Phase 3b Open-label Rollover Study to Assess Long-term Safety of Luspatercept in Adults Previously in Luspatercept Clinical Trials
Led by Celgene · Updated on 2026-07-01
665
Participants Needed
143
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
This research aims to evaluate the long-term safety of luspatercept in participants who have previously taken part in other luspatercept clinical trials for conditions such as Myelodysplastic Syndromes MDS, Beta-thalassemia, and Myeloproliferative Neoplasm-associated Myelofibrosis. It is a Phase 3b, open-label, single-arm rollover study designed to continue monitoring participants who tolerated previous luspatercept treatment and may benefit from ongoing therapy, as well as those in post-treatment follow-up phases.
Participants transitioning from prior luspatercept studies will enter a Transition Phase defined by an enrollment visit. Those continuing treatment will receive luspatercept injections subcutaneously at the same dose and schedule as their parent trial, administered by study staff at clinical sites. The study includes a Treatment Phase for ongoing luspatercept administration and a Follow-up Phase comprising a 42-day safety follow-up after the last dose and a long-term post-treatment follow-up phase lasting at least 5 years to monitor overall survival and progression to malignancies.
Throughout the study, participants will be regularly assessed for adverse events, progression to high-risk MDS or AML, and development of other malignancies or treatment-related masses. Safety parameters are evaluated during the 42-day follow-up, while long-term survival and disease progression are monitored every six months for at least five years. The study will conclude when all participants have completed five years of combined treatment and follow-up.
CONDITIONS
Brief Title
A Study to Evaluate Long-term Safety in Participants Who Have Participated in Other Luspatercept (ACE-536) Clinical Trials
Research Team
B
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
Long-Term Luspatercept Extension
Current Supportive Care
What it is
Long-term extension study evaluating continued use or follow-up after luspatercept treatment for adults who previously participated in a luspatercept parent trial for MDS, beta-thalassemia, or myelofibrosis.
Guideline-based supportive management (e.g., transfusions, iron chelation, monitoring) for adults with MDS, beta-thalassemia, or myelofibrosis who do not continue luspatercept exposure.
Primary use
Ongoing monitoring of long-term safety, adverse events, and disease progression in adults with selected hematologic disorders after luspatercept exposure.
Supportive care aims to manage symptoms, prevent complications, and monitor hematologic stability in the same patient population.
How it is given or performed
Continuation of luspatercept by subcutaneous injection according to parent protocol schedule, or follow-up for patients transitioning from treatment to monitoring.
Supportive management may include regular red blood cell transfusions, iron chelation when indicated, and ongoing safety monitoring per guidelines.
Evidence status
Long-term extension participants are monitored for adverse events, disease progression to high-risk MDS or AML, new malignancies, and overall survival. Patient-reported outcomes are also tracked in published studies but results for the extension cohort remain under evaluation.
Long-term outcomes depend on transfusion needs, iron overload management, and supportive treatment for each disease. Ongoing symptom management and surveillance is well-established, but no additional disease-modifying benefit is expected compared to investigational agents.
Important limitations
As a non-randomized long-term extension, this study does not compare safety outcomes directly to current care. Potential risks or benefits in comparison to non-users of luspatercept are inferred from broader literature.
Supportive care outcomes can vary based on transfusion burden and iron overload. Direct comparison to long-term investigational therapy outcomes is not supported by randomized data.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Participants aged 18 years or older at the time of consent
Willing and able to follow study visit schedule and protocol requirements
Participants who have been in a prior luspatercept trial and meet one of the following: continuing luspatercept treatment with clinical benefit, assigned to placebo and crossing over to luspatercept, or in follow-up phase continuing long-term post-treatment follow-up
Ability to understand and voluntarily sign informed consent
Compliance with parent study protocol requirements
For females of childbearing potential on treatment: must have negative pregnancy tests and agree to ongoing pregnancy testing and use of effective contraception
For male participants on treatment: must agree to use condoms during sexual contact with females of childbearing potential during and after study therapy
You will not qualify if you...
Use of medications or procedures prohibited in the parent luspatercept protocol for on-treatment participants
Meeting criteria for study discontinuation as per parent protocol
More than 26 days between last luspatercept dose in parent protocol and first dose in this study unless allowed
Pregnant or breastfeeding females for on-treatment participants
Significant medical, laboratory, psychiatric, or vulnerability conditions preventing participation
Conditions or laboratory abnormalities placing participant at unacceptable risk
Conditions that interfere with data interpretation from the study
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Transition Phase
Duration - 1 visit (Enrollment)
Participants enroll in the study and are assigned to either continue treatment or enter long-term post-treatment follow-up based on their previous study status.
1 visit (Enrollment)
Treatment Phase
Duration - Varies by participant depending on treatment continuation
Participants who continue treatment receive luspatercept injections at the same dose and schedule as their previous trial, administered by study staff at clinical sites.
Follow-up Phase
Duration - At least 5 years
Participants are monitored for safety during a 42-day follow-up after their last dose and then undergo long-term post-treatment follow-up every 6 months for at least 5 years to assess survival and disease progression.
Follow-up visits every 6 months
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Published Research Related To This Trial
Patient-Reported Outcomes With Luspatercept Through 5 Years of Treatment in Patients With Non-Transfusion-Dependent β-Thalassemia Treated in the BEYOND Trial.
Khaled M Musallam, Maria Domenica Cappellini, Antonis Kattamis...