Blood disorder drug luspatercept gets Long-Term safety review
NCT ID NCT04064060
First seen Jun 27, 2026 · Last updated Jul 02, 2026 · Updated 2 times
Summary
This study follows about 665 people with myelodysplastic syndromes, beta-thalassemia, or myelofibrosis who have already taken luspatercept in earlier trials. Researchers want to see how safe the drug is over many years by tracking side effects, disease progression, and survival. Participants either continue treatment or enter long-term follow-up.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- luspatercept (a drug that helps the body make more red blood cells)
- What this could lead to
- If successful, this study could confirm that luspatercept is safe to use long-term for managing blood disorders like MDS and beta-thalassemia.
- What could go wrong
- This is a rollover study, not a new treatment test. It mainly tracks safety, so it won't prove if luspatercept works better than other options. Side effects or disease progression may still occur.
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 665 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2019
- Expected to finish
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May 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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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: Participants must meet all the following criteria to be enrolled in this study: 1. Participant is ≥ 18 years at the time of signing the informed consent form (ICF). 2. Participant is willing and able to adhere to the study visit schedule and other protocol requirements. 3. Participant has been participating in a luspatercept trial and continues to fulfill all the requirements of the parent protocol and the participant has been either: 1. Assigned to luspatercept treatment, continues to receive clinical benefit in the opinion of the investigator and should continue to receive luspatercept treatment, OR 2. Assigned to placebo arm in the parent protocol (at the time of unblinding or in follow-up) and should cross over to luspatercept treatment, OR 3. Assigned to the Follow-up Phase of the parent protocol, previously treated with luspatercept or placebo in the parent protocol who shall continue into LTPTFU phase in the rollover study until the follow-up commitments are met (unless requirements are met as per parent protocol to crossover to luspatercept treatment). 4. Participant understands and voluntarily signs an informed consent document prior to any study-related assessments or procedures being conducted. 5. Participant demonstrates compliance, as assessed by the investigator, with the parent study protocol requirements. 6. Applies to on treatment Participants only- females of childbearing potential (FCBP) defined as a sexually mature woman who: 1\) has achieved menarche at some point, 2) has not undergone a hysterectomy or bilateral oophorectomy, or 3) has not been naturally postmenopausal (amenorrhea following cancer therapy or amenorrhea due to other medical reasons does not rule out childbearing potential) for at least 24 consecutive months (ie, has had menses at any time in the preceding 24 consecutive months) must: 1. Have two negative pregnancy tests as verified by the investigator prior to starting study therapy. She must agree to ongoing pregnancy testing during the course of the study, and after end of study therapy. This applies even if the participant practices true abstinence from heterosexual contact. 2. Agrees to use, and be able to comply with highly effective, contraception without interruption, 35 days prior to starting investigational product (IP), during the study therapy (including dose interruptions), and for 84 days after discontinuation of study therapy. 7\. Applies to on treatment participants only- Male participants must: a. Agrees to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions and for at least 84 days following investigational product discontinuation even if he has undergone a successful vasectomy. Exclusion Criteria: The presence of any of the following will exclude a participant from enrollment: 1. Applies to on treatment participants only- Concomitant use of any medications/procedures that are prohibited in the parent luspatercept protocol. 2. Participant has met one or more criteria for study discontinuation as stipulated in the parent luspatercept protocol. 3. Applies to on treatment participants only- More than 26 days between last luspatercept dose in the parent protocol and first dose into ACE-536-LTFU-001 protocol unless dose delay or dose discontinuation criteria met. 4. Applies to on treatment participants only- Pregnant or breastfeeding females. 5. Participant has any significant medical condition, laboratory abnormality, psychiatric illness, or is considered vulnerable by local regulations (eg, imprisoned or institutionalized) that would prevent the subject from participating in the study. 6. Participant has any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study. 7. Participant has any condition that confounds the ability to interpret data from the study.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Beta-thalassemia are added.
