ClinicalTrials.gg
TerminatedNCT03381833Updated Jul 29, 2021

A Study With LJPC-401 for the Treatment of Myocardial Iron Overload in Patients With Transfusion-Dependent Beta Thalassemia

A Phase 2 interventional study of LJPC-401 and LJPC-401 in Beta-Thalassemia, sponsored by La Jolla Pharmaceutical Company. Terminated at 22 sites in 8 countries. Open to participants aged 14 Years and older. Per ClinicalTrials.gov, last updated 2021-07-29.

Sponsored by La Jolla Pharmaceutical Company · Phase 2, Interventional, and Treatment

Why this study was terminated
Terminated early for lack of efficacy as determined by interim endpoint analyses

From the registry’s dates

  • Primary completion was Dec 2019, 6 years 11 months ago, and no results have been posted to the registry.

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Phase
Phase 2
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
14 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 49 studies in beta-Thalassemia with a site in Italy — 8 open to participants now, 17 under way, 6 of them phase 3. beta-Thalassemia · Italy.

Enrollment
14th of 39
84 · median 55
Started
2017
with 4 others
Phase 2
18 of 49
2 open now
Registered
26th of 49
by date

Among the 49 studies in beta-Thalassemia with a site in Italy, this one is the 14th largest by enrollment of the 39 interventional ones that give a count, is one of 5 that started in 2017, is one of 18 in phase 2, and was the 26th registered.

beta-Thalassemia

294 studies on the registry are indexed under beta-Thalassemia; 69 are open to participants now.

Browse beta-Thalassemia studies →

Open to participants now

8 of the 49 studies in beta-Thalassemia with a site in Italy are open now. Recruiting first, the newest first:

3 more — sign in →

All 8 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 43 beta-Thalassemia studies recruiting now, 10 (23%) set no upper age limit and 31 (72%) stop at 75 or younger; 34 take children under 18; 6 take healthy volunteers.

This study: 14 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This study is a Phase 2 multicenter, randomized, open-label, parallel-group study. The primary objective of the study is to evaluate the effect of LJPC-401 (synthetic human hepcidin) on iron levels in patients with transfusion-dependent beta thalassemia with myocardial iron overload.

03

Conditions studied

  • Beta-Thalassemia

Browse trials for

04

Who can participate

Ages eligible
14 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients ≥ 14 years of age with transfusion-dependent beta thalassemia.
  • Patients must have increased iron levels in the heart as measured by magnetic resonance imaging (MRI). Two separate cardiac T2*MRI from 6 to 35 msec; \<= 15% difference between the two.
  • Patients must be receiving iron chelation therapy for a minimum of 1 year and be on a stable dose prior to study and expected to remain stable during study.
  • Female patients of must not be pregnant, must have negative pregnancy tests, and must use an effective method during the study.
  • Male patients must be either surgically sterile or use an effective birth control method during the study.
  • Patient must be willing and able to provide written . Parent of legal guardian to patients younger than age of majority must be willing and able to provide informed consent.

Exclusion criteria

Exclusion Criteria:

  • Any significant medical condition or lab abnormality that would prevent the patient from participating in the study.
  • Pregnant or lactating women.
  • Patients taking an agent (except topical over-the-counter , inhaled steroid medications, and non-steroidal anti-inflammatory drugs) or have a planned surgery (except dental surgery or simple dermatologic procedures).
  • Patients participating in an unapproved clinical trial within 30 days of this study.
  • Patients with a disease, disability or condition which may interfere with the conduct of the study, or which would, in the opinion of the Investigator, pose an unacceptable risk to the patient.
  • Patients who are unwilling or unable to comply with the study requirements.
  • Patients with known or , or being treated for a positive viral load or are noncompliant with hepatitis medications.
  • Known and active (HIV) infection.
  • Patients with class C cirrhosis or liver failure.
  • Patients with severe congestive heart failure ( Class 4).
  • Use of erythropoiesis stimulating agents in the past 3 months prior to study entry.
  • History of allergic reaction to hepcidin or .
  • to MRI scanning.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
84 participants (actual)

Study arms

  • Active comparator
    Group A - Delayed therapy

    standard chelation therapy alone for 26 weeks followed by standard chelation therapy plus LJPC-401 for 26 weeks

