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CompletedNCT01576341SENSEUpdated Jun 19, 2017Results posted

HX575 Epoetin Alfa Subcutaneously (s.c.) in Chronic Kidney Disease (CKD)

A Phase 3 interventional study of HX575 epoetin alfa (Sandoz) in Chronic Kidney Disease, sponsored by Sandoz. Completed at 50 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-06-19.

Sponsored by Sandoz · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
417
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The study will assess the immunogenicity, safety, and efficacy of HX575 epoetin alfa administered subcutaneously (s.c.) in patients suffering from anemia due to chronic kidney disease (CKD)

02

Conditions studied

  • Chronic Kidney Disease

Keywords

  • Epoetin alfa, ESA, HX575, CKD
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 417 is above the median of 70 across 2,640 interventional 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

Eligibility criteria

Main Inclusion Criteria:

  • Adult male and female patients w or w/o dialysis treatment
  • Stable i.v. or s.c. maintenance therapy with an EU-approved ESA treatment or ESA naïve.
  • Adequate iron substitution

Main Exclusion Criteria:

  • History of Pure Red Cell Aplasia (PRCA) or anti-erythropoietin (EPO) antibodies
  • Contraindications for ESA therapy
  • Serum albumin \< 3.0 g/dL
  • Immunocompromized patients (immunosuppressive treatment, chemotherapy)
  • Hepatitis C infection on an active treatment or hepatitis B or human immunodeficiency virus (HIV) infection
  • Systemic lupus erythematosus
  • Symptomatic congestive heart failure, Unstable angina pectoris, or myocardial infarction within 6 months
  • History of malignancy of any organ system within the last 5 years
  • History of use of any non-EU approved ESA
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
417 participants (actual)

Study arms

  • Experimental
    HX575 epoetin alfa (Sandoz)

    Single arm

    Drug: HX575 epoetin alfa (Sandoz)

Interventions

  • DrugHX575 epoetin alfa (Sandoz)

    Eligible patients are scheduled to receive HX575 (INN: Epoetin alfa) as a solution for injection in order to achieve or maintain the correction of renal anemia.

    Also known as: Binocrit®, Epoetin alfa HEXAL®, Novicrit®, Abseamed®

06

What researchers measure

Primary outcomes

  1. Anti-Erythropoietin (EPO) Antibodies

    The incidence of antibody formation against epoetin in Radio-immuno-precipitation (RIP) assay

    Time frame: 52 weeks

Secondary outcomes

  1. Hemoglobin Level and Change From Baseline Period at Visit 16 (End of Study)

    Actual values of hemoglobin levels at end of study visit and change from Baseline Period (Week -4 to Week -1)

    Time frame: 52 weeks

07

Results

Posted Jun 19, 2017

Participant flow

Patients, suffering from anemia associated with chronic Kidney Disease (CKD), were treated s.c. with HX575 at least once per week in order to achieve and maintain Hb concentration within the target range of 10.0 to 12.0 g/dL. 417 patients were enrolled.

Participant flow — Overall Study
MilestoneHX575, Safety Population
Started417
Completed324
Not completed93
Withdrew: Withdrawal by subject24
Withdrew: Adverse event10
Withdrew: Death21
Withdrew: Physician decision2
Withdrew: Lost to follow-up2
Withdrew: Kidney transplantation10
Withdrew: Protocol violation12
Withdrew: Other12

Outcome measures

PrimaryAnti-Erythropoietin (EPO) Antibodies

The incidence of antibody formation against epoetin in Radio-immuno-precipitation (RIP) assay

Time frame:
52 weeks
Reported as:
Number · percentage of participants
Anti-Erythropoietin (EPO) Antibodies
percentage of participantsHX575
Anti-Erythropoietin (EPO) Antibodies1.7 (0.7 to 3.4)
Statistical analysis
  • HX575 · Incidence rate: 0.019Incidence rate is based on duration of treatment period (years)
SecondaryHemoglobin Level and Change From Baseline Period at Visit 16 (End of Study)

Actual values of hemoglobin levels at end of study visit and change from Baseline Period (Week -4 to Week -1)

Time frame:
52 weeks
Reported as:
Mean · g/dL
Hemoglobin Level and Change From Baseline Period at Visit 16 (End of Study)
g/dLHX575 - ESA NaiveHX575 - ESA MaintenanceHX575
Actual Value10.81 ± 1.33610.86 ± 1.06010.83 ± 1.226
Change from Baseline Period1.61 ± 1.6010.22 ± 1.2231.02 ± 1.606

Adverse events

Collected over 4 weeks (screening period) + 52 weeks (treatment period). Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
HX575, Safety Population25/416 (6%)103/416 (24.8%)121/416 (29.1%)
Most frequent serious events
Showing 10 of 109
Most frequent serious events
EventHX575, Safety Population
Renal failure chronicRenal and urinary disorders20/416
Myocardial infarctionCardiac disorders5/416
PeritonitisInfections and infestations5/416
PneumoniaInfections and infestations5/416
HypertensionVascular disorders5/416
Angina pectorisCardiac disorders3/416
Cerebrovascular accidentNervous system disorders3/416
Acute coronary syndromeCardiac disorders2/416
Acute myocardial infarctionCardiac disorders2/416
Angina unstableCardiac disorders2/416
Most frequent other events
Most frequent other events
EventHX575, Safety Population
HypertensionVascular disorders42/416
Renal failure chronicRenal and urinary disorders39/416
HyperkalaemiaMetabolism and nutrition disorders19/416
NasopharyngitisInfections and infestations13/416
PneumoniaInfections and infestations10/416
DiarrhoeaGastrointestinal disorders9/416
Oedema peripheralGeneral disorders9/416
Urinary tract infectionInfections and infestations9/416

