Overview
Sponsor-declared trial summary
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
- 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.
- 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
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | LLT | 10002272 | Anemia | 10005329 |
| 21.1 | PT | 10028533 | Myelodysplastic syndrome | 100000004864 |
Study design 10 periods
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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 number | Title | Sponsor |
|---|---|---|
| 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
- 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
- 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.Known history of acute myeloid leukemia
- 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])
- 19.Pregnant or breastfeeding
- 13.Absolute neutrophil count <500/μL (0.5 × 109/L)
- 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
- 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.
- 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
- 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
- 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).
- 15.Nonfasting triglyceride concentration >500 mg/dL
- 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
- 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
- 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
- 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.
- 7. Renal dysfunction, as defined by an estimated glomerular filtration rate (eGFR) <45mL/min/1.73 m2
- 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
- 14.Platelet count ≤75,000/μL (75 × 109/L) during Screening; platelet transfusions within 28 days before or during Screening
- 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.
- 11. Positive test for hepatitis C virus antibodywith evidence of active HCV infection, or positive test for hepatitis B surface antigen (HBsAg)
- 12.Positive test for HIV-1 Ab or HIV-2 Ab
- 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
- 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
- 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)
- Phase 2b Transfusion independence, defined as transfusion-free for ≥8 consecutive weeks (TI8) during the Core Period
Secondary endpoints 7
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |