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Trial · NCT03853798

Extension Study of AG-348 in Adult Participants With Pyruvate Kinase Deficiency Previously Enrolled in AG-348-006 or AG348-C-007

NCT03853798, Phase 3, Completed, Agios Pharmaceuticals, Inc.; results first posted 2025-11-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Extension Study of AG-348 in Adult Participants With Pyruvate Kinase Deficiency Previously Enrolled in AG-348-006 or AG348-C-007. Trials, record NCT03853798. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03853798

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Trial

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

Title
Extension Study of AG-348 in Adult Participants With Pyruvate Kinase Deficiency Previously Enrolled in AG-348-006 or AG348-C-007
NCT number
NCT03853798
Status
Completed
Phases
Phase 3
Enrollment
90 participants, actual
Lead sponsor
Agios Pharmaceuticals, Inc.
Conditions
Pyruvate Kinase Deficiency
Interventions
Mitapivat
First posted
2019-02-26
Last updated
2025-11-18
Other registries' IDs
eudract:2018-003459-39
Results first posted
2025-11-18

Source ClinicalTrials.gov

Registered outcomes28

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

ListOutcomeTime frameDescription
PrimaryAll Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Up to 197 weeks
A clinical adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the study drug. TEAEs are AEs with an initial onset date during the on-treatment period or worsening from baseline and include both serious and non-serious TEAEs. Severity of AEs was evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE; Version 4.03): grade 1: mild; grade 2: moderate; grade 3: severe or medically significant but not immediately life-threatening; grade 4: life threatening or disabling; grade 5: death related to AE.
PrimaryAll Cohorts: Number of Participants With TEAEs Leading to Dose Reduction, Treatment Interruption and Treatment DiscontinuationUp to 197 weeks
A clinical AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the study drug. TEAEs are AEs with an initial onset date during the on-treatment period or worsening from baseline and include both serious and non-serious TEAEs. Number of participants with TEAEs leading to dose reduction, treatment interruption and treatment discontinuation are reported.
PrimaryAll Cohorts: Number of Participants With Clinically Significant Abnormalities in Laboratory Parameters Reported as Grade Greater Than or Equal to (≥)3 TEAEsUp to 197 weeks
Clinical laboratory assessments including hematology, clinical chemistry, triglycerides, urate, coagulation, urinalysis, and liver function tests were performed in the study. Clinically significant treatment-emergent laboratory abnormalities were graded according to the NCI CTCAE; Version 4.03: grade 1: mild; grade 2: moderate; grade 3: severe or medically significant but not immediately life-threatening; grade 4: life threatening or disabling; grade 5: death related to AE. Clinical significance was determined based on the judgment of the Investigator.
PrimaryAll Cohorts: Number of Participants With Clinically Significant Abnormalities in Vital Signs Measurements and Physical Examinations Reported as TEAEsUp to 197 weeks
Vital signs and physical examinations including height, weight, body mass index (BMI), systolic blood pressure, diastolic blood pressure, pulse rate, temperature were assessed. Number of participants who experienced clinically significant abnormalities in vital signs and physical examinations as TEAEs were reported. Clinical significance was determined based on the judgment of the Investigator.
PrimaryAll Cohorts: Number of Participants With Clinically Significant Abnormalities in Bone Mineral Density (BMD)Up to 192 weeks
BMD was measured by dual-energy X-ray absorptiometry (DXA) scans during the study. Number of participants with clinically significant abnormalities were reported. Clinical significance was determined based on the judgment of the Investigator.
PrimaryAll Cohorts: Change From Baseline in Adjusted Spine T-scoreBaseline, Week 192
T-score of adjusted spine were assessed by DXA scans. The T-score is the number of standard deviations that bone density is above or below the average. A score of ≥ -1 indicates normal bone density; score between \< -1 and \> -2.5 indicates a sign of osteopenia (bone density below normal), and score of ≤ -2.5 indicates a sign of osteoporosis.
PrimaryAll Cohorts: Change From Baseline in Adjusted Spine Z-scoreBaseline, Week 192
The Z-score is a statistical measure to describe whether a value was above or below the standard. A Z-score of 0 is equal to the standard. Lower numbers indicate values lower than the standard and higher numbers indicate values higher than the standard.
PrimaryAll Cohorts: Change From Baseline in Femoral Total T-scoreBaseline, Week 192
T-score of femoral total were assessed by DXA scans. The T-score is the number of standard deviations that bone density is above or below the average. A score of ≥ -1 indicates normal bone density; score between \< -1 and \> -2.5 indicates a sign of osteopenia (bone density below normal), and score of ≤ -2.5 indicates a sign of osteoporosis.
PrimaryAll Cohorts: Change From Baseline in Femoral Total Z-scoreBaseline, Week 192
The Z-score is a statistical measure to describe whether a value was above or below the standard. A Z-score of 0 is equal to the standard. Lower numbers indicate values lower than the standard and higher numbers indicate values higher than the standard.
PrimaryAll Cohorts: Number of Participants With Clinically Significant Abnormalities in Electrocardiogram (ECG) Parameters Reported as TEAEsUp to 197 weeks
The following ECG parameters including RR, PR, heart rate-corrected QT interval using the Fridericia's formula (QRS), QT, and QTc were assessed during the study. Number of Participants with clinically significant abnormalities in ECG parameters as TEAEs were reported. Clinical significance was determined based on the judgment of the Investigator.

