A Study to Evaluate the Safety and Preliminary Efficacy of a Response-guided Dose Titration of KER-047 in the Treatment of Functional IDA (Iron Deficiency Anemia).
Iron Deficiency Anemia
About this trial
This is an interventional treatment trial for Iron Deficiency Anemia focused on measuring Functional Iron Deficiency Anemia (Functional IDA), Myelodysplastic Syndromes (MDS), Myelofibrosis (MF), Myelodysplastic Syndrome (MDS), Myeloproliferative Neoplasm Overlap Syndromes (MPN)
Eligibility Criteria
Inclusion Criteria: Male or female ≥18 years of age, at the time of signing informed consent. One of the following: Diagnosis of MDS according to the 2016 World Health Organization (WHO) classification that meets Revised International Prognostic Scoring System (IPSS-R) classification of very low, low, or intermediate risk disease with bone marrow blast percentage <5% within 6 months prior to Day 1 (D1). Diagnosis of primary myelofibrosis, post polycythemia vera MF, or post-essential thrombocytopenia MF according to the 2017 WHO criteria with bone marrow and peripheral blood blast percentage <2%, or stable between 2% to 5% over 6 months. Diagnosis of MDS/MPN overlap syndromes according to the 2016 WHO classification, with bone marrow blast percentage <5% within 6 months prior to D1. Anemia with iron-restricted erythropoiesis as assessed by laboratory criteria during screening. Ability to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use protected health information in accordance with national and local study participant privacy regulations. Females of childbearing potential and sexually active males must meet the contraception requirements as outlined in the protocol. Exclusion Criteria: Active infection within 14 days of D1. IPSS-R score indicating high or very high risk MDS, accelerated myelofibrosis (defined as >10% blasts), or diagnosis of acute leukemia. Diagnosis of hemolytic anemia. Diagnosis of porphyria. Anemia due to blood loss 28 days prior to D1. Diagnosis of thalassemia, thalassemia trait, or other hemoglobinopathy. History of drug or alcohol abuse, as defined by the Investigator, within the past 2 years. History of stroke, arterial embolism, or deep venous thrombosis within 6 months prior to D1. Known positive for human immunodeficiency virus, active infectious hepatitis B virus or active infectious hepatitis C virus.
Sites / Locations
- Royal Adelaide HospitalRecruiting
- Hadassah University Medical CenterRecruiting
- Galilee Medical CenterRecruiting
- Laniado Hospital - Sanz Medical CenterRecruiting
- Shamir Medical Center (Assaf Harofeh Medical Center)Recruiting
- Spitalul Clinic Coltea
- Institutul Oncologic "Prof. Dr. Ion Chiricuta" Cluj-Napoca
- Spitalul Clinic Municipal Filantropia Craiova
- Spitalul Clinic Judetean de Urgenta Targu Mures
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Part 1 (Initial Titration Strategy)
Part 2 (Cohort Expansion or Alternate Titration Strategy)
KER-047(30 mg, 60mg or 80mg) oral tablet daily (or every other day) for up to 24 weeks.
The starting dose regimen and titration schedule of KER-047 oral tablet will be based on the SRC (Safety Review Committee) recommendation from Part 1.