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Deferasirox DFX, DT

Phase 2

Low and Int 1-risk Myelodysplastic Syndrome | Small molecule | Hematology |Novartis AG|Last Updated: Oct 31, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment28
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01868477Combination Study of Deferasirox and Erythropoietin in Patients With Low- and Int-1-risk Myelodysplastic Syndrome.PHASE2 COMPLETED 28Jan 28, 2014Apr 5, 2017Oct 31, 201830 Algeria, Argentina +8
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Study Endpoints
Primary Endpoints
Difference in Percentage of Patients Achieving Erythroid Response Within 12 Weeks, by Treatment Group (Full Analysis Set)
Baseline up to 12 weeks

Difference in percentage of patients achieving an erythroid response within 12 weeks of treatment between the two arms according to modified IWG 2006 criteria increase in hemoglobin (Hb) ≥ 1.5 g/dL. Erythroid response is defined as the increase in Hb from baseline ≥ 1.5 g/dL. Patients achieving erythroid response at least once within 12 weeks were considered responders

Secondary Endpoints
Absolute Change From Baseline to Post-baseline Value for Hemoglobin(g/dL)(Full Analysis Set)
Baseline up to 24 weeks
Summary of Hematologic Improvement in Patients Randomized to EPO+DFX and EPO Alone, Within 24 Weeks of Treatment (Full Analysis Set)
Baseline up to 24 weeks
Absolute Change in Hemoglobin Values up to 24 Weeks
Baseline up to 24 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Erythropoietin alphaEXPERIMENTALPatients will receive erythropoietin 40,000 units/week. If after 4 weeks erythroid improvement is inadequate, dose will be escalated to 60,000 units/week. If after 12 weeks of treatment, erythroid improvement in inadequate, patients will be switched to the combination arm. At any time when erythroid response is achieved, erythropoietin treatment will be stopped until end of study.
Deferasirox + Erythropoietin alphaEXPERIMENTALPatients will receive deferasirox dispersible tablet (DT) 10 mg/kg/day or deferasirox film-coated tablet (FCT) 7 mg/kg/day in combination with erythropoietin 40,000 units/week. If after 4 weeks erythroid improvement is inadequate, erythropoietin dose will be escalated to 60,000 units/week. If after 12 weeks of treatment, erythroid improvement in inadequate, patients will be discontinued from the study. At any time when erythroid response is achieved, erythropoietin treatment will be stopped until end of study. Patients will continue deferasirox treatment.
Interventions
NameTypeDescription
Deferasirox DFX, DTDRUGprovided as dispersible tablets for oral use in 125 and 250, 500 mg
Erythropoietin alphaDRUG -
Deferasirox DFX, FCTDRUGprovided as film-coated tablet for oral use in 90, 180, 360 mg strengths
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites30

Key Inclusion Criteria: * Patients who had low- and Int-1-risk myelodysplastic syndrome * Documented diagnosis of the following: Myelodysplastic syndrome that lasted ≥ 3 months and \< 3 years Disease must not have been secondary to treatment with radiotherapy, chemotherapy, and/or immunotherapy fo...

Countries:AlgeriaArgentinaCanadaChinaGermanyItalySouth KoreaSpainSwedenUnited Kingdom
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Competitive Landscape -Myelodysplastic Syndromes 76 trials
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