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CompletedNCT03350347MIYABI ND-MUpdated Jan 29, 2021

A Study of Molidustat for Maintenance Treatment of Renal Anemia in Non-dialysis Subjects

A Phase 3 interventional study of Molidustat (BAY85-3934) and Darbepoetin alfa in Anemia and Renal Insufficiency, Chronic, sponsored by Bayer. Completed at 59 sites in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2021-01-29.

Sponsored by Bayer · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
164
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 13 studies testing molidustat in Anemia — none open to participants now, none under way, none of them phase 3. molidustat · Anemia.

Enrollment
4th of 13
164 · median 121
Started
2017
with 1 other
Phase 3
5 of 13
none open now
Registered
9th of 13
by date
Lead sponsor
13 of 13
Bayer

Among the 13 studies testing molidustat in Anemia, this one is the 4th largest by enrollment, is one of 2 that started in 2017, is one of 5 in phase 3, and was the 9th 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

None of the 13 studies testing molidustat in Anemia is open now. The open studies under Anemia, anywhere →

About molidustat

No approval found in the FDA or EMA files read. 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: 20 Years and older · all sexes · no healthy volunteers.

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Download CSVNarrow it in search →With an account: the 13 studies testing molidustat in Anemia as a file.
02

Study summary

The purpose of this study is to evaluate the efficacy and safety of molidustat in non-dialysis subjects previously treated with Erythropoiesis-Stimulating Agents (ESAs)

03

Conditions studied

  • Anemia
  • Renal Insufficiency, Chronic

Keywords

  • Renal anemia
04

Who can participate

Ages eligible
20 Years and older
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

  • Subjects with estimated (eGFR)\< 60 mL/min/1.73m\^2 (Chronic kidney disease [CKD] stages 3 to 5)
  • Have used the same ESA for 8 weeks prior to screening
  • Treated with darbepoetin alfa with bi-weekly or monthly dose, epoetin beta pegol with monthly, OR epoetin alfa/beta weekly or bi-weekly, and having had no more than one dose change within 8 weeks prior to randomization
  • Body weight > 40 and ≤ 160 kg at screening
  • Male or female subject ≥ 20 years of age at screening
  • Not on dialysis and not expected to start dialysis during the study period
  • Mean screening level ≥ 10.0 and \< 13.0 g/dL (mean of all central laboratory Hb levels [at least 2 measurements must be taken ≥ 2 days apart] during the 8-week screening period, AND all Hb level must be measured by the central laboratory, AND the difference between the lowest level and highest level is \< 1.2 g/dL), with the last screening Hb level measurement within 14 days prior to randomization
  • Ferritin ≥ 100 ng/mL or Transferrin saturation ≥ 20%

Exclusion criteria

Exclusion Criteria:

  • (NYHA) Class III or IV congestive heart failure
  • History of cardio- (cerebro-) vascular events (e.g., unstable angina, myocardial infarction, stroke, pulmonary thromboembolism, and acute limb ischemia) within 6 months prior to randomization
  • Sustained and poorly controlled arterial hypertension (defined as systolic BP (blood pressure)≥ 180mmHg or diastolic BP ≥ 110mmHg) or hypotension (defined as systolic BP \< 90mmHg) at randomization
  • Proliferative choroidal or retinal disease, such as neovascular age-related macular degeneration or proliferative diabetic retinopathy requiring invasive treatment (e.g., intraocular injections or laser photocoagulation)
Terms in these criteria, in plain language(3)

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
164 participants (actual)

Study arms

  • Experimental
    Molidustat (BAY85-3934)

    Molidustat group

    Drug: Molidustat (BAY85-3934)

  • Active comparator
    Darbepoetin alfa

    Darbepoetin alfa group

    Drug: Darbepoetin alfa

Interventions

  • Starting dose of 25 mg or 50 mg molidustat once daily (OD) will be titrated based on the subject's Hb response

  • Starting dose and frequency of darbepoetin alfa are based on previous ESA. The dose will be titrated based on the subject's Hb response

06

What researchers measure

Primary outcomes

  1. Mean Hb (Hemoglobin) level

    Time frame: From week 30 to 36

  2. Change in hemoglobin level from baseline to the average during the evaluation period

    Time frame: Baseline and week 30 to 36

Secondary outcomes

  1. Responder rate: proportion of responders among the subjects

    Responder is defined as meeting all of the following criteria: (i) Mean of the Hb levels in the target range (ii) ≥ 50% of the Hb levels in the target range (iii) No rescue treatment