Baseline characteristics

Safety population: The safety population consists of all patients that received at least one dose of study drug

Age, Continuous
Age, Continuous(years)HX575, Safety Population
Mean52.3 ± 15.78
Sex: Female, Male
Sex: Female, Male(Participants)HX575, Safety Population
Female218
Male198
Race (NIH/OMB)
Race (NIH/OMB)(Participants)HX575, Safety Population
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White416
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)HX575, Safety Population
Russian Federation107
Romania40
Turkey33
Ukraine179
Poland47
Italy5
Germany5
Height
Height(cm)HX575, Safety Population
Mean166.9 ± 9.44
Weight
Weight(kg)HX575, Safety Population
Mean70.6 ± 15.92
Body Mass Index (BMI)
Body Mass Index (BMI)(kg/m^2)HX575, Safety Population
Mean25.26 ± 5.073
ESA pre-treatment
ESA pre-treatment(participants)HX575, Safety Population
ESA naive250
ESA maintenance166
08

Study locations

50 sites
  • Sandoz Investigative Site
    Duesseldorf, Germany
  • Sandoz Investigative Site
    Homberg, Germany
  • Sandoz Investigative Site
    Nettetal, Germany
  • Sandoz Investigative Site
    Bari, Italy
  • Sandoz Investigative Site
    Czestochowa, Poland
  • Sandoz Investigative Site
    Gdansk, Poland
  • Sandoz Investigative Site
    Gdynia, Poland
  • Sandoz Investigative Site
    Olkusz, Poland
  • Sandoz Investigative Site
    Plock, Poland
  • Sandoz Investigative Site
    Poznan, Poland
  • Sandoz Investigative Site
    Wadowice, Poland
  • Sandoz Investigative Site
    Warzawa, Poland
  • Sandoz Investigative Site
    Bucuresti, Romania
  • Sandoz Investigative Site
    Constanta, Romania
  • Sandoz Investigative Site
    Lasi, Romania
  • Sandoz Investigative Site
    Oradea, Romania
  • Sandoz Investigative Site
    Timisoara, Romania
  • Sandoz Investigative Site
    Chelyabinsk, Russian Federation
  • Sandoz Investigative Site
    Kemerovo, Russian Federation
  • Sandoz Investigative Site
    Kolomna, Russian Federation
  • Sandoz Investigative Site
    Moscow, Russian Federation
  • Sandoz Investigative Site
    Mytischi, Russian Federation
  • Sandoz Investigative Site
    Nizhny Novgorod, Russian Federation
  • Sandoz Investigative Site
    Novosibirsk, Russian Federation
  • Sandoz Investigative Site
    Orenburg, Russian Federation
  • Sandoz Investigative Site
    Petrozavodsk, Russian Federation
  • Sandoz Investigative Site
    Podolsk, Russian Federation
  • Sandoz Investigative Site
    Pyatigorsk, Russian Federation
  • Sandoz Investigative Site
    Ryazan, Russian Federation
  • Sandoz Investigative Site
    Saratov, Russian Federation
  • Sandoz Investigative Site
    Smolensk, Russian Federation
  • Sandoz Investigative Site
    St. Petersburg, Russian Federation
  • Sandoz Investigative Site
    Yaroslavl, Russian Federation
  • Sandoz Investigative Site
    Yekaterinburg, Russian Federation
  • Sandoz Investigative Site
    Adana, Turkey
  • Sandoz Investigative Site
    Ankara, Turkey
  • Sandoz Investigative Site
    Istanbul, Turkey
  • Sandoz Investigative Site
    Chernovtsy, Ukraine
  • Sandoz Investigative Site
    Dnipropetrovsk, Ukraine
  • Sandoz Investigative Site
    Donetsk, Ukraine
  • Sandoz Investigative Site
    Ivano-Frankivsk, Ukraine
  • Sandoz Investigative Site
    Kharkiv, Ukraine
  • Sandoz Investigative Site
    Kyiv, Ukraine
  • Sandoz Investigative Site
    Lugansk, Ukraine
  • Sandoz Investigative Site
    Nikolaev, Ukraine
  • Sandoz Investigative Site
    Poltava, Ukraine
  • Sandoz Investigative Site
    Ternopil, Ukraine
  • Sandoz Investigative Site
    Uzhgorod, Ukraine
  • Sandoz Investigative Site
    Zaporizhya, Ukraine
  • Sandoz Investigative Site
    Zhitomyr, Ukraine
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 19, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01576341
Lead sponsor
Sandoz
Responsible party
Sponsor
First posted
Apr 12, 2012
Start date
Apr 2012
Primary completion
Oct 2014
Completion
Jun 2015
Results posted
Jun 19, 2017
Last update
Jun 19, 2017

Study contacts

Sandoz Biopharmaceuticals
study chair · Sandoz

Oversight

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

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