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Non-transfusion Dependent ThalassemiaPhase 4THETISNCT01709838

Efficacy and Safety Study of Deferasirox in Patients With Non-transfusion Dependent Thalassemia

A Phase 4 study testing deferasirox in people with Non-transfusion Dependent Thalassemia, run by Novartis Pharmaceuticals at 11 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Assessed the efficacy of deferasirox in patients with non-transfusion dependent thalassemia based on change in liver iron concentration from baseline after 52 weeks of treatment. Read more about this study

Who is it for?
Ages 10 years and older
Conditions the study is for
Non-transfusion Dependent Thalassemia
What is being tested?
deferasirox
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
134 participants
Where
11 sitesin 8 countries
Study dates
6 Dec 2012to 17 Jan 2019
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 10 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Non-transfusion dependent congenital or chronic anemia inclusive of beta-thalassemia intermedia, HbE beta-thalassemia or alpha-thalassemia intermedia (HbH disease)/ Liver iron concentration >/= 5 mg Fe/g dw Serum Ferritin >/= 300 ng/mL

Who cannot join

  • HbS-beta Thalassemia, anticipated regular transfusion program during the study, blood transfusion 6 months prior to study start, significant proteinuria, creatinine clearance </= 40 ml/min, serum creatinine > ULN, ALT >5 x ULN, active hepatitis B or C, cirrhosis
  • Pediatrics Only:
  • A patient's weight of at least 20 kg is required to allow dosing of 5 mg/kg with one tablet of 125 mg

Trial locations and contacts

11 sites in 8 countries.

11 sites in 8 countries

Turkey (Türkiye)3 sites
  • Novartis Investigative Site

    Adana, 01330

  • Novartis Investigative Site

    Istanbul, 34093

  • Novartis Investigative Site

    Izmir, 35040

Other trials in Turkey (Türkiye)

Italy2 sites
  • Novartis Investigative Site

    Cagliari, CA, 09121

  • Novartis Investigative Site

    Milan, MI, 20122

Other trials in Italy

China1 site
  • Novartis Investigative Site

    Nanning, Guangxi, 530021

Other trials in China

Greece1 site
  • Novartis Investigative Site

    Goudi-Athens, GR, 115 27

Other trials in Greece

Lebanon1 site
  • Novartis Investigative Site

    Hazmiyeh, Beirut, PO BOX 213

Other trials in Lebanon

Thailand1 site
  • Novartis Investigative Site

    Bangkok, 10700

Other trials in Thailand

Tunisia1 site
  • Novartis Investigative Site

    Tunis, 1006

Other trials in Tunisia

United Kingdom1 site
  • Novartis Investigative Site

    London, NW1 2PJ

Other trials in United Kingdom

About this study

Official title: An Open Label, Multi-center, Efficacy and Safety Study of Deferasirox in Iron Overloaded Patients With Non-transfusion Dependent Thalassemia

Assessed the efficacy of deferasirox in patients with non-transfusion dependent thalassemia based on change in liver iron concentration from baseline after 52 weeks of treatment. Provided further assessment of the long-term efficacy and safety of deferasirox in NTDT patients with iron overload (LIC ≥ 5 mg Fe/g liver dw and SF ≥ 300 ng/mL) for up to 260 weeks.

Being tested
deferasirox
Keywords
Non-transfusion dependent thalassemia, NTDT, deferasirox, ICL670, LIC, Liver Iron Concentration

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • deferasiroxDrug

    Also called ICL670

    Deferasirox dispersible tablets at strengths of 125 mg, 250 mg, and 500 mg were administered by oral daily dosing.

Study groups in NCT01709838
Study groupRoleWhat they receive
DeferasiroxOtherAll patients were treated with 10mg/kg/day deferasirox with dose adjustments after 4 weeks of treatment according to baseline Liver Iron Concentration (LIC).
Receives: Drug: deferasirox

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Absolute Change in Liver Iron Content (LIC) at 52 Weeks From Baseline

    Absolute change in liver iron concentration measured by MRI from baseline after 52 weeks of treatment

    Measured: Baseline, 52 weeks

Secondary outcomes (14)
  1. Percentage of Participants With Baseline LIC>15 Achieving LIC<5 mg Fe/g dw

    The percentage of participants with baseline LIC>15 mg Fe/g dw achieving an LIC <5 mg Fe/g dw during the study

    Measured: 5 years

  2. Time to Achieving LIC <5 mg Fe/g dw

    Time to achieving LIC <5 mg Fe/g dw for participants with baseline LIC>15 mg Fe/g dw during the study

    Measured: 5 years

  3. Time From Target LIC of 3 mg Fe/g dw to the First LIC ≥5 mg Fe/g dw in the Follow up Period

    Time from the target LIC <3 mg Fe/g dw to the first LIC ≥5 mg Fe/g dw in the follow-up period

    Measured: post-baseline, up to 260 weeks

  4. Absolute Change in Health-related Outcomes Using Medical Outcomes Study Form 36 (SF-36v2)

    The SF-36 is a self-administered questionnaire for adults (from 18 years of age) and contains 36 items which measure: Physical functioning, Role limitation due to physical health problems, Bodily pain, General health perceptions, Vitality, Social functioning, Role limitations due to emotional problems and General mental health . The higher values indicate a better evaluation of health. Range: 0 to 100 [0 (worst possible health state measured by the questionnaire) to 100 (best possible health state)].

