A Phase 3b, Open-label, Single-arm, Rollover Study to Evaluate Long-term Safety in Subjects Who Have Participated in Other Luspatercept (ACE-536) Clinical Trials

ClinicalTrials.gov processed this data on December 18, 2024. Link to the current ClinicalTrials.gov record.

Recruitment Status

RECRUITING (See Contacts and Locations)
Verified December 2024 by Celgene

Sponsor

Celgene

Information Provided by (Responsible Party)

Celgene

Clinicaltrials.gov Identifier

NCT04064060
Other Study ID Numbers: ACE-536-LTFU-001
First Submitted: August 9, 2019
First Posted: August 21, 2019
Last Update Posted: December 20, 2024
Last Verified: December 2024
History of Changes

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Study Description

Not Provided
Condition or Disease Intervention/Treatment
  • Myelodysplastic Syndromes (MDS)
  • Beta-thalassemia
  • Myeloproliferative Neoplasm(MPN)-Associated Myelofibrosis
  • Drug: Luspatercept

Study Design

Study TypeInterventional
Anticipated Enrollment665 participants
Design AllocationN/A
Interventional ModelSingle Group Assignment
MaskingNone (Open Label)
Primary PurposeTreatment
Official TitleA Phase 3b, Open-label, Single-arm, Rollover Study to Evaluate Long-term Safety in Subjects Who Have Participated in Other Luspatercept (ACE-536) Clinical Trials
Study Start DateAugust 12, 2019
Anticipated Primary Completion DateMay 12, 2028
Anticipated Study Completion DateMay 12, 2028

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • ACE-536
    • Luspatercept will be administered as a subcutaneous (SC) injection to participants by the study staff at the clinical site and administration will be documented in the subject's source record.
  • Drug: Luspatercept
    • Luspatercept (ACE-536), an erythroid maturation agent, is a recombinant fusion protein consisting of a modified form of the extracellular domain (ECD) of the human activin receptor type IIB (ActRIIB) linked to the human immunoglobin G 1 (IgG1) Fc domain. ActRIIB receptor and its ligands are members of the transforming growth factor-β (TGF-β) superfamily. Members of the TGF-β superfamily ligands, through their binding to activin receptors, are involved in modulating the differentiation of late-stage erythrocyte precursors (normoblasts) in the bone marrow. Luspatercept for injection is formulated as a sterile, preservative-free, lyophilized cake/powder. Luspatercept for injection is available in 25 mg and 75 mg vials and when reconstituted with water for injection, each consists of 50 mg/mL luspatercept in a 10 mM citrate buffer-based solution

Outcome Measures

Primary Outcome Measures

  1. Adverse Events (AEs) [From enrollment until at least 42 Day Safety Follow-up Phase]
    Type, frequency, severity of AEs, relationship of treatment emergent adverse events to luspatercept
  2. Number of participants progressing to high/very high risk MDS or AML. [Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)]
    Progression to high/very high-risk myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) (MDS and myelofibrosis [MF] only).
  3. Percentage of participants progressing to high/very high risk MDS or AML [Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)]
    Progression to high/very high-risk myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) (MDS and myelofibrosis [MF] only)
  4. Number of participants developing other malignancies/pre-malignancies [Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)]
    Development of other malignancies/pre-malignancies
  5. Percentage of participants developing other malignancies/pre-malignancies [Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)]
    Development of other malignancies/pre-malignancies

Secondary Outcome Measures

  1. Overall Survival [Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)]
    Time from date of randomization until death from any cause
  2. Number of participants developing treatment emergent extramedullary hematopoiesis (EMH) masses [Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)]
  3. Percentage of participants developing treatment emergent EMH masses [Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)]

