Actively Recruiting

Phase 2
Age: 12Years +
All Genders
ID05664737

A Phase 2 Study to Evaluate the Efficacy and Safety of Luspatercept in Adults and Safety and Pharmacokinetics in Adolescents With Alpha-Thalassemia

Led by Bristol-Myers Squibb · Updated on 2026-03-24

189

Participants Needed

36

Research Sites

369 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the efficacy and safety of luspatercept combined with best supportive care (BSC) compared to placebo plus BSC for treating anemia in adults with alpha-thalassemia hemoglobin H (HbH) disease. The study also aims to assess the safety and drug levels of luspatercept in adolescent participants. This Phase 2 trial is sponsored by Bristol-Myers Squibb and focuses on improving anemia management in this specific patient group. Participants are divided into groups based on transfusion dependence and age. Adult transfusion-dependent and non-transfusion-dependent participants receive either luspatercept plus BSC or placebo plus BSC. Adolescent participants aged 12 to under 18 years are assessed for safety and pharmacokinetics of luspatercept. Treatments involve specified doses given on designated days, with monitoring across several weeks. The study includes a randomized, quadruple-masked design to compare outcomes effectively. During the study, participants undergo regular assessments including blood tests to measure hemoglobin levels, red blood cell transfusion requirements, and adverse events. Researchers also monitor pharmacokinetics and immunogenicity over extended periods up to several years. Patient-reported outcomes, quality of life, physical function tests, and biomarkers related to anemia and iron homeostasis are evaluated to understand treatment impact. The total participation may last up to 8.5 years, ensuring comprehensive safety and efficacy data collection.

CONDITIONS

Brief Title

A Study to Determine the Efficacy and Safety of Luspatercept in Adult Participants and to Evaluate the Safety and Pharmacokinetics in and Adolescent Participants With Alpha (α)-Thalassemia

Who Can Participate

Age: 12Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult participants 18 years or older with alpha-thalassemia hemoglobin H disease and transfusion dependence or non-transfusion dependence as defined by RBC transfusion history
  • Adolescent participants aged 12 to under 18 years with alpha-thalassemia hemoglobin H disease and specific transfusion requirements
  • Adults with Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Adolescents with Karnofsky (age ≥16 years) or Lansky (age <16 years) performance status score ≥50 at screening
Not Eligible

You will not qualify if you...

  • Diagnosis of alpha-thalassemia trait, Hb Bart hydrops, ATRx alpha-thalassemia, hemoglobin S/beta-thalassemia, myelodysplasia subtype anemia, or homozygous HbE beta gene mutation
  • Anemia caused by nutritional deficiency, chronic disease, autoimmune hemolytic anemia, or other hemolytic anemias not related to alpha-thalassemia
  • Hemolysis episodes unrelated to alpha-thalassemia within 8 weeks prior to randomization
  • History of deep vein thrombosis, stroke, or thromboembolic events requiring treatment within 24 weeks prior to randomization
  • Uncontrolled hypertension above Grade 1 level
  • Women who are pregnant, planning pregnancy, or breastfeeding
  • Prior hematopoietic stem cell transplant or gene therapy (unless waiting period of 12 months met)
  • Use of hydroxyurea treatment within 12 weeks for non-transfusion dependent or 24 weeks for transfusion dependent participants
  • Extramedullary hematopoiesis complications requiring treatment during screening
  • Any medical or psychiatric condition that may increase risk or affect study data interpretation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 108 weeks

Participants receive Luspatercept or placebo with best supportive care according to their transfusion dependence status.

Regular visits for treatment and assessments during the study period

Follow-up

Duration - Up to approximately 7 years

Participants are monitored for safety, pharmacokinetics, and long-term outcomes after completing treatment.

