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Retrospective Case-control Study of Risk Factors for Anti-erythropoietin Antibody Positive Pure Red Cell Aplasia Among Patients With Chronic Kidney Disease Receiving Epoetin Alfa


Phase 4
N/A
N/A
Not Enrolling
Both
Pure Red-cell Aplasia

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Trial Information

Retrospective Case-control Study of Risk Factors for Anti-erythropoietin Antibody Positive Pure Red Cell Aplasia Among Patients With Chronic Kidney Disease Receiving Epoetin Alfa


This is a multicenter (study conducted at multiple sites), case-control (study that compare
individuals with a disease or condition [cases] to a group of individuals without the
disease or condition [controls] to determine the possible factor which increased disease
incidence), retrospective (a study in which the participants are identified and then
followed backward, as time passes) study. Retrospective risk factor data will be collected
for control participants matched to the subset of participants in Protocol EPO-IMU-301
identified as having chronic kidney disease and anti-EPO antibody positive PRCA that began
while the participant was receiving treatment with EPREX (index participants). For each
index participant, up to 4 matched non-PRCA control participants with chronic kidney disease
will be enrolled in this study. Approximately 600 control participants will be enrolled in
this study. Control participants will be selected from the same site as the index
participant and the data will be collected from the date closest to the reference date (loss
of efficacy [drop in hemoglobin of greater than 2 g/dL/month] was first seen) that the
control participant satisfies all study inclusion and exclusion criteria. The optional
pharmacogenomic part (testing for polymorphisms and haploid types of the erythropoietin
gene) will be recorded for the control participants who will sign the pharmacogenomics part
of the study. No drug administration or treatment will be mandated by this study. Safety
evaluation will include assessment of adverse events.


Inclusion Criteria:



- History of anemia due to chronic kidney disease

- Pure red cell aplasia (PRCA) associated with erythropoietin-alpha (EPO) treatment

- Treatment with EPO for a minimum of 2 months occurring within more or less 3 months
of the reference date (date of loss of efficacy [drop in hemoglobin of greater than 2
g/dL/month] was first observed)

Exclusion criteria

- History of and information related to past exposure to EPO not available

- History of PRCA or anti-EPO antibody positive status before or after the reference
date

Type of Study:

Observational

Study Design:

Observational Model: Case Control, Time Perspective: Retrospective

Outcome Measure:

Study medication-related risk factors: Number of participants who received Human Serum Albumin (HSA) containing drug

Outcome Description:

The reference date is the day on which Loss of Efficacy (LOE) was first suspected, where LOE is the date that a drop in hemoglobin of greater than 2 g/dL/month was first seen.

Outcome Time Frame:

1 year prior to the reference date

Safety Issue:

No

Principal Investigator

Johnson & Johnson Pharmaceutical Research and Development, L. L. C. Clinical trial

Investigator Role:

Study Director

Investigator Affiliation:

Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

Authority:

Norway: Directorate of Health

Study ID:

CR004408

NCT ID:

NCT00211068

Start Date:

March 2004

Completion Date:

March 2006

Related Keywords:

  • Pure Red-cell Aplasia
  • Pure red-cell aplasia
  • Chronic kidney failure
  • Epoetin alfa (Eprex)
  • Erythropoietin
  • Kidney disease
  • Anemia
  • Kidney Diseases
  • Red-Cell Aplasia, Pure
  • Renal Insufficiency, Chronic
  • Kidney Failure, Chronic

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