ClinicalTrials.gg
TerminatedNCT03263091Updated Aug 1, 2024Results posted

Efficacy and Safety of Roxadustat for Treatment of Anemia in Participants With Lower Risk Myelodysplastic Syndrome With Low Red Blood Cell Transfusion Burden

A Phase 3 interventional study of Roxadustat and Placebo in Primary MDS (Very Low, Low or Intermediate IPSS-R With <5% Blasts) and Anemia, sponsored by FibroGen. Terminated at 124 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-01.

Sponsored by FibroGen · Phase 3, Interventional, and Treatment

Why this study was terminated
Study did not meet its primary efficacy endpoint.
Phase
Phase 3
Study type
Interventional
Enrollment
184
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 43 studies testing roxadustat in Anemia — 2 open to participants now, 4 under way, 3 of them phase 3. roxadustat · Anemia.

Enrollment
17th of 43
184 · median 154
Started
2018
with 1 other
Phase 3
25 of 43
1 open now
Registered
25th of 43
by date
Lead sponsor
20 of 43
FibroGen

Among the 43 studies testing roxadustat in Anemia, this one is the 17th largest by enrollment, is one of 2 that started in 2018, is one of 25 in phase 3, and was the 25th 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 43 studies testing roxadustat in Anemia are open now. Recruiting first, the newest first:

All 2 open studies →

About roxadustat

roxadustat: first EMA approval 2021. 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 and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 43 studies testing roxadustat in Anemia, or all of them as a file.
02

Study summary

The purpose of this study is to determine whether FG-4592 is safe and effective in the treatment of anemia in participants with lower risk MDS and low red blood cell transfusion burden.

Read the detailed description

This study includes an Open-Label Lead in, a Double-Blind component, and an Open-Label High Erythropoietin component. There is a screening period of up to 42 days followed by a treatment period of 52 weeks and a 4-week end of treatment assessment.

03

Conditions studied

  • Primary MDS (Very Low, Low or Intermediate IPSS-R With <5% Blasts)
  • Anemia

Keywords

  • Myelodysplastic Syndromes
  • Anemia
  • Hemoglobin (Hb)
  • Low Risk Myelodysplastic Syndrome
  • Low Risk MDS
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Diagnosis of primary MDS classified by the International Prognostic Scoring System - Revised (IPSS-R) as very low, low or intermediate risk with \<5% bone marrow blasts. There is no minimum time from diagnosis to registration/randomization except to allow for proper IPSS-R classification to be made (within 16 weeks prior to randomization), and to show transfusion dependence for participants in both portions of the study.
  • RBC transfusion of either 2-4 pRBC units during the 8 weeks prior to registration/randomization or 1 pRBC in two consecutive periods of 8 weeks within the 16 weeks prior to registration/randomization. Open-Label Lead-in participants only, the requirement to demonstrate transfusion dependence can also be met by a Principal Investigator starting this particular participant on pRBC transfusion during the screening period.
  • No restriction on prior use of recombinant erythropoietins or analogues (erythropoiesis-stimulating agents [ESAs]), except no ESA use within 8 weeks prior to Day 1 registration/randomization.
  • (Hb) ≤10.0 grams/deciliter (g/dL) during screening
  • (ECOG) of 0-2 at screening

Key Exclusion Criteria:

  • Diagnosis of secondary MDS associated with prior chemotherapy, extensive radiation therapy (>25% of bone marrow reserve), and or/other significant chemical or radiation exposure
  • Significant myelofibrosis (>2+ fibrosis)
  • MDS associated with 5q(del) cytogenetic abnormality
  • Screen serum erythropoietin level > 400 milli-international units (mIU)/milliliter (mL) • anemia, as determined by the investigator, due to non-MDS etiologies such as iron deficiency, vitamin B12 or folate deficiency, or hereditary hemolysis or anemia or hemorrhage or hereditary anemia such as sickle cell anemia or thalassemia.
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.

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).

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
184 participants (actual)

Study arms

  • Experimental
    Roxadustat

    Open-label, lead-in: Participants will receive sequential escalating roxadustat doses (1.5 milligrams/kilograms \[mg/kg\], 2.0 mg/kg and 2.5 mg/kg), three times a week (TIW) based upon their actual weight at the randomization visit to identify the starting dose for double-blind period. Double-blind: Participants will receive roxadustat 2.5 mg/kg TIW based upon their body weight for a duration of 52 weeks. Open-label: Participants with high serum erythropoietin levels (\>400 milli-international units \[mIU\]/milliliter \[mL\] mIU/mL) will receive roxadustat 2.5 mg/kg TIW based upon their body weight for a duration of 52 weeks.

