Phase III Study of GSK1278863 in Japanese Non-dialysis (ND) and Peritoneal Dialysis (PD) Subjects With Renal Anemia
Summary
This is a Phase III, open-label, active-controlled, parallel-group, multi-center study to compare the efficacy and safety of GSK1278863 administered for 52 weeks versus epoetin beta pegol in approximately 286 Japanese ND and 50 PD subjects with renal anemia. The study will consist of three cohorts. Cohort 1 and Cohort 3 will consist of ND subjects (Erythropoiesis-Stimulating Agent \[ESA\] users and ESA non-users) randomized to receive GSK1278863 or epoetin beta pegol in a ratio of 1:1. PD subjects will be enrolled into Cohort 2 and will receive GSK1278863. This study consists of a 4-week screening phase, a 52-week treatment phase (including primary efficacy evaluation period \[Weeks 40 to 52\]), and a 4-week follow-up phase following the treatment phase. The primary objective of this study is to demonstrate non-inferiority of GSK1278863 to epoetin beta pegol based on mean hemoglobin (Hgb) during the primary efficacy evaluation period in ND subjects. ESA non-users from Cohort 1 will be excluded from the primary efficacy analysis. Study results will be used as pivotal study data for an NDA submitted for GSK1278863 for the treatment of renal anemia in Japan.
Timeline
- Start
- 2016-06-06
- Primary completion
- 2018-10-26
- Completion
- 2018-10-26
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.
- Nangaku M, Hamano T, Akizawa T, Tsubakihara Y, Nagai R, Okuda N, Kurata K, Nagakubo T, Jones NP, Endo Y, Cobitz AR. Daprodustat Compared with Epoetin Beta Pegol for Anemia in Japanese Patients Not on Dialysis: A 52-Week Randomized Open-Label Phase 3 Trial. Am J Nephrol. 2021;52(1):26-35. doi: 10.1159/000513103. Epub 2021 Feb 9.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Daprodustat | Small molecule | 1 mg | Oral |
| Subject | Daprodustat | Small molecule | 2 mg | Oral |
| Subject | Daprodustat | Small molecule | 4 mg | Oral |
| Subject | Daprodustat | Small molecule | 6 mg | Oral |
| Subject | Daprodustat | Small molecule | 8 mg | Oral |
| Subject | Daprodustat | Small molecule | 12 mg | Oral |
| Subject | Daprodustat | Small molecule | 18 mg | Oral |
| Subject | Daprodustat | Small molecule | 24 mg | Oral |
| Comparator | Epoetin beta pegol | Unknown | 25 ug | Subcutaneous |
| Comparator | Epoetin beta pegol | Unknown | 50 ug | Subcutaneous |
| Comparator | Epoetin beta pegol | Unknown | 75 ug | Subcutaneous |
| Comparator | Epoetin beta pegol | Unknown | 100 ug | Subcutaneous |
| Comparator | Epoetin beta pegol | Unknown | 150 ug | Subcutaneous |
| Comparator | Epoetin beta pegol | Unknown | 200 ug | Subcutaneous |
| Comparator | Epoetin beta pegol | Unknown | 250 ug | Subcutaneous |