, Covic A, Zaoui P, Combe C, Mann J, Dellanna F, Muenzberg M, Abraham I. A pharmacoepidemiological study of the multi-level determinants, predictors, and clinical outcomes of biosimilar epoetin alfa for renal anaemia in haemodialysis patients: background and methodology of the MONITOR-CKD5 study. Intern Emerg Med. 2013 Aug;8(5):389-99. doi: 10.1007/s11739-011-0622-7. Epub 2011 May 18. PubMed 21590439 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01121237
Lead sponsor
Sandoz
Collaborators
Hexal AG
Responsible party
Sponsor
First posted
May 12, 2010
Start date
Feb 2010
Primary completion
Nov 2014
Completion
Nov 2014
Last update
Apr 6, 2016

Study contacts

HEXAL AG
study chair · Hexal AG

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2016. You cannot join it, but the record below documents what was studied.

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