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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
27 sites in 9 countries. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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AORN A Cardarelli
RECRUITINGNaples, 80131, Italy
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AOU dell'Universita degli Studi della Campania Luigi Vanvitelli
RECRUITINGNaples, 80131, Italy
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Aghia Sophia' Children's General Hospital of Athens
RECRUITINGAthens, 115 27, Greece
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Azienda Ospedaliero Universitaria S. Luigi Gonzaga
RECRUITINGOrbassano, 10043, Italy
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Aziza Othmana Hospital
RECRUITINGTunis, 1008, Tunisia
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Bone Marrow Transplant Center
RECRUITINGTunis, 1006, Tunisia
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Chiang Mai University - Maharaj Nakorn Chiang Mai Hospital
RECRUITINGChiang Mai, 50200, Thailand
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Chronic Care Center
RECRUITINGHazmiyeh, 00961, Lebanon
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Chulalongkorn University Faculty of Medicine - King Chulalongkorn Memorial Hospital
RECRUITINGBangkok, 10330, Thailand
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Ente Ospedaliero Ospedali Galliera - Centro della Microcitemia e delle Anemie Congenite
RECRUITINGGenoa, 16128, Italy
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Hospital Raja Permaisuri Bainun
RECRUITINGIpoh, Perak, 30990, Malaysia
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Hospital Sultanah Bahiyah
RECRUITINGAlor Star, Kedah, 05460, Malaysia
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Hospital Umum Sarawak
RECRUITINGKuching, Sarawak, 93586, Malaysia
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Japanese Red Cross Society Himeji Hospital
RECRUITINGHimeji, Hyōgo, 6708540, Japan
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Local Institution - 0979
WITHDRAWNSendai, Miyagi, 980-8574, Japan
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Local Institution - 100
COMPLETEDSouth Brisbane, Queensland, 4101, Australia
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Local Institution - 102
COMPLETEDClayton, Victoria, 3168, Australia
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Local Institution - 130
WITHDRAWNTianjin, Tianjin Municipality, 300020, China
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Local Institution - 131
WITHDRAWNBeijing, Beijing Municipality, 100730, China
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Local Institution - 132
WITHDRAWNShanghai, Shanghai Municipality, 200233, China
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Local Institution - 133
WITHDRAWNHangzhou, Zhejiang, 310009, China
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Local Institution - 134
WITHDRAWNChengdu, Sichuan, 610041, China
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Local Institution - 135
WITHDRAWNGuangzhou, Guangdong, 510515, China
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Local Institution - 180
COMPLETEDBruges, 8000, Belgium
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Local Institution - 182
COMPLETEDBrasschaat, 2930, Belgium
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Local Institution - 183
COMPLETEDGhent, 9000, Belgium
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Local Institution - 184
COMPLETEDLeuven, 3000, Belgium
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Local Institution - 220
COMPLETEDBoulevard, Sofia, 1797, Bulgaria
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Local Institution - 221
COMPLETEDPlovdiv, 4002, Bulgaria
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Local Institution - 260
COMPLETEDToronto, Ontario, M5G 2C4, Canada
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Local Institution - 262
COMPLETEDToronto, Ontario, M4N 3M5, Canada
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Local Institution - 263
COMPLETEDToronto, Ontario, M5G 2M9, Canada
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Local Institution - 300
COMPLETEDCréteil, 94010, France
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Local Institution - 301
COMPLETEDMarseille, 13385, France
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Local Institution - 302
COMPLETEDParis, 75010, France
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Local Institution - 303
WITHDRAWNTours, 37044, France
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Local Institution - 304
COMPLETEDPierre-Bénite, 69495, France
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Local Institution - 305
COMPLETEDAngers, 49033, France
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Local Institution - 306
COMPLETEDLille, 59037, France
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Local Institution - 307
WITHDRAWNPessac, 33604, France
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Local Institution - 308
