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A Study to Assess Luspatercept in Lower-risk Myelodysplastic Syndrome Participants

Phase 3
Active, not recruiting
Conditions
Myelodysplastic Syndromes
Interventions
Registration Number
NCT06045689
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to evaluate the efficacy and safety of Luspatercept when administered at the maximum approved dose in low-risk Myelodysplastic Syndrome participants who require red blood cell transfusions.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Participant had documented diagnosis of MDS according to World Health Organization (WHO) classification that met Revised International Prognostic Scoring System (IPSS-R) classification of very low-, low-, or intermediate-risk disease.
  • Participant has an Eastern Cooperative Oncology Group (ECOG) score of 0, 1, or 2.
  • Participant must have red blood cell transfusions according to study criteria.
Exclusion Criteria
  • Participant has known clinically significant anemia due to iron, vitamin B12, or folate deficiencies, or autoimmune or hereditary hemolytic anemia, or gastrointestinal bleeding.
  • Participant has had a prior allogeneic or autologous stem cell transplant.
  • Participant has known history or diagnosis of AML.
  • Participant has uncontrolled hypertension.

Other protocol-defined inclusion/exclusion criteria apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort 1: erythropoiesis-stimulating agents (ESA) naïveLuspatercept-
Cohort 2: ESA relapsed or refractoryLuspatercept-
Primary Outcome Measures
NameTimeMethod
Number of participants who achieve red blood cell transfusion independence (RBC-TI) for 8 weeks with a simultaneous mean hemoglobin (Hb) increase of ≥ 1 g/dL from Week 1 to Week 24Up to week 24
Secondary Outcome Measures
NameTimeMethod
Time to AML progressionUp to 4 years
Number of participants who have a time from first dose to first onset of RBC-TI ≥ 8-, 12-, and 16-weeks from Week 1 to Week 24, from Week 1 to Week 48, and from Week 1 through EOTUp to 2 years
Number of participants with an increase from baseline in Hb values of ≥ 1.0 g/dL over any consecutive 16-week period in absence of RBC transfusions from Week 1 to Week 24, from Week 1 to Week 48, and from Week 1 through EOTUp to 2 years
Number of participants with a mean change in total RBC units transfused over a fixed 16-week period from Week 9 to Week 24 and from Week 33 to Week 48Up to week 48
Number of participants with adverse events (AEs)Up to 2 years
Number of participants with a change in subscale scores of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) from Week 1 to Week 48 and from baseline through EOTUp to 2 years
Number of participants who achieve RBC-TI over any consecutive 8-week period from Week 1 to Week 24, from Week 1 to Week 48, and from Week 1 to EOTUp to 2 years
Number of participants who achieve RBC-TI over any consecutive 12-, 16-, and 24-week periods from Week 1 to Week 24, from Week 1 to Week 48 and from Week 1 through EOTUp to 2 years
Number of participants with change in serum ferritin (SF) over a 16-week period from Week 9 to Week 24 and from Week 33 to Week 48Up to week 48
Number of participants with a maximum duration of RBC-TI for participants who achieve RBC TI ≥ 8- and 16-week period from Week 1 to Week 24 and from Week 1 to EOTUp to 2 years
Number of participants with an increase from baseline in mean hemoglobin (Hb) values of ≥ 1.0 g/dL over any consecutive 8-week period in absence of RBC transfusions from Week 1 to Week 48 and from Week 1 through EOTUp to 2 years
Number of participants with an increase from baseline in Hb values of ≥ 1.5 g/dL over any consecutive 8-, and 16-week periods in absence of RBC transfusions from Week 1 to Week 24, from Week 1 to Week 48, and from Week 1 through EOTUp to 2 years
Number of participants who achieve Hematological Improvement Erythroid (mHI-E) per International Working Group-2018 (IWG-2018) over any consecutive 8-week period from Week 1 to Week 24, from Week 1 to Week 48, and Week 1 through EOTUp to 2 years
Number of participants who achieve Hematological Improvement - Platelets (HI-P) per IWG-2018 over any consecutive 8-week period from Week 1 to Week 24, from Week 1 to Week 48, and Week 1 through EOTUp to 2 years
Number of participants with change in mean daily dose of iron chelation therapy (ICT) over a 16-week period from Week 9 to Week 24 and from Week 33 to Week 48Up to week 48
Number of participants with acute myeloid leukemia (AML) progressionUp to 4 years
Time from treatment start date to death due to any causeUp to 4 years
Number of participants who achieve Hematological Improvement - Neutrophils (HI-N) per IWG-2018 over any consecutive 8-week period from Week 1 to Week 24, from Week 1 to Week 48, and Week 1 through EOTUp to 2 years

Trial Locations

Locations (52)

Local Institution - 0051

🇺🇸

Los Alamitos, California, United States

Local Institution - 0033

🇺🇸

New Haven, Connecticut, United States

Local Institution - 0055

🇺🇸

Saint Petersburg, Florida, United States

Local Institution - 0056

🇺🇸

Wellington, Florida, United States

Local Institution - 0020

🇺🇸

Kansas City, Kansas, United States

Local Institution - 0025

🇺🇸

Paducah, Kentucky, United States

Local Institution - 0011

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Detroit, Michigan, United States

Local Institution - 0059

🇺🇸

Saint Louis, Missouri, United States

Local Institution - 0058

🇺🇸

Morristown, New Jersey, United States

Local Institution - 0032

🇺🇸

New York, New York, United States

Scroll for more (42 remaining)
Local Institution - 0051
🇺🇸Los Alamitos, California, United States

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