The purpose of this study is to evaluate the efficacy and safety of luspatercept (ACE-536) for the treatment of anemia due to Revised International Prognostic Scoring System (IPSS-R) very low, low, or intermediate risk myelodysplastic syndromes (MDS) in Chinese and Japanese participants with ring sideroblasts who require Red Blood Cells (RBC) transfusions.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Specified dose on specified days
Local Institution - 100
Beijing, China
Local Institution - 107
Chengdu, Sichuan, China
Local Institution - 105
Guangzhou, China
Local Institution - 103
Guangzhou, China
Local Institution - 109
Guangzhou, China
Local Institution - 102
Hangzhou, China
Local Institution - 112
Nanchang, China
Local Institution - 108
Nanjing, China
Local Institution - 114
Shanghai, China
Local Institution - 101
Shanghai, China
...and 14 more locations
Red Blood Cell Transfusion Independence (RBC-TI) ≥ 8 weeks
Time frame: Week 1 through Week 24
RBC-TI ≥ 12 weeks
Time frame: Week 1 through Week 24
Reduction in Red Blood Cell (RBC) units transfused over 16 weeks compared to baseline
Time frame: Week 9 through Week 24
Modified hematologic improvement - erythroid (mHI-E) per International Working Group (IWG)
Time frame: Week 1 through Week 24
Mean hemoglobin increase ≥ 1.0 g/dL
Time frame: Week 1 through Week 24
Duration of RBC-TI
Time frame: Week 1 through Week 24
Mean decrease in serum ferritin compared to baseline
Time frame: Week 9 through Week 24
Mean decrease in iron chelation therapy (ICT) use compared to baseline
Time frame: Week 9 through Week 24
Time to RBC-TI
Time frame: Week 1 through Week 24
Progression to acute myeloid leukemia (AML)
Time frame: Cycle1 Day1 (each cycle is 21 days) through at least 3 years post first dose
Overall survival (OS)
Time frame: Cycle1 Day1 (each cycle is 21 days) through at least 3 years post first dose
Incidence of type of adverse events (AEs)
Time frame: Screening through 42 days post last dose
Incidence of frequency of AEs
Time frame: Screening through 42 days post last dose
Incidence of severity of AEs
Time frame: Screening through 42 days post last dose
Incidence of seriousness of AEs
Time frame: Screening through 42 days post last dose
Incidence of relationship of AEs to study treatment
Time frame: Screening through 42 days post last dose
Pharmacokinetics - Area under the curve (AUC)
Time frame: Cycle1 Day1 (each cycle is 21 days) through 1-year post first dose
Pharmacokinetics - Maximum plasma concentration of the drug (Cmax)
Time frame: Cycle1 Day1 (each cycle is 21 days) through 1-year post first dose
Frequency of Anti-drug antibodies (ADA)
Time frame: Cycle1 Day1 (each cycle is 21 days) through 1-year post first dose
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