    Drug: Roxadustat

  • Placebo comparator
    Placebo

    Double-blind: Participants will receive placebo matching to roxadustat for a duration of 52 weeks.

    Drug: Placebo

Interventions

  • Oral tablets

    Also known as: FG-4592, ASP1517, AZD9941

  • DrugPlacebo

    Oral tablets

06

What researchers measure

Primary outcomes

  1. OL and OL High-EPO Components: Number of Participants Who Achieved Red Blood Cell (RBC) Transfusion Independence (TI) ≥8 Weeks (≥56 Consecutive Days) Since First Dose in the First 28 Weeks of Treatment

    The RBC TI was defined as the absence of any intravenous (IV) RBC transfusion (packed cell or whole blood) during any consecutive 56 days during the treatment period. Data presented is for number of participants with RBC TI ≥8 weeks (≥56 consecutive days) since first dose in the first 28 weeks of treatment.

    Time frame: 28 weeks

  2. DB Component: Number of Participants Who Achieved RBC TI ≥56 Consecutive Days Since First Dose in the First 28 Weeks of Treatment

    RBC TI was defined as the absence of any IV RBC transfusion (packed cell or whole blood) during any consecutive 56 days during the treatment period. Data presented is for number of participants with RBC TI ≥56 consecutive days since first dose in the first 28 weeks of treatment.

    Time frame: 28 weeks

Secondary outcomes

  1. OL and OL High-EPO Components: Number of Participants Who Achieved TI ≥50% Reduction From Baseline in Number of Packs of Red Blood Cells (pRBC) Transfusions Over 8 Weeks

    Number of pRBC transfusions at baseline was defined as pRBC transfusions requirement during 8-week period prior to the start of first study medication. Responders were defined as participants with at least a 50% reduction in the number of pRBC transfusions over any 8-week (56 consecutive days) period during the study as compared with the baseline.

    Time frame: Baseline up to Week 8

  2. DB Component: Number of Participants Who Achieved TI ≥56 Consecutive Days Since First Dose in 52 Weeks of Treatment

    RBC TI was defined as the absence of any IV RBC transfusion (packed cell or whole blood) during any consecutive 56 days during the treatment period. Data presented is for number of participants with RBC TI ≥56 consecutive days since first dose in the 52 weeks of treatment.

    Time frame: 52 weeks

  3. DB Component: Number of Participants Who Achieved TI ≥56 Consecutive Days Anytime During the Study

    RBC TI was defined as the absence of any IV RBC transfusion (packed cell or whole blood) during any consecutive 56 days anytime during the study (up to Week 56).

    Time frame: Baseline up to Week 56

  4. DB Component: Number of Participants Who Achieved ≥50% Reduction From Baseline in Number of pRBC Transfusions Over 8 Weeks

    Baseline number of transfusions (pRBC/8-weeks) = total number of packs of rRBCs within 16 weeks prior to first dose/2. A pRBC transfusion reduction responder was defined as a participant who achieved ≥50% reduction in number of pRBC transfusions over 8 weeks compared to their baseline for any 8 week period in the duration begining with the first dose date (Day 1) and ending with the end of study or treatment discontinuation due to adverse event (AE)/serious adverse event (SAE) or death, whichever came earlier.

    Time frame: Baseline up to Week 8

  5. DB Component: Cumulative Number of Participant Exposure Weeks (PEW) of TI Over the First 28 Weeks of Treatment

    The PEW of TI periods over the first 28 weeks was added up to a cumulative number of weeks. For a participant with at least 1 TI response period over the first 28 weeks, the last TI response period was ended with the date of a subsequent RBC transfusion, visit date at Week 28, date of the end of study or treatment discontinuation due to AE/SAE or death, whichever came earlier. For a participant with no TI response period over the first 28 weeks, the cumulative number of PEW was set to zero.

    Time frame: 28 weeks

  6. DB Component: Change From Baseline in Number of pRBC Packs Transfused Over the First 28 Weeks of Treatment

    Number of pRBC transfusions at baseline was defined as pRBC transfusions requirement during 8-week period prior to the start of first study medication.

    Time frame: Baseline, Week 28

  7. DB Component: Number of Participants Who Achieved TI ≥20 Consecutive Weeks During the Study

    ≥20 consecutive weeks TI was defined as the absence of any IV RBC transfusion (packed cell or whole blood) during any consecutive 140 days anytime during the study (up to 56 weeks). TI was estimated between the first dose date (Day 1) and the end of study (Week 56) or treatment discontinuation due to AE/SAE or death, whichever came earlier.

