AnemiaPhase 2/3NCT03303066
Efficacy and Safety of FG-4592 for Treatment of Anemia in Participants With Lower Risk Myelodysplastic Syndrome (MDS)
A Phase 2/3 study testing FG-4592 in people with Anemia and Myelodysplastic Syndrome, run by Kyntra Bio at 38 sites in China.
Trial summary
The objective of this study to evaluate the efficacy FG-4592 for the treatment of anemia in Chinese participants with lower risk MDS. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Anemia, Myelodysplastic Syndrome
- What is being tested?
- FG-4592
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 43 participants
- Where
- 38 sitesChina
- Study dates
- 6 Jun 2018to 8 Feb 2023
- Phase
- Phase 2/3
- Are there results?
- None posted in the registry
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 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of primary MDS classified as very low, low or intermediate risk with <5% blasts (documented within 12 weeks prior to Day 1)
- Screening Hb <10 g/dL and ≥6g/dL
- Transfusion independent defined as no red blood cell transfusions within 12 weeks of Day 1
- Erythropoiesis-stimulating agent (ESA)-naïve (not within 30 days of Day 1)
- Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2
Who cannot join
- Diagnosis of secondary MDS
- Significant myelofibrosis (>2+fibrosis)
- Prior therapy with azacitidine, decitabine, antithymocyte globulin, cyclosporine, thalidomide, or lenalidomide within 12 weeks prior to Day 1
- Baseline erythropoietin level of >400 units (U)/liter (L)
- Clinically significant anemia due to non-MDS etiologies
- Note: Other inclusion and exclusion criteria may apply.
Trial locations and contacts
38 sites in 1 country.
38 sites in 1 country
China38 sites
China-Japan Friendship Hospital
Beijing, Beijing Municipality
Peking Union Medical College Hospital
Beijing, Beijing Municipality
Peking University First Hospital
Beijing, Beijing Municipality
Peking University Third Hospital
Beijing, Beijing Municipality
Xiyuan Hospital, CACMS
Beijing, Beijing Municipality
The First Affiliated Hospital of Bengbu Medical College
Bengbu, Anhui
The Third Xiangya Hospital of Central South University
Changsha, Hunan
Sichuan Provincial People's Hospital
Chengdu, Sichuan
West China Hospital, Sichuan University
Chengdu, Sichuan
Fujian Medical University Union Hospital
Fuzhou, Fujian
Guangdong General Hospital
Guangzhou, Guangdong
Nan Fang Hospital
Guangzhou, Guangdong
Hainan Central Hospital
Haikou, Hainan
The First Affiliated Hospital, Zhejiang University Medical College
Hangzhou, Zhejiang
Anhui Provincial Hospital
Hefei, Anhui
The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui
Affiliated Hospital of Shandong University of Traditional Chinese Medicine
Jinan, Shandong
Qilu Hospital of Shandong University
Jinan, Shandong
The Affiliated Hospital of Xuzhou Medical University
Jinan, Shandong
First Affiliated Hospital of Kunming Medical University
Kunming, Yunnan
Lanzhou University Second Hospital
Lanzhou, Gansu
Jiangsu Province Hospital
Nanjing, Jiangsu
Zhongda Hospital Southeast University
Nanjing, Jiangsu
Huashan Hospital Affiliated to Fudan University
Shanghai, Shanghai Municipality
Shanghai Sixth People's Hospital
Shanghai, Shanghai Municipality
Shanghai Tongji Hospital
Shanghai, Shanghai Municipality
Second hospital of Hebei Medical University
Shijiazhuang, Hebei
The First Affiliated Hospital Of Soochow University
Suzhou, Jiangsu
Blood disease hospital of Chinese Academy of Medical Sciences
Tianjin, Tianjin Municipality
The Second Hospital of Tianjin Medical University
Tianjin, Tianjin Municipality
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality
Tongji Hospital, Tongji Medical College of HUST
Wuhan, Hubei
Union Hospital Affiliated Tongji Medical College Huazhong University of Science and Technolog
Wuhan, Hubei
Shaanxi Provincial People's Hospital
Xian, Shanxi
The First Affiliated Hospital of Xi'an Jiao Tong University Medical College
Xian, Shanxi
Northern Jiangsu People's Hospital
Yangzhou, Jiangsu
Tumor Hospital of Henan province
Zhengzhou, Henan
Zhuzhou Central Hospital
Zhuzhou, Guangdong
About this study
Official title: A Phase 2/3 Trial of FG-4592 for Treatment of Anemia in Subjects With Lower Risk Myelodysplastic Syndrome
The objective of this study to evaluate the efficacy FG-4592 for the treatment of anemia in Chinese participants with lower risk MDS.