COMPLETEDStrasbourg, 67091, France
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Local Institution - 309
COMPLETEDToulouse, 31059, France
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Local Institution - 310
COMPLETEDLa Tronche, 38700, France
-
Local Institution - 340
COMPLETEDMainz, 55131, Germany
-
Local Institution - 341
COMPLETEDBerlin, 14195, Germany
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Local Institution - 342
COMPLETEDHamburg, 22081, Germany
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Local Institution - 343
COMPLETEDHalle, 06120, Germany
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Local Institution - 344
COMPLETEDHanover, 30625, Germany
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Local Institution - 345
COMPLETEDDüsseldorf, 40225, Germany
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Local Institution - 346
COMPLETEDDüsseldorf, 40479, Germany
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Local Institution - 347
COMPLETEDMünchen, 81675, Germany
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Local Institution - 348
COMPLETEDDresden, 01307, Germany
-
Local Institution - 349
WITHDRAWNLeipzig, 04103, Germany
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Local Institution - 380
COMPLETEDAthens, 115 27, Greece
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Local Institution - 381
COMPLETEDThessaloniki, 54642, Greece
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Local Institution - 383
COMPLETEDRio Patras, 26500, Greece
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Local Institution - 384
COMPLETEDAthens, 11527, Greece
-
Local Institution - 420
COMPLETEDHaifa, 3109601, Israel
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Local Institution - 421
COMPLETEDNahariya, 22100, Israel
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Local Institution - 422
COMPLETEDJerusalem, 91031, Israel
-
Local Institution - 423
COMPLETEDPetah Tikva, 49100, Israel
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Local Institution - 424
COMPLETEDJerusalem, 91120, Israel
-
Local Institution - 425
COMPLETEDAfula, 1834111, Israel
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Local Institution - 462
COMPLETEDFerrara, 44124, Italy
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Local Institution - 463
COMPLETEDVerona, 37134, Italy
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Local Institution - 464
COMPLETEDBologna, 40138, Italy
-
Local Institution - 465
COMPLETEDRoma, 133, Italy
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Local Institution - 466
COMPLETEDBrindisi, 72100, Italy
-
Local Institution - 468
COMPLETEDReggio Calabria, 89124, Italy
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Local Institution - 469
COMPLETEDPavia, 27100, Italy
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Local Institution - 470
COMPLETEDAllessandria, 15100, Italy
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Local Institution - 471
ACTIVE_NOT_RECRUITINGFlorence, Tuscany, 50139, Italy
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Local Institution - 472
COMPLETEDVarese, 21100, Italy
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Local Institution - 473
COMPLETEDLecce, 73100, Italy
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Local Institution - 474
WITHDRAWNRozzano, 20089, Italy
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Local Institution - 477
COMPLETEDCagliari, 09121, Italy
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Local Institution - 478
COMPLETEDFlorence, Tuscany, 50134, Italy
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Local Institution - 479
COMPLETEDModena, 41124, Italy
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Local Institution - 544
COMPLETEDKuala Lumpur, Kuala Lumpur, 59100, Malaysia
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Local Institution - 545
COMPLETEDJohor Bahru, Johor, 80100, Malaysia
-
Local Institution - 580
COMPLETEDAmsterdam, 1081 HV, Netherlands
-
Local Institution - 601
COMPLETEDKamogawa, Chiba, 296-0041, Japan
-
Local Institution - 602
COMPLETEDShibuya City, Tokyo, 150-8935, Japan
-
Local Institution - 603
COMPLETEDSagamihara, Kanagawa, 252-0329, Japan
-
Local Institution - 604
COMPLETEDSakai, Osaka, 5900197, Japan
-
Local Institution - 605
COMPLETEDHitachi, Ibaraki, 317-0077, Japan
-
Local Institution - 607
COMPLETEDSendai, Miyagi, 980-8574, Japan
-
Local Institution - 609
COMPLETEDOsaka, 545-8586, Japan
-
Local Institution - 610
COMPLETEDNagoya, Aichi-ken, 460-0001, Japan
-
Local Institution - 611
WITHDRAWNNagasaki, Nagasaki, 8528511, Japan
-
Local Institution - 612
COMPLETEDChiba, 260-0852, Japan
-
Local Institution - 680
COMPLETEDSeville, 41013, Spain
-
Local Institution - 681
COMPLETEDBarakaldo, 48903, Spain
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Local Institution - 682
COMPLETEDOviedo, 33011, Spain
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Local Institution - 683
COMPLETEDValencia, 46026, Spain
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Local Institution - 684