    Time frame: Baseline up to Week 56

  8. DB Component: Mean Change From Baseline in the Patient-Reported Outcomes Measurement Information System-Short Form (PROMIS-SF) v2.0 Physical Function (PF) 10b Score at Week 9

    The PROMIS physical function item measures self-reported, current capability to carry out activities that require physical actions, ranging from self-care (activities of daily living) to more complex activities that require a combination of skills, often within a social context. The PF 10-item short form which contains 10 questions was used in this study, and each item was scored on a 5-point rating scale (1 \[unable to do\] to 5 \[without any difficulty\]), with higher scores indicating better functioning. Total raw score was the sum of the response to each question, with the lowest possible raw score 10 (poor physical function) and the highest possible raw score 50 (better physical function). Raw scores converted to T-scores (as detailed in the T-score conversion table for PROMIS-SF v2.0 Physical Function 10b) with a mean of 50 and a standard deviation (SD) of 10. T-scores ranged from minimum 13.8 to maximum 61.3 possible scores with higher scores indicating better physical functioning.

    Time frame: Baseline, Week 9

  9. DB Component: Mean Change From Baseline in the PROMIS-SF v1.0 Fatigue 13a Score at Week 9

    Fatigue was measured using the 13-item fatigue scale of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, each item was scored on a 5-point rating scale ranging from 1 "not at all" to 5 "very much", with lower scores indicating better functioning. Total raw score was the sum of the response to each question, with the lowest possible raw score 13 (lowest level of fatigue) and the highest possible raw score 65 (highest level of fatigue), with lower scores indicating better functioning. Raw scores converted to T-scores (as detailed in the T-score conversion table for PROMIS-SF v1.0 Fatigue 13a) with a mean of 50 and a SD of 10. T-scores ranged from minimum 30.3 to maximum 83.5 possible scores with lower scores indicating better functioning.

    Time frame: Baseline, Week 9

  10. DB Component: Mean Change From Baseline in the European Quality of Life Five Dimensional Five Level Health Questionnaire (EQ-5D-5L) Visual Analogue Scale Score at Week 9

    The EQ-5D questionnaire is designed for self-completion by participants. The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problem, moderate problems, severe problems, and unable to/extreme problems. The questionnaire also included a visual analogue scale, where the participant was asked to rate current health status on a scale of 0-100, with 0 being the worst imaginable health state and 100 being the best imaginable health.

    Time frame: Baseline, Week 9

07

Results

Posted Aug 1, 2024
Limitations and caveats
Study did not meet its primary efficacy endpoint; hence, the study was terminated early.

Participant flow

The study included 3 components: Open-label (OL) Lead-in, Double-blind (DB), and OL High-erythropoietin (High-EPO) component.

OL Component
Participant flow — OL Component
MilestoneOL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kgDB Component: RoxadustatDB Component: Placebo
Started888000
Received at least 1 dose of study drug888000
Completed666000
Not completed222000
Withdrew: Withdrawal by subject110000
Withdrew: Physician decision012000
Withdrew: Death100000
OL High-EPO Component
Participant flow — OL High-EPO Component
MilestoneOL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kgDB Component: RoxadustatDB Component: Placebo
Started0002000
Received at least 1 dose of study drug0002000
Completed0001000
Not completed0001000
Withdrew: Withdrawal by subject000600
Withdrew: Physician decision000100
Withdrew: Death000300
DB Component
Participant flow — DB Component
MilestoneOL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kgDB Component: RoxadustatDB Component: Placebo
Started00008258
Received at least 1 dose of study drug00008258
Completed00003837
Not completed00004421
Withdrew: Withdrawal by subject0000228
Withdrew: Physician decision000031
Withdrew: Adverse event000021
Withdrew: Lost to follow-up000021
Withdrew: Death000074
Withdrew: Other than specified000086

Outcome measures

PrimaryOL and OL High-EPO Components: Number of Participants Who Achieved Red Blood Cell (RBC) Transfusion Independence (TI) ≥8 Weeks (≥56 Consecutive Days) Since First Dose in the First 28 Weeks of Treatment

The RBC TI was defined as the absence of any intravenous (IV) RBC transfusion (packed cell or whole blood) during any consecutive 56 days during the treatment period. Data presented is for number of participants with RBC TI ≥8 weeks (≥56 consecutive days) since first dose in the first 28 weeks of treatment.

