ClinicalTrials.gg
RecruitingNCT04064060Updated Jul 1, 2026

A Study to Evaluate Long-term Safety in Participants Who Have Participated in Other Luspatercept (ACE-536) Clinical Trials

A Phase 3 interventional study of Luspatercept in Myelodysplastic Syndromes (MDS), Beta-thalassemia and Myeloproliferative Neoplasm(MPN)-Associated Myelofibrosis, sponsored by Celgene. Recruiting at 143 sites in 22 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-01.

Sponsored by Celgene (part of Bristol-Myers Squibb) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2019; still recruiting 7 years 3 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
665
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A Phase 3b, open-label, single-arm, rollover study to evaluate the long-term safety of luspatercept, to the following participants:

  • Participants receiving luspatercept on a parent protocol at the time of their transition to the rollover study, who tolerate the protocol-prescribed regimen in the parent trial and, in the opinion of the investigator, may derive clinical benefit from continuing treatment with luspatercept
  • Participants in the follow-up phase previously treated with luspatercept or placebo in the parent protocol will continue into long-term post-treatment follow-up in the rollover study until the follow-up commitments are met
  • The study design is divided into the Transition Phase, Treatment Phase and Follow-up Phase. Participants will enter transition phase and depending on their background will enter either the treatment phase or the Long-term Post-treatment Follow-up (LTPTFU) phase
  • Transition Phase is defined as one Enrollment visit
  • Treatment Phase: For participants in luspatercept treatment the dose and schedule of luspatercept in this study will be the same as the last dose and schedule in the parent luspatercept study. This does not apply to participants that are in long-term follow-up from the parent protocol
  • Follow-up Phase includes:

    - 42 Day Safety Follow-up Visit

  • During the Safety Follow up, the participants will be followed for 42 days after the last dose of luspatercept, for the assessment of safety-related parameters and adverse event (AE) reporting

    - Long-term Post-treatment Follow-up (LTPTFU) Phase

  • Participants will be followed for overall survival every 6 months for at least 5 years from first dose of luspatercept in the parent protocol, or 3 years of post-treatment from last dose, whichever occurs later, or until death, withdrawal of consent, study termination, or until a subject is lost to follow-up. Participants will also be monitored for progression to AML or any malignancies/pre-malignancies. New anticancer or disease related therapies should be collected at the same time schedule

Participants transitioning from a parent luspatercept study in post-treatment follow-up (safety or LTPTFU) will continue from the same equivalent point in this rollover study.

The ACE-536-LTFU-001 rollover study will be terminated, and relevant participants will discontinue from the study when all participants fulfill 5 years on the study, including treatment and follow-up.

02

Conditions studied

  • Myelodysplastic Syndromes (MDS)
  • Beta-thalassemia
  • Myeloproliferative Neoplasm(MPN)-Associated Myelofibrosis

Keywords

  • ACE-536
  • Luspatercept
  • MDS
  • Beta-thalassemia
  • Myeloproliferative neoplasm (MPN)-associated myelofibrosis
03

In context

Myelodysplastic Syndromes

1,997 studies on the registry are indexed under Myelodysplastic Syndromes; 324 are open to participants now.

This study's planned enrollment of 665 is above the median of 40 across 1,611 interventional studies indexed under Myelodysplastic Syndromes.

Browse Myelodysplastic Syndromes studies →

Lead sponsor

Celgene is the lead sponsor of 428 studies on the registry; 12 are open to participants now.

Of its 104 completed or terminated interventional studies of FDA-regulated products, 30 (29%) have results posted.

First submitted before Celgene became part of Bristol-Myers Squibb.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 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

Participants must meet all the following criteria to be enrolled in this study:

  1. Participant is ≥ 18 years at the time of signing the 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 (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 (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, without interruption, 35 days prior to starting 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

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.
Terms in these criteria, in plain language(5)

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.

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.

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
665 participants (estimated)

Study arms

  • Experimental
    ACE-536

    Luspatercept will be administered as a subcutaneous (SC) injection to participants by the study staff at the clinical site and administration will be documented in the subject's source record.

