Clinical Trial of Vadadustat in Patients with Anemia Secondary to Stage 3 or 4 Chronic Kidney Disease Martin et al. Am J Nephrol 2017;45:380-388 (DOI:

Slides:



Advertisements
Similar presentations
Analysis & Expressing Resultd in Clinical Trials Dr. Khalili.
Advertisements

Hepatitis web study Hepatitis web study Elbasvir + Grazoprevir in GT 1 and Chronic Renal Disease C-SURFER Phase 3 Treatment Naïve and Treatment Experienced.
Anemia in CKD The TREAT Trial Reference Pfeiffer MA. A trial of Darbepoetin alpha in type II diabetes and chronic kidney disease. N Engl J Med. 2009;361:2019–2032.
Glecaprevir-Pibrentasvir in GT 1-6 with Renal Disease EXPEDITION-4
Copyright © 2003 American Medical Association. All rights reserved.
ALBUMIN IS AN EFFECT MODIFIER IN THE RELATIONSHIP BETWEEN ERYTHROPOIETIN STIMULATING AGENT AND MORTALITY IN HEMODIALYSIS PATIENTS. Satoshi Mikami1, Takayuki.
Efficacy and safety of the proprotein convertase subtilisin/kexin type 9 inhibitor alirocumab among high cardiovascular risk patients on maximally tolerated.
A Randomized Trial Comparing Immediate versus Delayed Treatment of Anemia with Once-Weekly Epoetin Alfa in Patients with Non-small Cell Lung Cancer Scheduled.
Renal Parenchymal Hypoxia, Hypoxia Response and the Progression of Chronic Kidney Disease Am J Nephrol 2008;28:998– DOI: / © 2008.
Proportion of patients that met the SRI-5 response criteria (A and C) and reasons for non-response (B and D) in trial 1 (A and B) and trial 2 (C and D).
Metformin Use in Chronic Kidney Disease
Pulmonary Hypertension Is Associated with Mortality and Cardiovascular Events in Chronic Kidney Disease Patients Am J Nephrol 2017;45: DOI: /
Selecting Appropriate Dose Regimens for AM-101 in the Intratympanic Treatment of Acute Inner Ear Tinnitus Audiol Neurotol 2015;20: DOI: /
Locatelli et al. Am J Nephrol 2017;45:   (DOI: / )
Thadhani et al. Am J Nephrol 2017;45:40-48  (DOI: / )
Effects of High Density Lipoprotein Raising Therapies on Cardiovascular Outcomes in Patients with Type 2 Diabetes Mellitus, with or without Renal Impairment:
Advancing Management of Anemia With the Latest Data From ERA-EDTA 2018
Acute Kidney Injury and In-Hospital Mortality after Coronary Artery Bypass Graft versus Percutaneous Coronary Intervention: A Nationwide Study Shen et.
New and Emerging Management Options for Anemia in CKD
Alalia Berry, MD, William W. Busse, MD 
Phase 2 Treatment Naïve Injection Drug Use
Fan et al. Am J Nephrol 2017;45:   (DOI: / )
Kuwabara et al. Am J Nephrol 2017;45:   (DOI: / )
Bhandari et al. Am J Nephrol 2017;45: (DOI: / )
New options for the anemia of chronic kidney disease
Use of Erythropoiesis-Stimulating Agents in Patients With Anemia of Chronic Kidney Disease: Overcoming the Pharmacological and Pharmacoeconomic Limitations.
American Journal of Kidney Diseases 
Change in mean LVMI with erythropoietin alpha hemoglobin maintenance treatment and control/delayed treatment from baseline to 24 months End point Hemoglobin.
Metabolically Healthy Patients With Obesity
Bushinsky et al. Am J Nephrol 2016;44: (DOI: / )
A 12-Week, Double-Blind, Placebo-Controlled Trial of Ferric Citrate for the Treatment of Iron Deficiency Anemia and Reduction of Serum Phosphate in Patients.
Impact of Cognitive Function Change on Mortality in Renal Transplant and End-Stage Renal Disease Patients Sharma et al. Am J Nephrol 2016;44: (DOI: / )
Chronic Kidney Disease Classification in Systolic Blood Pressure Intervention Trial: Comparison Using Modification of Diet in Renal Disease and CKD-Epidemiology.
Volume 88, Issue 5, Pages (November 2015)
The diagnosis and treatment of iron deficiency and its potential relationship to hair loss  Leonid Benjamin Trost, MD, Wilma Fowler Bergfeld, MD, Ellen.
Volume 90, Issue 5, Pages (November 2016)
Percentage of patients achieving minimal disease activity (MDA): A
ACR20, ACR50, and ACR70 response rates during the 12-week study of Japanese patients with rheumatoid arthritis treated with baricitinib or placebo. ACR20,
Rationale and Design of a Clinical Trial Investigating Tolvaptan Safety and Efficacy in Autosomal Dominant Polycystic Kidney Disease Torres et al. Am J.
Hammoud et al. Am J Nephrol 2016;44:  (DOI: / )
Consolidated Standards of Reporting Trials (CONSORT) diagram of patients enrolled in the study. #: Two pre-screen/screen failures were erroneously randomised,
Rajiv Agarwal, John W. Kusek, Maria K. Pappas  Kidney International 
Pharmacodynamic Effects of Sucroferric Oxyhydroxide and Sevelamer Carbonate on Vitamin D Receptor Agonist Bioactivity in Dialysis Patients Sprague et al.
A Randomized Trial Comparing Immediate versus Delayed Treatment of Anemia with Once-Weekly Epoetin Alfa in Patients with Non-small Cell Lung Cancer Scheduled.
GI clinical research 2002–2003: the year in review
Paul D. Thompson, MD, John Rubino, MD, Matthew J. Janik, MD, Diane E
Volume 54, Issue 2, Pages (August 1998)
Pregnancy Outcomes in Patients with Glomerular Disease Attending a Single Academic Center in North Carolina O'Shaughnessy et al. Am J Nephrol 2017;45:
Fig. 1. MAHALO clinical trial flowchart.
Chapter 2: Use of iron to treat anemia in CKD
Modelled mean (SEM) observed forced vital capacity (FVC) volume change from baseline (mL) over time by dose intensity (>90%, ≤90%), based on actual dose.
Current and emerging management options for Clostridium difficile infection: what is the role of fidaxomicin?  O.A. Cornely  Clinical Microbiology and.
Effects of Daprodustat, a Novel Hypoxia-Inducible Factor Prolyl Hydroxylase Inhibitor on Anemia Management in Japanese Hemodialysis Subjects Akizawa et.
Effect of Once- or Twice-Daily MMX Mesalamine (SPD476) for the Induction of Remission of Mild to Moderately Active Ulcerative Colitis  Gary R. Lichtenstein,
HAQ-DI change from baseline and proportion of patients achieving MCID after 24 weeks in patients treated with PBO, IXEQ4W or IXEQ2W alone or in combination.
Volume 68, Issue 6, Pages (December 2005)
Recent experience with high-dose intravenous iron administration
The FAIR-HF Trial Reference
Nowak et al. Am J Nephrol 2016;44: (DOI: / )
Entry, Randomization, and Follow-up of Patients in the Hypertension in the Very Elderly Trial Of the 461 patients who did not meet the protocol criteria,
KDOQI Clinical Practice Guideline and Clinical Practice Recommendations for Anemia in Chronic Kidney Disease: 2007 Update of Hemoglobin Target    American.
Mean change from baseline in 6MWD in (A) Chinese patients with PAH in PATENT-1 and (B) Chinese patients with CTEPH in CHEST-1. Mean change from baseline.
Universal Sustained Viral Response to the Combination of Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir with/without Ribavirin in Patients on Hemodialysis.
Recent developments in the management of secondary hyperparathyroidism
Baseline demographics and clinical characteristics of 3,956 rosuvastatin-treated patients Donald G. Vidt, et al. Am J Cardiol 2006;97:1602–1606.
Changes in glycated hemoglobin (HbA1c) levels after 12 weeks’ treatment with lixisenatide (according to dose increase regimen) or placebo. Changes in glycated.
Alan Menter, MD, Stephen K
Clinical responses to therapy from baseline to week 24 and end point with last observation carried forward (LOCF). Clinical responses to therapy from baseline.
Fistula and Survival Outcomes after Fistula Creation among Predialysis Chronic Kidney Disease Stage 5 Patients Miyamoto et al. Am J Nephrol 2017;45:  
The percentage of patients with baseline BSA ≥ 3% in the ITT population who achieved (a) PASI 75, (c) PASI 90, and (e) PASI 100 during the 24-week double-blind.
Presentation transcript:

