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Beta-ThalassemiaPhase 2VITHALNCT04364269

Safety, Tolerability, Pharmacokinetics (PK), Pharmacodynamics (PD) and Preliminary Efficacy of VIT-2763 in β-thalassaemia

A Phase 2 study testing VIT-2763 once a day (QD) and VIT-2763 twice a day (BID) in people with Beta-Thalassemia and Non-transfusion-dependent Thalassemia, run by Vifor (International) Inc. at 16 sites in 5 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

This is a randomised, double-blind, placebo-controlled parallel group trial to investigate the safety, tolerability and efficacy of multiple doses of VIT-2763 versus placebo in participants with non-transfusion-dependent Beta-thalassemia (NTDT). Read more about this study

Who is it for?
Ages 12 to 65 years
What is being tested?
VIT-2763 once a day (QD) and VIT-2763 twice a day (BID)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
35 participants
Where
16 sitesin 5 countries
Study dates
11 Jun 2020to 3 Nov 2021
Phase
Phase 2
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 12 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Documented diagnosis of NTDT, including a β-thalassemia intermedia-phenotype.
  • NTDT is defined as subjects having received less than 5 units of red blood cells (RBCs) during the 24-week period prior to randomisation/first drug administration of VIT-2763 or placebo (Day 1; 1 unit is defined as 200 to 350 ml of transfused packed RBCs and last RBC transfusion must have been received at east 14 days prior to randomisation).
  • Male and female adult NTDT subjects, 18-65 years of age inclusive (Cohort I only) at time of screening.
  • Male and female adolescent NTDT subjects, 12-17 years of age inclusive (Cohort II only) at time of screening.
  • Subjects must have a mean baseline hemoglobin (Hb) equal to or lower than 11 g/dl, based on at least 2 consecutive measurements with at least 1 week apart within 6 weeks prior to randomisation/baseline.

Who cannot join

  • Documented diagnosis of transfusion dependent thalassemia (TDT), including a beta-thalassemia major phenotype (including β0/β0, β+/β+, β0/β+ genotype), and mixed compound heterozygous for sickling phenotype variants such as Hb S/β- thalassemia, or transfusion dependent non-deletional Hb H disease (i.e., Hb constant spring) or Hb C disease.
  • Subjects on concomitant iron chelation therapy (ICT) or subjects on prior ICT when discontinued less than 4 weeks prior randomisation. If ICT was discontinued at least 4 weeks prior randomization the subject is eligible.
  • ICT naïve subjects or subjects who discontinued ICT therapy at least 6 months before the screening visit with serum ferritin lower than 150 ng/ml and/or documented liver iron concentration (LIC) equal to or lower than 1 mg/g liver dry weight assessed through magnetic resonance imaging (MRI), or subjects on prior ICT with serum ferritin lower than 300 ng/ml and/or documented LIC lower than 3 mg/g liver dry weight assessed through MRI.
  • Subjects with transferrin saturation (TSAT) less than 30%.
  • Subjects with documented LIC greater than 15 mg/g liver dry weight assessed through MRI, or a documented myocardial T2* less than 20 ms, if available per local practice and retrieved within 24 months prior to randomization.
  • Adult or adolescent subjects with body weight lower than 40.0 kg or greater than 100 kg at screening.
Show all 11Show fewer
  • Chronic liver disease and/or alanine transaminase (ALT), aspartate transaminase (AST) or gamma-glutamyl transpeptidase (GGT) above 3-fold the upper limit of normal (ULN) range at screening.
  • Estimated glomerular filtration rate (eGFR) less than 30 ml/min/1.73 m2 (according to chronic kidney disease classification Stage 4 or higher), and/or significant albuminuria greater than 30 mg/mmol. eGFR should be estimated according to Chronic Kidney Disease Epidemiology Collaboration formula (CKI-EPI) in adults, and Schwartz formula in adolescents.
  • Newly diagnosed folate deficiency anemia and/or Vitamin B12 megaloblastic anemia. Subjects with known folate deficiency anemia and/or Vitamin B12 megaloblastic anemia who are on at least 12 weeks stable replacement therapy are eligible.
  • Any history or clinically important finding of cardiac disorders, such as clinically relevant cardiac arrhythmia, cardiomyopathy, coronary disease, valve disorder, or heart failure according to New York Heart Association classification 3-4.
  • Subjects with history of partial or total splenectomy within 6 months prior to screening.

