Table 2

Hepcidin change following therapy with PHD-I in Phase II studies

StudyCKD phaseMoleculeDoseMean hepcidin change from baseline (PHD-I)Control therapyMean hepcidin change from baseline (ESA)P-value
Besarab et al. [11]NDRoxadustat
  • 1.5 mg/kg BIW and TIW

  • 2 mg/kg BIW and TIW

  • −150 ± 89.5 ng/mL

  • −225 ± 192 ng/mL

Placebo−17.8 ± 114 ng/mL0.0013
Provenzano et al. [12]HDRoxadustat1–2 mg/kg TIW or 1.0–2.0 mg/kg TIW or tiered weight based−60.4 ± 187.8 ng/mLaEpoetin alfa35.6 ± 123.4 ng/mLa0.04
Provenzano et al. [28]NDRoxadustatVarying starting doses and frequencies27.7 (±107.2) ng/mLNoneNA<0.001b
Chen et al. [29]NDRoxadustat1.1–1.75 mg/kg and 1.50–2.25 mg/kg TIW−37.5Placebo−4.8 ng/mL<0.0001
Chen et al. [29]HDRoxadustat
  • 1.1–1.8 mg/kg TIW

  • 1.5–2.3 mg/kg TIW

  • 1.7–2.3 mg/kg TIW

  • −25.7

  • −86.0

  • −102.7 ng/mL

Epoetin alfa−77.9 ng/mL0.005c
Holdstock et al. [13]NDDaprodustat5 mg/day−143.6 mg/LPlacebo−7.3 mg/LNA
Holdstock et al. [13]HDDaprodustat5 mg/day−0.7 mg/LrHuEPO−41 mg/LNA
Akizawa et al. [14]HDDaprodustat
  • 4 mg/day

  • 6 mg/day

  • 10 mg/day

  • −60.4 mg/Ld

  • −69 mg/Ld

  • −76.2 mg/Ld

Placebo03.1 mg/Ld
Cizman et al. [15]HDDaprodustat12 mg/day
  • −14.5% at week 4

  • +6.4% at week 20

None
Martin et al. [17]NDVadadustat370, 500, 630 mg/day−90–139 ng/mLPlaceboNA<0.05
Haase et al. [30]HDVadadustat
  • 300 mg QD

  • 450 mg QD

  • 450 mg TIW

  • −15.1 ± 46.5 ng/mL

  • −21.7 ± 45.4 ng/mL

  • −4.9 ± 50.4 ng/dL

None
StudyCKD phaseMoleculeDoseMean hepcidin change from baseline (PHD-I)Control therapyMean hepcidin change from baseline (ESA)P-value
Besarab et al. [11]NDRoxadustat
  • 1.5 mg/kg BIW and TIW

  • 2 mg/kg BIW and TIW

  • −150 ± 89.5 ng/mL

  • −225 ± 192 ng/mL

Placebo−17.8 ± 114 ng/mL0.0013
Provenzano et al. [12]HDRoxadustat1–2 mg/kg TIW or 1.0–2.0 mg/kg TIW or tiered weight based−60.4 ± 187.8 ng/mLaEpoetin alfa35.6 ± 123.4 ng/mLa0.04
Provenzano et al. [28]NDRoxadustatVarying starting doses and frequencies27.7 (±107.2) ng/mLNoneNA<0.001b
Chen et al. [29]NDRoxadustat1.1–1.75 mg/kg and 1.50–2.25 mg/kg TIW−37.5Placebo−4.8 ng/mL<0.0001
Chen et al. [29]HDRoxadustat
  • 1.1–1.8 mg/kg TIW

  • 1.5–2.3 mg/kg TIW

  • 1.7–2.3 mg/kg TIW

  • −25.7

  • −86.0

  • −102.7 ng/mL

Epoetin alfa−77.9 ng/mL0.005c
Holdstock et al. [13]NDDaprodustat5 mg/day−143.6 mg/LPlacebo−7.3 mg/LNA
Holdstock et al. [13]HDDaprodustat5 mg/day−0.7 mg/LrHuEPO−41 mg/LNA
Akizawa et al. [14]HDDaprodustat
  • 4 mg/day

  • 6 mg/day

  • 10 mg/day

  • −60.4 mg/Ld

  • −69 mg/Ld

  • −76.2 mg/Ld

Placebo03.1 mg/Ld
Cizman et al. [15]HDDaprodustat12 mg/day
  • −14.5% at week 4

  • +6.4% at week 20

None
Martin et al. [17]NDVadadustat370, 500, 630 mg/day−90–139 ng/mLPlaceboNA<0.05
Haase et al. [30]HDVadadustat
  • 300 mg QD

  • 450 mg QD

  • 450 mg TIW

  • −15.1 ± 46.5 ng/mL

  • −21.7 ± 45.4 ng/mL

  • −4.9 ± 50.4 ng/dL

None
a

At Week 19.

b

Versus baseline.

c

Versus high dose.

d

Median.

TIW, thrice weekly; BIW, twice weekly; QD, four times per week; rHuEPO, recombinant human EPO.

