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Trial Title:
A Pilot, Open-Label Study of Luspatercept for Patients With Lower Risk Myelodysplastic Syndromes (MDS)
NCT ID:
NCT06113302
Condition:
Myelodysplastic Syndromes
Conditions: Official terms:
Preleukemia
Myelodysplastic Syndromes
Syndrome
Luspatercept
Study type:
Interventional
Study phase:
Phase 2
Overall status:
Recruiting
Study design:
Allocation:
Randomized
Intervention model:
Single Group Assignment
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Drug
Intervention name:
Luspatercept
Description:
Given by SC or (Injection)
Arm group label:
Cohort 1
Arm group label:
Cohort 2
Other name:
ACE-536
Summary:
To learn if luspatercept is more effective in helping to reduce the number of blood
transfusions needed by patients with LR-MDS.
Detailed description:
Objectives:
Primary Objectives:
- To assess the clinical activity and safety of luspatercept in patients with
transfusion independent lower risk MDS
- To assess the clinical activity and safety of luspatercept in patients with
transfusion dependent lower risk MDS
- To study the effects on hematopoeisis of luspatercept in patients treated on this
study
Secondary Objectives:
- To assess the duration of response of patients with treated with luspatercept in
this study
- To assess the overall survival and time to transformation of patients with treated
with luspatercept in this study
- To assess transfusion free survival period in patients that were transfusion
independent treated with luspatercept in this study
- To measure trends in neutrophil and platelet counts in patients treated in this
study
Criteria for eligibility:
Criteria:
Inclusion Criteria:
1. Age ≥ 18 years; as MDS there is no significant experience with luspatercept in
pediatric patients
2. Cohorts #1 and #2: Diagnosis of MDS according to WHO 2023 criteria (5) and with low
or int-1 risk by IPSS or a score of ≤ 3.5 by IPSS-R.(3, 22)
3. Cohort #2: Patient defined as transfusion dependent by documentation of receiving at
least 2 units of packed red blood cells (PRBCs) for a hemoglobin of less than 8.0
g/dL during an 8-week period prior to study enrollment.
4. Cohort #1: Patients with symptomatic anemia that are transfusion independent defined
as not requiring a transfusion for a hemoglobin of less than 8.0 g/dL during an
8-week period prior to study enrollment.
5. MDS patients with either a platelet count of ≤100 K/uL and/or ANC of ≤1.8 K/uL
6. Patient must have signed an informed consent and is willing to participate in the
study.
7. Adequate hepatic function with total bilirubin ≤3 x ULN, AST or ALT ≤3xULN.
8. Serum creatinine clearance ≥40mL/min and no end/stage renal disease (using
Cockcroft-Gault).
9. ECOG performance status =2.
Exclusion Criteria:
1. Active infection not adequately responding to appropriate antibiotics.
2. Prior treatment with luspatercept or sotarcetept
3. Female patients who are pregnant or lactating.
4. Patients with reproductive potential who are unwilling to following contraception
requirements (including condom use for males with sexual partners, and for females:
prescription oral contraceptives [birth control pills], contraceptive injections,
intrauterine devices [IUD], double-barrier method [spermicidal jelly or foam with
condoms or diaphragm], contraceptive patch, or surgical sterilization) throughout
the study. Reproductive potential is defined as no previous surgical sterilization
or females that are not post-menopausal for 12 months.
5. Female patients with reproductive potential who do not have a negative urine or
blood beta-human chorionic gonadotropin (beta HCG) pregnancy test at screening.
6. History of an active malignancy within the past 2 years prior to study entry, with
the exception of: a. Adequately treated in situ carcinoma of the cervix uteri b.
Adequately treated basal cell carcinoma or localized squamous cell carcinoma of the
skin or any other malignancy with a life expectancy of more than 2 years.
7. Patients receiving any other concurrent investigational agent or chemotherapy,
radiotherapy, or immunotherapy (within 14 days of initiating study treatment).
Gender:
All
Minimum age:
18 Years
Maximum age:
N/A
Healthy volunteers:
No
Locations:
Facility:
Name:
M D Anderson Cancer Center
Address:
City:
Houston
Zip:
77030
Country:
United States
Status:
Recruiting
Contact:
Last name:
Guillermo Garcia-Manero, M D
Phone:
713-745-3428
Email:
ggarciam@mdanderson.org
Investigator:
Last name:
Guillermo Garcia-Manero, M D
Email:
Principal Investigator
Start date:
March 1, 2024
Completion date:
June 2, 2026
Lead sponsor:
Agency:
M.D. Anderson Cancer Center
Agency class:
Other
Source:
M.D. Anderson Cancer Center
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT06113302
http://www.mdanderson.org