COMPLETEDSalamanca, 37007, Spain
-
Local Institution - 685
COMPLETEDBarcelona, 8035, Spain
-
Local Institution - 686
COMPLETEDBarcelona, 08908, Spain
-
Local Institution - 687
COMPLETEDMadrid, 28028, Spain
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Local Institution - 720
COMPLETEDGothenburg, 413 45, Sweden
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Local Institution - 721
COMPLETEDStockholm, 141 86, Sweden
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Local Institution - 722
COMPLETEDLund, SE-221 85, Sweden
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Local Institution - 760
COMPLETEDKaohsiung, San Ming Dist., 807, Taiwan
-
Local Institution - 761
COMPLETEDTaipei, 100225, Taiwan
-
Local Institution - 762
COMPLETEDTaichung, 40447, Taiwan
-
Local Institution - 880
COMPLETEDIzmir, 35100, Turkey (Türkiye)
-
Local Institution - 881
COMPLETEDAdana, 01130, Turkey (Türkiye)
-
Local Institution - 882
COMPLETEDIstanbul, 34093, Turkey (Türkiye)
-
Local Institution - 883
COMPLETEDMersin, 33343, Turkey (Türkiye)
-
Local Institution - 884
COMPLETEDIstanbul, 34098, Turkey (Türkiye)
-
Local Institution - 885
COMPLETEDAnkara, 06590, Turkey (Türkiye)
-
Local Institution - 921
WITHDRAWNLeeds, LS9 7TF, United Kingdom
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Local Institution - 923
COMPLETEDLondon, E1 1BB, United Kingdom
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Local Institution - 924
COMPLETEDLondon, SE5 9RS, United Kingdom
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Local Institution - 925
COMPLETEDAberdeen, AB25 2ZN, United Kingdom
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Local Institution - 926
WITHDRAWNSutton in Ashfield, NG17 4JL, United Kingdom
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Local Institution - 928
COMPLETEDLondon, SE1 9RT, United Kingdom
-
Local Institution - 929
WITHDRAWNOxford, OX3 7LE, United Kingdom
-
Local Institution - 961
COMPLETEDDetroit, Michigan, 48201, United States
-
Local Institution - 967
COMPLETEDCleveland, Ohio, 44195, United States
-
Local Institution - 968
COMPLETEDLos Angeles, California, 90027-6062, United States
-
Local Institution - 969
COMPLETEDNew York, New York, 10065, United States
-
Local Institution - 970
COMPLETEDChicago, Illinois, 60611, United States
-
Local Institution - 971
COMPLETEDOakland, California, 94609, United States
-
Local Institution - 972
COMPLETEDPhiladelphia, Pennsylvania, 19104, United States
-
Local Institution - 973
COMPLETEDBoston, Massachusetts, 02115, United States
-
Local Institution - 975
COMPLETEDTampa, Florida, 33612, United States
-
Local Institution - 978
COMPLETEDStanford, California, 94305, United States
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Maggiore Polyclinic Hospital, IRCCS Ca' Granda
RECRUITINGMilan, 20122, Italy
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Matsuyama Red Cross Hospital
RECRUITINGMatsuyama, Ehime, 790-8524, Japan
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Military Hospital of Tunis
RECRUITINGTunis, 1008, Tunisia
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NTT Medical Center Tokyo
RECRUITINGShinagawa City, Tokyo, 141-8625, Japan
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Ogaki Municipal Hospital
RECRUITINGŌgaki, Gifu, 503-8502, Japan
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Queen Elizabeth Hospital
RECRUITINGKota Kinabalu, Sabah, 88586, Malaysia
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Royal Adelaide Hospital
RECRUITINGAdelaide, South Australia, 5000, Australia
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Royal Prince Alfred Hospital
RECRUITINGCamperdown, 2050, Australia
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Shonan Kamakura General Hospital
RECRUITINGKamakura, 247-8533, Japan
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Siriraj Hospital Mahidol University
RECRUITINGBangkok, 10700, Thailand
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The University of Texas - MD Anderson Cancer Center
WITHDRAWNHouston, Texas, 77030, United States
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University College London Hospitals NHS Foundation Trust - University College Hospital
RECRUITINGLondon, NW1 2BU, United Kingdom
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University Hospital Farhat Hached
RECRUITINGSousse, 4031, Tunisia
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Vanderbilt - Ingram Cancer Center
WITHDRAWNNashville, Tennessee, 37232-5505, United States
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Whittington Hospital
RECRUITINGLondon, N19 5NF, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Half-Matched stem cells tested as cure for myelofibrosis
- Can blood tests predict transplant complications?
- Can a single stem cell infusion rewrite the code of beta thalassemia?
- A gentler transplant may cure sickle cell and thalassemia — can the body accept donor cells?
- Can a new daily pill shrink the spleen and ease myelofibrosis symptoms?
- Can a new pill tame myelofibrosis?