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PTG-300

Phase 3FDA approved

Hereditary Hemochromatosis | Small molecule | Rare Disease |Protagonist Therapeutics, Inc.|Trials Updated: Aug 20, 2025

PTG-300 development status

FDA approval on record Aug 28, 2026
Highest phase Phase 3 (NCT05210790)
Phase scored for PTGXPhase 2
Registered trials 9 across 2 sponsors since Jan 2019

PTG-300 target and mechanism

Molecular targethepcidin
Target classMimetic
ModalitySmall molecule

Also known as Rusfertide

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials7
Total Enrollment542

FDA Designations

No designations recorded

PTG-300 clinical trials

PTG-300 · 7 trials · 5 indications

Phase 3 2Phase 2 5
NCT06033586Study to Evaluate the Long-term Safety of Rusfertide (PTG-300) in Subjects With Polycythemia VeraPolycythemia Vera
ACTIVE NOT_RECRUITING46 Analytics
NCT05210790A Phase 3 Study of Rusfertide in Patients With Polycythemia VeraPolycythemia Vera
ACTIVE NOT_RECRUITING293 Analytics
PHASE3ACTIVE NOT_RECRUITING
Study to Evaluate the Long-term Safety of Rusfertide (PTG-300) in Subjects With Polycythemia Vera
Polycythemia VeraUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Phase 3 Study of Rusfertide in Patients With Polycythemia Vera
Polycythemia VeraUnlock trial analytics

Study Endpoints

Primary Endpoints

Hematocrit
0-2 years

Median hematocrit

Phlebotomies
0-2 years

Number of phlebotomies

Proportion of subjects achieving a response who receive rusfertide compared to placebo.
Week 20 through Week 32

Response is defined as absence of phlebotomy eligibility.

Evaluate PTG-300's efficacy in subjects with PV and baseline elevated hematocrit.
Estimate the proportion of subject with a hematocrit less than 45% at Week 16

Proportion of subjects with hematocrit \<45%

Effect of PTG-300 on Transferrin Saturation
Week 24 (or End of Treatment if treated for less than 24 weeks)

Change from Baseline to Week 24 (or End of Treatment) in transferrin saturation (TSAT) as measured by blood laboratory tests.

Effect of PTG-300 on Serum Iron
Week 24 (or End of Treatment if treated for less than 24 weeks)

Change from Baseline to Week 24 (or End of Treatment) in serum iron as measured by blood laboratory tests.

Proportion of responders during the blinded randomized withdrawal period (Week 29 to Week 41).
12 weeks

A subject will be considered a responder during the blinded randomized withdrawal phase if hematocrit control is maintained without phlebotomy eligibility. "Phlebotomy eligibility" is defined as any one of the following criteria being met: * hematocrit ≥45% that was ≥3% higher than Week 29 pre-randomization hematocrit value, or * hematocrit \>48%, or * an increase of ≥5% in hematocrit compared to Week 29 pre-randomization hematocrit value.

Proportion of subjects with side effects and severity of side effects will be tabulated
Over two year Period after receiving PTG-300

the long-term safety and tolerability of PTG-300 in Beta Thalassemia.

NTD: Proportion of responders at each dose
4 week period

NTD subjects who achieve an increase in Hgb without transfusion

TD: Proportion of clinical responders at each dose
8 week period

TD subjects who achieve a reduction in red blood cell (RBC) units required over an 8 week period

Secondary Endpoints

Comparison of mean number of phlebotomies between rusfertide and placebo.
Week 0 to Week 32
Proportion of subjects with HCT values <45% for rusfertide and placebo.
Week 0 to Week 32
Comparison mean change from baseline in total fatigue score based on PROMIS Short Form between rusfertide and placebo.
Week 32
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Open-label rusfertideEXPERIMENTALOpen-label rusfertide
RusfertideEXPERIMENTALRusfertide (32 Weeks) - Rusfertide (124 Weeks Open-label)
PlaceboEXPERIMENTALPlacebo (32 Weeks) - Rusfertide (124 Weeks Open-label)
PTG-300EXPERIMENTALEvaluate PTG-300's efficacy and safety in subjects with PV and baseline elevated hematocrit.
Dose finding PTG-300 (Part 1); PTG-300 (Part 2); Open label extension PTG-300 (Part 3)EXPERIMENTAL -
Dose finding PTG-300 (Part 1); Placebo (Part 2); Open label extension PTG-300 (Part 3)EXPERIMENTAL -
InterventionsEXPERIMENTALPTG-300
PTG-300 ActiveEXPERIMENTALDrug: PTG-300 Subcutaneous

Interventions

NameTypeDescription
Open-label rusfertideDRUGsubcutaneous rusfertide
PlaceboDRUGPlacebo
RusfertideDRUGExperimental drug
PTG-300DRUGHepcidin mimetic
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Subject who has completed at least 12 months of dosing with rusfertide and successfully completed the end of treatment visit of a previous Phase 2 study of rusfertide. * Subject understands the study procedures, is willing and able to adhere to study requirements and agrees to...

Countries:United StatesAustraliaAustriaBelgiumCanadaChileCzechiaFranceGermanyHong KongHungaryIsraelItalyMexicoNetherlandsPolandPortugalSpainTurkey (Türkiye)United KingdomMalaysiaSouth KoreaIndiaGreeceLebanonThailandTunisia
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Frequently asked questions about PTG-300

What is PTG-300 used for?

PTG-300 is an investigational small molecule being developed for rare blood disorders, specifically hereditary hemochromatosis, polycythemia vera, and beta-thalassemia. It is designed to address conditions involving iron overload and ineffective red blood cell production. The drug is currently in Phase 2 clinical development and has not been approved by any regulatory agency.

How does PTG-300 work?

PTG-300 is a hepcidin mimetic. Hepcidin is a hormone that regulates iron absorption and distribution in the body. By mimicking hepcidin, PTG-300 aims to reduce iron overload and modulate erythropoiesis in conditions such as hereditary hemochromatosis, polycythemia vera, and beta-thalassemia.

Who is developing PTG-300?

PTG-300 is being developed by Protagonist Therapeutics, Inc., a biopharmaceutical company traded on the Nasdaq under the ticker symbol PTGX. The company focuses on discovering and developing peptide-based therapeutics for hematology and other diseases.

What phase is PTG-300 in?

PTG-300 is in Phase 2 clinical development. It has completed two Phase 2 trials, and no active trials are currently listed. The drug remains investigational and has not been approved for any indication.

What clinical trials is PTG-300 in?

PTG-300 has been evaluated in completed Phase 2 trials, including NCT04767802 in polycythemia vera, NCT04202965 in hereditary hemochromatosis, NCT04057040 (REVIVE) in polycythemia vera, and NCT04054921 in beta-thalassemia. These trials enrolled a total of 97 participants across multiple countries.