A Study of AG-946 in Participants With Anaemia Due to Lower-Risk Myelodysplastic Syndromes (LR-MDS).

2022-500609-42-00 Protocol AG946-C-002 Therapeutic exploratory (Phase II) Authorised, recruiting

Start 24 Feb 2023 · Status Authorised, recruiting · 8 EU/EEA countries · 28 sites · Protocol AG946-C-002

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruiting
Participants planned 131
Countries 8
Sites 28

Anemia Due to Lower-Risk Myelodysplastic Syndromes

Phase 2a: To establish proof-of-concept (POC) for AG-946 in participants with lower-risk myelodysplastic syndromes (LR-MDS). Phase 2b: To evaluate the effect of AG-946 on transfusion independence (TI) in participants with LR-MDS

Key facts

Sponsor
Agios Pharmaceuticals Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
24 Feb 2023 → ongoing
Decision date (initial)
2023-02-06
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Agios Pharmaceuticals, Inc.

External identifiers

EU CT number
2022-500609-42-00
WHO UTN
U1111-1281-5849
ClinicalTrials.gov
NCT05490446

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Dose response, Pharmacodynamic, Therapy, Safety, Efficacy, Pharmacokinetic, Diagnosis

Phase 2a: To establish proof-of-concept (POC) for AG-946 in participants with lower-risk myelodysplastic syndromes (LR-MDS).
Phase 2b: To evaluate the effect of AG-946 on transfusion independence (TI) in participants with LR-MDS

Secondary objectives 2

  1. Phase 2a: 1. To evaluate the safety of AG-946 2. To evaluate the effect of AG-946 on additional measures of anemia 3. To evaluate the effect of AG-946 on transfusion burden (participants with LTB only) 4. To evaluate the pharmacokinetics of AG-946, 5.To evaluate the effect of AG-946 on pharmacodynamic biomarkers.
  2. Phase 2b: 1. To evaluate the safety of AG-946 2. To evaluate the effect of AG-946 on anemia 3. To evaluate the effect of AG-946 on additional measures of transfusion burden 4. To evaluate the pharmacokinetics of AG-946 5. To evaluate the effect of AG-946 on pharmacodynamic biomarkers

Conditions and MedDRA coding

Anemia Due to Lower-Risk Myelodysplastic Syndromes

VersionLevelCodeTermSystem organ class
20.0 LLT 10002272 Anemia 10005329
21.1 PT 10028533 Myelodysplastic syndrome 100000004864

Study design 10 periods

#TitleAllocationBlindingRoles blindedArms
1 Phase 2a Screening
Participant eligibility will be determined during the Screening Period.The Investigator will confirm each participant’s eligibility before enrollment. Screening extensions will not be granted.
Not Applicable None
2 Phase 2b End of Study
The end of the study is defined as the time at which all participants complete all study visits, are lost to follow-up, have withdrawn consent for further participation in the study, or when the Sponsor terminates the study. Study completion is the date of the last visit of the last participant in the study. A participant in the Phase 2b part of the study is considered to have completed the study if they have completed the last visit shown in the Phase 2b schedule of assessments.
Not Applicable None
3 Phase 2a Core
Eligible participants will receive 5 mg AG-946 for QD oral administration.
Not Applicable None
4 Phase 2a Extension
Participants who complete the 16-week Core Period will be eligible to continue receiving the same dose of AG-946 for up to 156 weeks in the Extension Period.
Not Applicable None
5 Phase 2a Safety Follow up
Participants will receive a visit approximately 4 weeks after the last dose of study drug
Not Applicable None
6 Phase 2a End of Study
The end of the study is defined as the time at which all participants complete all study visits, are lost to follow-up, have withdrawn consent for further participation in the study, or when the Sponsor terminates the study. Study completion is the date of the last visit of the last participant in the study. A participant in the Phase 2a part of the study is considered to have completed the study if they have completed the last visit shown in the Phase 2a schedule of assessments .
Not Applicable None
7 Phase 2b Screening
Participant eligibility will be determined during the Screening Period. The Investigator will confirm each participant’s eligibility before enrollment. Screening extensions will not be granted.
Not Applicable None
8 Phase 2b Core Period
Eligible participants will receive 10 mg QD AG-946 (Dose Level 1), 15 mg QD AG-946 (Dose Level 2), or 20 mg QD AG-946 (Dose Level 3) for QD oral administration.
Not Applicable None Dose level 1: 10 mg QD of AG-946
Dose level 2: 15 mg QD of AG-946
Dose level 3: 20 mg QD of AG-946
9 Phase 2b Extension
At the discretion of the Investigator, participants who complete the 24-week Core Period will be eligible to continue receiving the same dose of AG-946 for up to 156 weeks in the Extension Period. Intrapatient dose escalation up to 20 mg QD may be considered.
Not Applicable None Dose level 1: 10 mg QD of AG-946
Dose level 2: 15 mg QD of AG-946
Dose level 3: 20 mg QD of AG-946
10 Phase 2b Safety Follow Up
Participants will receive a visit approximately 4 weeks after the last dose of study drug
Not Applicable None