Outcomes28

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAll Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Up to 197 weeks
The safety analysis set included all participants who received at least 1 dose of study treatment. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this outcome measure (OM) by Cohort.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAll Cohorts: Number of Participants With TEAEs Leading to Dose Reduction, Treatment Interruption and Treatment DiscontinuationUp to 197 weeks
The safety analysis set included all participants who received at least 1 dose of study treatment. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this OM by Cohort.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAll Cohorts: Number of Participants With Clinically Significant Abnormalities in Laboratory Parameters Reported as Grade Greater Than or Equal to (≥)3 TEAEsUp to 197 weeks
The safety analysis set included all participants who received at least 1 dose of study treatment. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this OM by Cohort.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAll Cohorts: Number of Participants With Clinically Significant Abnormalities in Vital Signs Measurements and Physical Examinations Reported as TEAEsUp to 197 weeks
The safety analysis set included all participants who received at least 1 dose of study treatment. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this OM by Cohort.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAll Cohorts: Number of Participants With Clinically Significant Abnormalities in Bone Mineral Density (BMD)Up to 192 weeks
The safety analysis set included all participants who received at least 1 dose of study treatment. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this OM by Cohort.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYAll Cohorts: Change From Baseline in Adjusted Spine T-scoreBaseline, Week 192
The safety analysis set included all participants who received at least 1 dose of study treatment. Here, overall number of participants analyzed indicates the number of participants who were evaluable for this OM. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this OM by Cohort.
T-scoreMEAN
PRIMARYAll Cohorts: Change From Baseline in Adjusted Spine Z-scoreBaseline, Week 192
The safety analysis set included all participants who received at least 1 dose of study treatment. Here, overall number of participants analyzed indicates the number of participants who were evaluable for this OM. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this OM by Cohort.
Z-scoreMEAN
PRIMARYAll Cohorts: Change From Baseline in Femoral Total T-scoreBaseline, Week 192
The safety analysis set included all participants who received at least 1 dose of study treatment. Here, overall number of participants analyzed indicates the number of participants who were evaluable for this OM. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this OM by Cohort.
T-scoreMEAN
PRIMARYAll Cohorts: Change From Baseline in Femoral Total Z-scoreBaseline, Week 192
The safety analysis set included all participants who received at least 1 dose of study treatment. Here, overall number of participants analyzed indicates the number of participants who were evaluable for this OM. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this OM by Cohort.
Z- scoreMEAN
PRIMARYAll Cohorts: Number of Participants With Clinically Significant Abnormalities in Electrocardiogram (ECG) Parameters Reported as TEAEsUp to 197 weeks
The safety analysis set included all participants who received at least 1 dose of study treatment. Due to limited number of participants with optimal dose of 5 mg or 20 mg in antecedent studies AG348-C-006 (NCT03548220) and AG348-C-007 (NCT03559699), it was pre-specified in the SAP to report data for this OM by Cohort.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group101

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

OutcomeGroupCategoryValueSpreadUnits
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 1Participants with TEAEs37Participants
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 2Participants with TEAEs33Participants
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 3Participants with TEAEs15Participants
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 1Participants with Serious TEAEs11Participants
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 2Participants with Serious TEAEs8Participants
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 3Participants with Serious TEAEs4Participants
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 1Participants with TEAEs related to study drug22Participants
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 2Participants with TEAEs related to study drug14Participants
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 3Participants with TEAEs related to study drug4Participants
All Cohorts: Number of Participants With at Least One Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, Related TEAEs and TEAEs With Severity Greater Than or Equal to Grade 3Cohort 1Participants with any TEAE of Grade ≥ 316Participants

Participant flow27

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1: 5 mg1
Overall StudySTARTEDCohort 1: 20 mg1
Overall StudySTARTEDCohort 1: 50 mg36
Overall StudySTARTEDCohort 2: 5 mg2
Overall StudySTARTEDCohort 2: 20 mg3
Overall StudySTARTEDCohort 2: 50 mg30
Overall StudySTARTEDCohort 3: 5 mg0
Overall StudySTARTEDCohort 3: 20 mg1
Overall StudySTARTEDCohort 3: 50 mg16
Overall StudyCOMPLETEDCohort 1: 5 mg0

Adverse events1,692

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCOVID-19Infections and infestationsCohort 1: 5 mg01
otherCOVID-19Infections and infestationsCohort 1: 20 mg01
otherCOVID-19Infections and infestationsCohort 1: 50 mg1236
otherCOVID-19Infections and infestationsCohort 2: 5 mg12
otherCOVID-19Infections and infestationsCohort 2: 20 mg23
otherCOVID-19Infections and infestationsCohort 2: 50 mg1330
otherCOVID-19Infections and infestationsCohort 3: 5 mg00
otherCOVID-19Infections and infestationsCohort 3: 20 mg11
otherCOVID-19Infections and infestationsCohort 3: 50 mg516
otherNasopharyngitisInfections and infestationsCohort 1: 5 mg01

Adverse event totals27

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1: 5 mg01
Total, all-cause mortalityCohort 1: 20 mg01
Total, all-cause mortalityCohort 1: 50 mg036
Total, all-cause mortalityCohort 2: 5 mg02
Total, all-cause mortalityCohort 2: 20 mg03
Total, all-cause mortalityCohort 2: 50 mg130
Total, all-cause mortalityCohort 3: 5 mg00
Total, all-cause mortalityCohort 3: 20 mg01
Total, all-cause mortalityCohort 3: 50 mg016
Total, other adverse eventsCohort 1: 5 mg01

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
31974203DERIVEDPubMed
38330179DERIVEDPubMed

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 comparisons0

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

None in this release.

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/NCT03853798

GET https://conductscience.org/api/trials/v1/NCT03853798/registered?page=2