Time frame:
28 weeks
Reported as:
Count of participants · Participants
OL and OL High-EPO Components: Number of Participants Who Achieved Red Blood Cell (RBC) Transfusion Independence (TI) ≥8 Weeks (≥56 Consecutive Days) Since First Dose in the First 28 Weeks of Treatment
ParticipantsOL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kg
OL and OL High-EPO Components: Number of Participants Who Achieved Red Blood Cell (RBC) Transfusion Independence (TI) ≥8 Weeks (≥56 Consecutive Days) Since First Dose in the First 28 Weeks of Treatment3153
PrimaryDB Component: Number of Participants Who Achieved RBC TI ≥56 Consecutive Days Since First Dose in the First 28 Weeks of Treatment

RBC TI was defined as the absence of any IV RBC transfusion (packed cell or whole blood) during any consecutive 56 days during the treatment period. Data presented is for number of participants with RBC TI ≥56 consecutive days since first dose in the first 28 weeks of treatment.

Time frame:
28 weeks
Reported as:
Count of participants · Participants
DB Component: Number of Participants Who Achieved RBC TI ≥56 Consecutive Days Since First Dose in the First 28 Weeks of Treatment
ParticipantsDB Component: RoxadustatDB Component: Placebo
DB Component: Number of Participants Who Achieved RBC TI ≥56 Consecutive Days Since First Dose in the First 28 Weeks of Treatment3819
Statistical analysis
  • DB Component: Roxadustat vs DB Component: Placebo · Cochran-Mantel-Haenszel · p = 0.217 · Odds ratio (or): 1.582 · 95% CI 0.761 to 3.290
SecondaryOL and OL High-EPO Components: Number of Participants Who Achieved TI ≥50% Reduction From Baseline in Number of Packs of Red Blood Cells (pRBC) Transfusions Over 8 Weeks

Number of pRBC transfusions at baseline was defined as pRBC transfusions requirement during 8-week period prior to the start of first study medication. Responders were defined as participants with at least a 50% reduction in the number of pRBC transfusions over any 8-week (56 consecutive days) period during the study as compared with the baseline.

Time frame:
Baseline up to Week 8
Reported as:
Count of participants · Participants
OL and OL High-EPO Components: Number of Participants Who Achieved TI ≥50% Reduction From Baseline in Number of Packs of Red Blood Cells (pRBC) Transfusions Over 8 Weeks
ParticipantsOL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kg
OL and OL High-EPO Components: Number of Participants Who Achieved TI ≥50% Reduction From Baseline in Number of Packs of Red Blood Cells (pRBC) Transfusions Over 8 Weeks5378
SecondaryDB Component: Number of Participants Who Achieved TI ≥56 Consecutive Days Since First Dose in 52 Weeks of Treatment

RBC TI was defined as the absence of any IV RBC transfusion (packed cell or whole blood) during any consecutive 56 days during the treatment period. Data presented is for number of participants with RBC TI ≥56 consecutive days since first dose in the 52 weeks of treatment.

Time frame:
52 weeks
Reported as:
Count of participants · Participants
DB Component: Number of Participants Who Achieved TI ≥56 Consecutive Days Since First Dose in 52 Weeks of Treatment
ParticipantsDB Component: RoxadustatDB Component: Placebo
DB Component: Number of Participants Who Achieved TI ≥56 Consecutive Days Since First Dose in 52 Weeks of Treatment4423
SecondaryDB Component: Number of Participants Who Achieved TI ≥56 Consecutive Days Anytime During the Study

RBC TI was defined as the absence of any IV RBC transfusion (packed cell or whole blood) during any consecutive 56 days anytime during the study (up to Week 56).

Time frame:
Baseline up to Week 56
Reported as:
Count of participants · Participants
DB Component: Number of Participants Who Achieved TI ≥56 Consecutive Days Anytime During the Study
ParticipantsDB Component: RoxadustatDB Component: Placebo
DB Component: Number of Participants Who Achieved TI ≥56 Consecutive Days Anytime During the Study5229
SecondaryDB Component: Number of Participants Who Achieved ≥50% Reduction From Baseline in Number of pRBC Transfusions Over 8 Weeks

Baseline number of transfusions (pRBC/8-weeks) = total number of packs of rRBCs within 16 weeks prior to first dose/2. A pRBC transfusion reduction responder was defined as a participant who achieved ≥50% reduction in number of pRBC transfusions over 8 weeks compared to their baseline for any 8 week period in the duration begining with the first dose date (Day 1) and ending with the end of study or treatment discontinuation due to adverse event (AE)/serious adverse event (SAE) or death, whichever came earlier.

