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.
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
Italy2 sites
Novartis Investigative Site
Cagliari, CA, 09121
Novartis Investigative Site
Milan, MI, 20122
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.
- Conditions
- Non-transfusion Dependent Thalassemia
- 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 group | Role | What they receive |
|---|---|---|
| Deferasirox | Other | All 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.
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)
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
- First posted18 Oct 2012 (estimated)
- Study start6 Dec 2012
- Primary completion3 Jan 2015
- Study completion17 Jan 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Non-transfusion Dependent ThalassemiaStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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.
Study at a glance
From the registry record, last updated by the sponsor on 2 Oct 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open Label, Multi-center, Efficacy and Safety Study of Deferasirox in Iron Overloaded Patients With Non-transfusion Dependent Thalassemia
- ClinicalTrials.gov ID
- NCT01709838
- Acronym / sponsor ID
- THETIS / CICL670E2419
- Conditions
- Non-transfusion Dependent Thalassemia
- Keywords
- Non-transfusion dependent thalassemia, NTDT, deferasirox, ICL670, LIC, Liver Iron Concentration
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 134 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 6 Dec 2012 (actual)
- Primary completion
- 3 Jan 2015 (actual)
- Study completion
- 17 Jan 2019 (actual)
- First posted
- 18 Oct 2012 (estimated)
- Results
- Posted 28 Aug 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Deferasirox | Other | Drug: deferasiroxAll patients were treated with 10mg/kg/day deferasirox with dose adjustments after 4 weeks of treatment according to baseline Liver Iron Concentration (LIC). |
Who may qualify
- Ages
- 10 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- 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
Key exclusion criteria (3 listed)
- 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
- A patient's weight of at least 20 kg is required to allow dosing of 5 mg/kg with one tablet of 125 mg
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| deferasiroxAlso: ICL670Deferasirox dispersible tablets at strengths of 125 mg, 250 mg, and 500 mg were administered by oral daily dosing. | Drug | Deferasirox |
Primary outcome
Absolute Change in Liver Iron Content (LIC) at 52 Weeks From Baseline
Time frame: Baseline, 52 weeks
Absolute change in liver iron concentration measured by MRI from baseline after 52 weeks of treatment
14 secondary outcomes
Percentage of Participants With Baseline LIC>15 Achieving LIC<5 mg Fe/g dw
Time frame: 5 years
Time to Achieving LIC <5 mg Fe/g dw
Time frame: 5 years
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 frame: post-baseline, up to 260 weeks
Absolute Change in Health-related Outcomes Using Medical Outcomes Study Form 36 (SF-36v2)
Time frame: Baseline, 52, 104 & 156 Weeks
Absolute Change in Health-related Outcomes Using the Pediatric Quality of Life Questionnaire (PedsQL™)
Time frame: Baseline, 52, 104 & 156 Weeks
Absolute Change in LIC From Baseline Over Time
Time frame: 24, 52, 76, 104, 128, 156, 180, 208, 232, 260 Weeks
Serum Ferritin (SF) vs LIC at Baseline and EOS (Week 260 + 30 Days Follow-up)
Time frame: Baseline, End of Study (EOS): Week 260 + 30 days follow up
Correlation Analysis for Absolute Change in LIC and Serum Ferritin at Week 24 and EOS (Week 260 + 30 Days Follow-up)
Time frame: Week 24, End of Study (EOS): Week 260 + 30 days follow up
Absolute Change in LIC From Baseline After 52 Weeks of Treatment by Underlying Non-transfusion Dependent Thalassemia (NTDT) Syndrome
Time frame: Baseline, 52 Weeks
Absolute Change in Serum Ferritin From Baseline After 52 Weeks
Time frame: Baseline, 52 weeks
PK Parameters: AUCtau
Time frame: pre-dose (0 hour), and at 2, and 4 hours at Week 4
PK Parameters: Cmax
Time frame: pre-dose (0 hour), and at 2, and 4 hours at Week 4
PK Parameters: Tmax
Time frame: pre-dose (0 hour), and at 2, and 4 hours at Week 4
Plasma Pharmacokinetics (PK) Deferasirox Concentrations
Time frame: Weeks 12 & 24: pre-dose (0hr), 2hr & 4hr post-dose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Oct 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: 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.
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A Study to Test the Safety, Tolerability, and Efficacy of an Antibody, REGN7999, Injected Under the Skin for the Treatment of Iron Overload in Adult Participants With Non-Transfusion Dependent β-thalassemia, Using MRI Scans to Measure Iron Levels in the Body
Non-Transfusion Dependent Beta-Thalassemia (NTDT)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
11 sites in 8 countries: see every site and its status.
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.