New pill could let Sun-Sensitive patients enjoy the outdoors
NCT ID NCT06910358
First seen Jun 25, 2026 · Last updated Sep 03, 2026 · Updated 12 times
Summary
This Phase 3 trial tests whether bitopertin, a daily pill, can help people with erythropoietic protoporphyria (EPP) or X-linked protoporphyria (XLP) spend more time in sunlight without pain. About 183 participants aged 12 and older will take bitopertin or a placebo for 6 months. The study measures pain-free sun exposure and changes in blood porphyrin levels.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Bitopertin
- What this could lead to
- If it works, this could provide a daily pill that allows people with EPP or XLP to spend more time in sunlight without pain.
- What could go wrong
- This is a Phase 3 trial, but results are not yet known. The drug may not work better than placebo, and side effects are possible.
Why investors are watching
Disc Medicine is running a Phase 3 trial of bitopertin in patients with the rare light-sensitivity diseases EPP and XLP. The trial tests whether the drug lets patients spend more time in sunlight without pain, which is the main symptom of these conditions. For a small company, this readout is a major event because it could determine whether the drug reaches the market.
If it works: If the trial succeeds, Disc Medicine could have a new treatment for a condition with few options, which would be a meaningful step for the company. A positive result could also support regulatory approval and make the drug a commercial product.
If it fails: If the trial fails or is delayed, Disc Medicine would face a setback with no approved product from this program. Clinical trials often fail, so investors should expect that possibility.
AI-written from the trial record. Speculative, and not investment advice.
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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183 people
The number who actually took part.
- Started
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Apr 2025
- Expected to finish
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Oct 2026
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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12 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: 1. Aged 12 years or older at the time of study consent. 2. Diagnosis of EPP or XLP, based on medical history by ferrochelatase (FECH) or aminolevulinic acid synthase 2 (ALAS2) genotyping or by biochemical porphyrin analysis. 3. Minimum daily Sun Exposure Diary compliance ≥85% on Days -14 through Day -1, inclusive, during screening, and at least 1 successfully completed Sun Exposure Challenge (adults only, as this assessment is optional for adolescents) or historical recall of time to prodrome 4. Body weight ≥32 kg (ages 12 to \<18 years), body mass index ≥18.5 kg/m2 (ages ≥18 years) at screening. 5. Washout of at least 2 months prior to screening of afamelanotide and dersimelagon, if applicable. 6. Aspartate aminotransferase and alanine transaminase \<3× upper limit of normal (ULN)and total bilirubin \<2× ULN (unless documented Gilbert syndrome) at screening. Albumin \>lower limit of normal (LLN). 7. Willing to practice highly effective methods of birth control (both males who have partners of childbearing potential and females of childbearing potential during screening, while taking study drug, and for at least 30 days after the last dose of study drug). Exclusion Criteria: 1. Major surgery within 8 weeks before screening or incomplete recovery from any previous surgery. 2. Other than EPP or XLP, an inherited intrinsic or extrinsic red cell disease associated with anemia. 3. Known hypersensitivity to any component of the study drug. 4. History of liver transplantation or anticipated need for liver transplantation. 5. History of alcohol dependence or excessive alcohol consumption, as assessed by the Investigator. 6. Active human immunodeficiency virus (HIV), active hepatitis B or C. 7. Other medical or psychiatric condition or laboratory finding not specifically noted above that, in the judgment of the Investigator or Sponsor, would put the participant at unacceptable risk or otherwise preclude the participant from participating in the study. 8. Condition or concomitant medication that would confound the ability to interpret clinical, clinical laboratory, or participant diary data, including a major psychiatric condition that has had an exacerbation or required hospitalization in the last 6 months. Treatment History: 9. Prior exposure to bitopertin. 10. Concurrent or planned treatment with afamelanotide or dersimelagon during the study period. 11. Treatment with opioids for any period \>7 days in the 2 months prior to screening or anticipated to require opioid use for \>7 days at any point during the study. 12. New treatment for anemia, including initiation of iron supplementation, within 1 month of screening. 13. Current or planned use of any drugs or herbal remedies known to be strong or moderate inhibitors or inducers of cytochrome P450 (CYP)3A4 enzymes for 28 days prior to the first dose and throughout the study. 14. Current or planned treatment with antipsychotic medication. Laboratory Exclusions: 15. Hemoglobin \<10 g/dL at screening. Miscellaneous: 16. Participation in other interventional clinical studies within 30 days prior to screening. 17. If female, pregnant or breastfeeding.
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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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CHU de Nantes - Hôtel Dieu, Service de dermatologie
Nantes, France, 44093, France
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Centre d'Investigation Clinique (CIC) Hôpital Bichat - Claude-Bernard
Paris, France, 75018, France
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Charité - Universitätsmedizin Berlin, Institute of Allergology
Berlin, Germany, 12203, Germany
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Children's Health Ireland (CHI)
Dublin, D12N512, Ireland
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Clinical Research Centre, Ninewells Hospital & Medical School , NHS Tayside
Dundee, Scotland, DD1 9SY, United Kingdom
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Erasmus MC
Rotterdam, The Netherlands, 3015 GD, Netherlands
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Guy's and St Thomas' NHS Foundation Trust
London, England, SE1 9RT, United Kingdom
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Henry Ford Health System
Detroit, Michigan, 48202, United States
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Hospital Clinic de Barcelona
Barcelona, Spain, 08036, Spain
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Instituto Dermatologico San Gallicano Istituti Fisioterapici Ospitalieri IRCCS
Roma, 53-00144, Italy
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Karolinska University Hospital
Stockholm, Sweden, 141 86, Sweden
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Klinikum Chemnitz gGmbH
Chemnitz, Saxony, 09116, Germany
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Marvel Clinical Research
Huntington Beach, California, 92647, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02115, United States
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MetroBoston Clinical Partners
Boston, Massachusetts, 02135, United States
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Mount Sinai Hospital
New York, New York, 10029, United States
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Photobiology Unit, Salford Royal Hospital
Salford, M6 8HD, United Kingdom
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Remington-Davis Clinical Research
Columbus, Ohio, 43215, United States
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Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050, Australia
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The Royal Melbourne Hospital
Parkville, Victoria, 3050, Australia
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UZ Leuven
Leuven, 3000, Belgium
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University of Alberta
Edmonton, Alberta, T6G 2R3, Canada
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University of California San Francisco
San Francisco, California, 94143, United States
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University of Miami Miller School of Medicine
Miami, Florida, 33146, United States
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University of Texas Medical Branch
Galveston, Texas, 77550, United States
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University of Washington
Seattle, Washington, 98195, United States
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Wake Forest University
Winston-Salem, North Carolina, 27157, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A pill that could let people with rare sunlight disorder step outside without pain
- Can a daily pill douse the Sun's pain for people with EPP?
- New hope for rare sun allergy: bitopertin offered to patients with no options
- New study aims to unlock mysteries of rare sun allergy disorders
- New drug aims to let sunlight-sensitive patients enjoy the sun longer
- New pill could let EPP patients enjoy the sun without pain