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Japanese

Feb. 03, 2022

Feb. 27, 2024

jRCT1041210141

The effect of roxadustat on erythropoietin production from liver among patients on long-term maintenance hemodialysis or patients with non-dialysis dependent chronic kidney disease

Roxadustat and hepatic erythropoetin production

Hamano Takayuki

Nagoya City University Hospital

1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi

+81-528587429

hamatea@med.nagoya-cu.ac.jp

Murashima Miho

Nagoya City University Hospital

1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi

+81-528587429

mmurashi@med.nagoya-cu.ac.jp

Not Recruiting

Feb. 03, 2022

Mar. 23, 2022
40

Observational

Hemodialysis patients
age>=20 and <95
dialysis vintage > 15 years
receiving treatment with erythropoiesis stimulating agents (ESA)
requiring change from ESA to HIF-PH inhibitors for clinical reasons
those who consent to participation to the research
Patients with non-dialysis dependent chronic kidney disease
age>=20 and <95
receiving treatment with ESA
requiring change from ESA to HIF-PH inhibitors for clinical reasons
those who consent to participation to the research

Those with malignancy
Those with deep venous thrombosis
Hematologic malignancy including myelodysplastic syndrome
Iron deficiency (transferrin saturation <20% or ferritin <100ng/mL)
Active bleeding
Liver dysfunction (Child Pugh class B or C)
Diabetic proliferative retinopathy
Those who were deemed to be ineligible by treating physicians

20age old over
95age old not

Both

Renal anemia

renal anemia, chronic kidney disease, roxadustat, erythropoietin

Proportion of erythropoietin derived from kidneys or liver 1-2 week and 12 weeks after swithing from ESA to
roxadustat

Proportion of patients achieving target hemoglobin of 10-12g/dL 12 weeks after initiation of roxadustat, hemogloin, erythroferron, and hepcidin levels 12 weeks after initiation of roxadustat

Nagoya City University
Astellas Pharm Inc.
Not applicable
Nagoya City University Institutional Review Board
1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi

+81-52-853-8348

irb_jimu@med.nagoya-cu.ac.jp
Approval

Nov. 19, 2021

No

none

History of Changes

No Publication date
4 Feb. 27, 2024 (this page) Changes
3 April. 12, 2022 Detail Changes
2 Feb. 10, 2022 Detail Changes
1 Feb. 03, 2022 Detail