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2020-000691-38 A Phase 1 Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AG-946 in Healthy Volunteers and in Subjects with Sickle Cell Disease, Estudio de fase 1 para evaluar la seguridad, tolerabilidad, farmacocinética y farmacodinámica de AG-946 en voluntarios sanos y sujetos con anemia de células falciformes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Phase 2a: 1. At least 18 years of age at the time of providing informed consent 2. Documented diagnosis of MDS according to World Health Organization (WHO) classification, that meets IPSS-R classification of lowerrisk disease (risk score: ≤3.5) and <5% blasts as determined by the participant’s bone marrow biopsy/aspirate during the Screening Period 3. Nontransfused or with LTB, based on transfusion history from the participant’s medical record, according to revised IWG 2018 criteria: a. NTD: <3 RBC units in the 16-week period before administration of the first dose of study drug and no transfusions in the 8-week period before administration of the first dose of study drug, or b. LTB: 3 to 7 RBC units in the 16-week period before administration of the first dose of study drug and <4 RBC units in the 8-week period before administration of the first dose of study drug 4. An Hb concentration <11.0 g/dL during the 4-week Screening Period 5. Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0, 1, or 2 6. If taking iron chelation therapy, the iron chelation therapy dose must have been stable and started ≥56 days before administration of the first dose of study drug 7. Women of childbearing potential (WOCBP) must be abstinent of sexual activities that may result in pregnancy as part of their usual lifestyle or agree to use a highly effective method of contraception from the time of providing informed consent throughout the study and for 28 days after the last dose of study drug; if the highly effective method of contraception is hormonal contraception, then an acceptable barrier method must also be used. Men with partners who are WOCBP must be abstinent of sexual activities that may result in pregnancy as part of their usual lifestyle or agree to use a condom from the time of providing informed consent throughout the study and for 28 days after the last dose of study drug. 8. Written informed consent from the participant before any study-related procedures are conducted and willing to comply with all study procedures for the duration of the study
  2. Phase 2b: 1. At least 18 years of age at the time of providing informed consent 2. Documented diagnosis of MDS according to WHO classification, that meets IPSS-R classification of lower-risk disease (risk score: ≤3.5) and <5% blasts as determined by the participant’s bone marrow biopsy/aspirate during the Screening Period 3. With LTB or HTB, based on transfusion history from the participant’s medical record according to revised IWG 2018 criteria: a. LTB: 3 to 7 RBC units from at least 2 transfusion episodes in the 16-week period before administration of the first dose of study drug AND <4 RBC units in the 8-week period before administration of the first dose of study drug, or b. HTB: ≥8 RBC units in the 16-week period before administration of the first dose of study drug AND ≥4 RBC units in the 8-week period before administration of the first dose of study drug If a participant’s transfusion burden does not fall into either the LTB or HTB category, as defined per IWG 2018 criteria, then the transfusion burden will be categorized based on their transfusion history in the 16-week period before administration of the first dose of study drug. 4. Pretransfusion Hb concentration available for a minimum of 2 and at least half (50%) of the transfusions received in the 16-week period before administration of the first dose of study drug 5. An Hb concentration <10.0 g/dL during the 4-week Screening Period 6. Up to 2 prior therapies including erythropoiesis-stimulating agents (ESAs) (eg, erythropoietin [EPO], EPO + granulocyte colony-stimulating factor [G-CSF]) and/or luspatercept 7. ECOG Performance Status score of 0, 1, or 2 8. If taking iron chelation therapy, the iron chelation therapy dose must have been stable and started ≥56 days before administration of the first dose of study drug 9. WOCBP must be abstinent of sexual activities that may result in pregnancy as part of their usual lifestyle or agree to use a highly effective method of contraception from the time of providing informed consent throughout the study and for 28 days after the last dose of study drug; if the highly effective method of contraception is hormonal contraception, then an acceptable barrier method must also be used. Men with partners who are WOCBP must be abstinent of sexual activities that may result in pregnancy as part of their usual lifestyle or agree to use a condom from the time of providing informed consent throughout the study and for 28 days after the last dose of study drug. 10. Written informed consent from the participant before any study-related procedures are conducted and willing to comply with all study procedures for the duration of the study

