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Trial · NCT03342404

A Study to Determine the Efficacy and Safety of Luspatercept in Adults With Non Transfusion Dependent Beta (β)-Thalassemia

NCT03342404, Phase 2, Completed, Celgene; results first posted 2021-11-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Determine the Efficacy and Safety of Luspatercept in Adults With Non Transfusion Dependent Beta (β)-Thalassemia. Trials, record NCT03342404. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03342404

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Trial

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

Title
A Study to Determine the Efficacy and Safety of Luspatercept in Adults With Non Transfusion Dependent Beta (β)-Thalassemia
NCT number
NCT03342404
Status
Completed
Phases
Phase 2
Enrollment
145 participants, actual
Lead sponsor
Celgene
Conditions
Thalassemia
Interventions
Luspatercept, Placebo, Best Supportive Care (BSC)
First posted
2017-11-17
Last updated
2023-12-20
Other registries' IDs
eudract:2015-003225-33
Results first posted
2021-11-18

Source ClinicalTrials.gov

Registered outcomes30

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants Achieving Erythroid Response (Week 13 to Week 24)From Week 13 to Week 24 of study treatment
Erythroid Response is defined as an increase from baseline ≥1.0 g/dL in mean of hemoglobin values over a continuous 12-week interval from Weeks 13 to 24 of treatment in the absence of transfusions. Baseline hemoglobin (Hb) is the average of 2 or more Hb measurements at least 1 week apart within 4 weeks prior to Dose 1.
SecondaryMean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Tiredness and Weakness (T/W) Domain Score (Week 13 to Week 24)Baseline and over a continuous 12 week period (from week 13 through week 24)
The NTDT-PRO assesses the severity of anemia-related symptoms with a daily recall of symptoms composed of 6 items: 1. Tiredness (lack of energy) when not doing physical activity 2. Tiredness when doing physical activity 3. Weakness (lack of strength) when not doing physical activity 4. Weakness when doing physical activity 5. Shortness of breath when not doing physical activity 6. Shortness of breath when doing physical activity. The Tiredness/Weakness (T/W) domain score is the average score of items 1 through 4 above. T/W domain score ranges from 0 (best outcome, no tiredness/weakness) to 10 (worst outcome, extreme tiredness/weakness). Weekly T/W Scores are the average of daily scores for that week. The mean of weekly scores over a continuous 12-week period (from Week 13 to Week 24) are compared to the T/W Domain Score at baseline. Baseline is defined as the last value taken on or before the first dose of study drug administered in Week 13.
SecondaryMean Change From Baseline in Hemoglobin Values in the Absence of Transfusion (Week 13 to Week 24)Baseline and over a continuous 12 week period (from week 13 through week 24)
Mean change from baseline in mean of hemoglobin (Hb) values over a continuous 12-week interval from Week 13 to Week 24 in the absence of transfusions. Baseline was defined as the average of 2 or more Hb measurements at least 1 week apart within 4 weeks before Dose 1 Day 1.
SecondaryPercentage of Participants Achieving Erythroid Response (Week 37 to Week 48)Assessed over a continuous 12 week period (from week 37 through week 48)
Erythroid Response is defined as an increase from baseline ≥1.0 g/dL in mean of hemoglobin values over a continuous 12-week interval from Weeks 37 to 48 of treatment in the absence of transfusions. Baseline hemoglobin (Hb) is the average of 2 or more Hb measurements at least 1 week apart within 4 weeks prior to Dose 1.
SecondaryMean Change From Baseline in Mean Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Fatigue Subscale Score (Week 13 to Week 24)Baseline and over a continuous 12 week period (from week 13 through week 24)
The FACIT-F is a multidimensional, self-report quality of life instrument which includes the Functional Assessment of Cancer Therapy - General (FACT-G) questionnaire (27 items over 4 different domains), and the Fatigue subscale (FS) component (13 items). FACIT-F version 4 has been used for this study. For the Fatigue subscale, each of the 13 items is scored from 0 ("not at all") to 4 ("very much"). The scores from individual items are summed to generated the final FS score, which ranges from 0 (best outcome) to 52 (worst outcome). The questionnaire is completed every other dose, and the mean of FS scores from Week 13 to Week 24 is compared to the FS score at baseline (last score available before start of study treatment). Baseline is defined as the last value taken on or before the first dose of study drug administered in Week 13.
SecondaryMean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Shortness of Breath (SoB) Domain Score (Week 13 to Week 24)Baseline and over a continuous 12 week period (from week 13 through week 24)
