New drug bitopertin offers hope for sunlight pain relief in rare blood disorders
NCT ID NCT05883748
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 11 times
Summary
This long-term study tests the safety and effectiveness of bitopertin (DISC-1459) in people with erythropoietic protoporphyria (EPP) or X-linked protoporphyria (XLP), rare conditions that cause severe pain from sunlight exposure. About 230 participants who previously took bitopertin will continue treatment at one of two dose levels. The goal is to see if the drug can increase time spent in sunlight without pain and reduce related symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Bitopertin (also called DISC-1459)
- What this could lead to
- If it works, this could provide a long-term treatment option for people with EPP or XLP, allowing them to spend more time in sunlight without pain.
- What could go wrong
- This is an open-label extension study, so there is no placebo group for comparison. Side effects and long-term safety are still being evaluated, and the drug may not work for everyone.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 230 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2023
- Expected to finish
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Jun 2028
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: * Participants with diagnosis of EPP who are participating (or who have participated) in a prior Disc Medicine bitopertin study and who have completed the randomized treatment phase and End-of-Study visit * Aged ≥12 years upon study consent * Body weight ≥32 kg for participants \<18 years of age and BMI ≥18.5 kg/m2 for adult participants * Willing to practice highly effective methods of birth control (both males who have partners of childbearing potential and females of childbearing potential during the study, while taking study drug, and for at least 30 days after the last dose of study drug. * Negative urine or serum pregnancy test (females of childbearing potential). * Able to understand the study aims, procedures, and requirements, and provide written informed consent (and assent if necessary). * Able to comply with all study procedures. Exclusion Criteria: * Participants who have an ongoing SAE from a clinical study that is assessed by the investigator as related to bitopertin * Other medical or psychiatric condition or laboratory finding not specifically noted above that, in the judgement of the Investigator or Sponsor, would put the participant at unacceptable risk or otherwise preclude participation in the study * 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 * Planned treatment with afamelanotide or dersimelagon during the study * Planned use of any drugs or herbal remedies known to be strong inhibitors or inducers of cytochrome p450 (CYP)3A4 enzymes throughout the study * If female, pregnant, or breastfeeding * Participation in any other clinical protocol or investigational trial, other than Disc Medicine bitopertin trials, that involves administration of experimental therapy and/or therapeutic devices within 30 days of Day 1 * Score of PHQ-8 ≥10 at screening or imminent suicidal risk identified by the C-SSRS as defined as suicidal ideation with intent (Grade 4 or 5) within the last year or any suicidal behavior within the last 5 years. * Consumption of grapefruit/Seville orange and products containing these for 14 days prior to first dose of study drug and throughout the study
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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 places running it
26 sites in 11 countries. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
Contacts and locations
Locations
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Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, 27157, United States
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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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Einstein Medical Center
Philadelphia, Pennsylvania, 19141, United States
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Erasmus MC
Rotterdam, 3015 GD, Netherlands
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Fred Hutchinson Cancer Center
Seattle, Washington, 98109, United States
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Guy's and St Thomas' NHS Foundation Trust
London, England, SE1 9RT, United Kingdom
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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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Massachusetts General Hospital
Boston, Massachusetts, 02114, 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 Alabama Hospital
Birmingham, Alabama, 35233, United States
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University of California San Francisco
San Francisco, California, 94117, United States
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University of Miami Miller School of Medicine
Miami, Florida, 33136, United States
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University of Texas
Galveston, Texas, 77550, United States
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