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Trial ยท NCT01604941

Pharmacokinetics of SSP-004184 in the Treatment of Chronic Iron Overload Requiring Chelation Therapy

NCT01604941, Phase 2, Terminated, Shire; results first posted 2015-08-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Pharmacokinetics of SSP-004184 in the Treatment of Chronic Iron Overload Requiring Chelation Therapy. Trials, record NCT01604941. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01604941

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Pharmacokinetics of SSP-004184 in the Treatment of Chronic Iron Overload Requiring Chelation Therapy
NCT number
NCT01604941
Status
Terminated
Phases
Phase 2
Enrollment
32 participants, actual
Lead sponsor
Shire
Conditions
Iron Overload Due to Repeated Red Blood Cell Transfusions
Interventions
SPD602
First posted
2012-05-24
Last updated
2021-06-29
Other registries' IDs
eudract:2011-005675-16
Results first posted
2015-08-17
Limitations and caveats
This study was terminated due to treatment stop resulting in an inability to draw conclusions from the data. Evaluation of nonclinical rat findings is ongoing.

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in Liver Iron Concentration (LIC) as Assessed by FerriScan R2 Magnetic Resonance Imaging (MRI)Baseline, 12 and 24 weeks
The efficacy of SPD602 was assessed by determining LIC. Abdominal MRI data were collected by using FerriScan R2 standard procedures and used to determine LIC. A negative change from baseline indicates that LIC decreased. Early Termination was within the protocol defined visit date +/- 14 days window and was mapped to next scheduled MRI visit for 3 participants.
PrimaryChange From Baseline in LIC Adjusted by Transfusional Iron Intake And Assessed by FerriScan R2 MRIBaseline, 12 and 24 weeks
The efficacy of SPD602 was assessed by determining LIC and adjusting for transfusional iron intake. Abdominal MRI data were collected by using FerriScan R2 standard procedures and used to determine LIC. A negative change from baseline indicates that LIC decreased. For participants who had a blood transfusion on the MRI exam date, the blood transfusion done immediately prior to the MRI exam date was included in the calculation of daily transfusion intake. Early Termination was within the protocol defined visit date +/- 14 days window and was mapped to next scheduled MRI visit for 3 participants.
SecondaryChange From Baseline in LIC as Assessed by R2* MRIBaseline, 12 and 24 weeks
The efficacy of SPD602 was assessed by determining LIC. Abdominal MRI data were collected by using R2\* standard procedures (liver and pancreas) and used to determine LIC. A negative change from baseline indicates that LIC decreased. Early Termination was within the protocol defined visit date +/- 14 days window and was mapped to next scheduled MRI visit for 3 participants.
SecondaryChange From Baseline in LIC Adjusted by Transfusional Iron Intake And Assessed by R2* MRIBaseline, 12 and 24 weeks
The efficacy of SPD602 was assessed by determining LIC and adjusting for transfusional iron intake. Abdominal MRI data were collected by using R2\* standard procedures (liver and pancreas) and used to determine LIC. A negative change from baseline indicates that LIC decreased. For participants who had a blood transfusion on the MRI exam date, the blood transfusion done immediately prior to the MRI exam date was included in the calculation of daily transfusion intake. Early Termination was within the protocol defined visit date +/- 14 days window and was mapped to next scheduled MRI visit for 3 participants.
SecondaryChange From Baseline in Cardiac T2* Relaxation Rate, an MRI Parameter Used to Estimate Cardiac Iron LoadBaseline, 12 and 24 weeks
The efficacy of SPD602 was assessed by estimating cardiac iron load. T2\* data from cardiac MRI were collected by using standard procedures and used as an estimate of cardiac iron load. T2\* is an MR relaxation parameter that is reported in milliseconds. Iron within a tissue decreases homogeneity of the magnetic field and shortens the T2\* relaxation rate (Anderson, 2001). Low cardiac T2\* values are associated with increased risk of heart failure (Kirk, 2009). A negative change from baseline in the T2\* relaxation rate indicates that iron load increased. Early Termination was within the protocol defined visit date +/- 14 days window and was mapped to next scheduled MRI visit for 3 participants.
SecondaryChange From Baseline in Serum FerritinBaseline, 8 and 16 weeksSerum ferritin levels were determined from serum biochemistry analyses. A negative change from baseline indicates that serum ferritin decreased.
SecondaryNumber of Participants Classified as a Responder by FerriScan R2 MRI Analysis of LIC12 and 24 weeks
A responder was defined as a participant whose observed liver iron concentration (LIC) at the measured time point was less than the baseline value. LIC was assessed by abdominal MRI with the FerriScan R2 according to standard procedures. Early Termination was within the protocol defined visit date +/- 14 days window and was mapped to next scheduled MRI visit for 3 participants.
SecondaryNumber of Participants Classified as a Responder by FerriScan R2 MRI Analysis of LIC Adjusted For Transfusional Iron Intake12 and 24 weeks
A responder was defined as a participant whose observed liver iron concentration (LIC) at the measured time point was less than the baseline value. LIC was assessed by abdominal MRI with the FerriScan R2 according to standard procedures, and the results were adjusted for transfusional iron intake. Early Termination was within the protocol defined visit date +/- 14 days window and was mapped to next scheduled MRI visit for 3 participants. For participants who had a blood transfusion on the MRI exam date, the blood transfusion done immediately prior to the MRI exam date was included in the calculation of daily transfusion intake.
SecondaryNumber of Participants Classified as a Responder by R2* MRI Analysis of LIC12 and 24 weeks
A responder was defined as a participant whose observed liver iron concentration (LIC) at the measured time point was less than the baseline value. LIC was assessed by abdominal MRI with the R2\* according to standard procedures (liver and pancreas). Early Termination was within the protocol defined visit date +/- 14 days window and was mapped to next scheduled MRI visit for 3 participants.
SecondaryNumber of Participants Classified as a Responder by R2* MRI Analysis of LIC Adjusted For Transfusional Iron Intake12 and 24 weeks
A responder was defined as a participant whose observed liver iron concentration (LIC) at the measured time point was less than the baseline value. LIC was assessed by abdominal MRI with the R2\* according to standard procedures (liver and pancreas), and the results were adjusted for transfusional iron intake. Early Termination was within the protocol defined visit date +/- 14 days window and was mapped to next scheduled MRI visit for 3 participants. For participants who had a blood transfusion on the MRI exam date, the blood transfusion done immediately prior to the MRI exam date was included in the calculation of daily transfusion intake.