The NTDT-PRO V2.1 assess the severity of anemia-related symptoms associated with NTD β-thalassemia. It is a daily electronic diary with recall of symptoms during the past 24 hours, composed of 6 items: 1. Tiredness (lack of energy) when not doing physical activity 2. Tiredness (lack of energy) when doing physical activity 3. Weakness (lack of strength) when not doing physical activity 4. Weakness (lack of strength) when doing physical activity 5. Shortness of breath when not doing physical activity 6. Shortness of breath when doing physical activity. The Shortness of Breath (SoB) domain score represents the average score of items 5 and 6 above. SoB domain score ranges from 0 (best outcome, no shortness of breath) to 10 (worst outcome, extreme shortness of breath). Weekly SoB Scores represent the average of daily scores for that week. The mean of weekly scores over a continuous 12 week period (from Week 13 to Week 24) are compared to the SoB Domain Score at baseline.
SecondaryMean Change From Baseline in Hemoglobin Values in the Absence of Transfusion (Week 37 to Week 48)Baseline and over a continuous 12 week period (from week 37 through week 48)
Mean change from baseline in mean of hemoglobin (Hb) values over a continuous 12-week interval from Week 37 to Week 48 in the absence of transfusions. Baseline was defined as the average of 2 or more Hb measurements at least 1 week apart within 4 weeks before Dose 1 Day 1.
SecondaryMean Change From Baseline in Mean Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Fatigue Subscale Score (Week 37 to Week 48)Baseline and over a continuous 12 week period (from week 37 through week 48)
The FACIT-F is a multidimensional, self-report quality of life instrument which includes the Functional Assessment of Cancer Therapy - General (FACT-G) questionnaire (27 items over 4 different domains), and the Fatigue subscale (FS) component (13 items). FACIT-F version 4 has been used for this study. For the Fatigue subscale, each of the 13 items is scored from 0 ("not at all") to 4 ("very much"). The scores from individual items are summed to generated the final FS score, which ranges from 0 (best outcome) to 52 (worst outcome). The questionnaire is completed every other dose, and the mean of FS scores from Week 37 to Week 48 is compared to the FS score at baseline (last score available before start of study treatment). Baseline is defined as the last value taken on or before the first dose of study drug administered in Week 37.
SecondaryMean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Tiredness and Weakness (T/W) Domain Score (Week 37 to Week 48)Baseline and over a continuous 12 week period (from week 37 through week 48)
NTDT-PRO V2.1 assess the severity of anemia-related symptoms. It's a daily recall of symptoms during the past 24 hours, composed of 6 items: 1. Tiredness (lack of energy) when not doing physical activity 2. Tiredness when doing physical activity 3. Weakness (lack of strength) when not doing physical activity 4. Weakness when doing physical activity 5. Shortness of breath when not doing physical activity 6. Shortness of breath when doing physical activity. The Tiredness/Weakness (T/W) domain score represents the average score of items 1 through 4 above. T/W domain score ranges from 0 (best outcome, no tiredness/weakness) to 10 (worst outcome, extreme tiredness/weakness). Weekly T/W Scores represent the average of daily scores for that week. The mean of weekly scores over a continuous 12-week period (from Week 37 to Week 48) are compared to the T/W Domain Score at baseline. Baseline is defined as the last value taken on or before the first dose of study drug administered in Week 37.
SecondaryMean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Shortness of Breath (SoB) Domain Score (Week 37 to Week 48)Baseline and over a continuous 12 week period (from week 37 through week 48)
NTDT-PRO V2.1 assess the severity of anemia-related symptoms. It is a daily recall of symptoms during the past 24 hours, composed of 6 items: 1. Tiredness (lack of energy) when not doing physical activity 2. Tiredness when doing physical activity 3. Weakness (lack of strength) when not doing physical activity 4. Weakness when doing physical activity 5. Shortness of breath when not doing physical activity 6. Shortness of breath when doing physical activity. The Shortness of Breath (SoB) domain score represents the average score of items 5 and 6 above. SoB domain score ranges from 0 (best outcome, no shortness of breath) to 10 (worst outcome, extreme shortness of breath). Weekly SoB Scores represent the average of daily scores for that week. The mean of weekly scores over a continuous 12-week period (from Week 37 to Week 48) are compared to the SoB Domain Score at baseline. Baseline is defined as the last value taken on or before the first dose of study drug administered in Week 37.