Exclusion criteria 22

  1. 1.Known history of acute myeloid leukemia
  2. 18.Known allergy to AG-946 or its excipients (silicified microcrystalline cellulose, croscarmellose sodium, sodium stearyl fumarate, and the Opadry® II Blue film coat [polyvinyl alcohol, titanium dioxide, macrogol/polyethylene glycol, talc, FD&C blue #2/indigo carmine aluminum lake/E132])
  3. 19.Pregnant or breastfeeding
  4. 13.Absolute neutrophil count <500/μL (0.5 × 109/L)
  5. 20.Any medical, hematologic, psychological, or behavioural condition(s) or prior or current therapy that, in the opinion of the Investigator, may confer an unacceptable risk to participating in the study and/or could confound the interpretation of the study data
  6. 10.For any malignancy, except MDS: History of malignancy (active or treated) ≤5 years before providing informed consent, except for no melanomatous skin cancer in situ, cervical carcinoma in situ, or breast carcinoma in situ.
  7. 2.Secondary MDS, defined as MDS that is known to have arisen as a result of chemical injury or treatment with chemotherapy and/or radiation for other diseases
  8. Phase 2a: 3. Prior exposure to a pyruvate kinase activator, and/or disease-modifying agents for underlying MDS: • Immunomodulatory drugs (IMiDs) such as lenalidomide at the Investigator’s discretion and in consultation with the Medical Monitor, participants who received ≤1 week of treatment with IMiDs may not be excluded, provided their last dose was ≥8 weeks before administration of the first dose of study drug. • Hypomethylating agents (HMAs); at the Investigator’s discretion and in consultation with the Medical Monitor, participants who received ≤2 doses of HMAs may not be excluded, provided that their last dose was ≥8 weeks before administration of the first dose of study drug • Isocitrate dehydrogenase (IDH) inhibitors • Immunosuppressive therapy (IST) • Allogeneic or autologous stem cell transplant
  9. 4.Currently receiving treatment with luspatercept, EPO, or G-CSF. Treatment with EPO or G-CSF must have been stopped for ≥28 days before administration of the first dose of study drug; treatment with luspatercept must have been stopped for ≥65 days before administration of the first dose of study drug (phase 2a) or randomization (phase 2b).
  10. 15.Nonfasting triglyceride concentration >500 mg/dL
  11. 16.Receiving inhibitors of P-glycoprotein that have not been stopped for ≥5 days or a time frame equivalent to 5 half-lives (whichever is longer) before administration of the first dose of study drug
  12. 6.History of hepatobiliary disorders, as defined by: a. Serum AST >2.5 × ULN (unless due to hemolysis and/or hepatic iron deposition) and ALT >2.5 × ULN (unless due to hepatic iron deposition) b. Serum bilirubin >ULN, if the elevation is associated with clinically symptomatic choledocholithiasis, cholecystitis, biliary obstruction, or hepatocellular disease
  13. 5.History of active and/or uncontrolled cardiac or pulmonary disease within 6 months before providing informed consent, including but not limited to: a.New York Heart Association Class III or IV heart failure or clinically significant dysrhythmia. b.Myocardial infarction, unstable angina pectoris, or unstable hypertension; high risk thrombosis; hemorrhagic, embolic, or thrombotic stroke; deep venous thrombosis; or pulmonary or arterial embolism c.Heart rate–corrected QT interval using Fridericia’s method of ≥470 milliseconds for female participants and ≥450 milliseconds for male participants, except for right or left bundle branch block d.Severe pulmonary fibrosis as defined by severe hypoxia, evidence of right-sided heart failure, and radiographic pulmonary fibrosis >50% e.Severe pulmonary hypertension as defined by severe symptoms associated with hypoxia, right-sidedheart failure, and oxygen indicated
  14. Phase 2b: 21. Known clinically significant anemia due to iron, vitamin B12, or folate deficiencies, autoimmune or hereditary hemolytic anemia, hypothyroidism, or any type of known clinically significant bleeding.
  15. 7. Renal dysfunction, as defined by an estimated glomerular filtration rate (eGFR) <45mL/min/1.73 m2
  16. 8.Active infection requiring systemic antimicrobial therapy at the time of providing informed consent. If antimicrobial therapy is required during the Screening Period, screening procedures should not be performed while antimicrobial therapy is being administered, and the last dose of antimicrobial therapy must be administered ≥7 days before administration of the first dose of study drug
  17. 14.Platelet count ≤75,000/μL (75 × 109/L) during Screening; platelet transfusions within 28 days before or during Screening
  18. 9.Major surgery within 12 weeks before administration of the first dose of study drug. Participants must have completely recovered from any previous surgery before administration of the first dose of study drug.
  19. 11. Positive test for hepatitis C virus antibodywith evidence of active HCV infection, or positive test for hepatitis B surface antigen (HBsAg)
  20. 12.Positive test for HIV-1 Ab or HIV-2 Ab
  21. 17.Current enrolment or past participation (within 4 weeks or a time frame equivalent to 5half-lives of the investigational study drug before administration of the first dose of study drug or, whichever is longer) in any other clinical study involving an investigational treatment or device
  22. Phase 2b: 3. Prior exposure to a pyruvate kinase activator, including exposure to AG-946 in the Phase 2a part of this study, and/or disease-modifying agents for underlying MDS: • Imetelstat; at the Investigator’s discretion and in consultation with the Medical Monitor, participants who received ≤2 doses of imetelstat may not be excluded, provided that their last dose was ≥8 weeks before administration of the first dose of study drug • IMiDs such as lenalidomide; at the Investigator’s discretion and in consultation with the Medical Monitor, participants who received ≤1 week of treatment with IMiDs may not be excluded, provided their last dose was ≥8 weeks before administration of the first dose of study drug • HMAs; at the Investigator’s discretion and in consultation with the Medical Monitor, participants who received ≤2 doses of HMAs may not be excluded, provided that their last dose was ≥8 weeks before administration of the first dose of study drug • IDH inhibitors • IST • Allogeneic or autologous stem cell transplant

