Phase II Study to Investigate the Benefits of an Improved Deferasirox Formulation (Film-coated Tablet)

NCT ID: NCT02125877

Last Updated: 2017-07-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

173 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-08

Study Completion Date

2016-02-24

Brief Summary

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Assessed the new film-coated tablet formulation to the currently approved dispersible tablet formulation with regards to overall safety, Gastrointestinal (GI) tolerability, palatability, satisfaction and compliance

Detailed Description

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Conditions

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Chronic Iron Overload Due to Transfusion-dependant Anemias

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Deferasirox dispersible tablet (DFX-DT)

Iron chelation naïve participants received DFX-DT 20 mg/kg/day once daily orally from weeks 1 - 4. After week 4, the dose could be adjusted by +/- 5 to 10 mg/kg/day, with a maximum dose of 40 mg/kg/day. Iron chelation pre-treated participants were supposed to start on a dose that was equivalent to their pre-washout dose.

Group Type ACTIVE_COMPARATOR

Deferasirox dispersible tablet

Intervention Type DRUG

Deferasirox DT was provided as 125 mg, 250 mg and 500 mg dispersible tablets for oral use.

Deferasirox film-coated tablet (DFX-FCT)

Participants received DFX-FCT 14 mg/kg/day once daily orally from weeks 1 - 4. After week 4, the dose could be adjusted by +/- 3.5 to 7 mg/kg/day, with a maximum dose of 28 mg/kg/day. Iron chelation pre-treated participants were supposed to start on a dose that was equivalent to their pre-washout dose

Group Type EXPERIMENTAL

Defearisox film-coated tablet

Intervention Type DRUG

Deferasirox FCT was provided as 90 mg, 180 mg and 360 mg film-coated tablets for oral use.

Interventions

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Deferasirox dispersible tablet

Deferasirox DT was provided as 125 mg, 250 mg and 500 mg dispersible tablets for oral use.

Intervention Type DRUG

Defearisox film-coated tablet

Deferasirox FCT was provided as 90 mg, 180 mg and 360 mg film-coated tablets for oral use.

Intervention Type DRUG

Other Intervention Names

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ICL670, DT (dispersible tablet) ICL670, FCT (film-coated tablet)

Eligibility Criteria

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Inclusion Criteria

* Male and female patients aged ≥ 10 years
* Patients with transfusion-dependent thalassemia and iron overload, requiring deferasirox DT at doses of ≥ 30 mg/kg/day as per the investigator's decision OR Patients with very low, low or intermediate (int) risk myelodysplastic syndrome (MDS) and iron overload, requiring deferasirox DT at doses of ≥ 20 mg/kg/day as per the investigator's decision.
* History of transfusion of at least 20 PRBC units and anticipated to be transfused with at least 8 units of PRBCs annually during the study
* Serum ferritin \> 1000 ng/mL, measured at screening Visit 1 and screening Visit 2 (the mean value will be used for eligibility criteria).

Exclusion Criteria

* Creatinine clearance below the contraindication limit in the locally approved prescribing information. Creatinine clearance will be estimated from serum creatinine at screening Visit 1 and screening Visit 2 and the mean value will be used for eligibility criteria.
* Serum creatinine \> 1.5 xULN at screening measured at screening Visit 1 and screening Visit 2 (the mean value will be used for eligibility criteria).
* ALT (SGPT) \> 5xULN, unless LIC confirmed as \>10 mg Fe/dw within 6 months prior to screening visit 1.
* Significant proteinuria as indicated by a urinary protein/creatinine ratio \> 0.5 mg/mg in a non-first void urine sample at screening Visit 1 or screening Visit 2.
* Patients with significant impaired gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral deferasirox (e.g. ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection).
* Liver disease with severity of Child-Pugh Class B or C
Minimum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Children's Hospital of Orange County Onc Dept

Orange, California, United States

Site Status

Lurie Children's Hospital of Chicago Onc Dept

Chicago, Illinois, United States

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Children's Hospital Boston Department of Hematology

Boston, Massachusetts, United States

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Weill Cornell Medical College-Cornell University Onc Dept

New York, New York, United States

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Children's Hospital of Philadelphia Onc. Dept

Philadelphia, Pennsylvania, United States

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Novartis Investigative Site

Buenos Aires, , Argentina

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Linz, , Austria

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Vienna, , Austria

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Lille, , France

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Paris, , France

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Mannheim, Baden-Wurttemberg, Germany

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Berlin, , Germany

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Dresden, , Germany

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Goslar, , Germany

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Hanover, , Germany

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Leipzig, , Germany

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Potsdam, , Germany

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Athens, GR, Greece

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Patra - RIO, GR, Greece

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Thessaloniki, GR, Greece

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Brindisi, BR, Italy

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Catania, CT, Italy

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Cona, FE, Italy

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Genova, GE, Italy

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Genova, GE, Italy

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Cagliari, ITA, Italy

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Lecce, LE, Italy

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Milan, MI, Italy

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Milan, MI, Italy

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Palermo, PA, Italy

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Palermo, PA, Italy

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Reggio Calabria, RC, Italy

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Verona, VR, Italy

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Napoli, , Italy

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Hazmiyeh, Beyrouth, Lebanon

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Kuala Lumpur, , Malaysia

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Pulau Pinang, , Malaysia

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Mexico City, Mexico City, Mexico

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Moscow, Russia, Russia

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Dammam, , Saudi Arabia

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Dammam, , Saudi Arabia

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Jeddah, , Saudi Arabia

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Riyadh, , Saudi Arabia

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Barcelona, , Spain

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Madrid, , Spain

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Bangkok, , Thailand

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Bangkok, , Thailand

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Al Ain - Abu Dhabi, United Arab Emirates, United Arab Emirates

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Dubai, , United Arab Emirates

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London, , United Kingdom

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London, , United Kingdom

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Countries

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United States Argentina Austria France Germany Greece Italy Lebanon Malaysia Mexico Russia Saudi Arabia Spain Thailand United Arab Emirates United Kingdom

References

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Taher AT, Origa R, Perrotta S, Kouraklis A, Ruffo GB, Kattamis A, Goh AS, Huang V, Zia A, Herranz RM, Porter JB. Patient-reported outcomes from a randomized phase II study of the deferasirox film-coated tablet in patients with transfusion-dependent anemias. Health Qual Life Outcomes. 2018 Nov 19;16(1):216. doi: 10.1186/s12955-018-1041-5.

Reference Type DERIVED
PMID: 30453981 (View on PubMed)

Other Identifiers

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CICL670F2201

Identifier Type: -

Identifier Source: org_study_id

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