Eligibility Criteria

Ages Eligible for Study 18 Years and Older (Adult, Older Adult)
Sexes Eligible for Study All
Accepts Healthy Volunteers No
Inclusion Criteria
  • Participants must meet all the following criteria to be enrolled in this study:
  • Participant is ≥ 18 years at the time of signing the informed consent form (ICF).
  • Participant is willing and able to adhere to the study visit schedule and other protocol requirements.
  • Participant has been participating in a luspatercept trial and continues to fulfill all the requirements of the parent protocol and the participant has been either:
  • Assigned to luspatercept treatment, continues to receive clinical benefit in the opinion of the investigator and should continue to receive luspatercept treatment, OR
  • Assigned to placebo arm in the parent protocol (at the time of unblinding or in follow-up) and should cross over to luspatercept treatment, OR
  • Assigned to the Follow-up Phase of the parent protocol, previously treated with luspatercept or placebo in the parent protocol who shall continue into LTPTFU phase in the rollover study until the follow-up commitments are met (unless requirements are met as per parent protocol to crossover to luspatercept treatment).
  • Participant understands and voluntarily signs an informed consent document prior to any study-related assessments or procedures being conducted.
  • Participant demonstrates compliance, as assessed by the investigator, with the parent study protocol requirements.
  • Applies to on treatment Participants only- females of childbearing potential (FCBP) defined as a sexually mature woman who:
  • has achieved menarche at some point, 2) has not undergone a hysterectomy or bilateral oophorectomy, or 3) has not been naturally postmenopausal (amenorrhea following cancer therapy or amenorrhea due to other medical reasons does not rule out childbearing potential) for at least 24 consecutive months (ie, has had menses at any time in the preceding 24 consecutive months) must:
  • Have two negative pregnancy tests as verified by the investigator prior to starting study therapy. She must agree to ongoing pregnancy testing during the course of the study, and after end of study therapy. This applies even if the participant practices true abstinence from heterosexual contact.
  • Agrees to use, and be able to comply with highly effective, contraception without interruption, 35 days prior to starting investigational product (IP), during the study therapy (including dose interruptions), and for 84 days after discontinuation of study therapy.
  • Applies to on treatment participants only- Male participants must:
  • a. Agrees to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions and for at least 84 days following investigational product discontinuation even if he has undergone a successful vasectomy.
Exclusion Criteria
  • The presence of any of the following will exclude a participant from enrollment:
  • Applies to on treatment participants only- Concomitant use of any medications/procedures that are prohibited in the parent luspatercept protocol.
  • Participant has met one or more criteria for study discontinuation as stipulated in the parent luspatercept protocol.
  • Applies to on treatment participants only- More than 26 days between last luspatercept dose in the parent protocol and first dose into ACE-536-LTFU-001 protocol unless dose delay or dose discontinuation criteria met.
  • Applies to on treatment participants only- Pregnant or breastfeeding females.
  • Participant has any significant medical condition, laboratory abnormality, psychiatric illness, or is considered vulnerable by local regulations (eg, imprisoned or institutionalized) that would prevent the subject from participating in the study.
  • Participant has any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study.
  • Participant has any condition that confounds the ability to interpret data from the study.