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Phase 2a 1. Hemoglobin (Hb) response, defined as a≥1.5-g/dL increase from baseline in the average Hb concentration from Week 8 through Week16 2 Transfusion independence (TI), defined as transfusion-free for ≥8consecutive weeks during the Core Period (participants with low transfusion burden [LTB] only)
  2. Phase 2b Transfusion independence, defined as transfusion-free for ≥8 consecutive weeks (TI8) during the Core Period

Secondary endpoints 7

  1. Phase 2a: 1. AEs, SAEs, discontinuations due to AEs, and laboratory abnormalities during the Core Period 2. Hb 1.0+ response, defined as a≥1.0-g/dL increase from baseline in the average Hb concentration from Week 8through Week16 3. Change from baseline in Hb concentration during the Core Period
  2. Phase 2a: 4. ≥1.5-g/dL increase from baseline in the Hb concentration at ≥2 consecutive time points from Week 8 through Week 16 5. Change from baseline in total transfused red blood cell (RBC) units during the Core Period 6. ≥50% reduction in total transfused RBC units for ≥8 consecutive weeks during the Core Period compared with baseline
  3. Phase 2a: 7. Plasma concentration and pharmacokinetic parameters of AG-946 during the Core Period 8. Whole blood concentrations of pharmacodynamic parameters, including 2,3-diphosphoglycerate (2,3-DPG) and adenosine triphosphate (ATP) during the Core Period
  4. Phase 2b: 1. AEs, SAEs, discontinuations due to AEs, and laboratory abnormalities during the Core Period 2. Change from baseline in Hb concentration during the Core Period 3. Change from baseline in total transfused RBC units from Week 8 through Week 24
  5. Phase 2b: 4. ≥50% reduction in total transfused RBC units for ≥8 consecutive weeks during the Core Period compared with baseline (participants with high transfusion burden [HTB] only) 5. Time to first TI8 during the Core Period 6. Transfusion-free for ≥12 consecutive weeks (TI12)during the Core Period
  6. Phase 2b: 7. ≥50% reduction in total transfused RBC units for ≥12 consecutive weeks during the Core Period compared with baseline (participants with HTB only) 8. Time to first TI12 during the Core Period 9. Duration of TI, defined as the longest transfusion-free period during the Core Period
  7. Phase 2b: 10. Plasma concentration and pharmacokinetic parameters of AG-946 during the Core Period 11. Whole blood concentrations of pharmacodynamic parameters, including 2,3-DPG and ATP during the Core Period

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

AG-946

PRD10509078 · Product

Active substance
AG-946
Pharmaceutical form
COATED TABLET
Route of administration
ORAL
Max daily dose
20 mg milligram(s)
Max total dose
25200 mg milligram(s)
Max treatment duration
180 Week(s)
Authorisation status
Not Authorised
MA holder
AGIOS PHARMACEUTICALS
Paediatric formulation
No
Orphan designation
No

AG-946

PRD9469412 · Product

Active substance
AG-946 Phosphate
Pharmaceutical form
COATED TABLET
Route of administration
ORAL
Max daily dose
20 mg milligram(s)
Max total dose
25200 mg milligram(s)
Max treatment duration
180 Week(s)
Authorisation status
Not Authorised
MA holder
AGIOS PHARMACEUTICALS
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Agios Pharmaceuticals Inc.

Sponsor organisation
Agios Pharmaceuticals Inc.
Address
88 Sidney Street
City
Cambridge
Postcode
02139-4137
Country
United States

