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Trial · NCT04655027

A Study to Investigate the Effect of Roxadustat Versus Recombinant Human Erythropoietin (rHuEPO) on Oral Iron Absorption in Chinese Patients With Anemia of Chronic Kidney Disease (CKD)

NCT04655027, Phase 4, Completed, AstraZeneca; results first posted 2024-04-22

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Investigate the Effect of Roxadustat Versus Recombinant Human Erythropoietin (rHuEPO) on Oral Iron Absorption in Chinese Patients With Anemia of Chronic Kidney Disease (CKD). Trials, record NCT04655027. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04655027

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Investigate the Effect of Roxadustat Versus Recombinant Human Erythropoietin (rHuEPO) on Oral Iron Absorption in Chinese Patients With Anemia of Chronic Kidney Disease (CKD)
NCT number
NCT04655027
Status
Completed
Phases
Phase 4
Enrollment
25 participants, actual
Lead sponsor
AstraZeneca
Conditions
Anemia of Chronic Kidney Disease
Interventions
Roxadustat, rHuEPO
First posted
2020-12-04
Last updated
2024-04-22
Results first posted
2024-04-22
Limitations and caveats
* NDD randomization strata were merged because recruitment was insufficient.~* The log-transform of AUC was removed from the primary assessment post-database-lock when negative AUC were discovered (which invalidated log-transformation).

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryDifference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)From Baseline (Day 1) to Day 15The main effect of roxadustat versus rHuEPO on GI iron absorption was evaluated.
SecondaryDifference From Baseline to Day 15 in Area Under Curve (AUC) of Iron Absorption (0-3 Hours)From Baseline (Day 1) to Day 15The effect and interaction with key baseline variables of roxadustat versus rHuEPO on iron absorption was assessed.
SecondaryDifference From Baseline to Day 15 in Serum IronFrom baseline (Day 1) to Day 15The effect and interaction with baseline variables of roxadustat versus rHuEPO on the indices of iron metabolism: serum iron was assessed.
SecondaryDifference From Baseline to Day 15 in FerritinFrom baseline (Day 1) to Day 15The effect and interaction with baseline variables of roxadustat versus rHuEPO on the indices of iron metabolism: Ferritin was assessed.
SecondaryDifference From Baseline to Day 15 in Total Iron Binding Capacity (TIBC)From baseline (Day 1) to Day 15The effect and interaction with baseline variables of roxadustat versus rHuEPO on the indices of iron metabolism: TIBC was assessed.
SecondaryRelative Difference From Baseline to Day 15 in Transferrin Saturation (TSAT)From baseline (Day 1) to Day 15The effect and interaction with baseline variables of roxadustat versus rHuEPO on the indices of iron metabolism: TSAT (fraction of TIBC) was assessed.
SecondaryDifference From Baseline to Day 15 in TransferrinFrom baseline (Day 1) to Day 15The effect and interaction with baseline variables of roxadustat versus rHuEPO on the indices of iron metabolism: Transferrin was assessed.
SecondaryDifference From Baseline to Day 15 in Soluble Transferrin ReceptorFrom baseline (Day 1) to Day 15The effect and interaction with baseline variables of roxadustat versus rHuEPO on the indices of iron metabolism: Soluble transferrin receptor was assessed.
SecondaryDifference From Baseline to Day 15 in HepcidinFrom baseline (Day 1) to Day 15The effect and interaction with baseline variables of roxadustat versus rHuEPO on the indices of Hepcidin was assessed.
SecondaryNumber of Subjects With Adverse Events (AEs)From screening (Starting on Day -21) until follow up (28 days) (approximately 7 weeks)AEs as variables of safety was assessed.

