Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43871   clinical trials with a EudraCT protocol, of which   7290   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    Phase 2 Study of PTG-300 in Non-Transfusion Dependent (NTD) and Transfusion-Dependent (TD) Beta-Thalassemia Subjects with Chronic Anemia

    Summary
    EudraCT number
    2018-001984-21
    Trial protocol
    GB   GR   IT  
    Global end of trial date
    31 Jul 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    01 Apr 2021
    First version publication date
    01 Apr 2021
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    PTG-300-02
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03802201
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    IND number: 137605
    Sponsors
    Sponsor organisation name
    Protagonist Therapeutics, Inc.
    Sponsor organisation address
    7707 Gateway Blvd, Suite 140, Newark, United States, CA 94560
    Public contact
    Clinical-Regulatory Info Group, Protagonist Therapeutics, Inc., 001 510 4740170, clinregops@ptgx-inc.com
    Scientific contact
    Clinical-Regulatory Info Group, Protagonist Therapeutics, Inc., 001 510 4740170, clinregops@ptgx-inc.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    31 Jul 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    31 Jul 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Jul 2020
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    1. To evaluate the safety and tolerability of PTG-300 in subjects with NTD and TD β-thalassemia. 2. To obtain preliminary evidence of PTG-300’s efficacy for treating chronic anemia in subjects with β-thalassemia. 3. To identify the optimal starting dose, titration algorithm, dose range and dose regimen to be used in Phase 3 studies.
    Protection of trial subjects
    The study was conducted in accordance with the protocol, the Declaration of Helsinki and the International Conference on Harmonisation (ICH) Guidelines on Good Clinical Practice (GCP). A Safety Monitoring Board monitored subject safety in a regularly scheduled and completely unblinded manner throughout the study. All patients and legal guardians (in the case of minors) gave written informed consent.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    15 Nov 2018
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    24 Months
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Lebanon: 5
    Country: Number of subjects enrolled
    United States: 3
    Country: Number of subjects enrolled
    Turkey: 7
    Country: Number of subjects enrolled
    Tunisia: 5
    Country: Number of subjects enrolled
    Thailand: 18
    Country: Number of subjects enrolled
    Malaysia: 12
    Country: Number of subjects enrolled
    United Kingdom: 1
    Country: Number of subjects enrolled
    Greece: 12
    Worldwide total number of subjects
    63
    EEA total number of subjects
    12
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    4
    Adults (18-64 years)
    59
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    The study was conducted at a total of 35 sites, including sites in North America, Europe, Asia, and the Middle East.

    Pre-assignment
    Screening details
    133 subjects aged 12 to 65 years, with transfusion dependent (TD) and non-transfusion dependent (NTD) β- thalassemia screened during screening period (Day -28 to Day -1). General & disease-specific medical history recorded, independent of β- thalassemia subpopulation. Transfusion required during the screening period for TD patients.

    Period 1
    Period 1 title
    Main study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    TD adult and adolescent participants: PTG-300
    Arm description
    Adult and adolescent patients with transfusion dependent (TD) β-thalassemia, who received repeated doses of PTG-300
    Arm type
    Experimental

    Investigational medicinal product name
    PTG-300
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Subcutaneous administration of PTG-300 was done weekly, every 2 weeks, or twice weekly based on individual patient’s schedule. PTG-300 was administered at the study site or at home by the patient, caregiver or home nurse, after adequate training had been imparted and documented. Dosing window for weekly administration was ±2 days. Dosing window for twice weekly administration was ±1 day.

    Arm title
    NTD adult and adolescent participants: PTG-300
    Arm description
    Adult and adolescent patients with non-transfusion dependent (NTD) β-thalassemia, who received repeated doses of PTG-300
    Arm type
    Experimental

    Investigational medicinal product name
    PTG-300
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Subcutaneous administration of PTG-300 was done weekly, every 2 weeks, or twice weekly based on individual patient’s schedule. PTG-300 was administered at the study site or at home by the patient, caregiver or home nurse, after adequate training had been imparted and documented. Dosing window for weekly administration was ±2 days. Dosing window for twice weekly administration was ±1 day.