Time frame:
Baseline up to Week 8
Reported as:
Count of participants · Participants
DB Component: Number of Participants Who Achieved ≥50% Reduction From Baseline in Number of pRBC Transfusions Over 8 Weeks
ParticipantsDB Component: RoxadustatDB Component: Placebo
DB Component: Number of Participants Who Achieved ≥50% Reduction From Baseline in Number of pRBC Transfusions Over 8 Weeks5937
SecondaryDB Component: Cumulative Number of Participant Exposure Weeks (PEW) of TI Over the First 28 Weeks of Treatment

The PEW of TI periods over the first 28 weeks was added up to a cumulative number of weeks. For a participant with at least 1 TI response period over the first 28 weeks, the last TI response period was ended with the date of a subsequent RBC transfusion, visit date at Week 28, date of the end of study or treatment discontinuation due to AE/SAE or death, whichever came earlier. For a participant with no TI response period over the first 28 weeks, the cumulative number of PEW was set to zero.

Time frame:
28 weeks
Reported as:
Mean · weeks
DB Component: Cumulative Number of Participant Exposure Weeks (PEW) of TI Over the First 28 Weeks of Treatment
weeksDB Component: RoxadustatDB Component: Placebo
DB Component: Cumulative Number of Participant Exposure Weeks (PEW) of TI Over the First 28 Weeks of Treatment9.60 ± 11.5377.60 ± 11.557
SecondaryDB Component: Change From Baseline in Number of pRBC Packs Transfused Over the First 28 Weeks of Treatment

Number of pRBC transfusions at baseline was defined as pRBC transfusions requirement during 8-week period prior to the start of first study medication.

Time frame:
Baseline, Week 28
Reported as:
Mean · pRBC packs
DB Component: Change From Baseline in Number of pRBC Packs Transfused Over the First 28 Weeks of Treatment
pRBC packsDB Component: RoxadustatDB Component: Placebo
DB Component: Change From Baseline in Number of pRBC Packs Transfused Over the First 28 Weeks of Treatment-0.13 ± 2.3140.44 ± 1.833
SecondaryDB Component: Number of Participants Who Achieved TI ≥20 Consecutive Weeks During the Study

≥20 consecutive weeks TI was defined as the absence of any IV RBC transfusion (packed cell or whole blood) during any consecutive 140 days anytime during the study (up to 56 weeks). TI was estimated between the first dose date (Day 1) and the end of study (Week 56) or treatment discontinuation due to AE/SAE or death, whichever came earlier.

Time frame:
Baseline up to Week 56
Reported as:
Count of participants · Participants
DB Component: Number of Participants Who Achieved TI ≥20 Consecutive Weeks During the Study
ParticipantsDB Component: RoxadustatDB Component: Placebo
DB Component: Number of Participants Who Achieved TI ≥20 Consecutive Weeks During the Study2315
SecondaryDB Component: Mean Change From Baseline in the Patient-Reported Outcomes Measurement Information System-Short Form (PROMIS-SF) v2.0 Physical Function (PF) 10b Score at Week 9

The PROMIS physical function item measures self-reported, current capability to carry out activities that require physical actions, ranging from self-care (activities of daily living) to more complex activities that require a combination of skills, often within a social context. The PF 10-item short form which contains 10 questions was used in this study, and each item was scored on a 5-point rating scale (1 \[unable to do\] to 5 \[without any difficulty\]), with higher scores indicating better functioning. Total raw score was the sum of the response to each question, with the lowest possible raw score 10 (poor physical function) and the highest possible raw score 50 (better physical function). Raw scores converted to T-scores (as detailed in the T-score conversion table for PROMIS-SF v2.0 Physical Function 10b) with a mean of 50 and a standard deviation (SD) of 10. T-scores ranged from minimum 13.8 to maximum 61.3 possible scores with higher scores indicating better physical functioning.

Time frame:
Baseline, Week 9
Reported as:
Mean · T-score
DB Component: Mean Change From Baseline in the Patient-Reported Outcomes Measurement Information System-Short Form (PROMIS-SF) v2.0 Physical Function (PF) 10b Score at Week 9
T-scoreDB Component: RoxadustatDB Component: Placebo
DB Component: Mean Change From Baseline in the Patient-Reported Outcomes Measurement Information System-Short Form (PROMIS-SF) v2.0 Physical Function (PF) 10b Score at Week 9-1.9 ± 7.29-0.4 ± 6.77
SecondaryDB Component: Mean Change From Baseline in the PROMIS-SF v1.0 Fatigue 13a Score at Week 9

Fatigue was measured using the 13-item fatigue scale of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, each item was scored on a 5-point rating scale ranging from 1 "not at all" to 5 "very much", with lower scores indicating better functioning. Total raw score was the sum of the response to each question, with the lowest possible raw score 13 (lowest level of fatigue) and the highest possible raw score 65 (highest level of fatigue), with lower scores indicating better functioning. Raw scores converted to T-scores (as detailed in the T-score conversion table for PROMIS-SF v1.0 Fatigue 13a) with a mean of 50 and a SD of 10. T-scores ranged from minimum 30.3 to maximum 83.5 possible scores with lower scores indicating better functioning.

Time frame:
Baseline, Week 9
Reported as:
Mean · T-score
DB Component: Mean Change From Baseline in the PROMIS-SF v1.0 Fatigue 13a Score at Week 9
T-scoreDB Component: RoxadustatDB Component: Placebo
DB Component: Mean Change From Baseline in the PROMIS-SF v1.0 Fatigue 13a Score at Week 91.9 ± 7.61-0.6 ± 7.36
SecondaryDB Component: Mean Change From Baseline in the European Quality of Life Five Dimensional Five Level Health Questionnaire (EQ-5D-5L) Visual Analogue Scale Score at Week 9

The EQ-5D questionnaire is designed for self-completion by participants. The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problem, moderate problems, severe problems, and unable to/extreme problems. The questionnaire also included a visual analogue scale, where the participant was asked to rate current health status on a scale of 0-100, with 0 being the worst imaginable health state and 100 being the best imaginable health.

Time frame:
Baseline, Week 9
Reported as:
Mean · units on a scale
DB Component: Mean Change From Baseline in the European Quality of Life Five Dimensional Five Level Health Questionnaire (EQ-5D-5L) Visual Analogue Scale Score at Week 9
units on a scaleDB Component: RoxadustatDB Component: Placebo
DB Component: Mean Change From Baseline in the European Quality of Life Five Dimensional Five Level Health Questionnaire (EQ-5D-5L) Visual Analogue Scale Score at Week 9-1.7 ± 20.311.6 ± 16.18

Adverse events

Collected over Baseline up to Week 56. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
OL Component (Cohort 1): Roxadustat 1.5 mg/kg1/8 (12.5%)4/8 (50%)7/8 (87.5%)
OL Component (Cohort 2): Roxadustat 2.0 mg/kg0/8 (0%)3/8 (37.5%)8/8 (100%)
OL Component (Cohort 3): Roxadustat 2.5 mg/kg0/8 (0%)1/8 (12.5%)6/8 (75%)
OL High-EPO Component: Roxadustat 2.5 mg/kg3/20 (15%)6/20 (30%)15/20 (75%)
DB Component: Roxadustat7/82 (8.5%)22/82 (26.8%)68/82 (82.9%)
DB Component: Placebo4/58 (6.9%)10/58 (17.2%)46/58 (79.3%)
Most frequent serious events
Showing 10 of 59
Most frequent serious events
EventOL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kgDB Component: RoxadustatDB Component: Placebo
Febrile neutropeniaBlood and lymphatic system disorders1/80/80/80/202/821/58
Acute myocardial infarctionCardiac disorders1/80/80/80/202/820/58
Cardiac failureCardiac disorders1/80/80/80/201/820/58
Inguinal herniaGastrointestinal disorders1/80/80/80/200/820/58
General physical health deteriorationGeneral disorders1/80/80/80/200/820/58
Portal hypertensionHepatobiliary disorders0/80/81/80/200/820/58
Campylobacter gastroenteritisInfections and infestations0/81/80/80/200/820/58
InfluenzaInfections and infestations0/80/81/80/200/820/58
Urinary tract infectionInfections and infestations0/81/80/80/200/820/58
SyncopeNervous system disorders0/81/80/80/200/820/58
Most frequent other events
Showing 10 of 120
Most frequent other events
EventOL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kgDB Component: RoxadustatDB Component: Placebo
DiarrhoeaGastrointestinal disorders2/83/81/82/206/829/58
Non-cardiac chest painGeneral disorders3/81/80/81/200/820/58
PalpitationsCardiac disorders1/80/82/80/202/822/58
HypothyroidismEndocrine disorders1/82/80/80/202/820/58
NauseaGastrointestinal disorders2/81/82/81/2019/827/58
Oedema peripheralGeneral disorders2/81/80/82/209/824/58
PyrexiaGeneral disorders0/82/80/80/205/821/58
BronchitisInfections and infestations1/82/82/80/202/820/58
Upper respiratory tract infectionInfections and infestations0/80/82/80/202/825/58
Folate deficiencyMetabolism and nutrition disorders0/82/80/80/204/824/58

Baseline characteristics

The safety analysis set included all participants who received at least 1 dose of study drug.