    Drug: LJPC-401

  • Active comparator
    Group B - Immediate therapy

    standard chelation therapy plus LJPC-401 for 52 weeks

    Drug: LJPC-401

Interventions

  • DrugLJPC-401

    subcutaneous injection, up to 20 mg per week from week 26 to 52

    Also known as: synthetic human hepcidin

  • DrugLJPC-401

    subcutaneous injection, up to 20 mg per week from week 1 to 52

    Also known as: synthetic human hepcidin

06

What researchers measure

Primary outcomes

  1. Effect of LJPC-401 on cardiac iron

    Change in cardiac T2\* magnetic resonance imaging (MRI)

    Time frame: 26 Weeks

Secondary outcomes

  1. Effect of LJPC-401 on cardiac iron

    Change in cardiac T2\*MRI

    Time frame: 52 Weeks

  2. Effect of LJPC-401 on hepatic iron

    Change in hepatic T2\*MRI

    Time frame: 52 Weeks

  3. Effect of LJPC-401 on serum iron

    Mean change in serum iron

    Time frame: 56 Weeks

  4. Effect of LJPC-401 on hemoglobin

    Mean change in hemoglobin

    Time frame: 52 Weeks

  5. Effect of LJPC-401 on volume of blood transfused

    Change in transfused blood volume

    Time frame: 56 Weeks

  6. Effect of LJPC-401 on its potential to elicit an immune response

    Measured by blood laboratory tests and the presence of anti-drug antibodies

    Time frame: 56 Weeks

  7. Effect of LJPC-401 on the incidence of treatment-emergent adverse events

    Time frame: 56 Weeks

  8. Effect of LJPC-401 on vital signs-heart rate

    Time frame: 56 Weeks

  9. Effect of LJPC-401 on vital signs-body temperature

    Time frame: 56 Weeks

  10. Effect of LJPC-401 on vital signs-respiratory rate

    Time frame: 56 Weeks

  11. Effect of LJPC-401 on vital signs-blood pressure

    Time frame: 56 Weeks

  12. Effect of LJPC-401 on body weight

    Change in body weight (kilograms)

    Time frame: 56 Weeks

07

Study locations

22 sites
  • Investigative Site
    Oakland, California 94609, United States
  • Investigative Site
    New York, New York 10021, United States
  • Investigative Site
    Camperdown, New South Wales 2050, Australia
  • Investigative Site
    Liverpool, New South Wales 2170, Australia
  • Investigative Site
    Goudí, Attica 115 27, Greece
  • Investigative Site
    Thessaloníki, Macedonia 54642, Greece
  • Investigative Site
    Patra, Peloponnese 26504, Greece
  • Investigative Site
    Cagliari, 09121, Italy
  • Investigative Site
    Modena, 41124, Italy
  • Investigative Site
    Napoli, 80138, Italy
  • Investigative Site
    Orbassano, 10043, Italy
  • Investigative Site
    Verona, 37134, Italy
  • Investigative Site
    Beirut, 1107 2020, Lebanon
  • Investigative Site
    Bangkok Noi, 10700, Thailand
  • Investigative Site
    Chiang Mai, 50200, Thailand
  • Investigative Site
    Adana, 01330, Turkey
  • Investigative Site
    Ankara, 06100, Turkey
  • Investigative Site
    Antalya, 07059, Turkey
  • Investigative Site
    Antalya, 07160, Turkey
  • Investigative Site
    İzmir, 35100, Turkey
  • Investigative Site
    London, England E1 1BB, United Kingdom
  • Investigative Site
    London, N19 5NF, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2017 to primary completion in Dec 2019, 24 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 12, 2017
First posted
Dec 22, 2017
StartActual
Nov 30, 2017
Primary completionActual
Dec 3, 2019
CompletionActual
Jan 14, 2020
Last update
Jul 29, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 29, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03381833
Lead sponsor
La Jolla Pharmaceutical Company
Responsible party
Sponsor
First posted
Dec 22, 2017
Start date
Nov 30, 2017
Primary completion
Dec 3, 2019
Completion
Jan 14, 2020
Last update
Jul 29, 2021

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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