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Study of PTG-300 in Non-Transfusion Dependent and Transfusion-Dependent Beta-Thalassemia Subjects With Chronic Anemia (TRANSCEND)

Primary Purpose

β-thalassemia, Ineffective Erythropoiesis, Chronic Anemia

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
PTG-300
Sponsored by
Protagonist Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for β-thalassemia focused on measuring chronic anemia, β-thalassemia

Eligibility Criteria

12 Years - 65 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Main Inclusion Criteria:

  1. Male and female subjects aged 18 to 65 years, inclusive (Cohorts 1-4b).
  2. Male and female subjects aged 12-<18 years, with a minimum weight of 30 kg (Cohorts 5 and 6).
  3. Documented diagnosis of β-thalassemia with no other Hgb abnormality.

Inclusion criteria applicable only for NTD β-thalassemia subjects:

  1. Mean Hgb < 10.0 g/dL of two measurements (one performed 7-28 days prior to dosing and the other performed within 7 days prior to dosing).
  2. Requirement of < 6 units RBC transfusion in a 24 week period with the last transfusion at least 8 weeks before screening.

Inclusion criteria applicable only for TD β-thalassemia subjects:

  1. Transfusion requirement of at least 6 units of RBC in the 24 weeks prior to screening with no transfusion free period > 45 days.
  2. Last RBC transfusion 5-10 days prior to dosing.

Main Exclusion Criteria:

  1. Subjects with Sickle Cell disease, Hgb H, Hb Bart's hydrops foetalis or hemoglobin S
  2. Infection requiring hospitalization or IV antimicrobial therapy, or opportunistic infection within 6 months of dosing, any infection requiring antimicrobial therapy within 2 weeks of dosing; history of infection with human immunodeficiency virus (HIV).
  3. Subject has a concurrent clinically significant, unstable or uncontrolled cardiovascular, pulmonary, hepatic, renal, gastrointestinal, genitourinary, hematological, coagulation, immunological, endocrine/metabolic or other medical disorder that, in the opinion of the Investigator, might confound the results of the study or pose additional risk to the subject by their participation in the study.
  4. Known primary or secondary immunodeficiency.
  5. History within 6 months of screening of any of the following:

    myocardial infarction, unstable angina, transient ischemic attack, decompensated heart failure requiring hospitalization, congestive heart failure (New York Heart Association Class 3 or 4), uncontrolled arrhythmias, cardiac revascularization, stroke, uncontrolled hypertension (resting systolic blood pressure [BP] > 160mmHg or resting diastolic BP > 100mmHg on more than one occasion) or uncontrolled diabetes (Hgb A1c > 9% or > one episode of severe hypoglycemia).

  6. Pregnant or lactating females.

Sites / Locations

  • UCSF Benioff Children's Hospital
  • Boston Children's Hospital
  • Hospital of The University of Pennsylvania
  • University General Hospital of Patras
  • Laiko General Hospital of Athens
  • Athens General Hospital 'G Gennimatas'
  • Hippokration Hospital
  • Presidio Ospedaliero Antonio Perrino
  • Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
  • AOU dell'Università degli Studi della Campania Luigi Vanvitelli
  • Chronic Care Center
  • Hospital Ampang
  • Hospital Pulau Pinang
  • Hospital Sultanah Aminah
  • Queen Elizabeth Hospital
  • Hospital Umum Sarawak
  • Chulalongkorn University
  • Siriraj Hospital Mahidol University
  • Maharaj Nakorn Chiang Mai Chiang Mai University
  • Khon Kaen University
  • Naresuan University
  • University Hospital Farhat Hached
  • Bone Marrow Transplant Center
  • Aziza Othmana Hospital
  • Principal Military Hospital
  • Acibadem Adana Hospital
  • Hacettepe University Medical Faculty
  • Akdeniz Universitesi Hastanesi
  • Istanbul Universitesi Istanbul Tip Fakultesi Hastanesi
  • Ege Universitesi Tip Fakultesi
  • Mersin University Medical Facult
  • Barts Health NHS Trust
  • Barts Health NHS Trust

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PTG-300 Active

Arm Description

Drug: PTG-300 Subcutaneous

Outcomes

Primary Outcome Measures

NTD: Proportion of responders at each dose
NTD subjects who achieve an increase in Hgb without transfusion
TD: Proportion of clinical responders at each dose
TD subjects who achieve a reduction in red blood cell (RBC) units required over an 8 week period