    Time frame: From week 30 to 36

  2. Proportion of subjects who meet each component of the response

    Response: (i) Mean of the Hb levels in the target range (ii) ≥ 50% of the Hb levels in the target range (iii) No rescue treatment

    Time frame: From week 30 to 36

  3. Hb level

    Time frame: Baseline and up to 52 weeks

  4. Change in Hb level

    Time frame: Baseline and up to 52 weeks

  5. Proportion of subjects whose mean hemoglobin levels are in the target range during the evaluation period

    Time frame: From week 30 to 36

  6. Proportion of subjects whose mean hemoglobin levels are above the target range during the evaluation period

    Time frame: From week 30 to 36

  7. Proportion of subjects whose mean hemoglobin levels are below the target range during the evaluation period

    Time frame: From week 30 to 36

  8. Proportion of subjects whose hemoglobin levels are in the target range

    Time frame: Up to 52 weeks

  9. Proportion of subjects whose hemoglobin levels are above the target range

    Time frame: Up to 52 weeks

  10. Proportion of subjects whose hemoglobin levels are below the target range

    Time frame: Up to 52 weeks

  11. Proportion of subjects whose maximum rise in Hb between each consecutive visits is above 0.5 g/dL/week

    Defined as change in Hb level / duration between two visits (weeks)

