New pill shows promise for thalassemia patients in early trial
NCT ID NCT03692052
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called AG-348 in 20 adults with a type of thalassemia that doesn't require regular blood transfusions. The goal was to see if the drug could safely raise hemoglobin levels, which carry oxygen in the blood. Participants took the pill twice a day for up to 24 weeks, with an option to continue for up to 10 years.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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20 people
The number who actually took part.
- Started
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Mar 2019
- Expected to finish
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Sep 2030
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.
Inclusion Criteria: * Informed consent; * Known medical history of thalassemia, including β-thalassemia intermedia, Hb E β-thalassemia, α-thalassemia (Hb H disease), or β-thalassemia with mutations of 1 or more α genes; * Documented clinical laboratory confirmation of thalassemia by Hb electrophoresis/high-performance liquid chromatography (HPLC) or deoxyribonucleic acid (DNA) analysis, either from medical records or during the screening period; * Hb concentration ≤10.0 grams per deciliter (g/dL), regardless of sex, based on an average of at least 2 Hb measurements (separated by a minimum of 7 days) during the screening period; * Considered non-transfusion-dependent, defined as having no more than 5 units of red blood cells (RBCs) transfused during the 24-week period up to the first day of study drug and no RBC transfusions in the 8 weeks prior to the first day of study drug; * Adequate organ function; * For women of reproductive potential: negative serum pregnancy test during the screening period and a negative serum or urine pregnancy test on Day 1; * For women of reproductive potential as well as men with partners who are women of reproductive potential: be abstinent as part of their usual lifestyle, or agreement to use 2 forms of contraception, 1 of which must be considered highly effective, from the time of giving informed consent, during the study, and for 28 days following the last dose of study drug for women and 90 days following the last dose of study drug for men; * Willingness to comply with all study procedures for the duration of the study; Exclusion Criteria: * Known history of diagnosis of Hb S or Hb C forms of thalassemia; * Significant medical condition that confers an unacceptable risk to participating in the study, and/or could confound the interpretation of the study data; * Splenectomy scheduled during the study treatment period or having undergone splenectomy within 12 months prior to signing informed consent; * Currently enrolled in another therapeutic clinical trial involving ongoing therapy with any investigational or marketed product or placebo; * Exposure to any investigational drug, device, or procedure within 3 months prior to the first day of study drug; * Prior exposure to sotatercept (ACE-011), luspatercept (ACE-536), ruxolitinib, or gene therapy; * Prior bone marrow or stem cell transplant; * Currently pregnant or breastfeeding; * History of major surgery within 6 months of signing informed consent; * Currently receiving medications that are strong inhibitors of cytochrome P450 (CYP)3A4, strong inducers of CYP3A4, strong inhibitors of P-glycoprotein (P-gp), or digoxin (a P-gp sensitive substrate medication) that have not been stopped for a duration of at least 5 days or a timeframe equivalent to 5 half-lives (whichever is longer) prior to the first day of study drug; * Currently receiving chronic anticoagulant therapy, unless started and on a stable dose for at least 28 days prior to first day of study drug; * Currently receiving anabolic steroids, including testosterone preparations, if initiated ≤28 days prior to the first day of study drug; * Currently receiving hematopoietic stimulating agents (e.g., erythropoietins, granulocyte colony stimulating factors, thrombopoietins), if initiated ≤8 weeks prior to the first day of study drug; * History of allergy to sulfonamides if characterized by acute hemolytic anemia, drug-induced liver injury, anaphylaxis, rash of erythema multiforme type or Stevens-Johnson syndrome, cholestatic hepatitis, or other serious clinical manifestations; * History of allergy to AG-348 or its excipients (microcrystalline cellulose, croscarmellose sodium, sodium stearyl fumarate, and mannitol).
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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.
Contacts and locations
Locations
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Imperial College Healthcare NHS Trust (Hammersmith Hospital)
London, W12 0HS, United Kingdom
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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UCSF Benioff Children's Hospital Oakland
Oakland, California, 94609, United States
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University Health Network (Toronto General Hospital)
Toronto, Ontario, M5G 2C4, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a safer dose of an old drug shield vulnerable children from deadly fungal infections?
- Could a simple exercise routine strengthen bones in thalassemia?
- Triple therapy aims to overcome antibody barrier in Half-Matched stem cell transplants
- New stem cell processing method offers hope for patients without a perfect donor match
- Old drugs, new hope: could a thalidomide combo free thalassemia patients from transfusions?