Extension Study to Evaluate Safety and Tolerability of Oral Dersimelagon (MT-7117) in Subjects With Erythropoietic Protoporphyria (EPP) or X-Linked Protoporphyria (XLP)

NCT ID: NCT05005975

Last Updated: 2025-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

301 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-10

Study Completion Date

2027-12-31

Brief Summary

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To evaluate the long-term safety and tolerability of oral dersimelagon.

Detailed Description

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Conditions

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EPP XLP

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dersimelagon 200mg

Group Type EXPERIMENTAL

MT-7117

Intervention Type DRUG

MT-7117

Interventions

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MT-7117

MT-7117

Intervention Type DRUG

Other Intervention Names

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Dersimelagon

Eligibility Criteria

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Inclusion Criteria

Additional screening criteria check may apply for qualification:

* 1\. Subjects provided written informed consent to participate. For adolescent subjects, both adolescent assent and parental consent will be provided.
* 2\. Subjects who have completed: MT-7117-G01 (completed through Week 58 \[Visit 12\]) or, MT-7117-A-302 (completed through Week 58 \[Visit 10\]) or, MT-7117-A-301 (completed EOT - Week 104 or Week 130) according to protocol amendment 1 or 2.
* 3\. Subjects are willing and able to travel to the study sites for all scheduled visits.
* 4\. In the Investigator's opinion, subject can understand the nature of the study and any risks involved in participation, and is willing to cooperate and comply with the protocol restrictions and requirements (including travel).
* 5\. Female subjects who are non-lactating and have a negative urine pregnancy test at baseline visit prior to receiving the first dose of study drug.
* 6\. Female subjects of childbearing potential and male subjects with partner of childbearing potential must agree to use 2 effective methods of contraception including barrier method (especially for female subjects, one method must be highly effective method)

Exclusion Criteria

Additional screening criteria check may apply for qualification:

A subject will NOT be eligible for this study if ANY of the following criteria apply:

* 1\. History or presence of photodermatoses other than EPP or XLP.
* 2\. Presence of clinically significant hepatobiliary disease at Screening, determined as clinically significant by the Investigator.
* 4\. Subjects with or having a history (in the last 2 years) of excessive alcohol intake in the opinion of the Investigator.
* 5\. History of melanoma.
* 6\. Presence of squamous cell carcinoma, basal cell carcinoma, or other malignant skin lesions. Any suspicious lesions or nevi will be evaluated. If the suspicious lesion or nevi cannot be resolved through biopsy or excision, the subject will be excluded from the study.
* 7\. History or presence of psychiatric disease judged to be clinically significant by the Investigator and which may interfere with the study evaluation and/or safety of the subjects.
* 8\. Presence of clinically significant acute or chronic renal disease based upon the subject's medical records including hemodialysis; an estimated glomerular filtration rate (eGFR) \<60 mL/min/1.73m2 as calculated by the CKD-EPI creatinine equation (2009) for adults and by the Schwartz creatinine equation for adolescents (2009). MDRD can be used for adults per local recommendations.
* 9\. Presence of any clinically significant disease or laboratory abnormality which, in the opinion of the Investigator, can interfere with the study objectives and/or safety of the subjects.
* 10\. Female subjects who are pregnant, lactating, or intending to become pregnant during the study.
* 11\. Treatment with phototherapy or afamelanotide within 3 months before baseline (Visit 2 or Re-entry Visit 2).
* 12\. Treatment with cimetidine or antioxidant agents at doses which, in the opinion of the Investigator, may affect study endpoints (including but not limited to beta-carotene, cysteine, pyridoxine) within 4 weeks before baseline (Visit 2 or Re-entry Visit 2).
* 13\. Chronic treatment with opioids, ketamine, or medical formulations or derivatives of cannabis within 4 weeks before baseline (Visit 2). Note: This exclusion criterion may not be applicable to subjects at Re-entry Visits. Acute use of scheduled analgesics more than 3 months before baseline (Visit 2) is allowed.
* 14\. Treatment with any drugs or supplements which, in the opinion of the Investigator, can interfere with the objectives of the study or safety of the subjects.
* 15\. Previous treatment with any investigational agent other than dersimelagon within 12 weeks before Screening OR 5 half-lives of the investigational product (whichever is longer).
* 16\. History of any hypersensitivity to the active ingredient and/or excipients (lactose monohydrate, hydroxypropyl cellulose, carmellose calcium, magnesium stearate, hypromellose, titanium dioxide, talc, polyethylene glycol, iron oxide yellow, iron oxide red, and iron oxide black).
* 17\. Subjects who are unable to swallow tablets or have diseases significantly affecting the gastrointestinal function such as malabsorption syndrome, resection of the stomach or small bowel, bariatric surgery procedures, symptomatic inflammatory bowel disease, or partial or complete bowel obstruction.
* 18\. Using the following drugs (including but not limited to) within 1 week of baseline (Visit 2 or Re-entry Visit 2):

1. Drugs known to be predominantly metabolized by cytochrome P450 (CYP) 3A4 with a narrow therapeutic index for which elevated plasma concentrations are associated with clinical safety concern or significant medical events.
2. Drugs that are known substrates of P-glycoprotein (P-gp), breast cancer resistance protein (BCRP), organic anion transporting polypeptide (OATP)1B1, or OATP1B3 for which elevated plasma concentrations are associated with significant medical events.
Minimum Eligible Age

12 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tanabe Pharma America, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Head of Medical Science

Role: STUDY_DIRECTOR

Tanabe Pharma America, Inc.