    Measured: Baseline, 52, 104 & 156 Weeks

  5. Absolute Change in Health-related Outcomes Using the Pediatric Quality of Life Questionnaire (PedsQL™)

    The PedsQL™ is a modular approach to measuring health-related quality of life (HRQOL) in children and adolescents. The 23-item PedsQL™ Generic Core Scales encompass the essential core domains for pediatric HRQOL measurement: 1) Physical Functioning (8 items), 2) Emotional Functioning (5 items), 3) Social Functioning (5 items), and 4) School Functioning (5 items). The Generic Core Scales are designed to enable comparisons across patient and healthy populations. The higher values indicate a better evaluation of health. Range: 0 to 100 [0 (worst possible health state measured by the questionnaire) to 100 (best possible health state)].

    Measured: Baseline, 52, 104 & 156 Weeks

  6. Absolute Change in LIC From Baseline Over Time

    Absolute change in serum ferritin from baseline over time up to 260 weeks

    Measured: 24, 52, 76, 104, 128, 156, 180, 208, 232, 260 Weeks

  7. Serum Ferritin (SF) vs LIC at Baseline and EOS (Week 260 + 30 Days Follow-up)

    Correlation between serum ferritin and LIC is assessed using scatter plots with pearson correlation coefficient and simple linear model.

    Measured: Baseline, End of Study (EOS): Week 260 + 30 days follow up

  8. Correlation Analysis for Absolute Change in LIC and Serum Ferritin at Week 24 and EOS (Week 260 + 30 Days Follow-up)

    Correlation for absolute change between LIC and serum ferritin was assessed using scatter plots with pearson correlation coefficient and simple linear model.

    Measured: Week 24, End of Study (EOS): Week 260 + 30 days follow up

  9. Absolute Change in LIC From Baseline After 52 Weeks of Treatment by Underlying Non-transfusion Dependent Thalassemia (NTDT) Syndrome

    Absolute change in liver iron concentration measured by MRI from baseline after 52 weeks of treatment by underlying NTDT syndrome. The 4 underlying disease types: Beta-thalassemia intermedia (N =69), HbE beta-thalassemia (N = 24), Alpha-thalassemia intermedia (HbH disease) (N = 40), Other, specify (N = 1)

    Measured: Baseline, 52 Weeks

  10. Absolute Change in Serum Ferritin From Baseline After 52 Weeks

    Absolute change in serum ferritin from baseline after 52 weeks of treatment

    Measured: Baseline, 52 weeks

  11. PK Parameters: AUCtau

    The pharmacokinetic parameter, AUCtau was determined using non-compartmental method(s) for deferasirox and its iron complex. AUC=area under the concentration-time curve during a dosing interval at steady state (amount × time × volume).

    Measured: pre-dose (0 hour), and at 2, and 4 hours at Week 4

  12. PK Parameters: Cmax

    The pharmacokinetic parameter, Cmax, was determined using non-compartmental method(s) for deferasirox and its iron complex. Cmax (maximum/peak plasma drug concentration after drug administration)=amount × volume

    Measured: pre-dose (0 hour), and at 2, and 4 hours at Week 4

  13. PK Parameters: Tmax

    The pharmacokinetic parameter, Tmax, may be determined using non-compartmental method(s) for deferasirox and its iron complex. Tmax=time to reach maximum/peak concentration following drug administration.

    Measured: pre-dose (0 hour), and at 2, and 4 hours at Week 4

  14. Plasma Pharmacokinetics (PK) Deferasirox Concentrations

    Blood samples for PK evaluation were collected for a sub-group of patients. The patient had to have been on treatment without dose adjustment or treatment interruption (for any reason) for at least 4 consecutive days prior to scheduled PK sampling visit. If there was a dosage change or interruption within 4 days of the visit, no PK blood samples was collected, and an appropriate comment had to be made on the PK CRF page.

    Measured: Weeks 12 & 24: pre-dose (0hr), 2hr & 4hr post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Oct 2012 (estimated)
  2. Study start6 Dec 2012
  3. Primary completion3 Jan 2015
  4. Study completion17 Jan 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
134 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01709838
Sponsor's protocol ID
CICL670E2419
Other IDs
2012-000650-64
Acronym
THETIS
Status last verified
Sep 2019
First submitted
16 Oct 2012
Last updated
2 Oct 2019
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent expert panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data is currently available according to the process described on www.clinicalstudydatarequest.com.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing deferasirox in people with Non-transfusion Dependent Thalassemia, run by Novartis Pharmaceuticals at 11 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Turkey (Türkiye), Italy, China, Greece, Lebanon and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Aug 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Absolute Change in Liver Iron Content (LIC) at 52 Weeks From Baseline (time frame: Baseline, 52 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Oct 2019.

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