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Darbepoetin Alfa and Anemia of Cancer

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EstadoTerminado
Patrocinadores
Amgen

Palabras clave

Abstracto

This phase 2, multicenter, randomized, open-label, comparative study was designed to determine the effect of darbepoetin alfa on hospital days, economic outcomes, and health related quality of life (HRQOL) in anemic patients with nonmyeloid malignancies who were not receiving chemotherapy. Participants were randomly assigned in a 4:1 allocation ratio to receive either 21 weeks of darbepoetin alfa treatment (treatment group) or 12 weeks of observation followed by up to 9 weeks of darbepoetin alfa treatment (observation group).

fechas

Verificado por última vez: 11/30/2013
Primero enviado: 09/30/2009
Inscripción estimada enviada: 09/30/2009
Publicado por primera vez: 10/01/2009
Última actualización enviada: 12/10/2013
Última actualización publicada: 01/28/2014
Fecha de los primeros resultados enviados: 09/02/2010
Fecha de los primeros resultados de CC enviados: 12/10/2013
Fecha de los primeros resultados publicados: 01/28/2014
Fecha de inicio real del estudio: 04/30/2002
Fecha estimada de finalización primaria: 12/31/2003
Fecha estimada de finalización del estudio: 05/31/2004

Condición o enfermedad

Anemia
Anemia of Cancer
Cancer
Carcinoma
Neoplasms
Non-Myeloid Malignancies

Intervención / tratamiento

Biological: darbepoetin alfa

Fase

Fase 2

Grupos de brazos

BrazoIntervención / tratamiento
Other: Observational Group
Participants in the observation group were evaluated once every 2 weeks for the first 12 weeks (test period). No darbepoetin alfa was administered to the observation group during this period. Darbepoetin alfa could be initiated at a dose of 3.0 μg/kg once every 2 weeks beginning with the first visit after the test period at which the participants hemoglobin concentration was less than or equal to 11.0 g/dL. The dose of darbepoetin alfa could be increased to 5.0 μg/kg once every 2 weeks after 6 weeks of darbepoetin alfa treatment in participants with a hemoglobin change from baseline of less than 1.0 g/dL.
Active Comparator: 21 week treatment group
Participants in the treatment group received darbepoetin alfa subcutaneously (SC) at a dose of 3.0 μg/kg once every 2 weeks for 21 weeks. The dose of darbepoetin alfa could be increased at week 7 (to 5.0 μg/kg once every 2 weeks) or at week 13 (to 9.0 μg/kg once every 2 weeks) in participants with a hemoglobin change from baseline of less than 1.0 g/dL who dose escalated at week 7.

Criterio de elegibilidad

Edades elegibles para estudiar 18 Years A 18 Years
Sexos elegibles para estudiarAll
Acepta voluntarios saludablessi
Criterios

Inclusion Criteria:

- nonmyeloid malignancies (including lymphocytic leukemias)

- anemia (hemoglobin concentration less than or equal to 11.0 g/dL) due to cancer and/or previous chemotherapy or radiotherapy

- Eastern Cooperative Oncology Group performance status of 0 to 2

- adequate liver and renal functions

- 18 years or older

Exclusion Criteria:

- history of recombinant human erythropoietin therapy, cytotoxic chemotherapy, or more than 30 Gy radiotherapy to the whole pelvis within 4 weeks before screening

- acute myelogenous leukemia, chronic myelogenous leukemia, or myelodysplastic syndrome

- known hematologic disorders that could cause anemia

- inflammatory or cardiac disorders

- previous positive antibody response to any erythropoietic agent

- history of pure red cell aplasia

Salir

Medidas de resultado primarias

1. Number of Participants Hospitalized During the Test Period [Weeks 1- 12]

Number of participants hospitalized during Weeks 1-12 as self-reported in the Health Care Utilization portion of the Subject Outcome Questionaire.

2. Days of Hospitalization During the Test Period [Weeks 1-12]

Number of days hospitalized during Weeks 1-12 as self-reported in the Health Care Utilization portion of the Subject Outcome Questionaire; participants who were not hospitalized had a value of 0 days.

3. Number of Hospitalizations During the Test Period [Weeks 1-12]

Number of times participants were hospitalized as self-reported in the Health Care Utilization portion of the Subject Outcome Questionaire during Weeks 1-12

Medidas de resultado secundarias

1. Total Hospital Costs During the Test Period [Weeks 1-12]

The hospital bill database was used to determine the mean total hospital cost per participant during the test period. Participants who were not hospitalized had a cost of $0 imputed.

2. Change in Functional Assessment of Cancer Therapy (FACT)-Fatigue Score at Week 13 [Baseline (Week 1) and Week 13]

The FACT-Fatigue scale comprises 13 questions evaluating the impact of anemia on cancer patients with various tumor types receiving chemotherapy. Fatigue scores range from 0 to 52, with a higher score indicating less fatigue.

3. Hemoglobin Response During the Test Period [Weeks 1-12]

The number of participants achieving a hemoglobin response, defined as an increase in hemoglobin from baseline of ≥ 2.0 g/dL in the absence of red blood cell (RBC) transfusions during the preceding 28 days.

4. Hematopoietic Response During the Test Period [Weeks 1-12]

The number of participants achieving a hematopoietic response, defined as an increase in hemoglobin from baseline of ≥ 2.0 g/dL or a concentration ≥ 12.0 g/dL both in the absence of red blood cell (RBC) transfusions during the preceding 28 days.

5. Change From Baseline in Hemoglobin Level [Baseline (Week 1) and Week 13]

The difference between hemoglobin concentrations after 12 weeks of treatment and the Baseline hemoglobin concentration value (Study Day 1 sample prior to first dose of darbepoetin alfa).

6. Number of Participants With Red Blood Cell (RBC) Transfusions During the Test Period [Weeks 1-12]

Number of participants with at least one RBC transfusion during Weeks 1 to 12.

7. Number of Units of Red Blood Cells Transfused During the Test Period [Weeks 1-12]

The average number of standard units of red blood cells transfused during Weeks 1 to 12.

8. Number of Days of Red Blood Cell Transfusions During the Test Period [Weeks 1-12]

The number of days when at least one red blood cell transfusion was administered during Weeks 1 to 12.

9. Number of Participants With Red Blood Cell (RBC) Transfusions During Weeks 5-12 [Weeks 5-12]

The number of participants with at least one RBC transfusion during weeks 5 to 12.

10. Number of Units of Red Blood Cells Transfused During Weeks 5-12 [Weeks 5-12]

The number of standard units of RBCs transfused during Weeks 5 to 12.

11. Number of Days of Red Blood Cell Transfusions During Weeks 5-12 [Weeks 5-12]

The number of days when at least one RBC transfusion was administered during Weeks 5 to 12.

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