Contacts and Locations

Sponsors and Collaborators Celgene
Locations
  • Childrens Hospital Los Angeles RHU | Los Angeles, California, United States, 90027-6062
  • Local Institution - 971 | Oakland, California, United States, 94609
  • Local Institution - 978 | Stanford, California, United States, 94305
  • Local Institution - 975 | Tampa, Florida, United States, 33612
  • Ann & Robert H Lurie Children's Hospital of Chicago | Chicago, Illinois, United States, 60611
  • Boston Children's Hospital | Boston, Massachusetts, United States, 02115
  • Local Institution - 961 | Detroit, Michigan, United States, 48201
  • Local Institution - 969 | New York, New York, United States, 10065
  • Local Institution - 967 | Cleveland, Ohio, United States, 44195
  • Local Institution - 972 | Philadelphia, Pennsylvania, United States, 19104
  • Vanderbilt - Ingram Cancer Center | Nashville, Tennessee, United States, 37232-5505
  • The University of Texas - MD Anderson Cancer Center | Houston, Texas, United States, 77030
  • Local Institution - 100 | South Brisbane, Queensland, Australia, 4101
  • Local Institution - 103 | Adelaide, South Australia, Australia, 5000
  • Local Institution - 102 | Clayton, Victoria, Australia, 3168
  • Royal Prince Alfred Hospital | Camperdown, Australia, 2050
  • Local Institution - 182 | Brasschaat, Belgium, 2930
  • Local Institution - 180 | Brugge, Belgium, 8000
  • Local Institution - 183 | Ghent, Belgium, 9000
  • Local Institution - 184 | Leuven, Belgium, 3000
  • Specialized Hospital for Active Treatment of Haematological Diseases - Sofia | Boulevard, Sofia, Bulgaria, 1797
  • University Multiprofile Hospital for Active Treatment Sveti Georgi EAD | Plovdiv, Bulgaria, 4002
  • Local Institution - 262 | Toronto, Ontario, Canada, M4N 3M5
  • University Health Network | Toronto, Ontario, Canada, M5G 2C4
  • Local Institution - 263 | Toronto, Ontario, Canada, M5G 2M9
  • Local Institution - 131 | Beijing, Beijing, China, 100730
  • Local Institution - 135 | Guangzhou, Guangdong, China, 510515
  • Local Institution - 132 | Shanghai, Shanghai, China, 200233
  • Local Institution - 134 | Chengdu, Sichuan, China, 610041
  • Local Institution - 130 | Tianjin, Tianjin, China, 300020
  • Local Institution - 133 | Hangzhou, Zhejiang, China, 310009
  • Local Institution - 305 | Angers, France, 49033
  • Local Institution - 300 | Creteil, France, 94010
  • Local Institution - 310 | La Tronche, France, 38700
  • Local Institution - 306 | Lille, France, 59037
  • Local Institution - 301 | Marseille Cedex 9, France, 13385
  • Local Institution - 302 | Paris, France, 75010
  • Local Institution - 307 | Pessac Cedex, France, 33604
  • Local Institution - 304 | Pierre Benite cedex, France, 69495
  • Local Institution - 308 | Strasbourg, France, 67091
  • Local Institution - 309 | Toulouse Cedex 9, France, 31059
  • Local Institution - 303 | Tours, France, 37044
  • Local Institution - 341 | Berlin, Germany, 14195
  • Universitatsklinikum Carl Gustav Carus an der TU Dresden | Dresden, Germany, 01307
  • Universitaetsklinikum Duesseldorf | Duesseldorf, Germany, 40225
  • Local Institution - 346 | Dusseldorf, Germany, 40479
  • Local Institution - 343 | Halle, Germany, 06120
  • Local Institution - 342 | Hamburg, Germany, 22081
  • Local Institution - 344 | Hannover, Germany, 30625
  • Local Institution - 349 | Leipzig, Germany, 04103
  • Local Institution - 340 | Mainz, Germany, 55131
  • Klinikum Rechts der Isar der Technischen Universitaet Muenchen | München, Germany, 81675
  • Aghia Sophia' Children's General Hospital of Athens | Athens, Greece, 115 27
  • Laiko General Hospital of Athens - Center of Thalassemia | Athens, Greece, 115 27
  • Local Institution - 384 | Athens, Greece, 11527
  • Local Institution - 383 | Rio Patras, Greece, 26500
  • General Hospital of Thessaloniki Hippokration | Thessaloniki, Greece, 54642
  • Local Institution - 425 | Afula, Israel, 18341
  • Local Institution - 420 | Haifa, Israel, 3109601
  • Local Institution - 422 | Jerusalem, Israel, 91031
  • Local Institution - 424 | Jerusalem, Israel, 91120
  • Local Institution - 421 | Nahariya, Israel, 22100
  • Local Institution - 423 | Petah Tikva, Israel, 49100
  • Local Institution - 478 | Firenze, Toscana, Italy, 50134
  • Local Institution - 471 | Firenze, Toscana, Italy, 50139
  • Local Institution - 470 | Allessandria, Italy, 15100
  • Local Institution - 464 | Bologna, Italy, 40138
  • Local Institution - 466 | Brindisi, Italy, 72100
  • Local Institution - 477 | Cagliari, Italy, 09121
  • Azienda Ospedaliero-Universitaria di Ferrara - Arcispedale Sant'Anna | Ferrara, Italy, 44124
  • Ente Ospedaliero Ospedali Galliera - Centro della Microcitemia e delle Anemie Congenite | Genoa, Italy, 16128
  • Local Institution - 473 | Lecce, Italy, 73100
  • Maggiore Polyclinic Hospital, IRCCS Ca' Granda | Milano, Italy, 20122
