Low Risk Myelodysplastic Syndrome, Non-transfusion-dependent Thalassemia
Conditions
Brief summary
The primary purpose of this study is to determine the safety and tolerability of SLN124 for the treatment of non-transfusion-dependent (NTD) β-thalassaemia and low risk myelodysplastic syndrome.
Interventions
IMP will be provided as a solution to be injected by qualified clinical staff in patient's abdomen, upper arms or front of the thighs.
Sponsors
Study design
Intervention model description
Multiple Group Assignment
Eligibility
Inclusion criteria
* Age ≥ 18yrs; BMI 18-35 kg/m2 * β-thalassaemia intermedia or compound heterozygous HbE/β-thalassaemia * Non-transfusion dependent: ≤ 5 units red cells in last 6 months and transfusion-free for ≥8 weeks * Hb between 5 & 11 g/dL * Ferritin \> 250 µg/L and /or liver iron ≥ 3mg Fe/g dry weight and TSAT \>40%
Exclusion criteria
* Haemoglobin S/β-thalassaemia, homozygous β-0 thalassaemia or α thalassaemia * ALT/AST \> 1.5 x upper limit normal or cirrhosis * eGFR \< 60 mL/min/1.73m2 * Platelets \<100 or \> 1000 x 109/L * Untreated B12/folate deficiency * Iron chelation therapy unless stable for ≥8 weeks * Daily NSAID, therapeutic dose anticoagulant, ESA ≤12 weeks or stable dosing of hydroxyurea ≤ 6 months * Significant cardiac disease (MI in 6 months, NYHA class III-IV heart failure, long QT) * HIV or active hepatitis B/C or malignancy within 5 year
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| # of participants with all AEs as assessed by CTCAE V4.0 included injection site reaction, will be measured from baseline to post dose follow up | Up to two months |
| 12 lead electrocardiogram parameters included PR, QTcF and QTcB will be measured from baseline to post dose follow up | Up to two months |
| clinical chemistry, haematology, urinalysis, liver function tests (included ALT, AST, GGT) will be measured from baseline to post dose follow up | Up to two months |
| height, weight, blood pressure, heart rate, respiration rate and temperature will be measured from baseline to post dose follow up | Up to two months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biomarkers will be measured from baseline to post dose follow up | Up to two months | serum hepcidin level (ng/ml), ferritin level (ug/L), Transferrin saturation (%), iron level (umol/L), haemoglobin and reticulocyte count will be analysed by central laboratory. |
| Pharmacokinetic of SLN124 in plasma from baseline to post dose follow up | Up to two months | Peak Plasma Concentration (Cmax) will be analysed by central laboratory. |
Countries
Bulgaria, United Kingdom