- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04477850
A Study to Evaluate the Efficacy, Drug Levels and Safety of Luspatercept (ACE-536) for the Treatment of Anemia Due to IPSS-R Very Low, Low, or Intermediate Risk Myelodysplastic Syndromes in Chinese and Japanese Participants With Ring Sideroblasts Who Require Red Blood Cell Transfusions
October 10, 2023 updated by: Celgene
A Phase 2, Multicenter, Single-Arm Bridging Study to Evaluate the Efficacy, Pharmacokinetics, and Safety of Luspatercept (ACE-536) for the Treatment of Anemia Due to IPSS-R Very Low, Low or Intermediate Risk Myelodysplastic Syndromes(MDS) in Chinese and Japanese Subjects With Ring Sideroblasts Who Require Red Blood Cell Transfusions
The purpose of this study is to evaluate the efficacy and safety of luspatercept (ACE-536) for the treatment of anemia due to Revised International Prognostic Scoring System (IPSS-R) very low, low, or intermediate risk myelodysplastic syndromes (MDS) in Chinese and Japanese participants with ring sideroblasts who require Red Blood Cells (RBC) transfusions.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
30
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Beijing, China, 100730
- Local Institution - 100
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Chengdu, Sichuan, China, 610041
- Local Institution - 107
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Guangzhou, China, 510060
- Local Institution - 105
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Guangzhou, China, 510080
- Local Institution - 103
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Guangzhou, China, 510515
- Local Institution - 109
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Hangzhou City, China, 310006
- Local Institution - 102
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Nanchang, China, 330006
- Local Institution - 112
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Nanjing, China, 210029
- Local Institution - 108
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Shanghai, China
- Local Institution - 114
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Shanghai, China, 200233
- Local Institution - 101
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Suzhu, China, 215006
- Local Institution - 104
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Tianjin, China, 300020
- Local Institution - 106
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Wenzhou, China, 325000
- Local Institution - 111
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Wuhan, China, 430022
- Local Institution - 110
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Kamogawa, Japan, 296-8602
- Local Institution - 206
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Mibu-Machi, Japan, 321-0293
- Local Institution - 201
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Ogaki, Japan, 503-8502
- Local Institution - 208
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Osaka, Japan, 545-8585
- Local Institution - 205
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Sagamihara, Japan, 252-0375
- Local Institution - 204
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Sendai, Japan, 980-8574
- Local Institution - 207
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Shinagawa-ku, Tokyo, Japan, 141-8625
- Local Institution - 202
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Ehime
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Matsuyama, Ehime, Japan, 790-8524
- Local Institution - 209
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Nagasaki
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Nagasaki-shi, Nagasaki, Japan, 852-8511
- Local Institution - 203
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Osaka
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Osakasayama, Osaka, Japan, 5898511
- Local Institution - 210
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
20 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Refractory or intolerant to, or ineligible for, prior Erythropoiesis stimulating agent (ESA) treatment as defined by any one of the following: Refractory to prior ESA treatment, Intolerant to prior ESA treatment, or ESA ineligible.
- previously treated with an ESA or granulocyte colony-stimulating factor, granulocyte-macrophage colony-stimulating factor, both agents must have been discontinued ≥ 4 weeks prior to date of luspatercept treatment
- Eastern Cooperative Oncology Group (ECOG) score of 0, 1, or 2
Exclusion Criteria:
- Prior therapy with disease modifying agents for underlying MDS disease
- Known clinically significant anemia due to iron, vitamin B12, or folate deficiencies, or autoimmune or hereditary hemolytic anemia, or gastrointestinal bleeding
- Serum aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT) or alanine aminotransferase/serum glutamic pyruvic transaminase (ALT/SGPT) ≥ 3.0 x upper limit of normal (ULN)
Other protocol-defined inclusion/exclusion criteria apply
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Luspatercept Administration
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Specified dose on specified days
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Red Blood Cell Transfusion Independence (RBC-TI) ≥ 8 weeks
Time Frame: Week 1 through Week 24
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Week 1 through Week 24
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
RBC-TI ≥ 12 weeks
Time Frame: Week 1 through Week 24
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Week 1 through Week 24
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Reduction in Red Blood Cell (RBC) units transfused over 16 weeks compared to baseline
Time Frame: Week 9 through Week 24
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Week 9 through Week 24
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Modified hematologic improvement - erythroid (mHI-E) per International Working Group (IWG)
Time Frame: Week 1 through Week 24
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Week 1 through Week 24
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Mean hemoglobin increase ≥ 1.0 g/dL
Time Frame: Week 1 through Week 24
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Week 1 through Week 24
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Duration of RBC-TI
Time Frame: Week 1 through Week 24
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Week 1 through Week 24
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Mean decrease in serum ferritin compared to baseline
Time Frame: Week 9 through Week 24
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Week 9 through Week 24
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Mean decrease in iron chelation therapy (ICT) use compared to baseline
Time Frame: Week 9 through Week 24
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Week 9 through Week 24
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Time to RBC-TI
Time Frame: Week 1 through Week 24
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Week 1 through Week 24
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Progression to acute myeloid leukemia (AML)
Time Frame: Cycle1 Day1 (each cycle is 21 days) through at least 3 years post first dose
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Cycle1 Day1 (each cycle is 21 days) through at least 3 years post first dose
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Overall survival (OS)
Time Frame: Cycle1 Day1 (each cycle is 21 days) through at least 3 years post first dose
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Cycle1 Day1 (each cycle is 21 days) through at least 3 years post first dose
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Incidence of type of adverse events (AEs)
Time Frame: Screening through 42 days post last dose
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Screening through 42 days post last dose
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Incidence of frequency of AEs
Time Frame: Screening through 42 days post last dose
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Screening through 42 days post last dose
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Incidence of severity of AEs
Time Frame: Screening through 42 days post last dose
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Screening through 42 days post last dose
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Incidence of seriousness of AEs
Time Frame: Screening through 42 days post last dose
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Screening through 42 days post last dose
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Incidence of relationship of AEs to study treatment
Time Frame: Screening through 42 days post last dose
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Screening through 42 days post last dose
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Pharmacokinetics - Area under the curve (AUC)
Time Frame: Cycle1 Day1 (each cycle is 21 days) through 1-year post first dose
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Cycle1 Day1 (each cycle is 21 days) through 1-year post first dose
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Pharmacokinetics - Maximum plasma concentration of the drug (Cmax)
Time Frame: Cycle1 Day1 (each cycle is 21 days) through 1-year post first dose
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Cycle1 Day1 (each cycle is 21 days) through 1-year post first dose
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Frequency of Anti-drug antibodies (ADA)
Time Frame: Cycle1 Day1 (each cycle is 21 days) through 1-year post first dose
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Cycle1 Day1 (each cycle is 21 days) through 1-year post first dose
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
November 30, 2020
Primary Completion (Actual)
September 29, 2023
Study Completion (Estimated)
February 23, 2026
Study Registration Dates
First Submitted
June 23, 2020
First Submitted That Met QC Criteria
July 17, 2020
First Posted (Actual)
July 20, 2020
Study Record Updates
Last Update Posted (Actual)
October 12, 2023
Last Update Submitted That Met QC Criteria
October 10, 2023
Last Verified
October 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ACE-536-MDS-004
- U1111-1251-9249 (Other Identifier: WHO)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Information relating to our policy on data sharing and the process for requesting data can be found at the following link:
https://www.celgene.com/research-development/clinical-trials/clinical-trials-data-sharing/
IPD Sharing Time Frame
See Plan Description
IPD Sharing Access Criteria
See Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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