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDifference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)From Baseline (Day 1) to Day 15
The FAS was the primary efficacy analysis set and included all randomized patients who completed baseline (Day 1) measurements for any efficacy analysis.~Here, the number analyzed signified only the subjects with available data that were evaluated on that specific group.
gram*3hours/deciliter (g*3hr/dL)MEAN
SECONDARYDifference From Baseline to Day 15 in Area Under Curve (AUC) of Iron Absorption (0-3 Hours)From Baseline (Day 1) to Day 15
The FAS was the primary efficacy analysis set and included all randomized patients who completed baseline (Day 1) measurements for any efficacy analysis.~Here, the number analyzed signified only the subjects with available data that were evaluated for this specific outcome measure.~The change from baseline reported uses observed values only, which is only defined when both Baseline and Day 15 values are non-missing.
gram*3hours/deciliter (g*3hr/dL)MEAN
SECONDARYDifference From Baseline to Day 15 in Serum IronFrom baseline (Day 1) to Day 15
The FAS was the primary efficacy analysis set and included all randomized patients who completed baseline (Day 1) measurements for any efficacy analysis.~Here, the number analyzed signified only the subjects with available data that were evaluated for this specific outcome measure.~The change from baseline reported uses observed values only, which is only defined when both Baseline and Day 15 values are non-missing.
micromole/Liter (µmol/L)MEAN
SECONDARYDifference From Baseline to Day 15 in FerritinFrom baseline (Day 1) to Day 15
The FAS was the primary efficacy analysis set and included all randomized patients who completed baseline (Day 1) measurements for any efficacy analysis.~Here, the number analyzed signified only the subjects with available data that were evaluated for this specific outcome measure.~The change from baseline reported uses observed values only, which is only defined when both Baseline and Day 15 values are non-missing.
microgram/Liter (µg/L)MEAN
SECONDARYDifference From Baseline to Day 15 in Total Iron Binding Capacity (TIBC)From baseline (Day 1) to Day 15
The FAS was the primary efficacy analysis set and included all randomized patients who completed baseline (Day 1) measurements for any efficacy analysis.~Here, the number analyzed signified only the subjects with available data that were evaluated for this specific outcome measure.~The change from baseline reported uses observed values only, which is only defined when both Baseline and Day 15 values are non-missing.
micromole/Liter (µmol/L)MEAN
SECONDARYRelative Difference From Baseline to Day 15 in Transferrin Saturation (TSAT)From baseline (Day 1) to Day 15
The FAS was the primary efficacy analysis set and included all randomized patients who completed baseline (Day 1) measurements for any efficacy analysis.~Here, the number analyzed signified only the subjects with available data that were evaluated for this specific outcome measure.~The change from baseline reported uses observed values only, which is only defined when both Baseline and Day 15 values are non-missing.
RatioMEAN
SECONDARYDifference From Baseline to Day 15 in TransferrinFrom baseline (Day 1) to Day 15
The FAS was the primary efficacy analysis set and included all randomized patients who completed baseline (Day 1) measurements for any efficacy analysis.~Here, the number analyzed signified only the subjects with available data that were evaluated for this specific outcome measure.~The change from baseline reported uses observed values only, which is only defined when both Baseline and Day 15 values are non-missing.
gram/Liter (g/L)MEAN
SECONDARYDifference From Baseline to Day 15 in Soluble Transferrin ReceptorFrom baseline (Day 1) to Day 15
The FAS was the primary efficacy analysis set and included all randomized patients who completed baseline (Day 1) measurements for any efficacy analysis.~Here, the number analyzed signified only the subjects with available data that were evaluated for this specific outcome measure.~The change from baseline reported uses observed values only, which is only defined when both Baseline and Day 15 values are non-missing.
milligram/Liter (mg/L)MEAN
SECONDARYDifference From Baseline to Day 15 in HepcidinFrom baseline (Day 1) to Day 15
The FAS was the primary efficacy analysis set and included all randomized patients who completed baseline (Day 1) measurements for any efficacy analysis.~Here, the number analyzed signified only the subjects with available data that were evaluated for this specific outcome measure.~The change from baseline reported uses observed values only, which is only defined when both Baseline and Day 15 values are non-missing.
microgram/Liter (µg/L)MEAN
SECONDARYNumber of Subjects With Adverse Events (AEs)From screening (Starting on Day -21) until follow up (28 days) (approximately 7 weeks)The Safety analysis set included all randomized patients who received at least 1 dose of study treatment, with patients being analyzed as treated, rather than as randomized.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group42

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Difference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)RoxadustatChange from baseline11.288Standard Deviation 28.1506gram*3hours/deciliter (g*3hr/dL)
Difference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)rHuEPOChange from baseline-0.259Standard Deviation 9.7369gram*3hours/deciliter (g*3hr/dL)
Difference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)RoxadustatHemodialysis (HD) group- Change from baseline20.125Standard Deviation 29.9536gram*3hours/deciliter (g*3hr/dL)
Difference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)rHuEPOHemodialysis (HD) group- Change from baseline-1.625Standard Deviation 10.2189gram*3hours/deciliter (g*3hr/dL)
Difference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)RoxadustatPeritoneal dialysis (PD)- Change from baseline-2.408Standard Deviation 19.4973gram*3hours/deciliter (g*3hr/dL)
Difference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)rHuEPOPeritoneal dialysis (PD)- Change from baseline-2.263Standard Deviation 6.7321gram*3hours/deciliter (g*3hr/dL)
Difference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)RoxadustatNon-dialysis-dependent (NDD)- Change from baseline34.700Standard Deviation 39.8808gram*3hours/deciliter (g*3hr/dL)
Difference From Baseline to Day 15 in Area Under Curve (AUC) of GI Iron Absorption (0-3 Hours)rHuEPONon-dialysis-dependent (NDD)- Change from baseline15.950Standard Deviation NAgram*3hours/deciliter (g*3hr/dL)
Difference From Baseline to Day 15 in Area Under Curve (AUC) of Iron Absorption (0-3 Hours)Roxadustat11.288Standard Deviation 28.1506gram*3hours/deciliter (g*3hr/dL)
Difference From Baseline to Day 15 in Area Under Curve (AUC) of Iron Absorption (0-3 Hours)rHuEPO-0.259Standard Deviation 9.7369gram*3hours/deciliter (g*3hr/dL)

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRoxadustat13
Overall StudySTARTEDrHuEPO12
Overall StudyCOMPLETEDRoxadustat12
Overall StudyCOMPLETEDrHuEPO12
Overall StudyNOT COMPLETEDRoxadustat1
Overall StudyNOT COMPLETEDrHuEPO0

Adverse events14

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal infectionInfections and infestationsRoxadustat113
otherAbdominal infectionInfections and infestationsrHuEPO012
otherHyperkalaemiaMetabolism and nutrition disordersRoxadustat113
otherHyperkalaemiaMetabolism and nutrition disordersrHuEPO212
otherHypermagnesaemiaMetabolism and nutrition disordersRoxadustat113
otherHypermagnesaemiaMetabolism and nutrition disordersrHuEPO012
otherSeizureNervous system disordersRoxadustat113
otherSeizureNervous system disordersrHuEPO012
otherOpen angle glaucomaEye disordersRoxadustat113
otherOpen angle glaucomaEye disordersrHuEPO012

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRoxadustat013
Total, all-cause mortalityrHuEPO012
Total, other adverse eventsRoxadustat513
Total, other adverse eventsrHuEPO212
Total, serious adverse eventsRoxadustat013
Total, serious adverse eventsrHuEPO012

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
38280066DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Roxadustat vs rHuEPO: deaths from any causeTrial comparisons
Roxadustat vs rHuEPO: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04655027

GET https://conductscience.org/api/trials/v1/NCT04655027/results?page=2