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Mezagitamab

Phase 3

Immune Thrombocytopenic Purpura (ITP) | Small molecule | Hematology |Takeda Pharmaceutical Company Limited|Last Updated: Jul 15, 2026

Success Probability
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment321
FDA Designations
No designations recorded
Clinical trial landscape

Mezagitamab · 5 trials · 4 indications

Phase 3 3Phase 2 1Phase 1 1
NCT06948318A Follow-up Study of Mezagitamab in Adults With Chronic Primary Immune ThrombocytopeniaImmune Thrombocytopenic Purpura (ITP)
RECRUITING150 Analytics
NCT06963827A Study of Mezagitamab in Adults With Kidney Condition Called IgA NephropathyKidney Disease
RECRUITING347 Analytics
NCT06722235A Study of Mezagitamab in Adults With Chronic Primary Immune ThrombocytopeniaImmune Thrombocytopenic Purpura (ITP)
RECRUITING171 Analytics
PHASE3RECRUITING
A Follow-up Study of Mezagitamab in Adults With Chronic Primary Immune Thrombocytopenia
Immune Thrombocytopenic Purpura (ITP)Unlock trial analytics
PHASE3RECRUITING
A Study of Mezagitamab in Adults With Kidney Condition Called IgA Nephropathy
Kidney DiseaseUnlock trial analytics
PHASE3RECRUITING
A Study of Mezagitamab in Adults With Chronic Primary Immune Thrombocytopenia
Immune Thrombocytopenic Purpura (ITP)Unlock trial analytics
Study Endpoints
Primary Endpoints
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
Up to approximately 108 weeks

An adverse event (AE) is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of the trial intervention, whether or not the occurrence is considered related to the trial intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of the trial intervention. TEAEs are defined as AEs with start dates at the time of or following the first exposure to mezagitamab in the parent trial for Cohort 1 and in this trial for Cohort 2. A serious TEAE is a TEAE that meets 1 or more of the criteria: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or was otherwise considered medically important.

Number of Participants With TEAEs Leading to Permanent Withdrawal of Mezagitamab
Up to approximately 108 weeks

An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of the trial intervention, whether or not the occurrence is considered related to the trial intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of the trial intervention. TEAEs are defined as AEs with start dates at the time of or following the first exposure to mezagitamab in the parent trial for Cohort 1 and in this trial for Cohort 2.

Change from Baseline in Proteinuria at Week 36
From Baseline to Week 36

Proteinuria will be assessed by urine protein to creatinine ratio (UPCR) calculated from a 24-hour urine collection.

Percentage of Participants With Durable Platelet Response
Up to Week 24

Durable platelet response is defined as platelet count greater than or equal to (≥)50,000/microliter (μL) on at least 4 of the 6 weekly platelet measurements between Weeks 19 and 24.

Arms A, B, and C: Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Up to Week 70

An adverse event (AE) is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of the trial intervention, whether or not the occurrence is considered related to the trial intervention. An AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of the trial intervention. TEAEs are defined as AEs with start dates at the time of or following the first exposure to investigational medicinal product (IMP).

Arms A, B, and C: Number of Participants With Related TEAEs
Up to Week 70

A related AE is an AE that is considered related to the IMP. Related TEAEs are defined as related AEs with start dates at the time of or following the first exposure to IMP.

Arms A, B, and C: Number of Participants With Serious Adverse Events (SAEs)
Up to Week 70

An SAE is any untoward medical occurrence that results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity or is a congenital anomaly/birth defect.

Arms A, B, and C: Number of Participants With AEs of Special Interest
Up to Week 70

AEs of special interest are AEs that are considered specific to the IMP.

Arms A, B, and C: Number of Participants With AE Leading to Treatment Discontinuation
Up to Week 70
Arms A, B, and C: Number of Participants With Clinically Significant Abnormal Laboratory Test Results and Vital Signs
Up to Week 70
Main Study: Percentage of Participants With one or More Treatment-emergent Adverse Events (TEAEs), Grade 3 or Higher TEAEs, Serious Adverse Events (SAEs), and Adverse Events (AEs) Leading to Mezagitamab Discontinuation
Up to Week 48

The severity of TEAEs will be graded using National cancer institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.

LTE Observation Period: Percentage of Participants With one or More TEAEs, Grade 3 or Higher TEAEs and SAEs
Up to Week 96

The severity of TEAEs will be graded using NCI-CTCAE version 5.0.

LTE Retreatment Period: Percentage of Participants With one or More TEAEs, SAEs, Grade 3 or Higher TEAEs and AEs leading to Mezagitamab Discontinuation
Retreatment Week 0 to 48

The severity of TEAEs will be graded using NCI-CTCAE version 5.0.

Secondary Endpoints
Duration of Platelet Response
Up to approximately 108 weeks
Duration Between On-Demand Treatment Courses
Up to approximately 108 weeks
Time to Initiation of the First On-Demand Treatment Course
Up to approximately 108 weeks
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
MezagitamabEXPERIMENTALEligible participants who completed the TAK-079-3002 or TAK-079-1004 studies can receive on-demand treatment in this continuation study. The on-demand treatment course may be repeated as needed based on the pre-specified on-demand dosing criteria and investigator's clinical judgement.
PlaceboPLACEBO_COMPARATORParticipants will receive mezagitamab-matching placebo injections, SC for approximately 22 weeks.
Open-label MezagitamabEXPERIMENTALParticipants will receive mezagitamab injections, SC for approximately 22 weeks.
Arm A: Mezagitamab + PlaceboEXPERIMENTALParticipants will receive mezagitamab up to Week 24, followed by placebo up to Week 48, followed by an observation period up to Week 70.
Arm B: MezagitamabEXPERIMENTALParticipants will receive mezagitamab up to Week 48, followed by an observation period up to Week 70.
Arm C: PlaceboACTIVE_COMPARATORParticipants will receive placebo up to Week 48, followed by an observation period up to Week 70.
Interventions
NameTypeDescription
MezagitamabDRUGMezagitamab injection administered SC.
PlaceboDRUGMezagitamab-matching placebo injections administered SC.
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites109

* Key Inclusion Criteria: 1\. The participant has completed TAK-079-3002 (end of trial \[EOT\]) or TAK-079-1004 (EOT). Participants from TAK-079-1004 must have had a response to mezagitamab as demonstrated by meeting the criteria for "platelet response" specified for that trial during either the ...

Countries:United StatesAustraliaBulgariaChinaCroatiaGreeceHong KongItalyJapanNetherlandsPolandSouth KoreaSpainTurkey (Türkiye)United KingdomArgentinaAustriaCanadaCzechiaFranceGermanyHungaryMalaysiaNorwaySingaporeSloveniaSwedenSwitzerlandTaiwan
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Recent Changes (Last 90 Days)
LOWJul 15, 2026NCT06963827lastUpdatePostDate: changed
LOWJul 15, 2026NCT06963827lastUpdatePostDate: changed
LOWJul 10, 2026NCT06948318lastUpdatePostDate: changed
LOWJul 10, 2026NCT06722235lastUpdatePostDate: changed
LOWJul 10, 2026NCT06948318lastUpdatePostDate: changed
LOWJul 10, 2026NCT06722235lastUpdatePostDate: changed
LOWJul 6, 2026NCT06963827lastUpdatePostDate: changed
LOWJul 6, 2026NCT06963827lastUpdatePostDate: changed
MEDIUMJul 2, 2026NCT05174221TRIAL_REMOVED: changed
MEDIUMJul 2, 2026NCT05174221TRIAL_REMOVED: changed
MEDIUMJul 2, 2026NCT05174221TRIAL_REMOVED: changed
MEDIUMJul 2, 2026NCT05174221TRIAL_REMOVED: changed
LOWJun 24, 2026NCT06963827lastUpdatePostDate: changed
LOWJun 24, 2026NCT06963827lastUpdatePostDate: changed
LOWJun 12, 2026NCT06722235lastUpdatePostDate: changed
LOWJun 12, 2026NCT06963827lastUpdatePostDate: changed
LOWJun 12, 2026NCT06722235lastUpdatePostDate: changed
LOWJun 12, 2026NCT06963827lastUpdatePostDate: changed
LOWJun 5, 2026NCT06948318lastUpdatePostDate: changed
LOWJun 5, 2026NCT06948318lastUpdatePostDate: changed