Asses the Impact of Early Starting Erythropoetin in the Reduction of Transfusions Blood in Childrens
NCT05704894 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 320
Last updated 2023-01-30
Summary
Anemia is a frequent complication among cancer patients, both as a result of the malignancy of the disease and the aggressiveness of the treatment. Regardless of the degree of anemia, cancer patients produce less erythropoietin (EPO) and, consequently, cannot compensate for the deficit in the production of red blood cells, a situation that can worsen in presence of inflammation or infection. In the pediatric oncology population, studies vary in relation to anemia treatment protocols, indications for starting treatment and even there is no robust evidence that treatment with erythropoiesis stimulators results in increased hemoglobin levels, even in mild and moderate anemia, with improvement in quality of life scores and fatigue. Therefore, the proposed study aims to test the efficacy and safety of erythropoietin therapy in the treatment of cancer-related anemia in children and adolescents aged 2 to 17 years. As a secondary objective, to evaluate the benefit of early initiation of EPO (Hb\<12g/dL) in children undergoing chemotherapy in improving quality of life and reducing fatigue.
For the evaluation of secondary outcomes, the Student's t test can be applied and analyzes of variance or covariance (ANOVA or ANCOVA) (with treatment group as a factor, and baseline hemoglobin level as a covariate) will be used to compare the outcomes of efficacy defined by variation (change) time point post versus baseline between 2 groups. Adjusted means ("least square means") with 95% CI will be reported. When applicable, secondary outcomes defined by continuous variables evaluated over time (3 or more instants) will be analyzed using mixed model analysis of variance for repeated measures
Conditions
- Anemia
- Neoplasms
- Chemotherapeutic-Induced Anemia
Interventions
- BIOLOGICAL
-
Erythropoietin
Administration of Erythropoietin 150UI/Kg/week divided into 3 doses, IV, for a period of 12 weeks, in patients with hemoglobin between \<12g/dL
Sponsors & Collaborators
-
Blau Farmaceutica S.A.
lead INDUSTRY
Principal Investigators
-
Clinical Research · Blau Farmaceutica S.A.
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 2 Years
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-31
- Primary Completion
- 2025-05-31
- Completion
- 2025-11-30
More Related Trials
-
Epoetin Alfa in Treating Anemia in Patients With Solid Tumors
NCT00058331 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of Recombinant Human Erythropoietin in Anemic Cancer Patients Undergoing Chemotherapy
NCT00144482 ·Status: COMPLETED ·Phase: PHASE3
-
Study to Assess the Efficacy and Safety of HX575 in the Treatment of Chemotherapy Associated Anemia in Cancer Patients
NCT00711958 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Determine the Safety and Effectiveness of Epoetin Alfa Versus Placebo in Patients With Persistent Anemia Caused by Advanced Cancer
NCT00269984 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Assess the Hematopoyetic Response of Anemic Patients With Hematologic Malignancies Treated With Erythropoietin B
NCT02608060 ·Status: TERMINATED ·Phase: PHASE4
-
Comparative Study of Two Recombinant Human Erythropoietin Products in Chronic Kidney Disease Patients
NCT06352138 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Randomised Study to Compare the Effect of r-Hu-EPO Administration With Transfusion of Red Blood Cell Concentrates and Also With the Administration of Polyvitamins in Anemic and Tired Patients Presenting a Bad Prognostic in Middle Course
NCT00180999 ·Status: TERMINATED ·Phase: PHASE3
-
Frequent, Low-Dose Erythropoietin A Mechanistic Approach to Mitigate Adverse Cardiovascular Effects of Erythropoietin
NCT03277183 ·Status: TERMINATED ·Phase: PHASE4
-
Epoetin Alfa or Epoetin Beta With or Without Iron Infusion in Treating Anemia in Patients With Cancer
NCT00482716 ·Status: UNKNOWN ·Phase: PHASE3
-
Clinical Efficacy of Two Erythropoietin Drug in Participants With Secondary Anemia to Chronic Kidney Disease.
NCT01695759 ·Status: TERMINATED ·Phase: PHASE3
-
" Evaluation of Erythropoietin Therapy in Patients With End-Stage Kidney Disease on Regular Hemodialysis: Hemoglobin Outcomes, and Metabolic Syndrome as a Risk Factor for Erythropoietin Resistance "
NCT06983756 ·Status: NOT_YET_RECRUITING
-
Adjuvant I.V. Iron Therapy During Erythropoetin Treatment of Anemic Patients With Lymphoproliferative Disorders.
NCT00145652 ·Status: COMPLETED ·Phase: PHASE3
-
Erythropoietin and Iron Supplementation for Patients With Chemotherapy-induced Anaemia
NCT02731378 ·Status: UNKNOWN ·Phase: PHASE4
-
PK, PD, Safety and Immunogenicity Study of Erythropoietin of Incepta Pharmaceuticals Ltd With Eprex (Janssen-Cilag).
NCT07025681 ·Status: RECRUITING ·Phase: PHASE3
-
Prevalence of Erythropoiesis Stimulating Agents Hyporesponsiveness in Dialysis Patients in Assiut University Hospital
NCT06053866 ·Status: NOT_YET_RECRUITING
-
Epoetin Alfa for the Treatment of Anemia Resulting From Chronic Lymphocytic Leukemia
NCT00270049 ·Status: COMPLETED ·Phase: PHASE2
-
Comparison Among Erythropoietin Stimulating Agents
NCT02049346 ·Status: COMPLETED ·Phase: PHASE4
-
Studying Erythropoietin Receptor Presence and Function in Human Cancer Specimens
NCT01827514 ·Status: UNKNOWN
-
Surveillance Study to Estimate the Incidence of Pure Red Blood Cell Aplasia Among Patients With Chronic Kidney Failure
NCT00391287 ·Status: COMPLETED
-
Erythropoietin to Improve Critical Care Patient Outcomes
NCT05080049 ·Status: UNKNOWN ·Phase: PHASE3
-
A Study of Subcutaneous Mircera, Versus no Erythropoiesis-Stimulating Agent (ESA) Therapy, in the Treatment of Anemia in Patients With Chronic Kidney Disease After Kidney Transplant
NCT00576602 ·Status: TERMINATED ·Phase: PHASE4
-
Intravenous (IV) Iron vs. No Iron as the Treatment of Anemia in Cancer Patients Undergoing Chemotherapy and Erythropoietin Therapy
NCT00236951 ·Status: COMPLETED ·Phase: PHASE3
-
Pharmacokinetics and Pharmacodynamics Assessment of Drug Eritromax Compared to Eprex in Healthy Subjects.
NCT03572647 ·Status: COMPLETED ·Phase: PHASE1
-
Erythropoietin and Platelet Activation Markers
NCT01392612 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Intravenous Injection of Erythropoietin on Hepcidin Pharmacokinetics in Healthy Volunteers
NCT00687518 ·Status: UNKNOWN ·Phase: NA