Age, Customized
Age, Customized(Participants)OL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kgDB Component: RoxadustatDB Component: PlaceboTotal
<65 Years3028181445
≥65 Years586126444139
Sex: Female, Male
Sex: Female, Male(Participants)OL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kgDB Component: RoxadustatDB Component: PlaceboTotal
Female3366362175
Male552144637109
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)OL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kgDB Component: RoxadustatDB Component: PlaceboTotal
Hispanic or Latino1101126
Not Hispanic or Latino776197855172
Unknown or Not Reported0020316
Race (NIH/OMB)
Race (NIH/OMB)(Participants)OL Component (Cohort 1): Roxadustat 1.5 mg/kgOL Component (Cohort 2): Roxadustat 2.0 mg/kgOL Component (Cohort 3): Roxadustat 2.5 mg/kgOL High-EPO Component: Roxadustat 2.5 mg/kgDB Component: RoxadustatDB Component: PlaceboTotal
American Indian or Alaska Native0000000
Asian000314724
Native Hawaiian or Other Pacific Islander0000000
Black or African American0000000
White788176349152
More than one race0000000
Unknown or Not Reported1000528
08

Study locations

124 sites
  • Investigational Site
    Bakersfield, California 93309, United States
  • Investigational Site
    Beverly Hills, California 90212, United States
  • Investigational Site
    Burbank, California 90212, United States
  • Investigational Site
    Encino, California 91436, United States
  • Investigational Site
    Laguna Hills, California 92653, United States
  • Investigational Site
    Los Angeles, California 90095, United States
  • Investigational Site
    Los Angeles, California 91326, United States
  • Investigational Site
    Oceanside, California 92056, United States
  • Investigational Site
    Pasadena, California 91105, United States
  • Investigational Site
    Santa Maria, California 93454, United States
  • Investigational Site
    Torrance, California 90505, United States
  • Investigational Site
    Valencia, California 91355, United States
  • Investigational Site
    Ventura, California 93003, United States
  • Investigational Site
    Westlake Village, California 91361, United States
  • Investigational Site
    Whittier, California 90603, United States
  • Investigational Site
    Grand Junction, Colorado 81501, United States
  • Investigational Site
    Pembroke Pines, Florida 33028, United States
  • Investiational Site
    Weston, Florida 33331, United States
  • Investgational site
    Atlanta, Georgia 30322, United States
  • Investigational Site
    Augusta, Georgia 30912, United States
  • Investigational Site
    Saint Louis, Missouri 63110, United States
  • Investigational Site
    Charlotte, North Carolina 28204, United States
  • Investigational Site
    Canton, Ohio 44718, United States
  • Investigational Site
    Cleveland, Ohio 44111, United States
  • Investigational Site
    Cleveland, Ohio 44195, United States
  • Investigational Site
    Mayfield Heights, Ohio 44124, United States
  • Investigational Site
    Philadelphia, Pennsylvania 19106, United States
  • Investigational Site
    Charleston, South Carolina 29414, United States
  • Investigational Site
    Houston, Texas 77030, United States
  • Investigational Site
    Charlottesville, Virginia 22908, United States
  • Investigational Site
    Darlinghurst, New South Wales 2010, Australia
  • Investigational Site
    Liverpool, New South Wales 2170, Australia
  • Investigational Site
    South Brisbane, Queensland 4101, Australia
  • Investigational Site
    Victoria Park, Saint Albans 3021, Australia
  • Investigational Site
    Hobart, Tasmania 7000, Australia
  • Investigational Site
    Wilrijk, Antwerpen 2610, Belgium
  • Investigational Site
    Bruxelles, Brussels Capital Region 1200, Belgium
  • Investigational Site
    Hasselt, Limburg 3500, Belgium
  • Investigational Site
    Brugge, West-Vlaanderen 8000, Belgium
  • Investigational Site
    Brussels, Belgium
  • Investigational Site
    Yvoir, 5530, Belgium
  • Investigational Site
    Vancouver, British Columbia V6E 1M7, Canada
  • Investigational Site
    London, Ontario N6A5W9, Canada
  • Investigational Site
    Odense, 5000, Denmark
  • Investigational Site
    Nice, Alpes-Maritimes 06200, France
  • Investigational Site
    Grenoble, Isère 38043, France
  • Investigational Site
    Paris, France
  • Investigational Site
    Tours, 37044, France
  • Investigational Site
    Freiburg, Baden-Wurttemberg 79106, Germany
  • Investigational Site
    Munchen, Bayern 81675, Germany
  • Investigational Site
    Münster, Nordrhein-Westfalen 48149, Germany
  • Investigational Site
    Dresden, Sachsen 01307, Germany
  • Investigational Site
    Leipzig, Sachsen 04103, Germany
  • Investigational Site
    Düsseldorf, 40225, Germany
  • Investigational Site
    Düsseldorf, 40479, Germany
  • Investigational Site
    Vellore, Tamil Nadu 632 004, India
  • Investigational Site
    Kolkata, West Bengal 700014, India
  • Investigational Site
    Kfar Saba, HaMerkaz 4428164, Israel
  • Investigational Site
    Zerifin, HaMerkaz 70300, Israel
  • Investigational Site
    Nahariya, HaZafon 22100, Israel
  • Investigational Site
    Haifa, 3436212, Israel
  • Investigational Site
    Ramat Gan, 5265601, Israel
  • Investigational Site
    Tel Aviv, 49372, Israel
  • Investigational site
    Tel HaShomer, Israel
  • Investigational Site
    Monza, Lombardia 20900, Italy
  • Investigational Site
    Meldola, Ravenna 47014, Italy
  • Investigational Site
    Alessandria, 15121, Italy
  • Investigational Site
    Bologna, 40138, Italy
  • Investigational Site
    Firenze, 50134, Italy
  • Investigational Site
    Genova, 16132, Italy
  • Investigational Site
    Lecce, 73100, Italy
  • Investigational Site
    Milano, 20089, Italy
  • Investigational Site
    Reggio Calabria, 89124, Italy
  • Investigational Site
    Rimini, Italy
  • Investigational Site
    Roma, 00133, Italy
  • Investigational Site
    Terni, 5100, Italy
  • Investigational Site
    Torino, Italy
  • Investigational Site
    Varese, 21100, Italy
  • Investigational Site
    Incheon, Incheon Gwang'yeogsi 21565, Korea, Republic of
  • Investigational Site
    Incheon, Incheon Gwangyeogsi 21565, Korea, Republic of
  • Investigational Site
    Hwasun, Jeonranamdo 58128, Korea, Republic of
  • Investigational Site
    Seoul, Seoul Teugbyeolsi 06351, Korea, Republic of
  • Investigational Site
    Seoul, 03080, Korea, Republic of
  • Investigational Site
    Bialystok, 15-732, Poland
  • Investigational Site
    Bydgoszcz, 85-168, Poland
  • Investigational Site
    Krakow, 31-513, Poland
  • Investigational Site
    Pila, 64-920, Poland
  • Investigational Site
    Skorzewo, 60-185, Poland
  • Investigational Site
    Slupsk, 76-200, Poland
  • Investigational Site
    Warszawa, 02-172, Poland
  • Investigational Site
    Kaluga, 248007, Russian Federation
  • Investigational Site
    Moscow, 111123, Russian Federation
  • Investigational Site
    Moscow, 123182, Russian Federation
  • Investigational Site
    Moscow, 129110, Russian Federation
  • Investigational Site
    Omsk, 644013, Russian Federation
  • Investigational Site
    Saint Petersburg, 191024, Russian Federation
  • Investigational Site
    Saint Petersburg, 197089, Russian Federation
  • Investigational Site
    Saint Petersburg, 197341, Russian Federation
  • Investigational Site
    St. Petersburg, 197022, Russian Federation
  • Investigational Site
    Sabadell, Barcelona 08208, Spain