    Number of subjects in period 1
    TD adult and adolescent participants: PTG-300 NTD adult and adolescent participants: PTG-300
    Started
    39
    24
    Completed
    32
    18
    Not completed
    7
    6
         Consent withdrawn by subject
    1
    1
         Sponsor request
    6
    5

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    TD adult and adolescent participants: PTG-300
    Reporting group description
    Adult and adolescent patients with transfusion dependent (TD) β-thalassemia, who received repeated doses of PTG-300

    Reporting group title
    NTD adult and adolescent participants: PTG-300
    Reporting group description
    Adult and adolescent patients with non-transfusion dependent (NTD) β-thalassemia, who received repeated doses of PTG-300

    Reporting group values
    TD adult and adolescent participants: PTG-300 NTD adult and adolescent participants: PTG-300 Total
    Number of subjects
    39 24 63
    Age categorical
    Units: Subjects
        Adolescents (12-17 years)
    3 1 4
        Adults (18-64 years)
    36 23 59
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    38 ( 13.5 ) 35 ( 10.5 ) -
    Gender categorical
    Units: Subjects
        Female
    17 9 26
        Male
    22 15 37
    Race
    Units: Subjects
        White
    20 10 30
        Asian
    17 14 31
        Other
    1 0 1
        Not reported
    1 0 1
    Subject analysis sets

    Subject analysis set title
    TD safety population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    β-Thalassemia patients belonging to the transfusion dependent (TD) subpopulation, who received at least one dose of study drug

    Subject analysis set title
    NTD safety population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    β-Thalassemia patients belonging to the non-transfusion dependent (NTD) subpopulation, who received at least one dose of study drug

    Subject analysis sets values
    TD safety population NTD safety population
    Number of subjects
    39
    24
    Age categorical
    Units: Subjects
        Adolescents (12-17 years)
    3
    1
        Adults (18-64 years)
    36
    23
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    38 ( 13.5 )
    35 ( 10.5 )
    Gender categorical
    Units: Subjects
        Female
    17
    9
        Male
    22
    15
    Race
    Units: Subjects
        White
    20
    10
        Asian
    17
    14
        Other
    1
    0
        Not reported
    1
    0

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    TD adult and adolescent participants: PTG-300
    Reporting group description
    Adult and adolescent patients with transfusion dependent (TD) β-thalassemia, who received repeated doses of PTG-300

    Reporting group title
    NTD adult and adolescent participants: PTG-300
    Reporting group description
    Adult and adolescent patients with non-transfusion dependent (NTD) β-thalassemia, who received repeated doses of PTG-300

    Subject analysis set title
    TD safety population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    β-Thalassemia patients belonging to the transfusion dependent (TD) subpopulation, who received at least one dose of study drug

    Subject analysis set title
    NTD safety population
    Subject analysis set type
    Safety analysis
    Subject analysis set description
    β-Thalassemia patients belonging to the non-transfusion dependent (NTD) subpopulation, who received at least one dose of study drug

    Primary: Proportion of responders

    Close Top of page
    End point title
    Proportion of responders [1] [2]
    End point description
    Proportion of responders at each dose, where responders are defined as patients who achieve ≥ 20% reduction in the red blood cell units required over an 8-week period compared to pre-treatment baseline
    End point type
    Primary
    End point timeframe
    8 weeks post-dose
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistical analyses were performed during the study.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only descriptive statistical analyses were performed during the study.
    End point values
    TD adult and adolescent participants: PTG-300
    Number of subjects analysed
    37 [3]
    Units: Number of responders
        3 mg/wk
    1
        10 mg/wk
    2
        20 mg/wk
    1
        40 mg/wk
    3
        80 mg/wk
    7
        40 mg 2x/wk
    2
        Any dose level
    12
    Notes
    [3] - 2 patients removed from the efficacy analysis due to issues of site non-compliance
    No statistical analyses for this end point

    Primary: Red blood cell units required

    Close Top of page
    End point title
    Red blood cell units required [4] [5]
    End point description
    Mean change from pre-treatment baseline in the number of red blood cell units required under each dose (standardised to 8-week period)
    End point type
    Primary
    End point timeframe
    8 weeks post-dose
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistical analyses were performed during the study.
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only descriptive statistical analyses were performed during the study.
    End point values
    TD adult and adolescent participants: PTG-300
    Number of subjects analysed
    37 [6]
    Units: Transfusion units
    arithmetic mean (standard deviation)
        3 mg/wk
    0.46 ( 1.194 )
        10 mg/wk
    0.53 ( 1.291 )
        20 mg/wk
    0.49 ( 1.127 )
        40 mg/wk
    0.07 ( 0.953 )
        80 mg/wk
    -0.16 ( 1.756 )
        40 mg 2x/wk
    -0.00 ( 1.075 )
        Any dose level
    -0.21 ( 1.188 )
    Notes
    [6] - 2 patients removed from the efficacy analysis due to issues of site non-compliance
    No statistical analyses for this end point

