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Iron Deficiency AnemiaPhase 2NCT05927012

A Study to Evaluate the Safety and Preliminary Efficacy of a Response-guided Dose Titration of KER-047 in the Treatment of Functional IDA (Iron Deficiency Anemia).

A Phase 2 study testing KER-047 in people with Iron Deficiency Anemia, run by Keros Therapeutics, Inc. at 5 sites in 2 countries.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This study aims to explore the safety and preliminary efficacy of a response-guided dose titration of KER-047 in the treatment of functional IDA (Iron deficiency anemia) in MDS (Myelodysplastic syndrome), MF(Myelofibrosis), and MDS/MPN (Myeloproliferative neoplasm) overlap syndromes. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Iron Deficiency Anemia
What is being tested?
KER-047
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
5 sitesin 2 countries
Study dates
30 Nov 2023to 4 Jan 2026
Phase
Phase 2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female ≥18 years of age, at the time of signing informed consent.
  • One of the following:
  • Diagnosis of MDS according to the 2016 World Health Organization (WHO) classification that meets Revised International Prognostic Scoring System (IPSS-R) classification of very low, low, or intermediate risk disease with bone marrow blast percentage <5% within 6 months prior to Day 1 (D1).
  • Diagnosis of primary myelofibrosis, post polycythemia vera MF, or post-essential thrombocytopenia MF according to the 2017 WHO criteria with bone marrow and peripheral blood blast percentage <2%, or stable between 2% to 5% over 6 months.
  • Diagnosis of MDS/MPN overlap syndromes according to the 2016 WHO classification, with bone marrow blast percentage <5% within 6 months prior to D1.
  • Anemia with iron-restricted erythropoiesis as assessed by laboratory criteria during screening.
  • Ability to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use protected health information in accordance with national and local study participant privacy regulations.
  • Females of childbearing potential and sexually active males must meet the contraception requirements as outlined in the protocol.

Who cannot join

  • Active infection within 14 days of D1.
  • IPSS-R score indicating high or very high risk MDS, accelerated myelofibrosis (defined as >10% blasts), or diagnosis of acute leukemia.
  • Diagnosis of hemolytic anemia.
  • Diagnosis of porphyria.
  • Anemia due to blood loss 28 days prior to D1.
  • Diagnosis of thalassemia, thalassemia trait, or other hemoglobinopathy.
Show all 9Show fewer
  • History of drug or alcohol abuse, as defined by the Investigator, within the past 2 years.
  • History of stroke, arterial embolism, or deep venous thrombosis within 6 months prior to D1.
  • Known positive for human immunodeficiency virus, active infectious hepatitis B virus or active infectious hepatitis C virus.

Trial locations and contacts

5 sites in 2 countries.

5 sites in 2 countries

Israel4 sites
  • Hadassah University Medical Center

    Jerusalem, 9112001

  • Galilee Medical Center

    Nahariya, 2633737

  • Laniado Hospital - Sanz Medical Center

    Netanya, 4244916

  • Shamir Medical Center (Assaf Harofeh Medical Center)

    Zrifin, 7033001

Other trials in Israel

Australia1 site
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

Other trials in Australia

About this study

Official title: A Phase 2, Intrapatient Dose Titration Study of KER-047 in Participants With Functional Iron Deficiency Anemia Associated With Myelodysplastic Syndromes, Myelofibrosis, and Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap Syndromes

This study aims to explore the safety and preliminary efficacy of a response-guided dose titration of KER-047 in the treatment of functional IDA (Iron deficiency anemia) in MDS (Myelodysplastic syndrome), MF(Myelofibrosis), and MDS/MPN (Myeloproliferative neoplasm) overlap syndromes.

Read the detailed description

This is a Phase 2 multicenter, open-label study being conducted to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of response-guided dose titration of KER-047 in adult participants with functional iron deficiency anemia (IDA) associated with myelodysplastic syndrome (MDS), myelofibrosis (MF), and myelodysplastic syndrome/myeloproliferative neoplasm (MDS/MPN) overlap syndromes. Approximately 20 patients will be enrolled. Dosing of KER-047 may be adjusted based on safety/tolerability and treatment response. The study will be conducted in 2 parts: Part 1 Initial Titration Strategy and Part 2 Cohort Expansion or Alternate Titration Strategy.

The total planned duration of participation for an individual participant is approximately 32 weeks (4-week screening phase, 24-week treatment period, and 4-week follow-up period). For participants in the extension phase, the maximum duration of participation would be approximately 104 weeks (2 years) (4-week screening phase, 24-week treatment period, 18 month [72 weeks] extension period, and 4-week follow-up period).

