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DISC-1459

Phase 3

Erythropoietic Protoporphyria (EPP) | Small molecule | Rare Disease |Disc Medicine, Inc.|Last Updated: Sep 2, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment183

FDA Designations

No designations recorded

Clinical trial landscape

DISC-1459 · 3 trials · 3 indications

Phase 3 1Phase 2 2
NCT06910358Study of Bitopertin in Participants With EPP or XLP (APOLLO)Erythropoietic Protoporphyria (EPP)
ACTIVE NOT_RECRUITING183 Analytics
PHASE3ACTIVE NOT_RECRUITING
Study of Bitopertin in Participants With EPP or XLP (APOLLO)
Erythropoietic Protoporphyria (EPP)Unlock trial analytics

Study Endpoints

Primary Endpoints

Average monthly total time in sunlight on days without pain from a phototoxic reaction between 10:00 to 18:00 (10:00 AM to 6:00 PM) after 6 months (24 weeks) of treatment
24 weeks
Percent change from baseline in whole-blood metal-free PPIX levels at 6 months
24 weeks
Safety and tolerability, as assessed by adverse events (AEs) and laboratory results, over the 6-month treatment period
24 weeks
Incidence of treatment-emergent adverse events
up to 5 Years
Incidence of clinically abnormal vital signs
up to 5 Years
Incidence of clinically abnormal physical exam
up to 5 Years
Incidence of abnormal laboratory test results
up to 5 Years
Assessment of Patient Health Questionnaire (PHQ-8)
up to 5 Years

The Patient Health Questionnaire (PHQ-8), an 8-item participant-report measure for screening for depression and for establishing depression severity. The total score ranges from 0-24, with a higher score indicating greater depression symptom severity.

Assessment of C-SSRS
up to 5 Years

The C-SSRS is a clinician-rated scale that assesses suicidality from ideation to behaviors and monitors the potential emergence of suicidality in clinical studies.

Percent Change From Baseline in Whole Blood Metal-free PPIX Levels
121 days

Percent change from baseline in PPIX concentration was analyzed using a mixed model repeated measures analysis in the ITT population.

Secondary Endpoints

Occurrence of phototoxic reactions over the 6-month treatment period
24 weeks
Cumulative total time in sunlight on days without pain from a phototoxic reaction between 10:00 to 18:00 (10:00 AM to 6:00 PM) over the 6-month (24-week) treatment period
24 weeks
Change from baseline in 2-week average daily sunlight exposure time (minutes) to first prodromal symptom (eg, burning, tingling, itching, or stinging) associated with sunlight exposure between 1 hour post-sunrise and 1 hour pre-sunset at 6 months
24 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATOR -
DISC-1459 oral doseEXPERIMENTAL -
DISC-1459 Oral Dose Level 1EXPERIMENTALOral dose, once a day
DISC-1459 Oral Dose Level 2EXPERIMENTALOral dose, once a day

Interventions

NameTypeDescription
PlaceboDRUGOral dose, once a day for 24 weeks
DISC-1459DRUGOral dose, once a day for 24 weeks
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: 1. Aged 12 years or older at the time of study consent. 2. Diagnosis of EPP or XLP, based on medical history by ferrochelatase (FECH) or aminolevulinic acid synthase 2 (ALAS2) genotyping or by biochemical porphyrin analysis. 3. Minimum daily Sun Exposure Diary compliance ≥85% on...

Countries:United StatesAustraliaBelgiumCanadaFranceGermanyIrelandItalyNetherlandsSpainSwedenUnited Kingdom
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Recent Changes (Last 90 Days)

LOWSep 2, 2026NCT05883748lastUpdatePostDate: changed
LOWSep 2, 2026NCT06910358lastUpdatePostDate: changed
LOWSep 2, 2026NCT05883748lastUpdatePostDate: changed
LOWSep 2, 2026NCT06910358lastUpdatePostDate: changed
LOWSep 2, 2026NCT05883748lastUpdatePostDate: changed
LOWSep 2, 2026NCT06910358lastUpdatePostDate: changed
LOWAug 21, 2026NCT05883748lastUpdatePostDate: changed
LOWAug 21, 2026NCT06910358lastUpdatePostDate: changed
LOWAug 21, 2026NCT05883748lastUpdatePostDate: changed
LOWAug 21, 2026NCT06910358lastUpdatePostDate: changed
LOWAug 12, 2026NCT05883748lastUpdatePostDate: changed
LOWAug 12, 2026NCT06910358lastUpdatePostDate: changed
LOWAug 12, 2026NCT05883748lastUpdatePostDate: changed
LOWAug 12, 2026NCT06910358lastUpdatePostDate: changed
LOWAug 3, 2026NCT06910358lastUpdatePostDate: changed
LOWJul 30, 2026NCT06910358lastUpdatePostDate: changed
LOWJul 30, 2026NCT06910358lastUpdatePostDate: changed
LOWJul 24, 2026NCT05883748lastUpdatePostDate: changed
LOWJul 24, 2026NCT05883748lastUpdatePostDate: changed
LOWJul 13, 2026NCT05883748lastUpdatePostDate: changed

Frequently asked questions about DISC-1459

What is DISC-1459 used for?

DISC-1459, also known as bitopertin, is an investigational small molecule being developed for erythropoietic protoporphyria (EPP), a rare genetic disorder characterized by severe photosensitivity. It is also being studied in X-linked protoporphyria (XLP). The drug is currently in Phase 2 and Phase 3 clinical trials.

What does DISC-1459 target?

DISC-1459 is a small molecule that targets the glycine transporter GlyT1. By inhibiting this transporter, it aims to reduce the production of protoporphyrin IX (PPIX), the photosensitizing molecule that accumulates in patients with erythropoietic protoporphyria and causes painful skin reactions to light.

Who makes DISC-1459?

DISC-1459 is being developed by Disc Medicine, Inc., a biopharmaceutical company focused on hematologic diseases. The company's stock trades under the ticker symbol IRON on the NASDAQ exchange.

What phase is DISC-1459 in?

DISC-1459 is in Phase 2 and Phase 3 clinical development. It has completed a Phase 2 trial (NCT05308472) and is currently in an open-label extension study (NCT05883748). A Phase 3 trial called APOLLO (NCT06910358) is active but not recruiting participants.

What clinical trials is DISC-1459 in?

DISC-1459 has been studied in three clinical trials. A completed Phase 2 trial (NCT05308472) evaluated safety and PPIX concentrations in 75 adults with EPP. The HELIOS extension study (NCT05883748) is enrolling 230 participants with EPP or XLP. The Phase 3 APOLLO trial (NCT06910358) is active with 183 participants.

Is DISC-1459 the same as bitopertin?

Yes, DISC-1459 is the same as bitopertin. The drug is referred to by both names in clinical trial records. Bitopertin was originally developed for other indications but is now being investigated by Disc Medicine for erythropoietic protoporphyria and X-linked protoporphyria.