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in Liver Iron Concentration (LIC) as Assessed by FerriScan R2 Magnetic Resonance Imaging (MRI)Baseline, 12 and 24 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
mg Fe/g*dwMEAN
SECONDARYChange From Baseline in LIC as Assessed by R2* MRIBaseline, 12 and 24 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
mg Fe/g*dwMEAN
SECONDARYChange From Baseline in LIC Adjusted by Transfusional Iron Intake And Assessed by R2* MRIBaseline, 12 and 24 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
mg Fe/g*dwMEAN
SECONDARYChange From Baseline in Cardiac T2* Relaxation Rate, an MRI Parameter Used to Estimate Cardiac Iron LoadBaseline, 12 and 24 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
millisecondsMEAN
SECONDARYChange From Baseline in Serum FerritinBaseline, 8 and 16 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
ng/mLMEAN
PRIMARYChange From Baseline in LIC Adjusted by Transfusional Iron Intake And Assessed by FerriScan R2 MRIBaseline, 12 and 24 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
mg Fe/g*dwMEAN
SECONDARYNumber of Participants Classified as a Responder by FerriScan R2 MRI Analysis of LIC12 and 24 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
participantsNUMBER
SECONDARYNumber of Participants Classified as a Responder by FerriScan R2 MRI Analysis of LIC Adjusted For Transfusional Iron Intake12 and 24 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
participantsNUMBER
SECONDARYNumber of Participants Classified as a Responder by R2* MRI Analysis of LIC12 and 24 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
participantsNUMBER
SECONDARYNumber of Participants Classified as a Responder by R2* MRI Analysis of LIC Adjusted For Transfusional Iron Intake12 and 24 weeks
The Full Analysis Set, defined as all participants in the Safety Set who had at least 1 post-baseline primary efficacy assessment. The Safety Set was defined as all participants who had taken at least 1 BID dose of investigational product.
participantsNUMBER