Read the detailed description
This is a Phase 2/3 trial with sequential Phase 2 and Phase 3 components. In each part, there is an up to 4 weeks screening period followed by a treatment period of 26 weeks and a 4 week follow-up period.
- Conditions
- Anemia, Myelodysplastic Syndrome
- Being tested
- FG-4592, Placebo
- Keywords
- Myelodysplastic Syndromes, Anemia, Hemoglobin (Hb), Low Risk Myelodysplastic Syndrome
- Medical subject headings
- Anemia, Myelodysplastic Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FG-4592Drug
Also called Roxadustat, AZD9941
Oral
PlaceboDrug
Oral
| Study group | Role | What they receive |
|---|---|---|
| Phase 2 Part: FG-4592 | Experimental | Fixed starting doses (different doses for lower body weight \& higher body weight) of FG-4592 administered orally 3 times a week (TIW) for up to 26 weeks; dose adjustments to Hb levels are allowed during the study. Receives: Drug: FG-4592 |
| Phase 3 Part: FG-4592 | Experimental | Fixed starting doses (different doses for lower body weight \& higher body weight) of FG-4592 administered orally TIW for up to 26 weeks; dose adjustments to Hb levels are allowed during the study. Receives: Drug: FG-4592 |
| Phase 3 Part: Placebo | Placebo comparator | Placebo (matching to FG-4592) administered orally TIW for up to 26 weeks. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With a Hemoglobin (Hb) Response to FG-4592 Without Transfusion
Hemoglobin response to FG-4592 is defined as an increase in mean Hb of ≥1.0 grams (g)/deciliter (dL) from baseline within any 8-week period during the study without transfusion.
Measured: 26 weeks
Secondary outcomes (6)
Number of Participants With Hb Increase ≥1.0 g/dL From Baseline
Hb response to FG-4592 is defined as an increase in mean Hb of ≥1.0 g/dL from baseline within any 8-week period during the study without transfusion.
Measured: 26 weeks
Time to First Hb Response
Hb response to FG-4592 is defined as an increase in mean Hb of ≥1.0 g/dL from baseline within any 8-week period during the study without transfusion.
Measured: 26 weeks
Change From Baseline in Mean Hb in Weeks 25 to 27
Measured: Baseline, Weeks 25 to 27
Percentage of Participants With Mean Hb ≥10.0 g/dL Within Any 8-week Period During the Study Without Transfusion
Measured: 26 weeks
Number of Participants that Require Transfusions or Hb <6 g/dL up to Week 27
Measured: Up to Week 27
Mean Change From Baseline in Functional Assessment of Cancer Therapy - Anemia (FACT-An) and Functional Assessment of Chronic Illness Therapy Fatigue (FACIT-F) Scores at Week 27
Frame: Baseline, Week 27
Measured: 30 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Oct 2017
- Study start6 Jun 2018
- Primary completion11 Jan 2023
- Study completion8 Feb 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AnemiaStudies of the same condition, open and under way.
