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.
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
Greece3 sites
Novartis Investigative Site
Goudi-Athens, GR, 115 27
Novartis Investigative Site
Pátrai, 265 00
Novartis Investigative Site
Thessaloniki, 54642
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.
- Conditions
- Chronic Iron Overload
- 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 group | Role | What they receive |
|---|---|---|
| Deferasirox | Experimental | Treatment 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.
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
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
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
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
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
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
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
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)
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
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.
- First posted28 Mar 2016 (estimated)
- Study start16 Aug 2016
- Primary completion23 Jul 2019
- Study completion23 Jul 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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Chronic Iron OverloadStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 53 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
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
- 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 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
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT02720536
- Acronym / sponsor ID
- CICL670AIC04
- Conditions
- Chronic Iron Overload
- Keywords
- adult, pediatric,, anemia., Myelodysplastic Syndrome, Thalassemia, Film coated tablet, ICL670, MDS
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 53 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 16 Aug 2016 (actual)
- Primary completion
- 23 Jul 2019 (actual)
- Study completion
- 23 Jul 2019 (actual)
- First posted
- 28 Mar 2016 (estimated)
- Results
- Posted 3 Mar 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Extend evaluation of deferasirox film-coated tablet (FCT) formulation
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Deferasirox | Experimental | Drug: DeferasiroxTreatment 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. |
Who may qualify
- Ages
- 10 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- 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.
Key exclusion criteria (16 listed)
- 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
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 |
|---|---|---|
| DeferasiroxDeferasirox FCT will be provided as 90 mg, 180 mg and 360 mg film-coated tablets for oral use. | Drug | Deferasirox |
Primary outcome
Overview of Number of Participants With Adverse Events
Time frame: Baseline up to approximately 25 months
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
Change From Baseline Red Blood Cells (RBC) (10^12 Cells/L) at Month 6 and Month 12
Time frame: Baseline, 6 and 12 months
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
Change From Baseline White Blood Cells (WBC) (10^9 Cells/L) at Month 6 and Month 12
Time frame: Baseline, 6 and 12 months
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
Change From Baseline Platelets (10^9 Cells/L) at Month 6 and Month 12
Time frame: Baseline, 6 and 12 months
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
Change From Baseline Serum Creatinine (Umol/L) at Month 6 and Month 12
Time frame: Baseline, 6 and 12 months
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
Change From Baseline Creatinine Clearance (mL/Min) at Month 6 and Month 12
Time frame: Baseline, 6 and 12 months
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
Change From Baseline Alanine Aminotransferase/Serum Glutamic Pyruvic Transaminase (ALT/SGPT) (U/L) at Month 6 and Month 12
Time frame: Baseline, 6 and 12 months
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
Change From Baseline Aspartate Aminotransferase/Serum Glutamic Oxaloacetic Transaminase (AST/SGOT) (U/L) at Month 6 and Month 12
Time frame: Baseline, 6 and 12 months
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
2 secondary outcomes
Change From Baseline of Serum Ferritin Level (ug/L) at Month 6 and 12
Time frame: Baseline, 6 and 12 months
Percentage Relative Change From Baseline of Serum Ferritin (%) at Month 6 and 12
Time frame: Baseline, 6 and 12 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Mar 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32793403Tartaglione 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.
- 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 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
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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.
The record lists no contact. Use the official record to reach the sponsor.
14 sites in 3 countries: see every site and its status.
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.