Scientific contact point

Organisation
Agios Pharmaceuticals Inc.
Contact name
Scientific Communications

Public contact point

Organisation
Agios Pharmaceuticals Inc.
Contact name
Scientific Communications

Third parties 25

OrganisationCity, countryDuties
Millmount Healthcare Limited
ORG-100011724
Stamullen, Ireland Code 14
PPD Global Central Labs (S) Pte Ltd
ORG-100041754
Singapore, Singapore Laboratory analysis
Transperfect Translations International Inc.
ORG-100043494
New York, United States Other
Centogene GmbH
ORG-100043695
Rostock, Germany Other, Laboratory analysis
Neogenomics Laboratories Inc.
ORG-100041804
Aliso Viejo, United States Other, Laboratory analysis
Neogenomics Laboratories Inc.
ORG-100041804
Houston, United States Other, Laboratory analysis
PPD Global Ltd.
ORG-100007531
Marousi, Greece Code 10, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, Code 8, Code 9
QPS LLC
ORG-100012847
Newark, United States Other, Laboratory analysis
Fortrea Inc.
ORG-100012602
Durham, United States Other
PPD International Holdings LLC
ORG-100007655
Zaventem, Belgium Laboratory analysis
Suvoda LLC
ORG-100043523
Conshohocken, United States Interactive response technologies (IRT)
Molecular Pathology Laboratory Network Inc.
ORG-100047681
Maryville, United States Other, Laboratory analysis
PPD
ORG-100029763
Copenhagen S, Denmark Code 10, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, Code 8, Code 9
Xogene Services LLC
ORG-100042779
Englewood, United States Other
Endpoint And Outcomes Research LLC
ORG-100044473
Boston, United States Other
Pharmaceutical Product Development LLC
ORG-100016999
Highland Heights, United States Laboratory analysis
Riverark Limited
ORG-100026657
London, United Kingdom Code 9
CGC Centro De Genetica Clinica E Patalogia S.A.
ORG-100044796
Porto, Portugal Other
Verasafe LLC
ORG-100044685
Washington, United States Other
QPS LLC
ORG-100012847
Newark, United States Other, Laboratory analysis
Quest Diagnostics Nichols Institute
ORG-100012789
San Juan Capistrano, United States Other, Laboratory analysis
Scout Clinical
ORG-100042228
Dallas, United States Other
Neogenomics Inc.
ORG-100044076
Fort Myers, United States Other, Laboratory analysis
Veeva Systems Inc.
ORG-100006053
Pleasanton, United States E-data capture
Intrinsic Lifesciences LLC
ORG-100044000
La Jolla, United States Other, Laboratory analysis

Locations

8 EU/EEA countries · 28 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ended 4 2
Czechia Ended 3 2
France Ended 8 3
Germany Ended 6 1
Greece Ended 8 4
Italy Ongoing, recruitment ended 10 6
Poland Ongoing, recruitment ended 25 2
Spain Ongoing, recruitment ended 14 8
Rest of world
United Kingdom, United States, Israel, Turkey, Australia, Korea, Republic of
53

Investigational sites

Austria

2 sites · Ended
Ordensklinikum Linz GmbH
Interne 1 - Hämatologie mit Stammzelltransplantation, Hämostaseologie und medizinische Onkologie, Fadingerstraße 1, 4020, Linz
Medical University Of Vienna
Clinical Department of Hematology and Haemostasiology, Waehringer Guertel 18-20, Alsergrund, Vienna

Czechia

2 sites · Ended
Vseobecna Fakultni Nemocnice V Praze
1st Medical Department, Karlovo Namesti 554 32, 120 00, Prague 2
University Hospital Ostrava
Department of Haematooncology, 17 Listopadu 1790 5, 708 00, Ostrava Poruba

France

3 sites · Ended
Assistance Publique Hopitaux De Marseille
HÉMATOLOGIE ET THÉRAPIE CELLULAIRE, 144 Rue Saint Pierre, 13005, Marseille
Hopital Saint Louis
Service d'Hématologie Senior, 1 Avenue Claude Vellefaux, 75010, Paris
Centre Hospitalier Universitaire D Angers
Hématologie, 4 Rue Larrey, 49933, Angers Cedex 9

Germany

1 site · Ended
Universitaetsklinikum Duesseldorf AöR
Klink für Hämatologie, Onkologie und Klinische Immunologie, Moorenstraße 5, Bilk, Düsseldorf

Greece

4 sites · Ended
Democritus University Of Thrace
Hematology department, Building 5, Dragana Campus, Alexandroupolis
Ippokratio General Hospital Of Thessaloniki
Hematology Unit, 2nd Clinic of Internal Medicine, Konstadinoupoleos 49, 546 42, Thessaloniki
University General Hospital Attikon
Hematology Unit of 2nd Propaedeutic Internal Medicine Clinic, Rimini Street 1, 124 62, Athens
General University Hospital Of Patras
Hematology Unit – Clinic of Internal Medicine, Rio, 265 04, Patras

Italy

6 sites · Ongoing, recruitment ended
Humanitas Research Hospital
Sezione Leucemia e Mielodisplasia, Via Alessandro Manzoni 56, 20089, Rozzano
Fondazione IRCCS Policlinico San Matteo
Ematologia, Viale Camillo Golgi 19, 27100, Pavia
Azienda Ospedaliera Ordine Mauriziano Di Torino
Dipartimento di Scienze Cliniche e Biologiche, Via Ferdinando Magellano 1, 10128, Turin
Grande Ospedale Metropolitano Bianchi Melacrino Morelli
U.O.C. di Ematologia, Viale Europa, 89133, Reggio Calabria
Azienda Ospedaliera Policlinico Universitario Tor Vergata
Dipartimento di Biomedicina e Prevenzione, Viale Oxford 81, 00133, Rome
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Ematologia, Via Francesco Sforza 28, 20122, Milan

