Actively Recruiting
A Phase 2, Open-Label Study of Elritercept (KER-050) to Treat Anemia in Adults with Very Low, Low, or Intermediate Risk Myelodysplastic Syndromes (MDS)
Led by Takeda · Updated on 2026-02-06
160
Participants Needed
47
Research Sites
104 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying the safety and tolerability of elritercept in adults with anemia linked to very low, low, or intermediate risk Myelodysplastic Syndromes (MDS). The study aims to understand how elritercept affects red blood cell production and the progression of MDS, including how well participants tolerate different doses of the drug. This phase 2, open-label trial focuses on anemia associated with lower-risk MDS and evaluates the impact on healthy red blood cell production. Participants receive elritercept as a subcutaneous injection every 4 weeks, with doses ranging from 0.75 mg/kg to 5.0 mg/kg during an initial period of up to 4 cycles (each 28 days). Following this, participants continue treatment with elritercept every 4 weeks for up to 24 cycles, with dose adjustments based on individual response. Different cohorts include participants with or without ring sideroblasts, those requiring red blood cell transfusions, and those with chronic myelomonocytic leukemia (CMML). Some participants may enter a long-term extension phase receiving elritercept every 4 weeks for up to about 10 years. During the study, participants undergo regular monitoring including blood tests, assessments of red blood cell parameters, and tracking of adverse events and disease progression. Researchers measure treatment-emergent adverse events, progression to higher-risk MDS or acute leukemia, transfusion independence, and hematologic improvements over up to 11 years. The study includes follow-ups to evaluate the duration and timing of responses, safety, and overall effects on anemia and MDS progression.
CONDITIONS
Brief Title
A Study of Elritercept to Treat Anemia in Adults With Very Low, Low, or Intermediate Risk Myelodysplastic Syndromes (MDS)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Able to understand the study and provide informed consent
- Male or female aged 18 years or older
- ECOG performance status 0, 1, or 2 related to anemia
- Females of childbearing potential and sexually active males must use effective contraception
- Able and willing to follow study procedures and visits
- Diagnosis of MDS with very low, low, or intermediate risk by WHO and IPSS-R
- Less than 5% blasts in bone marrow before treatment
- White blood cell count less than 13,000/microliter before treatment
- Anemia defined by specific hemoglobin levels and transfusion history
- For Part 1 Extension: completed 4 cycles of elritercept without dose-limiting toxicities and meet specific blood counts
- Specific criteria for Part 2 cohorts based on MDS subtype, transfusion needs, and iron status
You will not qualify if you...
- Diagnosis of MDS with deletion of chromosome 5q
- Active infection needing strong antibiotics recently
- Uncontrolled heart disease or severe heart failure
- Recent drug or alcohol abuse
- Recent stroke, blood clots, or major surgery
- Known positive for HIV, active hepatitis B or C infection
- Other cancers not in remission within 1 year
- History of organ or blood stem cell transplant
- Uncontrolled high blood pressure despite treatment
- Body mass index 40 kg/m² or higher
- Severe allergic reaction to similar proteins
- Prior treatment with certain cancer or anemia drugs
- Recent use of erythropoiesis-stimulating agents or growth factors
- Recent iron chelation or vitamin B12 therapy unless stable
- Receiving other investigational drugs recently
- Abnormal blood counts or low iron/folate/vitamin levels
- Pregnant or breastfeeding females
- Other conditions that prevent safe participation
- Site staff or immediate family involved in the study
- For Part 2: additional exclusions including specific heart conditions, liver disease, bleeding issues, and medication restrictions
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 28 cycles of 28 days each (up to approximately 2 years and 4 months)
Participants receive Elritercept injections subcutaneously every 4 weeks on Day 1 of each cycle. Initial treatment consists of up to 4 cycles, each lasting 28 days. After initial cycles, participants may continue treatment for up to 24 additional cycles based on response and cohort assignment.
Visits every 4 weeks for injections on Day 1 of each cycle
Duration - Up to approximately 122 months
Participants who may benefit from continued treatment can elect to continue Elritercept injections every 4 weeks until end of treatment, for approximately 122 months.