Outcomes30

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants Achieving Erythroid Response (Week 13 to Week 24)From Week 13 to Week 24 of study treatmentAll treated participants. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.Percent of ParticipantsNUMBER
SECONDARYMean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Tiredness and Weakness (T/W) Domain Score (Week 13 to Week 24)Baseline and over a continuous 12 week period (from week 13 through week 24)
All treated participants with available measurements at Baseline and from Week 13 to Week 24. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.
Score on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in Hemoglobin Values in the Absence of Transfusion (Week 13 to Week 24)Baseline and over a continuous 12 week period (from week 13 through week 24)
All treated participants with available measurements at Baseline and From Week 13 to Week 24. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.
g/dLLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants Achieving Erythroid Response (Week 37 to Week 48)Assessed over a continuous 12 week period (from week 37 through week 48)All treated participants. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.Percentage of ParticipantsNUMBER
SECONDARYMean Change From Baseline in Mean Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Fatigue Subscale Score (Week 13 to Week 24)Baseline and over a continuous 12 week period (from week 13 through week 24)
All treated participants with available measurements at Baseline and at least one post-baseline FACIT-F questionnaire completed. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.
Score on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Shortness of Breath (SoB) Domain Score (Week 13 to Week 24)Baseline and over a continuous 12 week period (from week 13 through week 24)
All treated participants with available measurements at Baseline and From Week 13 to Week 24. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.
Score on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in Hemoglobin Values in the Absence of Transfusion (Week 37 to Week 48)Baseline and over a continuous 12 week period (from week 37 through week 48)
All treated participants with available measurements at Baseline and From Week 37 to Week 48. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.
g/dLLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in Mean Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Fatigue Subscale Score (Week 37 to Week 48)Baseline and over a continuous 12 week period (from week 37 through week 48)
All treated participants with available measurements at Baseline and at least one post-baseline FACIT-F questionnaire completed. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.
Score on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Tiredness and Weakness (T/W) Domain Score (Week 37 to Week 48)Baseline and over a continuous 12 week period (from week 37 through week 48)
All treated participants with available measurements at Baseline and at Week 37 to Week 48. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.
Score on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Shortness of Breath (SoB) Domain Score (Week 37 to Week 48)Baseline and over a continuous 12 week period (from week 37 through week 48)
All treated participants with available measurements at Baseline and From Week 37 to Week 48. Placebo participants are assessed up to crossing over to luspatercept. The luspatercept group does not include placebo participants who crossed over to luspatercept.
Score on a scaleLEAST_SQUARES_MEAN

