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Chronic Iron OverloadPhase 3NCT02720536

Extended Evaluation of Deferasirox Film-coated Tablet (FCT) Formulation

A Phase 3 study testing Deferasirox in people with Chronic Iron Overload, run by Novartis Pharmaceuticals at 14 sites in 3 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

Extend evaluation of deferasirox film-coated tablet (FCT) formulation Read more about this study

Who is it for?
Ages 10 years and older
Conditions the study is for
Chronic Iron Overload
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
53 participants
Where
14 sitesin 3 countries
Study dates
16 Aug 2016to 23 Jul 2019
Phase
Phase 3
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

  • Completed 24-weeks of study treatment as described in the core protocol (CICL670F2201).
  • Were deemed to have tolerated deferasirox treatment by the investigator.
  • Provided written informed consent/assent before any study-specific procedures were performed. For pediatric patients, consent was obtained from parent(s) or legal patient's representative. Investigators were to have also obtained assent of patients according to local, regional or national guidelines.

Who cannot join

  • The exclusion criteria followed those described for the core protocol CICl670F2201, which were as follows:
  • Creatinine clearance below the contraindication limit in the locally approved prescribing information.
  • Serum creatinine > 1.5 × upper limit of normal range (ULN) at Screening
  • Alanine aminotransferase (ALT)/serum glutamic pyruvic transaminase (SGPT) > 5 × ULN,
  • Significant proteinuria
  • Patients with significant impaired gastrointestinal function or gastrointestinal disease
Show all 16Show fewer
  • Clinical or laboratory evidence of active Hepatitis B or Hepatitis C
  • Patients with psychiatric or addictive disorders
  • Patients with a known history of HIV seropositivity (Elisa or Western blot).
  • History of malignancy of any organ system, treated or untreated, within the past 5 years whether or not there was an evidence of local recurrence or metastases, with the exception of localized basal cell carcinoma of the skin.
  • Patients with a history of hypersensitivity to any of the study drug or excipients.
  • Patients with significant medical condition that could interfere with the ability to participate in this study
  • Patients who were participating in another clinical trial or receiving an investigational drug.
  • Patients using prohibited medication,
  • Patients with liver disease with severity of Child-Pugh Class B or C.
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they were using effective methods of contraception during dosing of study treatment

Trial locations and contacts

14 sites in 3 countries.

14 sites in 3 countries

Italy10 sites
  • Novartis Investigative Site

    Cagliari, ITA, 09121

  • Novartis Investigative Site

    Catania, CT, 95125

  • Novartis Investigative Site

    Cona, FE, 44100

  • Novartis Investigative Site

    Genova, GE, 16128

  • Novartis Investigative Site

    Lecce, LE, 73100

  • Novartis Investigative Site

    Milan, MI, 20122

  • Novartis Investigative Site

    Naples, 80138

  • Novartis Investigative Site

    Palermo, PA, 90127

  • Novartis Investigative Site

    Palermo, PA, 90146

  • Novartis Investigative Site

    Verona, VR, 37126

Other trials in Italy

Greece3 sites
  • Novartis Investigative Site

    Goudi-Athens, GR, 115 27

  • Novartis Investigative Site

    Pátrai, 265 00

  • Novartis Investigative Site

    Thessaloniki, 54642

Other trials in Greece

Austria1 site
  • Novartis Investigative Site

    Vienna, 1140

Other trials in Austria

About this study

Official title: Open-label, Multicenter, Single Arm, Phase III Study to Collect Additional Safety and Efficacy Data With Deferasirox Film-coated Tablets in Patients Completing Study CICL670F2201

Extend evaluation of deferasirox film-coated tablet (FCT) formulation

Read the detailed description

Collection of additional safety and efficacy data with deferasirox film-coated tablet (FCT) in patients who had completed study CICL670F2201

  • Provide patients who completed 24 weeks of treatment in the core study, CICL670F2201, the possibility to have additional treatment with the deferasirox FCT.
  • Collect additional longer term data on the safety and the tolerability of the deferasirox FCT.
  • Collect efficacy data on the deferasirox FCT in reduction or maintenance of iron burden as measured by serum ferritin level.
Being tested
Deferasirox
Keywords
adult, pediatric,, anemia., Myelodysplastic Syndrome, Thalassemia, Film coated tablet, ICL670, MDS, Chelation, Deferasirox, Iron overload
Medical subject headings
Anemia, Myelodysplastic Syndromes, Thalassemia, Iron Overload

What participants receive

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

  • DeferasiroxDrug

    Deferasirox FCT will be provided as 90 mg, 180 mg and 360 mg film-coated tablets for oral use.