    Primary: Proportion of responders

    Close Top of page
    End point title
    Proportion of responders [7] [8]
    End point description
    Proportion of responders at each dose, where responders are defined as patients who achieve an increase in Hgb ≥ 1.0 g/dL from pre-treatment baseline without transfusion (confirmed by a successive measurement at least 1 week later)
    End point type
    Primary
    End point timeframe
    4, 8 and 12 weeks post dose
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistical analyses were performed during the study.
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only descriptive statistical analyses were performed during the study.
    End point values
    NTD adult and adolescent participants: PTG-300
    Number of subjects analysed
    23 [9]
    Units: Number of responders
        3 mg/wk
    0
        10 mg/wk
    0
        20 mg/wk
    0
        40 mg/wk
    0
        80 mg/wk
    0
        40 mg 2x/wk
    0
    Notes
    [9] - 1 patient removed from the efficacy analysis due to issues of site non-compliance
    No statistical analyses for this end point

    Primary: Hemoglobin change

    Close Top of page
    End point title
    Hemoglobin change [10] [11]
    End point description
    Mean hemoglobin change from pre-treatment baseline at each dose level
    End point type
    Primary
    End point timeframe
    4, 8 and 12 weeks
    Notes
    [10] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistical analyses were performed during the study.
    [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only descriptive statistical analyses were performed during the study.
    End point values
    NTD adult and adolescent participants: PTG-300
    Number of subjects analysed
    23 [12]
    Units: Hemoglobin (g/dL)
    arithmetic mean (standard deviation)
        3 mg/wk
    -0.25 ( 1.184 )
        10 mg/wk
    -0.09 ( 0.639 )
        20 mg/wk
    -0.16 ( 0.638 )
        40 mg/wk
    -0.42 ( 0.602 )
        80 mg/wk
    -0.83 ( 0.682 )
        40 mg 2x/wk
    -1.10 ( 0.212 )
    Notes
    [12] - 1 patient removed from the efficacy analysis due to issues of site non-compliance
    No statistical analyses for this end point

    Other pre-specified: Liver iron content

    Close Top of page
    End point title
    Liver iron content
    End point description
    Change in mean liver iron load from baseline to the last MRI performed post-dose for patients undergoing MRI evaluation
    End point type
    Other pre-specified
    End point timeframe
    From baseline to last MRI performed
    End point values
    TD adult and adolescent participants: PTG-300 NTD adult and adolescent participants: PTG-300
    Number of subjects analysed
    29
    15
    Units: Liver iron content (mg Fe/g dry weight)
    arithmetic mean (standard deviation)
        10 mg/wk
    -0.23 ( 2.499 )
    -0.60 ( 0 )
        20 mg/wk
    -0.55 ( 1.826 )
    -1.88 ( 4.568 )
        40 mg/wk
    0.94 ( 3.304 )
    1.93 ( 1.590 )
        80 mg/wk
    -9.33 ( 16.868 )
    -2.04 ( 7.116 )
        40 mg 2x/wk
    -4.20 ( 6.223 )
    0.60 ( 0 )
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    Treatment related adverse events (TEAEs, including serious adverse events (SAEs)) were reported from first dose until 30 days post last PTG-300 dose.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21.0
    Reporting groups
    Reporting group title
    TD adult and adolescent participants: PTG-300
    Reporting group description
    Adult and adolescent patients with transfusion dependent (TD) β-thalassemia, who received repeated doses of PTG-300

    Reporting group title
    NTD adult and adolescent participants: PTG-300
    Reporting group description
    Adult and adolescent patients with non-transfusion dependent (NTD) β-thalassemia, who received repeated doses of PTG-300