Trial locations and contacts

16 sites in 5 countries.

16 sites in 5 countries

Italy6 sites
  • Clinical Site #201

    Milan, MI, 20122

  • Clinical Site #203

    Naples, 80131

  • Clinical Site #206

    Naples, 80138

  • Clinical Site #207

    Orbassano, 10043

  • Clinical Site #205

    Palermo, 90146

  • Clinical Site #202

    Verona, 37134

Other trials in Italy

Greece3 sites
  • Clinical Site #301

    Athens, Attica, 115 27

  • Clinical Site #302

    Rio, 265 04

  • Clinical Site #303

    Thessaloniki, 54642

Other trials in Greece

Israel3 sites
  • Clinical Site #401

    Afula, 18411

  • Clinical Site #402

    Haifa, 34362

  • Clinical Site #403

    Petah Tikva, 49100

Other trials in Israel

Thailand3 sites
  • Clinical Site #501

    Bangkok, 10700

  • Clinical Site #502

    Chiang Mai, 50200

  • Clinical Site #503

    Phitsanulok, 65000

Other trials in Thailand

Lebanon1 site
  • Clinical Site #101

    Beirut, 11-0236b

Other trials in Lebanon

About this study

Official title: A Phase 2a, Double-blind, Randomised, Placebo-controlled, Parallel Group, Multicentre Study on Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of Multiple Doses of VIT-2763 in Subjects With Non-transfusion Dependent β-thalassaemia

This is a randomised, double-blind, placebo-controlled parallel group trial to investigate the safety, tolerability and efficacy of multiple doses of VIT-2763 versus placebo in participants with non-transfusion-dependent Beta-thalassemia (NTDT).

Read the detailed description

The study includes a 12-week treatment period and a safety follow-up period of 4 weeks.

About 36 participants (adults and adolescents) are expected to take part in this study at a number of different institutions internationally.

Adult Participants (Cohort I) will be randomized to receive either VIT-2763 once daily (QD) or twice daily (BID) or placebo, at a dose of 120 mg or 60mg depending on their body weight. Following cohort I review, adolescent participants (Cohort II) will be randomized to the same study arms with the same interventions.

The study medication will be given as oral capsules, containing 60 mg of VIT-2763 or placebo.

Being tested
VIT-2763 once a day (QD), VIT-2763 twice a day (BID), Placebo
Keywords
Beta-Thalassemia
Medical subject headings
beta-Thalassemia

What participants receive

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

  • VIT-2763 once a day (QD)Drug

    Participants will receive VIT-2763 QD at a dose of 60 mg if their body weight is between 40 kg to 59 kg or at a dose of 120 mg if their body weight is between 60 kg and 100 kg, during 12 weeks.

  • VIT-2763 twice a day (BID)Drug

    Participants will receive VIT-2763 BID at a dose of 60 mg if their body weight is between 40 kg to 59 kg or at a dose of 120 mg if their body weight is between 60 kg and 100 kg, during 12 weeks.

  • PlaceboDrug

    Participants will receive hard capsules of Placebo, twice a day.

Study groups in NCT04364269
Study groupRoleWhat they receive
VIT-2763 Once a day (QD)ExperimentalParticipants will be assigned to receive VIT-2763 once a day (QD) in a total daily dose of 60 mg or 120 mg depending on their body weight. The study medication (VIT-2763 and/or matching placebo) will be administered for all participants twice a day to maintain the blind.
Receives: Drug: VIT-2763 once a day (QD)
VIT-2763 Twice a day (BID)ExperimentalParticipants will be assigned to receive VIT-2763 Twice a day (BID) in a total daily dose of 60 mg or 120 mg depending on their body weight.
Receives: Drug: VIT-2763 twice a day (BID)
PlaceboPlacebo comparatorParticipants will be assigned to receive Placebo, Twice a day.
Receives: Drug: Placebo

What is being measured

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

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    Please note that in this section we are presenting just the overview of the adverse events experienced by the trial participants, in particular, the number of participants with at least one TEAE. Please refer to the detailed tables included on the Adverse Event Module for specifics.