Results by group44

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Liver Iron Concentration (LIC) as Assessed by FerriScan R2 Magnetic Resonance Imaging (MRI)SPD602 50 mg/kg/dWeek 12, n=5,10-3.4Standard Deviation 6.4mg Fe/g*dw
Change From Baseline in Liver Iron Concentration (LIC) as Assessed by FerriScan R2 Magnetic Resonance Imaging (MRI)All Participants With BID DosingWeek 12, n=5,10-3.8Standard Deviation 5.0mg Fe/g*dw
Change From Baseline in Liver Iron Concentration (LIC) as Assessed by FerriScan R2 Magnetic Resonance Imaging (MRI)SPD602 50 mg/kg/dWeek 24, n=1,2-5.3Standard Deviation NAmg Fe/g*dw
Change From Baseline in Liver Iron Concentration (LIC) as Assessed by FerriScan R2 Magnetic Resonance Imaging (MRI)All Participants With BID DosingWeek 24, n=1,2-2.1Standard Deviation 4.5mg Fe/g*dw
Change From Baseline in LIC as Assessed by R2* MRISPD602 50 mg/kg/dWeek 12, n=5,9-3.2Standard Deviation 2.3mg Fe/g*dw
Change From Baseline in LIC as Assessed by R2* MRIAll Participants With BID DosingWeek 12, n=5,9-3.2Standard Deviation 2.1mg Fe/g*dw
Change From Baseline in LIC as Assessed by R2* MRISPD602 50 mg/kg/dWeek 24, n=1,2-2.4Standard Deviation NAmg Fe/g*dw
Change From Baseline in LIC as Assessed by R2* MRIAll Participants With BID DosingWeek 24, n=1,2-3.3Standard Deviation 1.3mg Fe/g*dw
Change From Baseline in LIC Adjusted by Transfusional Iron Intake And Assessed by R2* MRISPD602 50 mg/kg/dWeek 12, n=5,9-6.0Standard Deviation 4.5mg Fe/g*dw
Change From Baseline in LIC Adjusted by Transfusional Iron Intake And Assessed by R2* MRIAll Participants With BID DosingWeek 12, n=5,9-6.2Standard Deviation 3.2mg Fe/g*dw

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSPD602 50mg/mg/Day Twice Daily Dosing (BID)11
Overall StudySTARTEDSPD602 75mg/kg/Day Twice Daily Dosing (BID)4
Overall StudySTARTEDSPD602 50mg/kg/Day Once (QD) Then Twice Daily Dosing (BID)3
Overall StudySTARTEDSPD602 75mg/kg/Day Once (QD) Then Twice Daily Dosing (BID)3
Overall StudySTARTEDSPD602 50mg/kg/Day Once Daily Dosing (QD)4
Overall StudySTARTEDSPD602 75mg/kg/Day Once Daily Dosing (QD)7
Overall StudyCOMPLETEDSPD602 50mg/mg/Day Twice Daily Dosing (BID)0
Overall StudyCOMPLETEDSPD602 75mg/kg/Day Twice Daily Dosing (BID)0
Overall StudyCOMPLETEDSPD602 50mg/kg/Day Once (QD) Then Twice Daily Dosing (BID)0
Overall StudyCOMPLETEDSPD602 75mg/kg/Day Once (QD) Then Twice Daily Dosing (BID)0

Adverse events152

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherParaesthesiaNervous system disordersSPD602 50mg/kg/Day2123
otherParaesthesiaNervous system disordersSPD602 75mg/kg/Day475
otherChromaturiaRenal and urinary disordersSPD602 50mg/kg/Day2122
otherChromaturiaRenal and urinary disordersSPD602 75mg/kg/Day272
otherConstipationGastrointestinal disordersSPD602 50mg/kg/Day1121
otherConstipationGastrointestinal disordersSPD602 75mg/kg/Day374
otherHeadacheNervous system disordersSPD602 50mg/kg/Day2124
otherHeadacheNervous system disordersSPD602 75mg/kg/Day272
otherHypoaesthesiaNervous system disordersSPD602 50mg/kg/Day2124
otherHypoaesthesiaNervous system disordersSPD602 75mg/kg/Day273

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySPD602 50mg/kg/Day
Total, all-cause mortalitySPD602 75mg/kg/Day
Total, other adverse eventsSPD602 50mg/kg/Day912
Total, other adverse eventsSPD602 75mg/kg/Day77
Total, serious adverse eventsSPD602 50mg/kg/Day212
Total, serious adverse eventsSPD602 75mg/kg/Day27

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
SPD602 50mg/kg/Day vs SPD602 75mg/kg/Day: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01604941

GET https://conductscience.org/api/trials/v1/NCT01604941/results?page=2