Showing the first 100 of 124 sites across 16 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Henry DH, Glaspy J, Harrup R, Mittelman M, Zhou A, Carraway HE, Bradley C, Saha G, Modelska K, Bartels P, Leong R, Yu KP. Roxadustat for the treatment of anemia in patients with lower-risk myelodysplastic syndrome: Open-label, dose-selection, lead-in stage of a phase 3 study. Am J Hematol. 2022 Feb 1;97(2):174-184. doi: 10.1002/ajh.26397. Epub 2021 Nov 9. PubMed 34724251 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2018 to primary completion in Mar 2023, 61 months.

Results were first posted in Aug 2024, 1 year 4 months after primary completion. A results delay was requested in Feb 2024.

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

Registered
Aug 22, 2017
First posted
Aug 28, 2017
StartActual
Jan 29, 2018
Primary completionActual
Mar 9, 2023
CompletionActual
Jun 20, 2023
Results delay requested
Feb 28, 2024
Results first posted
Aug 1, 2024
Last update
Aug 1, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
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 Aug 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03263091
Lead sponsor
FibroGen
Responsible party
Sponsor
First posted
Aug 28, 2017
Start date
Jan 29, 2018
Primary completion
Mar 9, 2023
Completion
Jun 20, 2023
Results posted
Aug 1, 2024
Last update
Aug 1, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Roxadustat

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