    Measured: From baseline to Week 16

  2. Changes in the Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

    Summary of the values by visit from baseline and changes from baseline by post-baseline visit.

    Measured: From baseline to Week 12

  3. Changes in the Heart Rate

    Summary of the values by visit from baseline and changes from baseline by post-baseline visit.

    Measured: From baseline to Week 12

  4. Changes in 12-lead Electrocardiogram (ECG) Parameters

    Values by visit from baseline and changes from baseline by post-baseline visit. The following ECG parameters were recorded: PR interval, QRS duration, QT interval, RR interval and QTcF interval.

    PR interval represents the time from the onset of the P wave to the start of the QRS complex. QRS duration represents the time required for a stimulus to spread through the ventricles (ventricular depolarization). QT interval represents the time from the start of the Q wave to the end of the T wave. RR interval represents the time from the onset of one R wave to the onset of the next one, one complete cardiac cycle. QT corrected for heart rate (QTc) interval reflects ventricular repolarization.

    Measured: From baseline to Week 12

Secondary outcomes (5)
  1. Change From Baseline in Total Serum Iron

    Assessment of total serum Iron from baseline over a 12-week period (absolute and change from baseline).

    For the serum iron parameter, the 'Baseline' was collected during the screening period within the biochemistry sample.

    Measured: From baseline to Week 12

  2. Change From Baseline in Serum Ferritin

    Assessment of serum ferritin from baseline over a 12-week period (absolute and change from baseline).

    For the serum ferritin parameter, the 'Baseline' was collected during the screening period within the biochemistry sample.

    Measured: From baseline to Week 12

  3. Change From Baseline in Serum Transferrin

    Assessment of serum transferrin from baseline over a 12-week period (absolute and change from baseline).

    For the serum transferrin parameter, the "Baseline 2h post-dose" was defined as the value at Visit 3 2h post-dose.

    Measured: From baseline to Week 12

  4. Change From Baseline in Calculated Transferrin Saturation (TSAT) )

    Assessment of TSAT from baseline over a 12-week period (absolute and change from baseline).

    For the calculated transferrin saturation parameter, the 'Baseline' was collected during the screening period within the biochemistry sample.

    Transferrin Saturation (TSAT) was calculated as Total Iron /Total Iron Binding Capacity (TIBC) X 100.

    Measured: From baseline to Week 12

  5. Pharmacokinetics Parameters - VIT-2763 Plasma Concentration Over Time

    Sparse sampling for determination of VIT-2763 plasma concentration following multiple dosing was obtained from pre-dose trough to 3 hours or 4 hours post-dose at selected study visits. Pharmacokinetics parameters (Cmax, clearance, distribution volume, area under the curve (AUC) were not calculated for the study.

    Measured: Baseline, Week 4, Week 8 and Week 12

Timeline

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

  1. First posted28 Apr 2020
  2. Study start11 Jun 2020
  3. Primary completion11 Oct 2021
  4. Study completion3 Nov 2021

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Multiple dose, multicenter, double-blind, placebo-controlled parallel group study in adult and adolescent male and female subjects with non-transfusion dependent thalassemia (NTDT)
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04364269
Sponsor's protocol ID
VIT-2763-THAL-201
Other IDs
2019-002221-29, 2019
Acronym
VITHAL
Status last verified
Dec 2023
First submitted
1 Apr 2020
Last updated
14 Dec 2023
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kattamis A, Taher A, Viprakasit V, Levin C, Hermosilla R, Szecsody P, Richard F, Cappellini MD, Porter J. Safety and pharmacodynamics of the ferroportin inhibitor vamifeport in patients with non-transfusion-dependent beta-thalassemia: results from a randomized phase 2a study. Orphanet J Rare Dis. 2025 Nov 25;20(1):608. doi: 10.1186/s13023-025-04119-y.

    PubMed 41291806

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VIT-2763 once a day (QD) and VIT-2763 twice a day (BID) in people with Beta-Thalassemia and Non-transfusion-dependent Thalassemia, run by Vifor (International) Inc. at 16 sites in 5 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 5 inclusion and 11 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 14 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Italy, Greece, Israel, Thailand, Lebanon. 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 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.

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 14 Dec 2023). 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?

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) (time frame: From baseline to Week 16). The study lists 4 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 NCT04364269, 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 14 Dec 2023.

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