Study groups in NCT02720536
Study groupRoleWhat they receive
DeferasiroxExperimentalTreatment will be administered daily for up to 24 months. For each patient the daily dose is calculated based on the patient's actual body weight.
Receives: Drug: Deferasirox

What is being measured

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

  1. Overview of Number of Participants With Adverse Events

    Numbers represent counts of participants within the categories. An adverse event (AE) was defined as treatment emergent if its onset date is on or after (≥) the first administration of study treatment within this study or events present prior to start of study treatment but increased in severity on or after (≥) the first administration of study treatment within this study but not later than 30 days after the last study treatment in this study

    Measured: Baseline up to approximately 25 months

  2. Change From Baseline Red Blood Cells (RBC) (10^12 Cells/L) at Month 6 and Month 12

    The change from baseline at each time point is calculated only for subjects with a value at baseline and the particular time point. Post = Post baseline, Change = Post - Baseline

    Measured: Baseline, 6 and 12 months

  3. Change From Baseline White Blood Cells (WBC) (10^9 Cells/L) at Month 6 and Month 12

    The change from baseline at each time point is calculated only for subjects with a value at baseline and the particular time point. Post = Post baseline, Change = Post - Baseline

    Measured: Baseline, 6 and 12 months

  4. Change From Baseline Platelets (10^9 Cells/L) at Month 6 and Month 12

    The change from baseline at each time point is calculated only for subjects with a value at baseline and the particular time point. Post = Post baseline, Change = Post - Baseline

    Measured: Baseline, 6 and 12 months

  5. Change From Baseline Serum Creatinine (Umol/L) at Month 6 and Month 12

    The change from baseline at each time point is calculated only for subjects with a value at baseline and the particular time point. Post = Post baseline, Change = Post - Baseline

    Measured: Baseline, 6 and 12 months

  6. Change From Baseline Creatinine Clearance (mL/Min) at Month 6 and Month 12

    The change from baseline at each time point is calculated only for subjects with a value at baseline and the particular time point. Post = Post baseline, Change = Post - Baseline

    Measured: Baseline, 6 and 12 months

  7. Change From Baseline Alanine Aminotransferase/Serum Glutamic Pyruvic Transaminase (ALT/SGPT) (U/L) at Month 6 and Month 12

    The change from baseline at each time point is calculated only for subjects with a value at baseline and the particular time point. Post = Post baseline, Change = Post - Baseline

    Measured: Baseline, 6 and 12 months

  8. Change From Baseline Aspartate Aminotransferase/Serum Glutamic Oxaloacetic Transaminase (AST/SGOT) (U/L) at Month 6 and Month 12

    The change from baseline at each time point is calculated only for subjects with a value at baseline and the particular time point. Post = Post baseline, Change = Post - Baseline

    Measured: Baseline, 6 and 12 months

Secondary outcomes (2)
  1. Change From Baseline of Serum Ferritin Level (ug/L) at Month 6 and 12

    The change from baseline at each time point is calculated only for subjects with a value at baseline and the particular time point. Post = Post baseline, Change = Post - Baseline. A negative change from baseline is regarded as an improvement in this study

    Measured: Baseline, 6 and 12 months

  2. Percentage Relative Change From Baseline of Serum Ferritin (%) at Month 6 and 12

    The percentage relative change from baseline at each time point is calculated only for subjects with a value at baseline and the particular time point. Post = Post baseline, Percentage relative change = 100 × ([Post - Baseline] / Baseline). Percentage relative change is calculated for each patient individually and then overall descriptive summary statistics is obtained for subjects with a value at baseline and the particular time point. A negative percentage relative change from baseline is regarded as an improvement in this study

    Measured: Baseline, 6 and 12 months

Timeline

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

  1. First posted28 Mar 2016 (estimated)
  2. Study start16 Aug 2016
  3. Primary completion23 Jul 2019
  4. Study completion23 Jul 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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02720536
Sponsor's protocol ID
CICL670AIC04
Status last verified
Feb 2020
First submitted
21 Mar 2016
Last updated
3 Mar 2020
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 review 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 availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Publications

  • Tartaglione I, Origa R, Kattamis A, Pfeilstocker M, Gunes S, Crowe S, Fagan N, Vincenzi B, Ruffo GB. Two-year long safety and efficacy of deferasirox film-coated tablets in patients with thalassemia or lower/intermediate risk MDS: phase 3 results from a subset of patients previously treated with deferasirox in the ECLIPSE study. Exp Hematol Oncol. 2020 Aug 10;9:20. doi: 10.1186/s40164-020-00174-2. eCollection 2020.

    PubMed 32793403

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Deferasirox in people with Chronic Iron Overload, run by Novartis Pharmaceuticals at 14 sites in 3 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 3 inclusion and 16 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 3 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Italy, Greece, Austria. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 3 Mar 2020). 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?

Overview of Number of Participants With Adverse Events (time frame: Baseline up to approximately 25 months). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02720536, which also lists 1 linked publication.

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 3 Mar 2020.

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