Results by group92

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants Achieving Erythroid Response (Week 13 to Week 24)Luspatercept77.195% Confidence Interval 67.4 to 85.0Percent of Participants
Percentage of Participants Achieving Erythroid Response (Week 13 to Week 24)Placebo0.095% Confidence Interval 0.0 to 7.3Percent of Participants
Mean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Tiredness and Weakness (T/W) Domain Score (Week 13 to Week 24)Luspatercept-0.68Standard Error 0.176Score on a scale
Mean Change From Baseline in Non-Transfusion Dependent β-thalassemia-Patient Reported Outcome (NTDT-PRO) Tiredness and Weakness (T/W) Domain Score (Week 13 to Week 24)Placebo-0.20Standard Error 0.240Score on a scale
Mean Change From Baseline in Hemoglobin Values in the Absence of Transfusion (Week 13 to Week 24)Luspatercept1.48Standard Error 0.078g/dL
Mean Change From Baseline in Hemoglobin Values in the Absence of Transfusion (Week 13 to Week 24)Placebo0.07Standard Error 0.108g/dL
Percentage of Participants Achieving Erythroid Response (Week 37 to Week 48)Luspatercept70.895% Confidence Interval 60.7 to 79.7Percentage of Participants
Percentage of Participants Achieving Erythroid Response (Week 37 to Week 48)Placebo2.095% Confidence Interval 0.1 to 10.9Percentage of Participants
Mean Change From Baseline in Mean Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Fatigue Subscale Score (Week 13 to Week 24)Luspatercept1.64Standard Error 0.774Score on a scale
Mean Change From Baseline in Mean Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Fatigue Subscale Score (Week 13 to Week 24)Placebo0.26Standard Error 1.066Score on a scale

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Blinded Treatment PhaseSTARTEDLuspatercept96
Blinded Treatment PhaseSTARTEDPlacebo49
Blinded Treatment PhaseCOMPLETEDLuspatercept68
Blinded Treatment PhaseCOMPLETEDPlacebo18
Blinded Treatment PhaseNOT COMPLETEDLuspatercept28
Blinded Treatment PhaseNOT COMPLETEDPlacebo31
Open-Label PhaseSTARTEDLuspatercept0
Open-Label PhaseSTARTEDPlacebo38
Open-Label PhaseCOMPLETEDLuspatercept0
Open-Label PhaseCOMPLETEDPlacebo27

Adverse events408

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherExtramedullary haemopoiesisBlood and lymphatic system disordersLuspatercept996
otherExtramedullary haemopoiesisBlood and lymphatic system disordersPlacebo249
otherExtramedullary haemopoiesisBlood and lymphatic system disordersOpen-Label Placebo-Luspatercept238
otherPalpitationsCardiac disordersLuspatercept996
otherPalpitationsCardiac disordersPlacebo649
otherPalpitationsCardiac disordersOpen-Label Placebo-Luspatercept438
otherTachycardiaCardiac disordersLuspatercept696
otherTachycardiaCardiac disordersPlacebo249
otherTachycardiaCardiac disordersOpen-Label Placebo-Luspatercept238
otherEar painEar and labyrinth disordersLuspatercept396

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLuspatercept196
Total, all-cause mortalityPlacebo049
Total, all-cause mortalityOpen-Label Placebo-Luspatercept038
Total, other adverse eventsLuspatercept9696
Total, other adverse eventsPlacebo4849
Total, other adverse eventsOpen-Label Placebo-Luspatercept3838
Total, serious adverse eventsLuspatercept2396
Total, serious adverse eventsPlacebo1349
Total, serious adverse eventsOpen-Label Placebo-Luspatercept338

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
30617198BACKGROUNDPubMed
36007538DERIVEDPubMed
36948565DERIVEDPubMed
37704579DERIVEDPubMed
40875596DERIVEDPubMed
41857682DERIVEDPubMed

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
Luspatercept vs Placebo: Number of Participants With Anti-drug Antibody (ADA) Positive Test for Luspatercept

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/NCT03342404

GET https://conductscience.org/api/trials/v1/NCT03342404/registered?page=2