Table 2

Hepcidin change following therapy with PHD-I in Phase II studies

StudyCKD phaseMoleculeDoseMean hepcidin change from baseline (PHD-I)Control therapyMean hepcidin change from baseline (ESA)P-value
Besarab et al. [11]NDRoxadustat
  • 1.5 mg/kg BIW and TIW

  • 2 mg/kg BIW and TIW

  • −150 ± 89.5 ng/mL

  • −225 ± 192 ng/mL

Placebo−17.8 ± 114 ng/mL0.0013
Provenzano et al. [12]HDRoxadustat1–2 mg/kg TIW or 1.0–2.0 mg/kg TIW or tiered weight based−60.4 ± 187.8 ng/mLaEpoetin alfa35.6 ± 123.4 ng/mLa0.04
Provenzano et al. [28]NDRoxadustatVarying starting doses and frequencies27.7 (±107.2) ng/mLNoneNA<0.001b
Chen et al. [29]NDRoxadustat1.1–1.75 mg/kg and 1.50–2.25 mg/kg TIW−37.5Placebo−4.8 ng/mL<0.0001
Chen et al. [29]HDRoxadustat
  • 1.1–1.8 mg/kg TIW

  • 1.5–2.3 mg/kg TIW

  • 1.7–2.3 mg/kg TIW

  • −25.7

  • −86.0

  • −102.7 ng/mL

Epoetin alfa−77.9 ng/mL0.005c
Holdstock et al. [13]NDDaprodustat5 mg/day−143.6 mg/LPlacebo−7.3 mg/LNA
Holdstock et al. [13]HDDaprodustat5 mg/day−0.7 mg/LrHuEPO−41 mg/LNA
Akizawa et al. [14]HDDaprodustat
  • 4 mg/day

  • 6 mg/day

  • 10 mg/day

  • −60.4 mg/Ld

  • −69 mg/Ld

  • −76.2 mg/Ld

Placebo03.1 mg/Ld
Cizman et al. [15]HDDaprodustat12 mg/day
  • −14.5% at week 4

  • +6.4% at week 20

None
Martin et al. [17]NDVadadustat370, 500, 630 mg/day−90–139 ng/mLPlaceboNA<0.05
Haase et al. [30]HDVadadustat
  • 300 mg QD

  • 450 mg QD

  • 450 mg TIW

  • −15.1 ± 46.5 ng/mL

  • −21.7 ± 45.4 ng/mL

  • −4.9 ± 50.4 ng/dL

None
StudyCKD phaseMoleculeDoseMean hepcidin change from baseline (PHD-I)Control therapyMean hepcidin change from baseline (ESA)P-value
Besarab et al. [11]NDRoxadustat
  • 1.5 mg/kg BIW and TIW

  • 2 mg/kg BIW and TIW

  • −150 ± 89.5 ng/mL

  • −225 ± 192 ng/mL

Placebo−17.8 ± 114 ng/mL0.0013
Provenzano et al. [12]HDRoxadustat1–2 mg/kg TIW or 1.0–2.0 mg/kg TIW or tiered weight based−60.4 ± 187.8 ng/mLaEpoetin alfa35.6 ± 123.4 ng/mLa0.04
Provenzano et al. [28]NDRoxadustatVarying starting doses and frequencies27.7 (±107.2) ng/mLNoneNA<0.001b
Chen et al. [29]NDRoxadustat1.1–1.75 mg/kg and 1.50–2.25 mg/kg TIW−37.5Placebo−4.8 ng/mL<0.0001
Chen et al. [29]HDRoxadustat
  • 1.1–1.8 mg/kg TIW

  • 1.5–2.3 mg/kg TIW

  • 1.7–2.3 mg/kg TIW

  • −25.7

  • −86.0

  • −102.7 ng/mL

Epoetin alfa−77.9 ng/mL0.005c
Holdstock et al. [13]NDDaprodustat5 mg/day−143.6 mg/LPlacebo−7.3 mg/LNA
Holdstock et al. [13]HDDaprodustat5 mg/day−0.7 mg/LrHuEPO−41 mg/LNA
Akizawa et al. [14]HDDaprodustat
  • 4 mg/day

  • 6 mg/day

  • 10 mg/day

  • −60.4 mg/Ld

  • −69 mg/Ld

  • −76.2 mg/Ld

Placebo03.1 mg/Ld
Cizman et al. [15]HDDaprodustat12 mg/day
  • −14.5% at week 4

  • +6.4% at week 20

None
Martin et al. [17]NDVadadustat370, 500, 630 mg/day−90–139 ng/mLPlaceboNA<0.05
Haase et al. [30]HDVadadustat
  • 300 mg QD

  • 450 mg QD

  • 450 mg TIW

  • −15.1 ± 46.5 ng/mL

  • −21.7 ± 45.4 ng/mL

  • −4.9 ± 50.4 ng/dL

None
a

At Week 19.

b

Versus baseline.

c

Versus high dose.

d

Median.

TIW, thrice weekly; BIW, twice weekly; QD, four times per week; rHuEPO, recombinant human EPO.

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