    Drug: Luspatercept

Interventions

  • Luspatercept (ACE-536), an erythroid maturation agent, is a recombinant fusion protein consisting of a modified form of the extracellular domain (ECD) of the human activin receptor type IIB (ActRIIB) linked to the human immunoglobin G 1 (IgG1) Fc domain. ActRIIB receptor and its ligands are members of the transforming growth factor-β (TGF-β) superfamily. Members of the TGF-β superfamily ligands, through their binding to activin receptors, are involved in modulating the differentiation of late-stage erythrocyte precursors (normoblasts) in the bone marrow. Luspatercept for injection is formulated as a sterile, preservative-free, lyophilized cake/powder. Luspatercept for injection is available in 25 mg and 75 mg vials and when reconstituted with water for injection, each consists of 50 mg/mL luspatercept in a 10 mM citrate buffer-based solution

    Also known as: ACE-536

06

What researchers measure

Primary outcomes

  1. Adverse Events (AEs)

    Type, frequency, severity of AEs, relationship of treatment emergent adverse events to luspatercept

    Time frame: From enrollment until at least 42 Day Safety Follow-up Phase

  2. Number of participants progressing to high/very high risk MDS or AML.

    Progression to high/very high-risk myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) (MDS and myelofibrosis \[MF\] only).

    Time frame: Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)

  3. Percentage of participants progressing to high/very high risk MDS or AML

    Progression to high/very high-risk myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) (MDS and myelofibrosis \[MF\] only)

    Time frame: Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)

  4. Number of participants developing other malignancies/pre-malignancies

    Development of other malignancies/pre-malignancies

    Time frame: Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)

  5. Percentage of participants developing other malignancies/pre-malignancies

    Development of other malignancies/pre-malignancies

    Time frame: Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)

Secondary outcomes

  1. Overall Survival

    Time from date of randomization until death from any cause

    Time frame: Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)

  2. Number of participants developing treatment emergent extramedullary hematopoiesis (EMH) masses

    Time frame: Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)

  3. Percentage of participants developing treatment emergent EMH masses

    Time frame: Enrollment to Long-term post-treatment follow-up (Approximately, 5 years)

07

Study locations

27 of 143 sites recruiting
  • Local Institution - 968
    Los Angeles, California 90027-6062, United States
    Completed

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  • Local Institution - 971
    Oakland, California 94609, United States
    Completed

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  • Local Institution - 978
    Stanford, California 94305, United States
    Completed

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  • Local Institution - 975
    Tampa, Florida 33612, United States
    Completed

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  • Local Institution - 970
    Chicago, Illinois 60611, United States
    Completed

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  • Local Institution - 973
    Boston, Massachusetts 02115, United States
    Completed

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  • Local Institution - 961
    Detroit, Michigan 48201, United States
    Completed

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  • Local Institution - 969
    New York, New York 10065, United States
    Completed

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  • Local Institution - 967
    Cleveland, Ohio 44195, United States
    Completed

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  • Local Institution - 972
    Philadelphia, Pennsylvania 19104, United States
    Completed

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  • Vanderbilt - Ingram Cancer Center
    Nashville, Tennessee 37232-5505, United States
    Withdrawn

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  • The University of Texas - MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Withdrawn

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  • Local Institution - 100
    South Brisbane, Queensland 4101, Australia
    Completed

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  • Royal Adelaide Hospital
    Adelaide, South Australia 5000, Australia
    Recruiting
    • Devendra Hiwase, Site 103 · Contact+61882223369
  • Local Institution - 102
    Clayton, Victoria 3168, Australia
    Completed

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  • Royal Prince Alfred Hospital
    Camperdown, 2050, Australia
    Recruiting
    • Joy Ho, Site 101 · Contact+61295158031
  • Local Institution - 182
    Brasschaat, 2930, Belgium
    Completed

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  • Local Institution - 180
    Bruges, 8000, Belgium
    Completed

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  • Local Institution - 183
    Ghent, 9000, Belgium
    Completed

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  • Local Institution - 184
    Leuven, 3000, Belgium
    Completed

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  • Local Institution - 220
    Boulevard, Sofia 1797, Bulgaria
    Completed

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  • Local Institution - 221
    Plovdiv, 4002, Bulgaria
    Completed

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  • Local Institution - 262
    Toronto, Ontario M4N 3M5, Canada
    Completed

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  • Local Institution - 260
    Toronto, Ontario M5G 2C4, Canada
    Completed

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  • Local Institution - 263
    Toronto, Ontario M5G 2M9, Canada
    Completed

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  • Local Institution - 131
    Beijing, Beijing Municipality 100730, China
    Withdrawn

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  • Local Institution - 135
    Guangzhou, Guangdong 510515, China
    Withdrawn

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  • Local Institution - 132
    Shanghai, Shanghai Municipality 200233, China
    Withdrawn

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  • Local Institution - 134
    Chengdu, Sichuan 610041, China
    Withdrawn