    Time frame: Up to 52 weeks

  12. Number of participants with serious adverse events

    Time frame: Up to 52 weeks

  13. Maximum concentration (Cmax) of Molidustat

    Time frame: At baseline, week 12, week 24 and week 52

  14. Area under the concentration-time curve (AUC) of Molidustat

    Time frame: At baseline, week 12, week 24 and week 52

  15. EPO (Erythropoietin) serum concentration of Molidustat

    Time frame: At baseline, week 12, week 24 and week 52

07

Study locations

59 sites
  • Kainan Hospital
    Yatomi, Aichi 498-8502, Japan
  • Seikeikai New Tokyo Heart Clinic
    Matsudo, Chiba 271-0077, Japan
  • Ehime Prefectural Central Hospital
    Matsuyama, Ehime 790-0024, Japan
  • Saiseikai Matsuyama Hospital
    Matsuyama, Ehime 791-8026, Japan
  • Iizuka Hospital
    Iizuka, Fukuoka 820-8505, Japan
  • Kokura Memorial Hospital
    Kitakyushu, Fukuoka 802-8555, Japan
  • Steel Memorial Yawata Hospital
    Kitakyushu, Fukuoka 805-8508, Japan
  • National Fukuoka-Higashi Medical Center
    Koga, Fukuoka 811-3195, Japan
  • Kurume University Hospital
    Kurume, Fukuoka 830-0011, Japan
  • St.Mary's Hospital
    Kurume, Fukuoka 830-8543, Japan
  • Matsunami Health Promotion Clinic
    Hashima-gun, Gifu 501-6061, Japan
  • Mazda Hospital of Mazda Motor Corporation
    Aki-gun, Hiroshima 735-8585, Japan
  • Nippon Kokan Fukuyama Hospital
    Fukuyama, Hiroshima 721-0927, Japan
  • Higashihiroshima Medical Center
    Higashihiroshima, Hiroshima 739-0041, Japan
  • Teine Keijinkai Clinic
    Sapporo, Hokkaido 006-8555, Japan
  • Kobe City Medical Center General Hospital
    Kobe, Hyogo 650-0047, Japan
  • National Hospital Organization Kobe Medical Center
    Kobe, Hyogo 654-0155, Japan
  • Mito Kyodo General Hospital
    Mito, Ibaraki 310-0015, Japan
  • Public Central Hospital of Matto Ishikawa
    Hakusan, Ishikawa 924-8588, Japan
  • KenAiKai medical corporation Akiyama clinic
    Takamatsu, Kagawa 761-1701, Japan
  • Ikeda Hospital
    Kanoya, Kagoshima 893-0024, Japan
  • Fujisawa City Hospital
    Fujisawa, Kanagawa 251-8550, Japan
  • Koukan Clinic
    Kawasaki, Kanagawa 210-0852, Japan
  • Showa University Fujigaoka Hospital
    Yokohama, Kanagawa 227-8501, Japan
  • Yokosuka Kyosai Hospital
    Yokosuka, Kanagawa 238-8558, Japan
  • Arao Municipal Hospital
    Arao, Kumamoto 864-0041, Japan
  • JCHO Yokkaichi Hazu Medical Center
    Yokkaichi, Mie 510-0016, Japan
  • Japanese Red Cross Ishinomaki Hospital
    Ishinomaki, Miyagi 986-8522, Japan
  • Asama Nanroku Komoro Medical Center
    Komoro, Nagano 384-8588, Japan
  • Niigata Prefectural Shibata Hospital
    Shibata, Niigata 957-8588, Japan
  • R.I.A.C Naha City Hospital
    Naha, Okinawa 902-8511, Japan
  • Osaka Pref. Saiseikai Tondabayashi Hospital
    Tondabayashi, Osaka 584-0082, Japan
  • Kitasato University Medical Center
    Kitamoto, Saitama 364-8501, Japan
  • Iwata City Hospital
    Iwata, Shizuoka 438-8550, Japan
  • Toshima Hospital
    Itabashi-ku, Tokyo 173-0015, Japan
  • Nihon University Itabashi Hospital
    Itabashi-ku, Tokyo 173-8610, Japan
  • Showa University Koto Toyosu Hospital
    Koto-ku, Tokyo 135-8577, Japan
  • National Hospital Organization Tokyo Medical Center
    Meguro-ku, Tokyo 152-8902, Japan
  • University of Yamanashi Hospital
    Chuo, Yamanashi 409-3898, Japan
  • Fukui Prefectural Hospital
    Fukui, 910-8526, Japan
  • National Hospital Organization Kyushu Medical Center
    Fukuoka, 810-8563, Japan
  • Kyushu University Hospital
    Fukuoka, 812-8582, Japan
  • Fukuoka University Hospital
    Fukuoka, 814-0180, Japan
  • Asahi University Hospital
    Gifu, 500-8523, Japan
  • National Hospital Organization Kochi National Hospital
    Kochi, 780-8077, Japan
  • Miyazaki Prefectural Miyazaki Hospital
    Miyazaki, 880-8510, Japan
  • Nara Prefecture General Medical Center
    Nara, 630-8581, Japan
  • Japanese Red Cross Oita Hospital
    Oita, 870-0033, Japan
  • Kitano Hospital
    Osaka, 530-8480, Japan
  • Yodogawa Christian Hospital
    Osaka, 533-0024, Japan
  • National Hospital Organization Osaka National Hospital
    Osaka, 540-0006, Japan
  • Osaka Red Cross Hospital
    Osaka, 543-8555, Japan
  • Nippon Life Hospital
    Osaka, 550-0006, Japan
  • Chibune Clinic
    Osaka, 555-0001, Japan
  • Osaka General Medical Center
    Osaka, 558-8558, Japan
  • Social Corporation Keigakukai Minamiosaka Hospital
    Osaka, 559-0012, Japan
  • Shizuoka Saiseikai General Hospital
    Shizuoka, 422-8527, Japan
  • Suruga Clinic
    Shizuoka, 424-0855, Japan
  • Wakayama Medical University Hospital
    Wakayama, 641-8510, Japan
08

References and documents

Publications

  • Natale P, Palmer SC, Jaure A, Hodson EM, Ruospo M, Cooper TE, Hahn D, Saglimbene VM, Craig JC, Strippoli GF. Hypoxia-inducible factor stabilisers for the anaemia of chronic kidney disease. Cochrane Database Syst Rev. 2022 Aug 25;8(8):CD013751. doi: 10.1002/14651858.CD013751.pub2. PubMed 36005278 ↗
  • Yamamoto H, Taguchi M, Matsuda Y, Iekushi K, Yamada T, Akizawa T. Molidustat for the treatment of renal anaemia in patients with non-dialysis-dependent chronic kidney disease: design and rationale of two phase III studies. BMJ Open. 2019 Jun 14;9(6):e026704. doi: 10.1136/bmjopen-2018-026704. PubMed 31203242 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Jul 2019, 18 months.

Of 98 industry-sponsored phase 3 interventional studies under Anemia, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 49. This study's 18 months is below that.

Counting every sponsor, half of 150 studies reached it within 30 months; a quarter within 17 and three quarters within 51.

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

Registered
Nov 19, 2017
First posted
Nov 22, 2017
StartActual
Dec 13, 2017
Primary completionActual
Jul 5, 2019
CompletionActual
Nov 28, 2019
Last update
Jan 29, 2021
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 Jan 29, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03350347
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Nov 22, 2017
Start date
Dec 13, 2017
Primary completion
Jul 5, 2019
Completion
Nov 28, 2019
Last update
Jan 29, 2021

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Molidustat

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