Being tested
KER-047
Keywords
Functional Iron Deficiency Anemia (Functional IDA), Myelodysplastic Syndromes (MDS), Myelofibrosis (MF), Myelodysplastic Syndrome (MDS), Myeloproliferative Neoplasm Overlap Syndromes (MPN)
Medical subject headings
Anemia, Iron-Deficiency, Myelodysplastic Syndromes, Primary Myelofibrosis

What participants receive

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

  • KER-047Drug

    Oral tablet, daily (or every other day) administration

Study groups in NCT05927012
Study groupRoleWhat they receive
Part 1 (Initial Titration Strategy)ExperimentalKER-047(30 mg, 60mg or 80mg) oral tablet daily (or every other day) for up to 24 weeks.
Receives: Drug: KER-047
Part 2 (Cohort Expansion or Alternate Titration Strategy)ExperimentalThe starting dose regimen and titration schedule of KER-047 oral tablet will be based on the SRC (Safety Review Committee) recommendation from Part 1.
Receives: Drug: KER-047

What is being measured

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

  1. Percentage of participants experiencing Treatment-emergent adverse events (TEAEs)

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  2. Dose limiting toxicities (DLTs)

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  3. Percentage of participants experiencing Treatment-related AEs (Adverse events)

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  4. Number of participants discontinuing due to AEs (Adverse events)

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  5. Change from Baseline in clinical laboratory values

    To determine the safety and tolerability based on changes from baseline in select clinical laboratory parameters including: Alkaline phosphatase, Alanine Aminotransferase, Aspartate Aminotransferase, Gamma Glutamyl Transferase, Glucose, Potassium, Sodium, Total bilirubin, Folate, WBC count, Platelet Count, Reticulocyte Count, Transferrin Saturation percentage.

    Note - Select safety parameters will be listed as separate outcomes during results update.

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  6. Systolic Blood Pressure

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  7. Diastolic Blood Pressure

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  8. Respiratory rate

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  9. Heart rate

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  10. Body temperature

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  11. Fridericia corrected QT interval via 12-lead Electrocardiogram (ECG)

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  12. QT interval via 12-lead Electrocardiogram (ECG)

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  13. QRS interval via 12-lead Electrocardiogram (ECG)

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  14. PR interval via 12-lead Electrocardiogram (ECG)

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  15. Body weight (in kg)

    To determine safety and tolerability of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

Secondary outcomes (13)
  1. Change from baseline in reticulocyte hemoglobin content (RET-He)

    To evaluate the Pharmacodynamic (PD) effects of KER-047 on iron metabolism in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  2. Change from baseline in hepcidin concentration

    To evaluate the Pharmacodynamic (PD) effects of KER-047 on iron metabolism in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  3. Change from baseline in hemoglobin (Hgb)

    To evaluate the effect of KER-047 on anemia in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  4. Proportion of participants who have Hgb increase of ≥1.0 g/dL (0.6 mmol/L)

    To evaluate the effect of KER-047 on anemia in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  5. Proportion of participants who have Hgb increase of ≥1.5 g/dL (0.9 mmol/L)

    To evaluate the effect of KER-047 on anemia in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension

  6. Proportion of RBC-transfused participants who achieve ≥8 weeks of transfusion independence during any consecutive period up to End of Treatment

    To evaluate the effect of KER-047 on anemia in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 29 weeks or up to 101 weeks if in the treatment extension

  7. Plasma KER-047 and any metabolites concentration, summarized by time point

    To evaluate the Pharmacokinetic (PK) of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Week 1 and Week 13 in Part 1 and 2

  8. Estimated peak plasma concentration (Cmax)

    To evaluate the Pharmacokinetic (PK) of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Week 1 and Week 13 in Part 1 and 2

  9. Time to peak plasma concentration (Tmax)

    To evaluate the Pharmacokinetic (PK) of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Week 1 and Week 13 in Part 1 and 2

  10. Area under the plasma KER-047 concentration curve (AUClast)

    To evaluate the Pharmacokinetic (PK) of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Week 1 and Week 13 in Part 1 and 2

  11. Mean trough (Ctrough) plasma KER-047 and metabolites of interest concentration

    To evaluate the Pharmacokinetic (PK) of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 25 weeks

  12. Plasma KER-047 and metabolites of interest accumulation (Rac)

    To evaluate the Pharmacokinetic (PK) of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 25 weeks

  13. Determination of steady-state (as appropriate)

    To evaluate the Pharmacokinetic (PK) of KER-047 in participants with functional IDA associated with MDS, MF, and MDS/MPN overlap syndromes

    Measured: Up to 25 weeks

Timeline

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

  1. First posted3 Jul 2023
  2. Study start30 Nov 2023 (estimated)
  3. Primary completion29 Aug 2025 (estimated)
  4. Study completion4 Jan 2026 (estimated)

Why it stopped: Despite several attempts to recruit eligible participants and major protocol amendments to increase the recruitment rate, recruitment challenges remained. Therefore, the Sponsor has made the decision to terminate the KER047-IR-202 Study globally.

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
Non-randomised
Intervention model
Sequential
Model description
2 parts: Part 1 Initial Titration Strategy and Part 2 Cohort Expansion or Alternate Titration Strategy
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05927012
Sponsor's protocol ID
KER047-IR-202
Status last verified
Nov 2023
First submitted
8 Jun 2023
Last updated
24 Nov 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing KER-047 in people with Iron Deficiency Anemia, run by Keros Therapeutics, Inc. at 5 sites in 2 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 8 inclusion and 9 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: withdrawn, as of the sponsor's last update on 24 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Israel, Australia. 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 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?

The study was withdrawn before enrolling participants, so there are no results.

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 experiencing Treatment-emergent adverse events (TEAEs) (time frame: Up to 29 weeks in Part 1 or up to 101 weeks if continuing in the treatment extension). The study lists 15 primary outcomes in all. 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 24 Nov 2023.

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