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  • Local Institution - 130
    Tianjin, Tianjin Municipality 300020, China
    Withdrawn

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  • Local Institution - 133
    Hangzhou, Zhejiang 310009, China
    Withdrawn

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  • Local Institution - 305
    Angers, 49033, France
    Completed

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  • Local Institution - 300
    Créteil, 94010, France
    Completed

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  • Local Institution - 310
    La Tronche, 38700, France
    Completed

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  • Local Institution - 306
    Lille, 59037, France
    Completed

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  • Local Institution - 301
    Marseille, 13385, France
    Completed

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  • Local Institution - 302
    Paris, 75010, France
    Completed

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  • Local Institution - 307
    Pessac, 33604, France
    Withdrawn

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  • Local Institution - 304
    Pierre-Bénite, 69495, France
    Completed

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  • Local Institution - 308
    Strasbourg, 67091, France
    Completed

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  • Local Institution - 309
    Toulouse, 31059, France
    Completed

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  • Local Institution - 303
    Tours, 37044, France
    Withdrawn

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  • Local Institution - 341
    Berlin, 14195, Germany
    Completed

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  • Local Institution - 348
    Dresden, 01307, Germany
    Completed

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  • Local Institution - 345
    Düsseldorf, 40225, Germany
    Completed

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  • Local Institution - 346
    Düsseldorf, 40479, Germany
    Completed

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  • Local Institution - 343
    Halle, 06120, Germany
    Completed

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  • Local Institution - 342
    Hamburg, 22081, Germany
    Completed

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  • Local Institution - 344
    Hanover, 30625, Germany
    Completed

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  • Local Institution - 349
    Leipzig, 04103, Germany
    Withdrawn

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  • Local Institution - 340
    Mainz, 55131, Germany
    Completed

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  • Local Institution - 347
    München, 81675, Germany
    Completed

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  • Aghia Sophia' Children's General Hospital of Athens
    Athens, 115 27, Greece
    Recruiting
    • Antonis Kattamis, Site 382 · Contact+302107467772 0(000)
  • Local Institution - 380
    Athens, 115 27, Greece
    Completed

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  • Local Institution - 384
    Athens, 11527, Greece
    Completed

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  • Local Institution - 383
    Rio Patras, 26500, Greece
    Completed

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  • Local Institution - 381
    Thessaloniki, 54642, Greece
    Completed

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  • Local Institution - 425
    Afula, 1834111, Israel
    Completed

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  • Local Institution - 420
    Haifa, 3109601, Israel
    Completed

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  • Local Institution - 422
    Jerusalem, 91031, Israel
    Completed

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  • Local Institution - 424
    Jerusalem, 91120, Israel
    Completed

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  • Local Institution - 421
    Nahariya, 22100, Israel
    Completed

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  • Local Institution - 423
    Petah Tikva, 49100, Israel
    Completed

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  • Local Institution - 478
    Florence, Tuscany 50134, Italy
    Completed

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  • Local Institution - 471
    Florence, Tuscany 50139, Italy
    Active, not recruiting

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  • Local Institution - 470
    Allessandria, 15100, Italy
    Completed

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  • Local Institution - 464
    Bologna, 40138, Italy
    Completed

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  • Local Institution - 466
    Brindisi, 72100, Italy
    Completed

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  • Local Institution - 477
    Cagliari, 09121, Italy
    Completed

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  • Local Institution - 462
    Ferrara, 44124, Italy
    Completed

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  • Ente Ospedaliero Ospedali Galliera - Centro della Microcitemia e delle Anemie Congenite
    Genoa, 16128, Italy
    Recruiting
    • Manuela Balocco, Site 476 · Contact+390105634557
  • Local Institution - 473
    Lecce, 73100, Italy
    Completed

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  • Maggiore Polyclinic Hospital, IRCCS Ca' Granda
    Milan, 20122, Italy
    Recruiting
    • Maria Domenica Cappellini, Site 467 · Contact+390250320288
  • Local Institution - 479
    Modena, 41124, Italy
    Completed

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  • AORN A Cardarelli
    Naples, 80131, Italy
    Recruiting
    • Paolo Ricchi, Site 475 · Contact390817472256
  • AOU dell'Universita degli Studi della Campania Luigi Vanvitelli
    Naples, 80131, Italy
    Recruiting
    • Silverio Perrotta, Site 461 · Contact+0390815665421 0 000
  • Azienda Ospedaliero Universitaria S. Luigi Gonzaga
    Orbassano, 10043, Italy
    Recruiting
    • Giovanni Battista Ferrero, Site 460 · Contact
  • Local Institution - 469
    Pavia, 27100, Italy
    Completed