Locations

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Marvel Clinical Research, LLC

Huntington Beach, California, United States

Site Status RECRUITING

University of California at San Francisco - CSF Porphyria Center

San Francisco, California, United States

Site Status NOT_YET_RECRUITING

University Of Miami School Of Medicine, Center For Liver Diseases

Miami, Florida, United States

Site Status NOT_YET_RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status NOT_YET_RECRUITING

MetroBoston Clinical Partners, LLC

Brighton, Massachusetts, United States

Site Status RECRUITING

Henry Ford Health System

Detroit, Michigan, United States

Site Status NOT_YET_RECRUITING

Kansas City Research Institute

Kansas City, Missouri, United States

Site Status RECRUITING

Icahn School of Medicine at Mount Sinai (ISSMS)-The Mount Sinai Hospital (MSH)

New York, New York, United States

Site Status RECRUITING

Wake Forest University Baptist Health

Winston-Salem, North Carolina, United States

Site Status RECRUITING

Cleveland Clinic - Taussig Cancer Institute

Cleveland, Ohio, United States

Site Status NOT_YET_RECRUITING

Remington-Davis Clinical Research

Columbus, Ohio, United States

Site Status RECRUITING

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Einstein Medical Center, Philadelphia

Philadelphia, Pennsylvania, United States

Site Status NOT_YET_RECRUITING

The University of Texas Medical Branch (UTMB)

Galveston, Texas, United States

Site Status RECRUITING

University of Washington-Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status RECRUITING

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Site Status NOT_YET_RECRUITING

Wesley Medical Research

Brisbane, Queensland, Australia

Site Status RECRUITING

Royal Melbourne Hospital (RMH)

Parkville, Victoria, Australia

Site Status RECRUITING

University Multi-Profile Hospital for Active Treatment (UMHAT) St. Ivan Rilski

Sophia, , Belgium

Site Status NOT_YET_RECRUITING

University of Alberta Hospital

Edmonton, Alberta, Canada

Site Status RECRUITING

Institute for Clinical and Experimental Medicine - IKEM

Prague, , Czechia

Site Status NOT_YET_RECRUITING

Centre Hospitalier Universitaire de Bordeaux - Hopital Saint - Andre

Bordeaux, , France

Site Status NOT_YET_RECRUITING

Assistance Publique-Hopitaux de Paris (AP-HP) - Hopital Louis-Mourier

Colombes, , France

Site Status NOT_YET_RECRUITING

CHU Nantes

Nantes, , France

Site Status NOT_YET_RECRUITING

Hospital Bichat-Hopitaux Universitaires Paris Nord Val de Seine

Paris, , France

Site Status NOT_YET_RECRUITING

Charite - Universitaetsmedizin Berlin

Berlin, , Germany

Site Status RECRUITING

Azienda Ospedaliera Spedali Civili di Brescia-Universita degli Studi Di Brescia

Brescia BS, , Italy

Site Status RECRUITING

Azienda Sanitaria Ospedaliera Santa Croce E Carle - Cuneo

Cuneo CN, , Italy

Site Status NOT_YET_RECRUITING

Ospedalle Galliera

Genova GE, , Italy

Site Status NOT_YET_RECRUITING

Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico di Milano

Milan, , Italy

Site Status RECRUITING

U.O.C. Medicina Interna Azienda ospedaliero Universitaria Policlinico di Modena

Modena, , Italy

Site Status ACTIVE_NOT_RECRUITING

IFO-San Gallicano IRCCS

Rome, , Italy

Site Status RECRUITING

Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Materno-Infantile - Burlo Garofolo - Clinica Pediatrica

Trieste TS, , Italy

Site Status NOT_YET_RECRUITING

Kobe University Hospital

Kobe, Hyōgo, Japan

Site Status RECRUITING

Sophia Dermatology Clinic

Kanazawa, Ishikawa-ken, Japan

Site Status COMPLETED

Osaka Medical College Hospital

Takatsuki, Osaka, Japan

Site Status RECRUITING

Tokyo Saiseikai Central Hospital

Minato-ku, Tokyo, Japan

Site Status NOT_YET_RECRUITING

Toyama University Hospital

Sugitani, Toyama, Japan

Site Status RECRUITING

Mazda Hospital of Mazda Motor Corporation

Hiroshima, , Japan

Site Status NOT_YET_RECRUITING

Hamamatsu University Hospital

Shizuoka, , Japan

Site Status NOT_YET_RECRUITING

Erasmus MC, Universitair Medisch Centrum Rotterdam

Rotterdam, , Netherlands

Site Status NOT_YET_RECRUITING

Haukeland University Hospital

Bergen, , Norway

Site Status RECRUITING

Instytut hematologii i Transfuzjologii

Warsaw, , Poland

Site Status NOT_YET_RECRUITING

Hospital Clínic de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario

Madrid, , Spain

Site Status RECRUITING

Hospital General Universitario De Valencia

Valencia, , Spain

Site Status NOT_YET_RECRUITING

Karolinska University Hospital

Stockholm, , Sweden

Site Status RECRUITING

Salford Royal NHS Foundation Trust

Manchester, MN, United Kingdom

Site Status RECRUITING

St. John's Institute of Dermatology-Guy's & St Thomas' NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

Evelina London Children's Hospital - Guy's & St Thomas' NHS Foundation Trust

London, , United Kingdom

Site Status ACTIVE_NOT_RECRUITING

Southampton General Hospital - University Hospital Southampton NHS Foundation Trust

Southampton, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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United States Australia Belgium Canada Czechia France Germany Italy Japan Netherlands Norway Poland Spain Sweden United Kingdom

Central Contacts

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Clinical Trials Information Desk, To prevent mis-communication,

Role: CONTACT

please e-mail

Other Identifiers

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jRCT2041210146

Identifier Type: REGISTRY

Identifier Source: secondary_id

2021-001831-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MT-7117-A-301

Identifier Type: -

Identifier Source: org_study_id

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