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Deferasirox dispersible

Phase 2

Chronic Iron Overload Due to Transfusion-dependant Anemias | Small molecule | Hematology |Novartis AG|Last Updated: Jul 25, 2017

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
RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment173
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02125877Phase II Study to Investigate the Benefits of an Improved Deferasirox Formulation (Film-coated Tablet)PHASE2 COMPLETED 173Jul 8, 2014Feb 24, 2016Jul 25, 201751 United States, Argentina +14
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Study Endpoints
Primary Endpoints
Overall Safety as Measured by Frequency of Adverse Events
28 weeks

The percentage of participants with adverse events, serious adverse events and deaths was assessed.

Overall Safety as Measured by Changes in Laboratory Values From Baseline
baseline (BL), 30 weeks

The percentage of participants with post-baseline laboratory values meeting specified criteria for notable/extended range was assessed. The following laboratory parameters were measured: platelet count, absolute neutrophils, serum creatinine , creatinine clearance, urinary protein/urinary creatinine ratio, alanine aminotransferase (ALT) and aspartate aminotransferase (AST). Note that within data categories, creat = creatinine, cons = consecutive, ULN = upper limit of normal and urin = urinary.

Secondary Endpoints
Frequency of Selected Gastro-intestinal (GI) Adverse Events
28 weeks
Mean Domain Scores of the Modified Satisfaction With Iron Chelation Therapy (Modified SICT)
weeks 2, 3, 13 and 24 (end of treatment or within 7 days of last dose)
Palatability Questionnaire Score
weeks 2, 3, 13 and 24 (end of treatment or within 7 days of last dose)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Deferasirox dispersible tablet (DFX-DT)ACTIVE_COMPARATORIron chelation naïve participants received DFX-DT 20 mg/kg/day once daily orally from weeks 1 - 4. After week 4, the dose could be adjusted by +/- 5 to 10 mg/kg/day, with a maximum dose of 40 mg/kg/day. Iron chelation pre-treated participants were supposed to start on a dose that was equivalent to their pre-washout dose.
Deferasirox film-coated tablet (DFX-FCT)EXPERIMENTALParticipants received DFX-FCT 14 mg/kg/day once daily orally from weeks 1 - 4. After week 4, the dose could be adjusted by +/- 3.5 to 7 mg/kg/day, with a maximum dose of 28 mg/kg/day. Iron chelation pre-treated participants were supposed to start on a dose that was equivalent to their pre-washout dose
Interventions
NameTypeDescription
Deferasirox dispersible tabletDRUGDeferasirox DT was provided as 125 mg, 250 mg and 500 mg dispersible tablets for oral use.
Defearisox film-coated tabletDRUGDeferasirox FCT was provided as 90 mg, 180 mg and 360 mg film-coated tablets for oral use.
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Eligibility Criteria
Age Range10 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites51

Key Inclusion Criteria: * Male and female patients aged ≥ 10 years * Patients with transfusion-dependent thalassemia and iron overload, requiring deferasirox DT at doses of ≥ 30 mg/kg/day as per the investigator's decision OR Patients with very low, low or intermediate (int) risk myelodysplastic sy...

Countries:United StatesArgentinaAustriaFranceGermanyGreeceItalyLebanonMalaysiaMexicoRussiaSaudi ArabiaSpainThailandUnited Arab EmiratesUnited Kingdom
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