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A pill that mimics the body's oxygen sensor may free MDS patients from frequent blood transfusions
NCT ID NCT07722988
First seen Jul 23, 2026 · Last updated Jul 24, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether roxadustat, an oral drug that stimulates red blood cell production, can help people with myelodysplastic syndromes (MDS) who need frequent blood transfusions. Participants with very low, low, or intermediate risk MDS and a high transfusion burden will receive either roxadustat or a placebo. The main goal is to see if the drug allows them to go without transfusions for at least 56 consecutive days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- roxadustat (FG-4592), an oral drug that stimulates red blood cell production
- What this could lead to
- If successful, roxadustat could offer a new treatment option to reduce or eliminate the need for frequent blood transfusions in people with MDS-related anemia.
- What could go wrong
- This is an early-phase 3 trial, and the drug may not prove effective or safe in this specific patient group. Potential risks include side effects common to drugs that boost red blood cell production, such as blood clots or high blood pressure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 201 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2027
An estimate. Start dates often move.
- Expected to finish
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Dec 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Diagnosis of MDS according to World Health Organization (WHO) criteria confirmed by bone marrow aspirate and biopsy within 12 weeks before randomization. * Revised International Prognostic Scoring System (IPSS-R) very low, low, or intermediate risk MDS * HTB: Participants requiring ≥ 4 units of packed red blood cell (pRBC) in two consecutive 8-week periods prior to randomization * Refractory to, intolerant to, or ineligible for prior erythropoiesis-stimulating agents (ESAs). * Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2 Key Exclusion Criteria: * Pregnant or breastfeeding females * Participant has any significant medical illness or is considered vulnerable by local regulations * Prior allogeneic or autologous stem cell transplant * Major surgery within 8 weeks prior to randomization. Note: Other protocol-defined inclusion and exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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