Secondary Outcome Measures

Full Information

First Posted
January 9, 2019
Last Updated
July 13, 2021
Sponsor
Protagonist Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03802201
Brief Title
Study of PTG-300 in Non-Transfusion Dependent and Transfusion-Dependent Beta-Thalassemia Subjects With Chronic Anemia
Acronym
TRANSCEND
Official Title
A Phase 2 Study of PTG-300 in Non-Transfusion Dependent (NTD) and Transfusion-Dependent (TD) β-Thalassemia Subjects With Chronic Anemia
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
December 19, 2018 (Actual)
Primary Completion Date
July 31, 2020 (Actual)
Study Completion Date
July 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Protagonist Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 2 open-label, single-arm design study with dose escalation by subject cohort . The study is designed to monitor the PTG-300 safety profile, to obtain preliminary evidence of efficacy of PTG-300 for the treatment in β-thalassemia.
Detailed Description
This is a Phase 2 open-label, single-arm design study with dose escalation by subject cohort and with the potential for individual titration (dose increase or decrease) within each cohort. The study is designed to monitor the PTG-300 safety profile, to obtain preliminary evidence of efficacy of PTG-300 for the treatment of chronic anemia in β-thalassemia and to evaluate the appropriate dosing regimen for PTG-300 in the target population

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
β-thalassemia, Ineffective Erythropoiesis, Chronic Anemia
Keywords
chronic anemia, β-thalassemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Multiple PTG-300 dose levels/regimens are planned to be tested for each subpopulation of β thalassemia (NTD and TD) on separate arms: Cohort 1: 3 mg subcutaneous (SC) weekly Cohort 2: 10 mg SC weekly Cohort 3: 20 mg SC weekly Cohort 4a: 40 mg SC weekly Cohort 4b: 40 mg SC every 2 weeks Cohort 7: 80 mg SC weekly Cohort 8: 40 mg SC twice a week Additional Cohorts (Cohorts 5,6,9,10, and 11) will include subjects between 12 years of age and less than 18 years of age.
Masking
None (Open Label)
Allocation
N/A
Enrollment
63 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PTG-300 Active
Arm Type
Experimental
Arm Description
Drug: PTG-300 Subcutaneous
Intervention Type
Drug
Intervention Name(s)
PTG-300
Intervention Description
Subcutaneous (SC)
Primary Outcome Measure Information:
Title
NTD: Proportion of responders at each dose
Description
NTD subjects who achieve an increase in Hgb without transfusion
Time Frame
4 week period
Title
TD: Proportion of clinical responders at each dose
Description
TD subjects who achieve a reduction in red blood cell (RBC) units required over an 8 week period
Time Frame
8 week period