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  • Local Institution - 468
    Reggio Calabria, 89124, Italy
    Completed

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  • Local Institution - 465
    Roma, 133, Italy
    Completed

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  • Local Institution - 474
    Rozzano, 20089, Italy
    Withdrawn

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  • Local Institution - 472
    Varese, 21100, Italy
    Completed

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  • Local Institution - 463
    Verona, 37134, Italy
    Completed

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  • Local Institution - 610
    Nagoya, Aichi-ken 460-0001, Japan
    Completed

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  • Local Institution - 601
    Kamogawa, Chiba 296-0041, Japan
    Completed

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  • Matsuyama Red Cross Hospital
    Matsuyama, Ehime 790-8524, Japan
    Recruiting
    • Tomoaki Fujisaki, Site 606 · Contact810899241111
  • Ogaki Municipal Hospital
    Ōgaki, Gifu 503-8502, Japan
    Recruiting
    • Hiroshi Kosugi, Site 608 · Contact81584813341
  • Japanese Red Cross Society Himeji Hospital
    Himeji, Hyōgo 6708540, Japan
    Recruiting
    • Yasushi Hiramatsu, Site 614 · Contact
  • Local Institution - 605
    Hitachi, Ibaraki 317-0077, Japan
    Completed

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  • Local Institution - 603
    Sagamihara, Kanagawa 252-0329, Japan
    Completed

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  • Local Institution - 0979
    Sendai, Miyagi 980-8574, Japan
    Withdrawn

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  • Local Institution - 607
    Sendai, Miyagi 980-8574, Japan
    Completed

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  • Local Institution - 611
    Nagasaki, Nagasaki 8528511, Japan
    Withdrawn

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  • Local Institution - 604
    Sakai, Osaka 5900197, Japan
    Completed

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  • Local Institution - 602
    Shibuya City, Tokyo 150-8935, Japan
    Completed

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  • NTT Medical Center Tokyo
    Shinagawa City, Tokyo 141-8625, Japan
    Recruiting
    • Motoshi Ichikawa, Site 600 · Contact03-3448-6111
  • Local Institution - 612
    Chiba, 260-0852, Japan
    Completed

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  • Shonan Kamakura General Hospital
    Kamakura, 247-8533, Japan
    Recruiting
    • Shuku sato, Site 613 · Contact+81-467-46-1717
  • Local Institution - 609
    Osaka, 545-8586, Japan
    Completed

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  • Chronic Care Center
    Hazmiyeh, 00961, Lebanon
    Recruiting
    • Ali Taher, Site 500 · Contact+9613755669 000000.0

Showing the first 100 of 143 sites across 22 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Musallam KM, Cappellini MD, Kattamis A, Dyer M, Hnoosh A, Eliason L, Pelligra CG, Guo S, Mu Y, Medlin LF, Reverte M, Kuo KHM, Taher AT. Patient-Reported Outcomes With Luspatercept Through 5 Years of Treatment in Patients With Non-Transfusion-Dependent beta-Thalassemia Treated in the BEYOND Trial. Eur J Haematol. 2026 Jul;117(1):161-173. doi: 10.1111/ejh.70161. Epub 2026 Mar 19. PubMed 41857682 ↗

Individual participant data

Plan to share: Yes — BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: See Plan Description

Access criteria: See Plan Description

Data sharing details ↗ · www.bms.com

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2019 (actual). Primary completion is estimated for May 2028, 105 months after the start.

Of 26 industry-sponsored phase 3 interventional studies under Myelodysplastic Syndromes, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 52. This study's planned 105 months is above that.

Counting every sponsor, half of 45 studies reached it within 50 months; a quarter within 38 and three quarters within 95.

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

Registered
Aug 9, 2019
First posted
Aug 21, 2019
StartActual
Aug 12, 2019
Primary completionEst.
May 12, 2028
CompletionEst.
May 12, 2028
Last update
Jul 1, 2026
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 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04064060
Lead sponsor
Celgene
Responsible party
Sponsor
First posted
Aug 21, 2019
Start date
Aug 12, 2019
Primary completion
May 12, 2028 (estimated)
Completion
May 12, 2028 (estimated)
Last update
Jul 1, 2026

Study contacts

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
Contact
Clinical.Trials@bms.com
855-907-3286
First line of the email MUST contain NCT # and Site #.
Contact
Bristol-Myers Squibb
study director · Bristol-Myers Squibb

Oversight

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

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Luspatercept

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