The purpose of this research study is to evaluate the safety of two doses of FBS0701, a new oral iron chelator, and its effectiveness in clearing iron from the liver. FBS0701 is a medication taken by mouth that causes the body to get rid of iron. Iron chelators are used in patients with β-thalassemia and other forms of anemia who experience iron overload - iron increases in the body as a result of regularly required blood transfusions. Patients who qualify will be randomized to receive one of two doses of FBS0701 for up to 24 weeks (6 months) with a total study duration of up to 33 weeks. These patients will be eligible to participate in a dosing extension for up to 72 weeks. The maximum duration of dosing will be up to 96 weeks. The safety of patients will be monitored frequently during the study by physical exams, ECGs, and blood tests. To assess the amount of iron in the liver and heart, each patient must undergo 6 MRI scans during the study. Patients will not need to stay in the hospital for this study but will need to visit the outpatient clinic up to 28 times over the 96 week period. Patients currently taking an iron chelator will be required to stop for a total of up to 26 weeks. The results of this study will help to determine if FBS0701 may be effective as an iron chelator.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
51
Oral FBS0701 taken one time daily for up to 96 weeks.
Children's Hospital and Research Center of Oakland
Oakland, California, United States
Children's Hospital of Boston
Boston, Massachusetts, United States
Ospedale Regionale Microcitemie
Cagliari, Italy
Centro della Microcitemia e delle Anemie Congenite
Genoa, Italy
Thalassemia Center San Luigi Hospital
Orbassano, Italy
Siriraj Hospital, Mahidol University
Bangkok, Thailand
Pediatric Hematology, Ege University Hospital
Izmir, Turkey (Türkiye)
University College London Hospital
London, United Kingdom
Whittington Hospital
London, United Kingdom
Change From Baseline in Liver Iron Concentration (LIC) at 96 Weeks
LIC was determined by R2 Magnetic Resonance Imaging (MRI).
Time frame: Baseline and 96 weeks
Maximum Plasma Concentration (Cmax) of SPD602
Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administered.
Time frame: 92 weeks
Area Under The Steady-state Plasma Concentration-time Curve (AUC) of SPD602
AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure of how much and how long a drug stays in a body.
Time frame: 92 weeks
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