Clinical Trial of Vadadustat in Patients with Anemia Secondary to Stage 3 or 4 Chronic Kidney Disease Martin et al. Am J Nephrol 2017;45:380-388 (DOI: 10.1159/000464476) Table 1. Baseline patient characteristics (ITT and mITT populations)

Clinical Trial of Vadadustat in Patients with Anemia Secondary to Stage 3 or 4 Chronic Kidney Disease Martin et al. Am J Nephrol 2017;45:380-388 (DOI: 10.1159/000464476) Fig. 1. Effect of trial treatment on hemoglobin (Hb) at week 6 (modified intent to treat population). For patients who underwent dose reduction during the trial, end-of-treatment Hb was defined as the Hb immediately preceding dose reduction. Five (26%) of the patients in the 630 mg vadadustat treatment group, 2 (12%) of patients in the 500 mg vadadustat treatment group and 2 (11%) of patients in the 240 mg group underwent protocol-defined dose reductions by week 4. Imputation was not performed for missing values, and missing values were excluded from analysis. a Mean changes in Hb (±SEM) compared to baseline. A one-way analysis of variance test was performed with change from baseline as the dependent variable and treatment group as the independent variable. * p < 0.05 for comparisons with baseline. †p < 0.05 for comparisons with placebo. b Proportion of trial patients who achieved increases in Hb ≥1 g/dL at week 6 compared with baseline.

Clinical Trial of Vadadustat in Patients with Anemia Secondary to Stage 3 or 4 Chronic Kidney Disease Martin et al. Am J Nephrol 2017;45:380-388 (DOI: 10.1159/000464476) Fig. 2. Observed mean hemoglobin (Hb) concentration over the trial period during administration of vadadustat or placebo (modified intent to treat population). Data are expressed as the mean ± SEM Hb value at each time point. * p < 0.05 for comparisons with baseline. † p < 0.05 for comparisons with placebo.

Clinical Trial of Vadadustat in Patients with Anemia Secondary to Stage 3 or 4 Chronic Kidney Disease Martin et al. Am J Nephrol 2017;45:380-388 (DOI: 10.1159/000464476) Fig. 3. Observed mean ferritin concentration and total iron binding capacity (TIBC) over the trial period during administration of vadadustat or placebo (modified intent to treat population). Data are expressed as the mean ± SEM at each time point. a Mean change in ferritin concentration (±SEM) compared to baseline. B Mean change in TIBC compared to baseline. c Mean change in hepcidin concentration compared to baseline. * p < 0.05 for comparisons with baseline. † p < 0.05 for comparisons with placebo.