Periodic visits for long-term safety and efficacy monitoring

Trial Site Locations

Total: 36 locations

1

Local Institution - 0008

Halifax, Nova Scotia, Canada, B3K 6R8

Withdrawn

2

Sun Yat-sen Memorial Hospital, Sun Yat-Sen University

Guangzhou, GD, China, 510120

Actively Recruiting

3

Nanfang Hospital of Southern Medical University

Guangzhou, GD, China, 510515

Actively Recruiting

4

The First People's Hospital of Foshan

Foshan, Guangdong, China, 528000

Actively Recruiting

5

Maoming People's Hospital

Maoming Shi, Guangdong, China, 525000

Actively Recruiting

6

Shenzhen Second People's Hospital

Shenzhen Shi, Guangdong, China, 518025

Actively Recruiting

7

Liuzhou People's Hospital

Liuzhou, Guangxi, China, 545006

Actively Recruiting

8

People's Liberation Army The 923rd Hospital

Nanning, GX, China, 530021

Actively Recruiting

9

Local Institution - 0011

Haikou, Hainan, China, 570203

Active, Not Recruiting

10

Local Institution - 0012

Kunming, Yunnan, China, 650032

Completed

11

Hainan General Hospital

Haikou, China, 570311

Actively Recruiting

12

The First Affiliated Hospital of Guangxi Medical University

Nanning, China, 530021

Actively Recruiting

13

Local Institution - 0005

Thessaloniki, B, Greece, 546 42

Withdrawn

14

Local Institution - 0007

Larissa, E, Greece, 412 21

Active, Not Recruiting

15

Local Institution - 0018

Rio, G, Greece, 265 04

Active, Not Recruiting

16

Local Institution - 0006

Athens, Greece, 115 27

Active, Not Recruiting

17

Local Institution - 0009

Goudi, Greece, 11527

Active, Not Recruiting

18

Local Institution - 0025

Hong Kong, HK, Hong Kong

Completed

19

Local Institution - 0024

Hong Kong Island, Hong Kong

Withdrawn

20

Local Institution - 0022

Cagliari, CA, Italy, 09121

Withdrawn

21

Local Institution - 0026

Genova, GE, Italy, 16128

Active, Not Recruiting

22

Local Institution - 0020

Orbassano, TO, Italy, 10043

Active, Not Recruiting

23

Local Institution - 0028

Naples, Italy, 80131

Active, Not Recruiting

24

"Universita degli Studi della Campania ""Luigi Vanvitelli"" - AOU - Clinica Pediatrica"

Naples, Italy, 80138

Actively Recruiting

25

Hospital Tunku Azizah

Kuala Lumpur, WP, Malaysia, 50586

Actively Recruiting

26

Hospital Sultanah Aminah

Johor Bahru, Malaysia, 80100

Actively Recruiting

27

Local Institution - 0035

Al-Ahsa, Saudi Arabia, 31982

Withdrawn

28

King Saud University (KSU) - College of Medicine

Riyadh, Saudi Arabia, 11411

Actively Recruiting

29

KK Women's and Children's Hospital

Singapore, Singapore, 229899

Actively Recruiting

30

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, KHH, Taiwan, 807

Actively Recruiting

31

National Taiwan University Hospital

Nan Gang Qu, TPE, Taiwan, 10002

Actively Recruiting

32

China Medical University Hospital

Taichung, TXG, Taiwan, 40447

Actively Recruiting

33

Siriraj Hospital

Bangkok Noi, Bangkok, Thailand, 10700

Actively Recruiting

34

Naresuan University Hospital

Mueang Phitsanulok, Thailand, 65000

Actively Recruiting

35

Hacettepe Üniversitesi Tıp Fakültesi

Altındağ, Turkey (Türkiye), 06230

Actively Recruiting

36

Istanbul Universitesi - Istanbul Tip Fakultesi (ITF) Hastanesi

Topkapı, Turkey (Türkiye), 34093

Actively Recruiting

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Research Team

B

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com

F

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

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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Concomitant Presence of Hb Agrinio and - -Med Deletion in a Greek Male Patient with Hemoglobinopathy H: More Severe Phenotype and Literature Review.

Michael D Diamantidis, Stefania Pitsava, Omar Zayed...

https://pubmed.ncbi.nlm.nih.gov/37606495