Visits every 4 weeks for injections
Trial Site Locations
Total: 47 locations
1
City of Hope National Medical Center
Duarte, California, United States, 91010
Actively Recruiting
2
University of Miami School of Medicine Sylvester Comprehensive Cancer Center (SCCC)
Miami, Florida, United States, 33136
Actively Recruiting
3
H. Lee Moffitt Cancer Center and Research Center
Tampa, Florida, United States, 33612
Actively Recruiting
4
Karmanos Cancer Institute at Mclaren Greater Lansing
Lansing, Michigan, United States, 48910
Completed
5
University of Pittsburgh Medical Health Center
Pittsburgh, Pennsylvania, United States, 15213
Completed
6
Border Medical Oncology Research
Albury, New South Wales, Australia, 2640
Actively Recruiting
7
Tweed Hospital
Tweed Heads, New South Wales, Australia, 2485
Actively Recruiting
8
Westmead Hospital
Westmead, New South Wales, Australia, 2145
Actively Recruiting
9
Townsville University Hospital
Douglas, Queensland, Australia, 4814
Completed
10
Royal Adelaide Hospital
Adelaide, South Australia, Australia, 5000
Actively Recruiting
11
Flinders Medical Centre
Bedford Park, South Australia, Australia, 5042
Actively Recruiting
12
Boxhill Hospital
Box Hill, Victoria, Australia, 3128
Actively Recruiting
13
University Hospital Geelong
Geelong, Victoria, Australia, 3220
Actively Recruiting
14
Austin Health
Heidelberg, Victoria, Australia, 3084
Actively Recruiting
15
Royal Melbourne Hospital
Melbourne, Victoria, Australia, 3050
Actively Recruiting
16
St Vincent's Hospital Melbourne
Melbourne, Victoria, Australia, 3065
Actively Recruiting
17
Ballarat Oncology & Haematology Service
Wendouree, Victoria, Australia, 3355
Completed
18
Fakultni nemocnice Brno
Brno, Czechia
Completed
19
Fakultni nemocnice Kralovske Vinohrady
Prague, Czechia
Actively Recruiting
20
Vseobecna Fakultni Nemocnice Praha
Prague, Czechia
Completed
21
CHU Angers - Hopital Hotel Dieu
Angers, France
Completed
22
Centre Hospitalier de la Region dAnnecy
Épagny, France
Completed
23
CHU de Nantes - Hotel Dieu
Nantes, France
Actively Recruiting
24
CHU Nice - Hopital de l'Archet 1
Nice, France
Actively Recruiting
25
Hopital Saint-Louis
Paris, France
Actively Recruiting
26
CH Rene-Dubos
Pontoise, France
Actively Recruiting
27
CHU de Bordeaux - Hopital Haut-Leveque
Talence, France
Actively Recruiting
28
Klinikum Bayreuth GmbH
Bayreuth, Germany
Actively Recruiting
29
Charite-Campus Benjamin Franklin
Berlin, Germany
Not Yet Recruiting
30
Praxis am Volkspark Berlin
Berlin, Germany
Not Yet Recruiting
31
University Hospital Bonn
Bonn, Germany
Not Yet Recruiting
32
Marien Hospital Dusseldorf GMBH
Düsseldorf, Germany
Actively Recruiting
33
Universitaetsklinikum Duesseldorf AoeR
Düsseldorf, Germany
Completed
34
Klinikum Esslingen GmbH
Esslingen am Neckar, Germany
Actively Recruiting
35
University Hospital Halle (Saale)
Halle, Germany
Not Yet Recruiting
36
Universitaetsklinikum Leipzig AoeR
Leipzig, Germany
Completed
37
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz
Mainz, Germany
Actively Recruiting
38
Universitaetsmedizin Rostock
Rostock, Germany
Completed
39
Sheba Medical Center - Sheba Fund for Health Services and Research
Ramat Gan, Israel, 52621
Actively Recruiting
40
Sourasky Medical Center - Infrastructure and Health Services Fund of the Tel Aviv Medical Center
Tel Aviv, Israel, 6423906
Completed
41
Middlemore Hospital
Auckland, New Zealand, 2025
Completed
42
Hospital Universitario Central de Asturias
Barcelona, Spain
Actively Recruiting
43
Hospital Universitario Vall d'Hebron
Barcelona, Spain
Actively Recruiting
44
ICO l'Hospitalet - Hospital Duran i Reynals
Barcelona, Spain
Actively Recruiting
45
Hospital Universitario de Salamanca
Salamanca, Spain
Actively Recruiting
46
Hospital Universitario Virgen del Rocio
Seville, Spain
Completed
47
Hospital Universitari i Politecnic La Fe
Valencia, Spain
Actively Recruiting
Research Team
T
Takeda Contact
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
13
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