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Trial registered on ANZCTR
Registration number
ACTRN12625000491460
Ethics application status
Approved
Date submitted
17/04/2025
Date registered
21/05/2025
Date last updated
21/05/2025
Date data sharing statement initially provided
21/05/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
A study of the short-term effects of oral Roxadustat in volunteers over the age of 40.
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Scientific title
An open-label volunteer study of the impact of short-term oral Roxadustat exposure on gene expression in whole blood in healthy adults aged 40 years and over.
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Secondary ID [1]
314241
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Postoperative Complications
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Surgical Site Infection
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Condition category
Condition code
Infection
333577
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0
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Other infectious diseases
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Surgery
333576
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Three doses of Roxadustat 100mg oral tablets taken on alternate days across a 5-day period i.e. 1x100mg on Day 1; 1x100mg on Day 3; 1x100mg on Day 5. Adherence will be monitored by completion of a Treatment Diary.
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Intervention code [1]
330852
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Treatment: Drugs
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The number of differentially expressed genes in whole blood. An unselected approach using RNA sequencing will be adopted i.e. all genes changing expression levels significantly, with at least a 1.5-fold change, will be reported.
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Assessment method [1]
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RNA sequencing in whole blood after globin depletion and quality control checks.
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Timepoint [1]
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Baseline; 6 hours after dose 1; 6 hours after dose 3
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Secondary outcome [1]
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Monocyte Heat Shock Protein 72
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Assessment method [1]
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Fluorescent antibody labelling and flow cytometry of monocytes from the buffy coat extracted from whole blood.
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Timepoint [1]
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Baseline; 6 hours after dose 1; 6 hours after dose 3
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Eligibility
Key inclusion criteria
1. Age 40 years or over
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Minimum age
40
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Inability to provide informed consent
2. Peanut or Soya allergy
3. Pregnancy or breast feeding
4. Epilepsy
5. Severe liver disease (Childs Pugh C)
6. Current upper respiratory tract infection
6. Current bacterial infection
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
1. The mean (95% CI) number of Differentially Expressed Genes (DEGs) observed 6 hours after Dose 1 compared to baseline.
2. The mean (95% CI) number of DEGs observed 6 hours after Dose 3 compared to baseline.
3. The conserved DEGs observed in all participants after Dose 1.
4. The conserved DEGs observed in all participants after Dose 3.
5. Pathway analysis for conserved DEGs.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
16/06/2025
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Actual
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Date of last participant enrolment
Anticipated
12/12/2025
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Actual
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Date of last data collection
Anticipated
19/12/2025
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
43979
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6000 - Perth
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
318762
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Perth Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
321202
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Address [1]
321202
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Country [1]
321202
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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WA Health Central HREC
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Ethics committee address [1]
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HREC Ethics Coordinator; 0892222269; HREC@health.wa.gov.au. Perth Business Centre, Perth, WA 6849. PO Box 8172
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Ethics committee country [1]
317372
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Australia
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Date submitted for ethics approval [1]
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28/10/2024
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Approval date [1]
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04/12/2024
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Ethics approval number [1]
317372
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RGS0000007340
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Summary
Brief summary
Roxadustat is a first-in-class oral prolyl hydroxylase inhibitor, marketed since 2019 exclusively for the treatment of anaemia in chronic kidney disease. Roxadustat increases hypoxia inducible factor (HIF) signalling, the primary mediator of the body’s normal adaptive response to low oxygen levels. HIF is a transcription factor that influences the expression of over 400 genes relating to energy production when oxygen is scarce (glycolysis), improved tissue oxygen delivery (erythropoiesis and angiogenesis), cell survival under stress and enhanced innate immunity. All of these biological mechanisms play a key role in favourable outcomes after the tissue injury of major surgery and the associated stress response. The HYPE Pilot Study (RGS0000006528, SMHS HREC, ACTRN12624000188538) is a separately registered double-blind phase 2 RCT that is currently recruiting at Royal Perth Hospital to explore the safety and potential benefit of three preoperative doses of Roxadustat 100mg in patients undergoing major noncardiac surgery. It remains unclear to what extent such brief Roxadustat exposure changes gene expression in the key pathways outlined above. The HYPE Volunteer Study (RGS0000007340, Central HREC) will complement the HYPE Pilot Study by improving understanding in this area i.e. will potentially substantiate any clinical effects observed in the HYPE Pilot Study and may support a subsequent phase 3 trial.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Andrew Toner
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Address
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Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, 197 Wellington Street, Perth, WA 6000
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Country
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Australia
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Phone
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+61424231978
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Andrew Toner
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Address
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Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, 197 Wellington Street, Perth, WA 6000
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Country
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Australia
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Phone
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+61892242244
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Andrew Toner
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Address
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Department of Anaesthesia and Pain Medicine, Royal Perth Hospital, 197 Wellington Street, Perth, WA 6000
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Country
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Australia
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Phone
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+61892242244
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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