Estudio fase 3, abierto, aleatorizado, para comparar la eficacia y seguridad de luspatercept (ACE-536) frente a epoetina alfa en el tratamiento de la anemia debida al síndrome mielodisplásico (SMD) de riesgo muy bajo, bajo o intermedio según el Sistema Internacional de Puntuación Pronóstica Revisado (IPSS-R) en participantes vírgenes de agentes estimulantes de la eritropoyesis (AEE) que no son dependientes de transfusión (NDT): ensayo "ELEMENT-MDS"

ReclutandoFase 3ClinicalTrials.gov

ID: NCT05949684Tipo: INTERVENTIONALInicio: 24 de oct de 2023Fin estimado: 11 de mar de 2030

Resumen

El objetivo del estudio es comparar la eficacia y seguridad de luspatercept frente a epoetina alfa en el tratamiento de la anemia en adultos con SMD de riesgo muy bajo, bajo o intermedio según el IPSS-R, en participantes vírgenes de AEE que no son dependientes de transfusión (NDT).

Elegibilidad

Edad mínima: 18 YearsSexo: ALL

Criterios de inclusión

Participant has documented diagnosis of MDS according to World Health Organization (WHO) 2016 that meet IPSS-R classification of very low, low, or intermediate-risk disease, (intermediate-risk of ≤ 3.5 IPSS-R score) confirmed via bone marrow aspirate and:.
i) \< 5% blasts in bone marrow and \< 1% blasts in peripheral blood.
Participant is not transfusion dependent (NTD) based on IWG2018 criteria.
Participant is erythropoiesis-stimulating agent naive. Participants may be randomized at the investigator's discretion if the participant received no more than 2 prior doses of epoetin alfa, epoetin alfa biosimilar, or darbepoetin alfa, with the last dose at least 8 weeks prior to randomization.
Participant has a baseline endogenous serum erythropoietin (sEPO) level of ≤ 500 U/L.
Participant has symptoms of anemia:.
i) Participant records a severity score of "moderate" or greater on at least 1 PGI-S item of fatigue, weakness, shortness of breath, or dizziness performed during the screening period.
Participant has a baseline Hb concentration prior to randomization of ≤ 9.5 g/dL. The baseline Hb will be calculated using the mean of the two lowest available Hb measurements within 16 weeks prior to randomization and must include at least one central lab Hb reading done within the screening period (no more than 35 days before randomization). The two Hb measurements must have been performed at least seven days apart. Hb levels less than 21 days following RBC transfusion should not be used. Split samples for local assessments are not required.

Criterios de exclusión

Participant with secondary MDS (that is, MDS that is known to have arisen as the result of chemical injury or treatment with chemotherapy and/or radiation for other diseases).
Participant with known history of diagnosis of AML.
Participant with history of cerebrovascular accident (including ischemic, embolic, and hemorrhagic cerebrovascular accident), transient ischemic attack, deep venous thrombosis (including proximal and distal), pulmonary or arterial embolism, arterial thrombosis, or other venous thrombosis within 6 months prior to randomization.
Participant with a history of pure red cell aplasia and/or antibody against erythropoietin.

Intervenciones

biological

Luspatercept

Specified dose on specified days

biological

Epoetin Alfa

Specified dose on specified days

Ubicaciones

Centro Medico Barrio Parque

Buenos Aires, Argentina

Claudio Iastrebner, Site 0010 · +54-911-69816300

RECRUITING

Instituto Alexander Fleming

Buenos Aires, Argentina

maria custidiano, Site 0009 · +5491140510781

RECRUITING

Hospital Británico de Buenos Aires

Buenos Aires, Argentina

Micaela Quarchioni, Site 0012 · +5493416423963

RECRUITING

Patrocinadores

PrincipalBristol-Myers Squibb

Contactos

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com

CONTACT

Clinical.Trials@bms.com 855-907-3286

First line of the email MUST contain NCT # and Site #.

CONTACT

Aviso: La información de este ensayo proviene de fuentes públicas y tiene carácter exclusivamente informativo. No constituye asesoramiento médico, regulatorio ni de ningún otro tipo. Las traducciones son automatizadas y no poseen validez oficial. Consultá siempre con un profesional de la salud. Ver Términos de Uso.

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