Monthly injection may ease anemia treatment for kidney patients
NCT ID NCT07025460
First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This phase 4 study tested whether a once-monthly injection of darbepoetin alfa works as well as the standard every-2-week schedule for maintaining healthy hemoglobin levels in people with advanced chronic kidney disease who are not on dialysis. Forty Korean adults completed the 12-week evaluation phase. The goal was to see if the monthly dosing could keep hemoglobin at or above 10.0 g/dL, which would mean fewer injections and less burden for patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- darbepoetin alfa
- What this could lead to
- If successful, this could offer a more convenient once-monthly injection schedule for managing anemia in chronic kidney disease, potentially improving patient adherence and reducing healthcare visits.
- What could go wrong
- This is a small, single-arm study in a specific Korean population, so results may not apply broadly. The trial is already complete, and while it showed non-inferiority, larger studies would be needed to confirm safety and effectiveness.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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40 people
The number who actually took part.
- Started
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Dec 2019
- Expected to finish
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Jan 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 19 years * Diagnosis of chronic kidney disease (CKD) not requiring dialysis * Estimated glomerular filtration rate (eGFR) ≤ 45 mL/min/1.73 m² (calculated using the MDRD formula) * Mean hemoglobin (Hb) concentration ≤ 11.5 g/dL during the screening period Hb concentration ≥ 9.5 g/dL during the screening period Stable DARB dosing during screening (defined as \<25% variation in dose) * Serum ferritin ≥ 100 µg/L or transferrin saturation (TSAT) \> 20% * Serum vitamin B12 and folate levels above the lower limit of normal (screening only) Provided written informed consent prior to any study-specific procedures Exclusion Criteria: * Planned kidney transplantation or prior kidney transplant * Uncontrolled hypertension (systolic BP \> 180 mmHg or diastolic BP \> 110 mmHg) Acute myocardial infarction or hospitalization for heart failure within the past 12 weeks * Serum parathyroid hormone (PTH) \> 1500 pg/mL (screening only) Active systemic infection * Diagnosed hematologic diseases (e.g., sickle cell anemia, myelodysplastic syndrome, leukemia, multiple myeloma, hemolytic anemia) * Major surgery within 12 weeks prior to screening (excluding vascular access surgery) * Red blood cell transfusion within 8 weeks before screening or during the study period * Use of any investigational drug or medical device within 30 days prior to screening or during the study * Active malignancy not in remission * Total darbepoetin alfa dose \> 180 mcg in the month prior to enrollment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Institutional Review Board, Gangnam Severance Hospitial Yonsei University College of Medicine
Seoul, South Korea
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Other studies related to the condition(s) this trial covers.
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