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epoetin alfa + vadadustat
- Development stage
- Phase 3
- Lead developer
- Akebia Therapeutics
- Modality
- Small Molecules, Recombinant Proteins and Enzymes
- Administration
- Oral, Intravenous
01
Overview
The combination of **epoetin alfa** (Epogen) and **vadadustat** (Vafseo) refers to a clinical regimen evaluated in the Phase 3 VOTE trial. Epoetin alfa is a recombinant human erythropoiesis-stimulating agent (ESA) that acts as an agonist of the erythropoietin receptor to stimulate red blood cell production. Vadadustat is an oral small molecule inhibitor of hypoxia-inducible factor prolyl hydroxylase (HIF-PHD). By inhibiting HIF-PHD, vadadustat stabilizes HIF-alpha, simulating the body's natural response to hypoxia and stimulating endogenous erythropoietin production. The VOTE study specifically assessed the safety and efficacy of a phased transition from intravenous epoetin alfa to thrice-weekly oral vadadustat in adult patients with anemia secondary to chronic kidney disease (CKD) who were receiving in-center hemodialysis.
- Brand names
- Epogen + Vafseo
- Other names
- Vadadustat for Anemia in Hemodialysis PatientsVOTE trial context
02
Targets
Erythropoietin ReceptorPHD1 (Prolyl hydroxylase domain-containing protein 1)EGLN1 (Prolyl hydroxylase domain-containing protein 2)PHD3 (Prolyl hydroxylase domain-containing protein 3)
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