- 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 43 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kyntra Bio
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- AstraZeneca
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03303066
- Sponsor's protocol ID
- FGCL-4592-813
- Status last verified
- Apr 2023
- First submitted
- 2 Oct 2017
- Last updated
- 3 May 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 May 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2/3 Trial of FG-4592 for Treatment of Anemia in Subjects With Lower Risk Myelodysplastic Syndrome
- ClinicalTrials.gov ID
- NCT03303066
- Acronym / sponsor ID
- FGCL-4592-813
- Conditions
- Anemia, Myelodysplastic Syndrome
- Keywords
- Myelodysplastic Syndromes, Anemia, Hemoglobin (Hb), Low Risk Myelodysplastic Syndrome
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 43 participants (actual)
- Lead sponsor
- Kyntra BioIndustry (pharma, biotech, devices)
- Collaborators
- AstraZeneca
- Study start
- 6 Jun 2018 (actual)
- Primary completion
- 11 Jan 2023 (actual)
- Study completion
- 8 Feb 2023 (actual)
- First posted
- 5 Oct 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study to evaluate the efficacy FG-4592 for the treatment of anemia in Chinese participants with lower risk MDS.
Detailed description
This is a Phase 2/3 trial with sequential Phase 2 and Phase 3 components. In each part, there is an up to 4 weeks screening period followed by a treatment period of 26 weeks and a 4 week follow-up period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Phase 2 Part: FG-4592 | Experimental | Drug: FG-4592Fixed starting doses (different doses for lower body weight \& higher body weight) of FG-4592 administered orally 3 times a week (TIW) for up to 26 weeks; dose adjustments to Hb levels are allowed during the study. |
| Phase 3 Part: FG-4592 | Experimental | Drug: FG-4592Fixed starting doses (different doses for lower body weight \& higher body weight) of FG-4592 administered orally TIW for up to 26 weeks; dose adjustments to Hb levels are allowed during the study. |
| Phase 3 Part: Placebo | Placebo comparator | Drug: PlaceboPlacebo (matching to FG-4592) administered orally TIW for up to 26 weeks. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Diagnosis of primary MDS classified as very low, low or intermediate risk with <5% blasts (documented within 12 weeks prior to Day 1)
- Screening Hb <10 g/dL and ≥6g/dL
- Transfusion independent defined as no red blood cell transfusions within 12 weeks of Day 1
- Erythropoiesis-stimulating agent (ESA)-naïve (not within 30 days of Day 1)
- Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2
Key exclusion criteria (6 listed)
- Diagnosis of secondary MDS
- Significant myelofibrosis (>2+fibrosis)
- Prior therapy with azacitidine, decitabine, antithymocyte globulin, cyclosporine, thalidomide, or lenalidomide within 12 weeks prior to Day 1
- Baseline erythropoietin level of >400 units (U)/liter (L)
- Clinically significant anemia due to non-MDS etiologies
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 |
|---|---|---|
| FG-4592Also: Roxadustat, AZD9941Oral | Drug | Phase 2 Part: FG-4592, Phase 3 Part: FG-4592 |
| PlaceboOral | Drug | Phase 3 Part: Placebo |
Primary outcome
Percentage of Participants With a Hemoglobin (Hb) Response to FG-4592 Without Transfusion
Time frame: 26 weeks
Hemoglobin response to FG-4592 is defined as an increase in mean Hb of ≥1.0 grams (g)/deciliter (dL) from baseline within any 8-week period during the study without transfusion.
6 secondary outcomes
Number of Participants With Hb Increase ≥1.0 g/dL From Baseline
Time frame: 26 weeks
Time to First Hb Response
Time frame: 26 weeks
Change From Baseline in Mean Hb in Weeks 25 to 27
Time frame: Baseline, Weeks 25 to 27
Percentage of Participants With Mean Hb ≥10.0 g/dL Within Any 8-week Period During the Study Without Transfusion
Time frame: 26 weeks
Number of Participants that Require Transfusions or Hb <6 g/dL up to Week 27
Time frame: Up to Week 27
Mean Change From Baseline in Functional Assessment of Cancer Therapy - Anemia (FACT-An) and Functional Assessment of Chronic Illness Therapy Fatigue (FACIT-F) Scores at Week 27
Time frame: 30 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 May 2023.
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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.
38 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing FG-4592 in people with Anemia and Myelodysplastic Syndrome, run by Kyntra Bio at 38 sites in China.
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 5 inclusion and 6 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 May 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 38 sites in China. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Percentage of Participants With a Hemoglobin (Hb) Response to FG-4592 Without Transfusion (time frame: 26 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 3 May 2023.