Poland

2 sites · Ongoing, recruitment ended
Pratia S.A.
Department of Hematology and Cancer Prevention, Ul. Ligocka 103, 40-568, Katowice
Pratia Hematologia Sp. z o.o.
n/a, Ul. Ligocka 103, 40-568, Katowice

Spain

8 sites · Ongoing, recruitment ended
University Hospital Virgen Del Rocio S.L.
Hematología, Avenida De Manuel Siurot S/n, 41013, Sevilla
Catalan Institute Of Oncology
N/A, Avinguda Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Universitario De Salamanca
Instituto de Investigación Biomédica de Salamanca, Paseo De San Vicente 58-182, 37007, Salamanca
Hospital Universitario Hm Sanchinarro
Hematología y Hemoterapia, Calle Ona 10, 28050, Madrid
Hospital Universitario Reina Sofia
Hematología, Avenida Menendez Pidal S/n, 14004, Cordoba
Hospital Universitari Vall D Hebron
Hematology Unit, IOB Institute of Oncology, Passeig De La Vall D Hebron 119-129, 08035, Barcelona
Hospital Universitario La Paz
Servicio de Hematologia, Paseo Castellana 261, 28046, Madrid
Catalan Institute Of Oncology
Hematologia Clinica, Carretera Canyet S/n, 08916, Badalona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2023-06-01 2024-05-21
Czechia 2023-03-22 2024-05-21
France 2023-02-27 2026-02-18 2024-10-31 2025-09-29
Germany 2023-04-28 2025-09-30 2025-01-14 2025-09-29
Greece 2023-03-31 2025-11-18 2023-04-05 2025-09-29
Italy 2023-03-15 2023-03-21 2025-09-29
Poland 2023-03-06 2023-03-20 2025-09-29
Spain 2023-02-24 2023-04-26 2025-09-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 95 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) AG946-C-002_IRB Screen Report_Austria 1.0
Protocol (for publication) AG946-C-002_IRB Screen Report_Czech Republic 1.0
Protocol (for publication) AG946-C-002_IRB Screen Report_France 1.0
Protocol (for publication) AG946-C-002_IRB Screen Report_Germany 1.0
Protocol (for publication) AG946-C-002_IRB Screen Report_Greece 1.0
Protocol (for publication) AG946-C-002_IRB Screen Report_Italy 1.0
Protocol (for publication) AG946-C-002_IRB Screen Report_Poland 1.0
Protocol (for publication) AG946-C-002_IRB Screen Report_Poland 1.0
Protocol (for publication) AG946-C-002_IRB Screen Report_Spain 1.0
Protocol (for publication) Agios_AG 946-C-002_Placebo Rationale Statement_ForPub n/a
Protocol (for publication) D1_Agios_AG946-C-002 Protocol SOC_2022-500609-42-00_Public amd 3
Protocol (for publication) D1_Agios_AG946-C-002_Protocol_2022-500609-42-00_GR_Public amd 3
Protocol (for publication) D1_Agios_AG946-C-002_Protocol_2022-500609-42-00_Public amd 3
Recruitment arrangements (for publication) AG946-C-002_Additional-Document_FR_ForPub 1
Recruitment arrangements (for publication) AG946-C-002_Recruitment arrangements_GRC_English_PI_Kotsianidis_ForPub N/A
Recruitment arrangements (for publication) AG946-C-002_Recruitment arrangements_GRC_English_PI_Pappa_ForPub N/A
Recruitment arrangements (for publication) AG946-C-002_Recruitment arrangements_GRC_English_PI_Symeonidis_ForPub N/A
Recruitment arrangements (for publication) AG946-C-002_Recruitment arrangements_GRC_English_PI_Vlachaki_ForPub N/A
Recruitment arrangements (for publication) AG946-C-002_Recruitment_Arrangements_EU_v1_0 1.0
Recruitment arrangements (for publication) AG946-C-002_Recruitment-and-Informed-consent-procedure_EU_v1 1
Recruitment arrangements (for publication) AG946-C-002_Recruitment-Arrangements_FRA_French_ 1
Recruitment arrangements (for publication) AG946-C-002_Recruitment-Informed-consent-procedure_EU_ForPub 1
Recruitment arrangements (for publication) EU-CTR-PartII_Recruitment and Informed consent procedure template_ NA
Recruitment arrangements (for publication) K1_AG946-C-002_GP-Letter_IT_Italian_Public 3.0
Subject information and informed consent form (for publication) AG946-C-002 Scout_email_communication_GRC_Greek_ForPub 1.0
Subject information and informed consent form (for publication) AG946-C-002 ScoutPass Reloadable_Guide_GRC_Greek_ForPub 1.0
Subject information and informed consent form (for publication) AG946-C-002_ Firma_ICF_PHASE_2A_2B_GRC_English_ForPub 2.0
Subject information and informed consent form (for publication) AG946-C-002_ Firma_ICF_PHASE_2A_2B_GRC_Greek_ForPub 2.0
Subject information and informed consent form (for publication) AG946-C-002_Email Scout_IT 1
Subject information and informed consent form (for publication) AG946-C-002_ePRO_IRB-Screen-Report_PL_Polish_ForPub 1.0
Subject information and informed consent form (for publication) AG946-C-002_Firma ICF PHASE 2A-2B_DE_German 2.0
Subject information and informed consent form (for publication) AG946-C-002_Firma-Home-Visits-Phase-2a-2b-ICF_FRA_French_ 2.1
Subject information and informed consent form (for publication) AG946-C-002_Firma-ICF-Phase2a-2b_PL_Polish_ForPub 2.0
Subject information and informed consent form (for publication) AG946-C-002_IRB Screen Report_GRC_Greek_ForPub_opt 1.0
Subject information and informed consent form (for publication) AG946-C-002_IRB-Screen-Report_IT 1
Subject information and informed consent form (for publication) AG946-C-002_IRBScreenReport_FRA_French_ 1
Subject information and informed consent form (for publication) AG946-C-002_Main Initial ICF_Phase 2a_DE_German_ForPub_final 2.0
Subject information and informed consent form (for publication) AG946-C-002_Patient Drug Diary_Ph2a_FRA_French 1
Subject information and informed consent form (for publication) AG946-C-002_Patient Drug Diary_Ph2a_GRC_Greek_ForPub 1.0
Subject information and informed consent form (for publication) AG946-C-002_Patient Drug Diary_Ph2b_FRA_French 1
Subject information and informed consent form (for publication) AG946-C-002_Patient Drug Diary_Ph2b_GRC_Greek_ForPub 1.0
Subject information and informed consent form (for publication) AG946-C-002_Patient_Card_GRC_Greek_ForPub 2.1.0
