ClinicalTrials.gg
CompletedNCT03351166MIYABI HD-CUpdated Jan 29, 2021

A Study of Molidustat for Correction of Renal Anemia in Dialysis Subjects

A Phase 3 interventional study of Molidustat (BAY85-3934) in Anemia and Renal Insufficiency, Chronic, sponsored by Bayer. Completed at 20 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
25
Allocation
Not applicable
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
13th of 13
25 · median 121
Started
2018
with 2 others
Phase 3
5 of 13
none open now
Registered
11th of 13
by date
Lead sponsor
13 of 13
Bayer

Among the 13 studies testing molidustat in Anemia, this one is the 13th largest by enrollment, is one of 3 that started in 2018, is one of 5 in phase 3, and was the 11th 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 dialysis subjects with renal anemia who are not treated with Erythropoiesis-Stimulating Agents (ESAs)

03

Conditions studied

  • Anemia
  • Renal Insufficiency, Chronic
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

  • Subject with end-stage kidney disease (ESKD) on dialysis (including, hemodiafiltration, hemodialysis, and other modalities except for peritoneal dialysis) weekly or more than weekly
  • Body weight > 40 and ≤ 160 kg at screening
  • Male or female subject ≥ 20 years of age at screening
  • At least one kidney
  • Not treated with ESAs and/or HIF-PH inhibitors within 8 weeks prior to randomization. However, in case of the patient washed out from ESAs, when the mean (at least 2 central laboratory measurements must be taken ≥ 2 days apart before dialysis) has decrease to ≥ 0.5 dL from the Hb level (central laboratory measurement, before dialysis) after the last ESA administration, AND the interval from the last ESA administration to the study drug assignment was over 1 week for epoetin-alpha, 2 weeks for darbepoetin alpha or 4 weeks for epoetin beta pegol
  • Mean of the last 2 Hb level (central laboratory measurement, before dialysis) during the screening period must be ≥ 8.0 and \< 10.0 g/dL (2 measurements must be taken ≥ 2 days apart and the difference between the 2 measurements must be \< 1.2 g/dL) with the last screening Hb measurement within 14 days prior to study drug assignment
  • Ferritin ≥ 50 ng/mL at screening

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≥ 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(2)

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).

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Molidustat (BAY85-3934)

    Molidustat group

    Drug: Molidustat (BAY85-3934)

Interventions

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

06

What researchers measure

Primary outcomes

  1. Rate of rise in Hb (Hemoglobin) level (g/dL/week)

    Time frame: Up to 8 weeks

  2. 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: Week 21 to 24

Secondary outcomes

  1. Rate of rise in Hb (Hemoglobin) level (g/dL/week)

    Time frame: Up to 4 weeks

  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: Week 21 to 24

  3. Cumulative proportion of subjects who achieve the lower limit of the target Hb range at least once at each visit

    Time frame: Up to 24 weeks

  4. Hb level

    Time frame: Baseline and up to 24 weeks

  5. Change in Hb level

    Time frame: Baseline and up to 24 weeks

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

    Time frame: Week 21 to 24

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

    Time frame: Week 21 to 24

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

    Time frame: Week 21 to 24

  9. Proportion of subjects with hemoglobin levels above the target range

    Time frame: Up to 24 weeks

  10. Proportion of subjects with hemoglobin levels below the target range

    Time frame: Up to 24 weeks

  11. Proportion of subjects with hemoglobin levels in the target range

    Time frame: Up to 24 weeks

  12. 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 24 weeks

  13. Number of participants with serious adverse events

    Time frame: Up to 24 weeks

  14. Maximum concentration (Cmax) of Molidustat

    Time frame: Baseline, Week 8, Week16 and Week 24

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

    Time frame: Baseline, Week 8, Week16 and Week 24

  16. EPO (Erythropoietin) serum concentration of Molidustat

    Time frame: Baseline, Week 8, Week16 and Week 24

07

Study locations

20 sites
  • Houshikai Kano hospital
    Kasuya-gun, Fukuoka 811-0120, Japan
  • Matsunami General Hospital
    Hashima-gun, Gifu 501-6062, Japan
  • Asahikawa-Kosei General Hospital
    Asahikawa, Hokkaido 078-8211, Japan
  • Ishikari Hospital
    Ishikari, Hokkaido 061-3213, Japan
  • Itami Kidney Clinic
    Noboribetsu, Hokkaido 059-0026, Japan
  • Souen Central Hospital
    Sapporo, Hokkaido 060-0008, Japan
  • Takasago Seibu Hospital
    Takasago, Hyogo 676-0812, Japan
  • Japanese Red Cross Koga Hospital
    Koga, Ibaraki 306-0014, Japan
  • Mito Kyodo General Hospital
    Mito, Ibaraki 310-0015, Japan
  • Tokiwa Clinic
    Totte, Ibaraki 302-0011, Japan
  • Tsuchiura Beryl Clinic
    Tsuchiura, Ibaraki 300-0062, Japan
  • Kikuchi Medical Clinic
    Tsukuba, Ibaraki 305-0861, Japan
  • Japanese Red Cross Ishinomaki Hospital
    Ishinomaki, Miyagi 986-8522, Japan
  • Iida Hospital
    Iida, Nagano 395-8505, Japan
  • Toyonaka Keijinkai Clinic
    Toyonaka, Osaka 560-0004, Japan
  • Kodaira Kitaguchi Clinic
    Kodaira, Tokyo 187-0001, Japan
  • Medical corporation association Shunshin-kai Inage hospital
    Chiba, 263-0043, Japan
  • Fukuoka Renal Clinic
    Fukuoka, 810-0004, Japan
  • Ohmiya Chuo General Hospital
    Saitama, 331-8711, Japan
  • Yamagata Tokushukai Hospital
    Yamagata, 990-0834, Japan
08

References and documents

Publications

  • Akizawa T, Nobori K, Matsuda Y, Hayashi Y, Hayasaki T, Yamamoto H. Molidustat for anemia correction in Japanese patients undergoing hemodialysis: a single-arm, phase 3 study. Ther Apher Dial. 2021 Dec;25(6):917-925. doi: 10.1111/1744-9987.13627. Epub 2021 Mar 22. PubMed 33506635 ↗
  • Akizawa T, Taguchi M, Matsuda Y, Iekushi K, Yamada T, Yamamoto H. Molidustat for the treatment of renal anaemia in patients with dialysis-dependent chronic kidney disease: design and rationale of three phase III studies. BMJ Open. 2019 Jun 14;9(6):e026602. doi: 10.1136/bmjopen-2018-026602. PubMed 31203241 ↗
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 Jan 2018 to primary completion in Oct 2018, 9 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 9 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 20, 2017
First posted
Nov 22, 2017
StartActual
Jan 22, 2018
Primary completionActual
Oct 23, 2018
CompletionActual
Nov 20, 2018
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
NCT03351166
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Nov 22, 2017
Start date
Jan 22, 2018
Primary completion
Oct 23, 2018
Completion
Nov 20, 2018
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 ↗

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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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