Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID04419649

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

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

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
Not Eligible

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

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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 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

Long-term Extension

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

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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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