  • Local Institution - 479 | Modena, Italy, 41124
  • AORN A Cardarelli | Napoli, Italy, 80131
  • AOU dell'Università degli Studi della Campania Luigi Vanvitelli | Napoli, Italy, 80131
  • Azienda Ospedaliero Universitaria S. Luigi Gonzaga | Orbassano, Italy, 10043
  • Irccs Policlinico San Matteo | Pavia, Italy, 27100
  • Azienda Ospedaliera Bianchi Melacrino Morelli | Reggio Di Calabria, Italy, 89124
  • Local Institution - 465 | Roma, Italy, 133
  • Local Institution - 474 | Rozzano, Italy, 20089
  • Ospedale di Circolo di Varese | Varese, Italy, 21100
  • Azienda Ospedaliera Universitaria Integrata Di Verona | Verona, Italy, 37134
  • Local Institution - 610 | Nagoya, Aichi, Japan, 460-0001
  • Local Institution - 601 | Kamogawa, Chiba, Japan, 296-0041
  • Matsuyama Red Cross Hospital | Matsuyama, Ehime, Japan, 790-8524
  • Ogaki Municipal Hospital | Ogaki, Gifu, Japan, 503-8502
  • Local Institution - 614 | Himeji, Hyogo, Japan, 670-8540
  • Local Institution - 605 | Hitachi, Ibaraki, Japan, 317-0077
  • Local Institution - 603 | Sagamihara, Kanagawa, Japan, 252-0329
  • Local Institution - 0979 | Sendai, Miyagi, Japan, 980-8574
  • Tohoku University Hospital | Sendai, Miyagi, Japan, 980-8574
  • Local Institution - 611 | Nagasaki-shi, Nagasaki, Japan, 8528511
  • Local Institution - 602 | Shibuya City, Tokyo, Japan, 150-8935
  • Local Institution - 600 | Shinagawa City, Tokyo, Japan, 141-8625
  • Local Institution - 612 | Chiba, Japan, 260-0852
  • Local Institution - 613 | Kamakura, Japan, 247-8533
  • Osaka Metropolitan University Hospital | Osaka, Japan, 545-8586
  • Local Institution - 604 | Osaka, Japan, 589-8511
  • Chronic Care Center | Hazmieh, Lebanon, 00961
  • Hospital Sultanah Aminah | Johor Bahru, Johor, Malaysia, 80100
  • Hospital Sultanah Bahiyah | Alor Setar, Kedah, Malaysia, 05460
  • Local Institution - 546 | Ipoh, Perak, Malaysia, 30990
  • Queen Elizabeth Hospital | Kota Kinabalu, Sabah, Malaysia, 88586
  • Hospital Umum Sarawak | Kuching, Sarawak, Malaysia, 93586
  • University Malaya Medical Centre | Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia, 59100
  • Local Institution - 580 | Amsterdam, Netherlands, 1081 HV
  • Local Institution - 681 | Barakaldo, Spain, 48903
  • Local Institution - 686 | Barcelona, Spain, 08908
  • Local Institution - 685 | Barcelona, Spain, 8035
  • Local Institution - 687 | Madrid, Spain, 28028
  • Local Institution - 682 | Oviedo, Spain, 33011
  • Local Institution - 684 | Salamanca, Spain, 37007
  • Local Institution - 680 | Seville, Spain, 41013
  • Local Institution - 683 | Valencia, Spain, 46026
  • Local Institution - 720 | Goteborg, Sweden, 413 45
  • Local Institution - 722 | Lund, Sweden, SE-221 85
  • Local Institution - 721 | Stockholm, Sweden, 141 86
  • Kaohsiung Medical University Hospital | Kaohsiung, San Ming Dist., Taiwan, 807
  • China Medical University Hospital | Taichung, Taiwan, 40447
  • National Taiwan University Hospital | Taipei, Taiwan, 100225
  • Chulalongkorn University Faculty of Medicine - King Chulalongkorn Memorial Hospital | Bangkok, Thailand, 10330
  • Siriraj Hospital Mahidol University | Bangkok, Thailand, 10700
  • Chiang Mai University - Maharaj Nakorn Chiang Mai Hospital | Chiang Mai, Thailand, 50200
  • Local Institution - 840 | Sousse, Tunisia, 4031
  • Bone Marrow Transplant Center | Tunis, Tunisia, 1006
  • Local Institution - 842 | Tunis, Tunisia, 1008
  • Military Hospital of Tunis | Tunis, Tunisia, 1008
  • Acibadem Adana Hospital | Adana, Turkey, 01130
  • Local Institution - 885 | Ankara, Turkey, 06590
  • Local Institution - 882 | Istanbul, Turkey, 34093
  • Local Institution - 884 | Istanbul, Turkey, 34098
  • Local Institution - 880 | Izmir, Turkey, 35100
  • Local Institution - 883 | Mersin, Turkey, 33343
  • Local Institution - 925 | Aberdeen, United Kingdom, AB25 2ZN
  • Local Institution - 921 | Leeds, United Kingdom, LS9 7TF
  • Local Institution - 923 | London, United Kingdom, E1 1BB
  • Local Institution - 920 | London, United Kingdom, N19 5NF
  • Local Institution - 922 | London, United Kingdom, NW1 2BU
  • Guy's and St Thomas' NHS Foundation Trust - Guy's Hospital | London, United Kingdom, SE1 9RT
  • Kings College Hospital | London, United Kingdom, SE5 9RS
  • Local Institution - 929 | Oxford, United Kingdom, OX3 7LE
  • Local Institution - 926 | Sutton in Ashfield, United Kingdom, NG17 4JL
Investigators

    More Information

    Additional Information

    Additional Relevant MeSH Terms

    • Preleukemia
    • Myelodysplastic Syndromes
    • Primary Myelofibrosis
    • Thalassemia
    • Myeloproliferative Disorders
    • beta-Thalassemia
    • Neoplasms
    • Bone Marrow Diseases
    • Hematologic Diseases
    • Precancerous Conditions
    • Anemia, Hemolytic, Congenital
    • Anemia, Hemolytic
    • Anemia
    • Hemoglobinopathies
    • Genetic Diseases, Inborn