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria: Male and female subjects aged 18 to 65 years, inclusive (Cohorts 1-4b). Male and female subjects aged 12-<18 years, with a minimum weight of 30 kg (Cohorts 5 and 6). Documented diagnosis of β-thalassemia with no other Hgb abnormality. Inclusion criteria applicable only for NTD β-thalassemia subjects: Mean Hgb < 10.0 g/dL of two measurements (one performed 7-28 days prior to dosing and the other performed within 7 days prior to dosing). Requirement of < 6 units RBC transfusion in a 24 week period with the last transfusion at least 8 weeks before screening. Inclusion criteria applicable only for TD β-thalassemia subjects: Transfusion requirement of at least 6 units of RBC in the 24 weeks prior to screening with no transfusion free period > 45 days. Last RBC transfusion 5-10 days prior to dosing. Main Exclusion Criteria: Subjects with Sickle Cell disease, Hgb H, Hb Bart's hydrops foetalis or hemoglobin S Infection requiring hospitalization or IV antimicrobial therapy, or opportunistic infection within 6 months of dosing, any infection requiring antimicrobial therapy within 2 weeks of dosing; history of infection with human immunodeficiency virus (HIV). Subject has a concurrent clinically significant, unstable or uncontrolled cardiovascular, pulmonary, hepatic, renal, gastrointestinal, genitourinary, hematological, coagulation, immunological, endocrine/metabolic or other medical disorder that, in the opinion of the Investigator, might confound the results of the study or pose additional risk to the subject by their participation in the study. Known primary or secondary immunodeficiency. History within 6 months of screening of any of the following: myocardial infarction, unstable angina, transient ischemic attack, decompensated heart failure requiring hospitalization, congestive heart failure (New York Heart Association Class 3 or 4), uncontrolled arrhythmias, cardiac revascularization, stroke, uncontrolled hypertension (resting systolic blood pressure [BP] > 160mmHg or resting diastolic BP > 100mmHg on more than one occasion) or uncontrolled diabetes (Hgb A1c > 9% or > one episode of severe hypoglycemia). Pregnant or lactating females.
Facility Information:
Facility Name
UCSF Benioff Children's Hospital
City
Oakland
State/Province
California
ZIP/Postal Code
94609
Country
United States
Facility Name
Boston Children's Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Hospital of The University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
University General Hospital of Patras
City
Patras
State/Province
Achaia
Country
Greece
Facility Name
Laiko General Hospital of Athens
City
Athens
State/Province
Attiki
ZIP/Postal Code
11562
Country
Greece
Facility Name
Athens General Hospital 'G Gennimatas'
City
Athens
State/Province
Attiki
Country
Greece
Facility Name
Hippokration Hospital
City
Thessaloníki
Country
Greece
Facility Name
Presidio Ospedaliero Antonio Perrino
City
Brindisi
ZIP/Postal Code
72100
Country
Italy
Facility Name
Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
City
Milano
ZIP/Postal Code
20122
Country
Italy
Facility Name
AOU dell'Università degli Studi della Campania Luigi Vanvitelli
City
Napoli
ZIP/Postal Code
80138
Country
Italy
Facility Name
Chronic Care Center
City
Beirut
Country
Lebanon
Facility Name
Hospital Ampang
City
Ampang
ZIP/Postal Code
68000
Country
Malaysia
Facility Name
Hospital Pulau Pinang
City
George Town
ZIP/Postal Code
10990
Country
Malaysia
Facility Name
Hospital Sultanah Aminah
City
Johor Bahru
ZIP/Postal Code
80100
Country
Malaysia
Facility Name
Queen Elizabeth Hospital
City
Kota Kinabalu
ZIP/Postal Code
88586
Country
Malaysia
Facility Name
Hospital Umum Sarawak
City
Kuching
ZIP/Postal Code
93586
Country
Malaysia
Facility Name
Chulalongkorn University
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
Facility Name
Siriraj Hospital Mahidol University
City
Bangkok
ZIP/Postal Code
10700
Country
Thailand
Facility Name
Maharaj Nakorn Chiang Mai Chiang Mai University
City
Chiang Mai
ZIP/Postal Code
50200
Country
Thailand
Facility Name
Khon Kaen University
City
Khon Kaen
ZIP/Postal Code
40002
Country
Thailand
Facility Name
Naresuan University
City
Phitsanulok
ZIP/Postal Code
65000
Country
Thailand
Facility Name
University Hospital Farhat Hached
City
Sousse
ZIP/Postal Code
4000
Country
Tunisia
Facility Name
Bone Marrow Transplant Center
City
Tunis
ZIP/Postal Code
1006
Country
Tunisia
Facility Name
Aziza Othmana Hospital
City
Tunis
ZIP/Postal Code
1008
Country
Tunisia
Facility Name
Principal Military Hospital
City
Tunis
ZIP/Postal Code
1089
Country
Tunisia
Facility Name
Acibadem Adana Hospital
City
Adana
ZIP/Postal Code
01130
Country
Turkey
Facility Name
Hacettepe University Medical Faculty
City
Ankara
ZIP/Postal Code
06100
Country
Turkey
Facility Name
Akdeniz Universitesi Hastanesi
City
Antalya
ZIP/Postal Code
07059
Country
Turkey
Facility Name
Istanbul Universitesi Istanbul Tip Fakultesi Hastanesi
City
Istanbul
ZIP/Postal Code
34093
Country
Turkey
Facility Name
Ege Universitesi Tip Fakultesi
City
Izmir
ZIP/Postal Code
35100
Country
Turkey
Facility Name
Mersin University Medical Facult
City
Mersin
ZIP/Postal Code
33343
Country
Turkey
Facility Name
Barts Health NHS Trust
City
London
ZIP/Postal Code
E1 1BB
Country
United Kingdom
Facility Name
Barts Health NHS Trust
City
London
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Study of PTG-300 in Non-Transfusion Dependent and Transfusion-Dependent Beta-Thalassemia Subjects With Chronic Anemia

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