Subject information and informed consent form (for publication) AG946-C-002_Patient-Card_PL_Polish_ForPub 2.0.0
Subject information and informed consent form (for publication) AG946-C-002_Patient-Drug-Diary_Ph2a 1
Subject information and informed consent form (for publication) AG946-C-002_Patient-Drug-Diary_Ph2b 1
Subject information and informed consent form (for publication) AG946-C-002_Patient-Drug-Diary-Phase2a_PL_Polish_ForPub 1.0
Subject information and informed consent form (for publication) AG946-C-002_Patient-Drug-Diary-Phase2b_PL_Polish_ForPub 1.0
Subject information and informed consent form (for publication) AG946-C-002_Ph-2a-2b-Home-Visits-ICF_ES_Spanish_v2_0 2.0
Subject information and informed consent form (for publication) AG946-C-002_Phase2a-Main-ICF_FR_French_ForPub 2.1
Subject information and informed consent form (for publication) AG946-C-002_PregPrtner-ICF_FR_French_ForPub 2.0
Subject information and informed consent form (for publication) AG946-C-002_Scout-Email-Communication_PL_Polish_ForPub 1.0
Subject information and informed consent form (for publication) AG946-C-002_Scout-ICF_Phase-2a-2b_IT_ForPub 1
Subject information and informed consent form (for publication) AG946-C-002_Scout-Pass_PL_Polish_ForPub N/A
Subject information and informed consent form (for publication) AG946-C-002_Scout-Pass-Reloadable_PL_Polish_ForPub 1.0
Subject information and informed consent form (for publication) AG946-C-002_ScoutEmailComm_FRA_French 1
Subject information and informed consent form (for publication) AG946-C-002_ScoutPass_Prepaid_mastercard_GRC_Greek_ForPub N/A
Subject information and informed consent form (for publication) AG946-C-002_ScoutReimbursmentForm_FRA_French 3
Subject information and informed consent form (for publication) Agios_AG946-C-002_Poland Clarification for HHS_PL_ForPub n/a
Subject information and informed consent form (for publication) L1_AG946-C-002_Exit-ICF_DE_German_forPub 2.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Firma-ICF-PHASE-2A-2B_DE_German_tracked_changes_forPub 2.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Future-Research-ICF_DE_German_Public 2.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main ICF Phase 2A_GRC_English_ForPub 4.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main ICF Phase 2A_GRC_Greek_ForPub 5.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main ICF Phase 2B_GRC_English_ForPub 4.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main ICF Phase 2B_GRC_Greek_ForPub 5.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main- ICF-Phase2b_DE_German_Public 5.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main-ICF_Phase-2a_PL_Polish_ForPub 5.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main-ICF_Phase-2b_PL_Polish_ForPub 5.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main-ICF-Phase 2B_FRA_FR_ForPub 5.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main-ICF-Phase-2a_ES_Spanish_ForPub 5.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main-ICF-Phase-2a_IT_Italian_Clean_Public 4.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main-ICF-Phase-2b_ES_Spanish_ForPub 5.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main-ICF-Phase-2b_IT_Italian_Clean_Public 5.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Main-Initial-ICF_Phase2a_DE_German_tracked_changes_forPub 2.0
Subject information and informed consent form (for publication) L1_AG946-C-002_PP-ICF_Phase-2a-2b_IT_Italian_ForPub 3.0
Subject information and informed consent form (for publication) L1_AG946-C-002_PP-ICF_Phase-2a-2b_PL_Polish_Public 3.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Pregnancy-and-newborn-ICF_ES_Spanish_ForPub 2.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Pregnant Partner Study Participant ICF_GRC_English_ForPub 3.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Pregnant Partner Study Participant ICF_GRC_Greek_ForPub 3.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Pregnant-Partner- ICF-PH 2A-2B-DE_German_Public 2.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Privacy-ICF_IT_Italian_ForPub 2.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Reimbursement Vendor ICF_PHASE 2A-2B_FRA_FR_Public 3.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Reimbursement-Vendor-ICF_ES_Spanish_clean_Public 3.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Reimbursement-Vendor-ICF_PL_Polish_clean_Public 3.0
Subject information and informed consent form (for publication) L1_AG946-C-002_Reimbursement-Vendor-ICF-PHASE-2A-2B_DE_German_clean_Public 3.0
Subject information and informed consent form (for publication) L2_AG946-C-002_ Reimbursement Vendor Agreement Form_GRC_Greek_clean_Public 3.0
Subject information and informed consent form (for publication) L2_AG946-C-002_ Scout Clinical Agreement Form_GRC_English_Public 2.0
Subject information and informed consent form (for publication) L2_AG946-C-002_PatientCard_FRA_FR_Public 2.0.0
Subject information and informed consent form (for publication) L2_AG946-C-002_PatientCard_IT_Italian_Clean_Public 2.0.0
Synopsis of the protocol (for publication) D1_Agios_AG946-C-002 Protocol Synopsis_2022-500609-42-00_Public amd 3
Synopsis of the protocol (for publication) D1_Agios_AG946-C-002_Protocol-synopsis_2022-500609-42-00_ES_Spanish_Public amd 3
Synopsis of the protocol (for publication) D1_Agios_AG946-C-002_Protocol-Synopsis_2022-500609-42-00_FRA_French_Public amd 4
Synopsis of the protocol (for publication) D1_Agios_AG946-C-002_Protocol-Synopsis_2022-500609-42-00_GR_Greek_Public amd 3
Synopsis of the protocol (for publication) D1_Agios_AG946-C-002_Protocol-Synopsis_2022-500609-42-00_IT_Italian_Public amd 3
Synopsis of the protocol (for publication) D1_Agios_AG946-C-002_Protocol-Synopsis_2022-500609-42-00_PL_Polish_Public amd 3

