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Phase 2
Age: 18Years +
All Genders
ID04419649

Phase 2 Study of Elritercept Injections to Treat Anemia in Adults with Very Low to Intermediate Risk Myelodysplastic Syndromes

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 mgkg to 5.0 mgkg 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

Research Team

T

Takeda Contact

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