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CompletedNCT04092205EMERA007Updated Aug 26, 2021

Phase 2a Pilot Study of NBMI Treatment in Patients With Beta Thalassemia Major, Requiring Iron Chelation

A Phase 2 interventional study of Emeramide in Beta Thalassemia Major, sponsored by EmeraMed. Completed at 1 site in Albania. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-26.

Sponsored by EmeraMed · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A pilot study to explore safety and efficacy of NBMI treatment in patients with Beta Thalassemia Major requiring iron chelation

Investigational product: NBMI (N1,N3-bis(2-mercaptoethyl) isophthalamide), INN: Emeramide

Indication: Beta Thalassemia Major

Read the detailed description

Patients with iron overload, not controlled with current therapy will be enrolled to the study. After initial treatment with standard chelation therapy (deferasirox), patients will receive 600 mg daily dose of emeramide (NBMI) for 28 days. After that follow up period on standard treatment with deferasirox shall follow.

02

Conditions studied

  • Beta Thalassemia Major
03

Who can participate

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

Inclusion criteria

  1. Patient has clinically confirmed documented diagnosis of Beta Thalassemia Major, according to the current clinical criteria, and are on blood transfusions.
  2. Patient has been on a stable maintaince therapy with deferasirox for at least during last 3 months.
  3. Patients current chelation therapy is considered inadequate, meaning that there is evidence from clinical monitoring that chronic iron overload is present (e.g. serum ferritin >1,000 µg/l), for at least during the last 3 months.
  4. The ferritin level has been stable with max 10% difference between max-to-low, and the iron chelator treatment dose has been unchanged during the last 3 months
  5. Patient is aged 18 years or older at screening.
  6. Female patients are only eligible for the study if they are either surgically sterile or at least 2 years postmenopausal, or have a negative result of serum hCG test at screening and if willing to use acceptable, effective methods of contraception during the trial and for three month after the end of trial participation as defined inpoint 7.7. of this the protocol.
  7. Male patients must either be surgically sterile or he and his female spouse/partner who is of childbearing potential must be willing to use highly effective methods of contraception consisting of 2 forms of birth control (1 of which must be a barrier method) starting at screening and continuing throughout the study.
  8. Patient is fluent in the local language and provides written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Known history or presence of clinically significant other, hematologic, endocrine, oncologic, pulmonary, immunologic, genitourinary, psychiatric, or cardiovascular disease or any other condition which, in the opinion of the Investigator, would jeopardize the safety of the subject or impact the validity of the study results.
  2. Known or suspected allergy hypersensitivity or idiosyncratic reaction to NBMI or any other drug substances with similar activity.
  3. History of drug or alcohol addiction requiring treatment.
  4. History of malabsorption within the last year or presence of clinically significant gastrointestinal disease or surgery that may affect drug bioavailability, including but not limited to cholecystectomy.
  5. Presence of hepatic or renal dysfunction. (SGOT and SGPT and bilirubin > X3 (3 fold) UNL. creatinine > 1.5mg/dl).
  6. Female patient who is pregnant (serum hCG level consistent with pregnancy diagnosis); or breastfeeding.
  7. Participation in a clinical trial that involved administration of an investigational medicinal product within 90 days prior to drug administration, or recent participation in a clinical investigation that, in the opinion of the Investigator, would jeopardize subject safety or the integrity of the study results.
  8. Have clinically significant abnormal laboratory values (e.g. liver enzymes).
  9. Have clinically significant findings from a physical examination (e.g. fever).
  10. Patient has Inflammatory disorders, liver disease such as hepatitis, malignancy or other condition that could influence ferritine levels and therefore validity of study results.
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    Experimental: Treatment

    28 days treatment with NBMI 600 mg/day

    Drug: Emeramide

Interventions

  • DrugEmeramide

    Lipophilic, membrane passing Metal chelator and anti oxidant

    Also known as: NBMI, Irminix

05

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events

    The safety assessment is based on the number, type and severity of adverse events. The incidence of adverse events will be summarized by organ class, severity and duration.

    Time frame: 28 days

Secondary outcomes

  1. Change in serum ferritin levels

    Change in serum ferritin levels measured in µg/l (V2 level compared to V4 level and V5 level compared to V2 level)

    Time frame: 28 days

  2. Change in iron load in the liver and heart

    Change in iron load in the liver and heart as measured by magnetic resonance imaging (MRI) techniques for assessing tissue iron T\* (V2 level compared to V4 level and V5 level compared to V2 level)

    Time frame: 28 days

  3. Percentage of NBMI-treated patients who will develop a response

    Percentage of NBMI-treated patients who will develop a response to NBMI (response will be defined as lack of increase of ferritin levels ) as compared between V2 level and V4 level

    Time frame: 28 days

Other outcomes

  1. Kidney markers (serum creatinine levels, glomerular filtration calculation)

    Change from baseline after both treatments. Serum creatinine levels will be measured in μmol/l, glomerular filtration in ml/min.

    Time frame: 28 days

  2. Pharmacokinetic parameters

    Pharmacokinetic parameters derived from plasma concentrations of NBMI (Time of maximum analyte concentration - Tmax, Maximum drug concentration - Cmax,The terminal elimination rate constant - λz, Apparent terminal elimination half-life - t1/2, The area under the plasma concentration - AUC0-t, Area under the concentration-time curve - AUC0-∞, Area under the concentration-time curve - AUC%Extrap)

    Time frame: Visit 4, 5, 6, 7

  3. Malondialdehyde levels

    Indicator of oxidative stress measured in μmol/l.

    Time frame: Visit 2, 4

06

Study locations

1 site
  • University Hospital Center "Mother Theresa" Tirana
    Tirana, 1006, Albania
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT04092205
Lead sponsor
EmeraMed
Responsible party
Sponsor
First posted
Sep 17, 2019
Start date
Nov 21, 2019
Primary completion
Jul 30, 2020
Completion
Aug 30, 2020
Last update
Aug 26, 2021

Oversight

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

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