    Serious adverse events
    TD adult and adolescent participants: PTG-300 NTD adult and adolescent participants: PTG-300
    Total subjects affected by serious adverse events
         subjects affected / exposed
    4 / 39 (10.26%)
    2 / 24 (8.33%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Cholangiocarcinoma
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Epiploic appendagitis
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Hepatic cirrhosis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    Confusional state
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 1%
    Non-serious adverse events
    TD adult and adolescent participants: PTG-300 NTD adult and adolescent participants: PTG-300
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    30 / 39 (76.92%)
    20 / 24 (83.33%)
    Vascular disorders
    Prehypertension
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Hypotension
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    General disorders and administration site conditions
    Injection site erythema
         subjects affected / exposed
    6 / 39 (15.38%)
    1 / 24 (4.17%)
         occurrences all number
    23
    2
    Injection site pain
         subjects affected / exposed
    4 / 39 (10.26%)
    4 / 24 (16.67%)
         occurrences all number
    31
    16
    Pyrexia
         subjects affected / exposed
    3 / 39 (7.69%)
    1 / 24 (4.17%)
         occurrences all number
    3
    1
    Fatigue
         subjects affected / exposed
    3 / 39 (7.69%)
    2 / 24 (8.33%)
         occurrences all number
    5
    3
    Injection site papule
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Injection site urticaria
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Injection site plaque
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 24 (0.00%)
         occurrences all number
    7
    0
    Injection site macule
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    4
    0
    Injection site swelling
         subjects affected / exposed
    2 / 39 (5.13%)
    1 / 24 (4.17%)
         occurrences all number
    2
    1
    Injection site reaction
         subjects affected / exposed
    2 / 39 (5.13%)
    3 / 24 (12.50%)
         occurrences all number
    2
    3
    Injection site pruritus
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 24 (0.00%)
         occurrences all number
    5
    0
    Chest discomfort
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 24 (4.17%)
         occurrences all number
    2
    1
    Injection site atrophy
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Vessel puncture site thrombosis
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Influenza like illness
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Administration site reaction
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Injection site hypersensitivity
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Infusion site erythema
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    4
    0
    Injection site haematoma
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Reproductive system and breast disorders
    Vaginal haemorrhage
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Dysmenorrhoea
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Menorrhagia
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Productive cough
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Cough
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Oropharyngeal pain
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Nasal discomfort
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Pharyngeal erythema
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Rhinitis allergic
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Psychiatric disorders
    Depression
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 24 (8.33%)
         occurrences all number
    0
    2
    Investigations
    Blood folate decreased
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    White blood cell count decreased
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    3
    0
    Haemoglobin decreased
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 24 (4.17%)
         occurrences all number
    1
    1
    Blood creatine phosphokinase
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Blood creatinine increased
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Blood bilirubin increased
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Injury, poisoning and procedural complications
    Animal bite
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Contusion
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Post procedural fever
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Cardiac disorders
    Ventricular arrhythmia
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Palpitations
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    4
    Nervous system disorders
    Syncope
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Headache
         subjects affected / exposed
    3 / 39 (7.69%)
    2 / 24 (8.33%)
         occurrences all number
    7
    2
    Lethargy
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Somnolence
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Migraine
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Blood and lymphatic system disorders
    Eosinophilia
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Anaemia
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 24 (8.33%)
         occurrences all number
    0
    2
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Nausea
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Diarrhoea
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 24 (4.17%)
         occurrences all number
    1
    1
    Abdominal pain
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Dental caries
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Dyspepsia
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Loose tooth
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Vomiting
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 24 (4.17%)
         occurrences all number
    1
    2
    Hepatobiliary disorders
    Hepatic cirrhosis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Hypertransaminasaemia
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Jaundice
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Stasis dermatitis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Skin ulcer
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 24 (4.17%)
         occurrences all number
    1
    1
    Erythema
         subjects affected / exposed
    2 / 39 (5.13%)
    0 / 24 (0.00%)
         occurrences all number
    3
    0
    Urticaria
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Skin hypopigmentation
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Rash papular
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Pruritus
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Renal and urinary disorders
    Nephrolithiasis
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Musculoskeletal and connective tissue disorders
    Bone infarction
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Back pain
         subjects affected / exposed
    1 / 39 (2.56%)
    1 / 24 (4.17%)
         occurrences all number
    1
    1
    Bone pain
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Myalgia
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Neck pain
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Infections and infestations
    Bone abscess
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Urinary tract infection
         subjects affected / exposed
    3 / 39 (7.69%)
    2 / 24 (8.33%)
         occurrences all number
    5
    3
    Upper respiratory tract infection
         subjects affected / exposed
    5 / 39 (12.82%)
    3 / 24 (12.50%)
         occurrences all number
    8
    3
    Bacterial vaginosis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Bronchitis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Conjunctivitis
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Pharyngitis
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Injection site infection
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    1
    0
    Periodontitis
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Tuberculosis
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Metabolism and nutrition disorders
    Hyperkalaemia
         subjects affected / exposed
    1 / 39 (2.56%)
    0 / 24 (0.00%)
         occurrences all number
    2
    0
    Decreased appetite
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    1
    Hyperuricaemia
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 24 (4.17%)
         occurrences all number
    0
    2