Application history

16 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-09-30 Spain Acceptable with conditions
2023-01-19
2023-01-23
2 SUBSTANTIAL MODIFICATION SM-1 2023-02-07 Acceptable with conditions 2023-03-08
3 NON SUBSTANTIAL MODIFICATION NSM-1 2023-03-08 2023-03-08
4 NON SUBSTANTIAL MODIFICATION NSM-4 2023-03-08 Spain 2023-03-08
5 NON SUBSTANTIAL MODIFICATION NSM-5 2023-03-30 2023-03-30
6 SUBSTANTIAL MODIFICATION SM-3 2023-09-22 Spain Acceptable
2023-12-21
2023-12-21
7 NON SUBSTANTIAL MODIFICATION NSM-8 2024-01-11 Acceptable
2023-12-21
2024-01-11
8 SUBSTANTIAL MODIFICATION SM-4 2024-01-12 Acceptable 2024-04-19
9 SUBSTANTIAL MODIFICATION SM-5 2024-06-14 Spain Acceptable
2024-09-23
2024-09-23
10 NON SUBSTANTIAL MODIFICATION NSM-9 2025-02-11 Spain Acceptable
2024-09-23
2025-02-11
11 SUBSTANTIAL MODIFICATION SM-14 2025-02-27 Acceptable 2025-03-20
12 SUBSTANTIAL MODIFICATION SM-13 2025-02-28 Acceptable 2025-05-05
13 SUBSTANTIAL MODIFICATION SM-15 2025-02-28 Acceptable 2025-04-02
14 SUBSTANTIAL MODIFICATION SM-16 2025-02-28 Acceptable 2025-04-24
15 SUBSTANTIAL MODIFICATION SM-17 2025-02-28 Spain Acceptable 2025-03-21
16 SUBSTANTIAL MODIFICATION SM-18 2025-09-05 Spain Acceptable
2025-11-04
2025-11-04