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    21 Feb 2019
    1) Added text to clarify how decisions of adding new patients would be made. 2) Section 3.3.1: Language was added to clarify how many patients could be added to each cohort. 3) Addition of text to clarify that enrollment in Cohort 6 would be based on safety experience in Cohort 5 according to the Dose Escalation Rules. 4) Removed text for Cohort Dose Reduction specifying how dose would be reduced for the cohort receiving 40 mg/week. The dose for cohort receiving 40 mg/week would be reduced to 20 mg/week which was already shown to be safe. The option of 40 mg every two weeks was removed due to lack of clear criteria to determine frequency of dose reduction. 5) Section 3.4.1.1.1: Revision of text to Safety Criteria for dose reduction to remove inconsistency in protocol and added that Hgb values of >13 g/dL would be confirmed by a repeat test to align with study assessments. 6) Clarification that Hgb >13 g/dL would be considered if no transfusion was performed for >4 weeks as transfusion may result in Hgb values of >13 g/dL for more than 7 days. This change was made to distinguish the effect of transfusion on Hgb levels from effect of PTG-300. 7) Text was added to Pregnancy Testing to include specification for negative urine pregnancy test results for NTD and TD populations as they were inadvertently omitted in original protocol. 8) Endpoints revised. 9) Inclusion and Exclusion Criteria modified to more clearly define the enrollment-eligible population. 10) Concomitant medications revised. 11) Corrected typographical error specifying Doses 5 and onward can be administered at site or home. 12) Clarification of timing of PK/PD assessments, adjusted statistical analysis sections to correspond to protocol changes. 13) Revised Physical Examination to remove ultrasound assessment. 14) Section 5.2.3: Added Treatment Compliance section to provide detail about compliance monitoring. 15) Revised definition of study completion for clarity.
    14 Jun 2019
    1) Table 1 for Schedule of Assessments – revised footnotes to reflect scheduled assessments and clarify timing of assessments to align with other safety assessments for coagulation testing. Other changes made for clarity and to correct typographical errors. 2) Dose Escalation Criteria revised to change description of cohort dose escalation to include the additional dose cohorts and change to Cohort 4b dose level. 3) Dose Reduction Stopping Criteria text changed to add responsibility of Safety Monitoring Committee (SMC) flexibility in study continuation criteria. 4) Table 4 changed to reflect requirement that dosing be suspended in cohort until SMC reviews safety data and makes recommendations. 5) Changed Synopsis text to specify that negative urine pregnancy tests are required to proceed with dosing throughout the study. 6) Number of patients revised to reflect changes to number of patients enrolled in the study (up to 192, minimum of 84) to account for potential cohorts and allow sponsor to treat additional patients (up to 24) to confirm safety, efficacy, and dose titration rules. 7) Inclusion and exclusion criteria were modified. 8) Investigational Product – Dose Level 4b in NTD and TD patients revised to add dosing option of 20 mg or 80 mg every 2 weeks and additional cohorts 7-11 to evaluate every two-week dosing and allow flexibility in dose selection. 9) Safety Assessment added to synopsis for internal consistency 10) Safety Assessment descriptions amended to remove specific timepoints for internal consistency with schedule of assessments and for clarity. 11) Pregnancy Reporting revised to add that pregnancy not considered AE or SAE. 12) Clinical Laboratory Abnormalities revised for clarity regarding what is an AE or SAE and clinical significance. 13) Statistical Analysis section revised to remove statement regarding missing data. This was added to Statistical Analysis Plan instead. Baseline period for transfusions was changed for accuracy.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Sat May 04 22:21:25 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA