A Phase 2 interventional study of IMR-687 and Placebo in β Thalassemia, sponsored by Cardurion Pharmaceuticals, Inc.. Terminated at 36 sites in 13 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-05-15.
Sponsored by Cardurion Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment
A Study to Evaluate the Safety and Tolerability of IMR-687 in Subjects with Beta Thalassemia
A phase 2, randomized, double-blind, placebo-controlled study to evaluate the safety, tolerability, PK, and PD of IMR-687 (phosphodiesterase (PDE) 9 inhibitor) administered once daily (qd) orally for 36 weeks in 2 populations of adult subjects with β-thalassemia: Population 1 (Transfusion Dependent Thalassemia (TDT) subjects) and Population 2 (Non-Transfusion Dependent Thalassemia (NTDT) subjects).
250 studies on the registry are indexed under Thalassemia; 43 are open to participants now.
This study's enrollment of 122 is above the median of 33 across 170 interventional studies indexed under Thalassemia.
Browse Thalassemia studies →Cardurion Pharmaceuticals, Inc. is the lead sponsor of 12 studies on the registry; 2 are open to participants now.
Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.
Counted across the registry records on this site, refreshed daily.
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.
Exclusion Criteria:
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.
The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).
A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.
Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
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 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.
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.
Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.
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.
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.
Hemoglobin (Hb)
The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ECOG performance status
A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.
Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
BMI (body mass index)
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Platelets
Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Oral administration of once daily IMR-687
Drug: IMR-687
Oral administration of once daily IMR-687
Drug: IMR-687
Oral administration of once daily placebo
Drug: Placebo
Oral administration of once daily IMR-687
Oral administration of once daily Placebo
IMR-687 Safety and Tolerability
Incidence and severity of Adverse Events Incidence and severity of Serious Adverse Events
Time frame: Baseline to Week 40
TDT Patients: Reduction in Red Blood Cell (RBC) Transfusion Burden With ≥33% Hematological Improvement From Week 12 to Week 24
Proportion of patients with ≥33% hematological improvement (as measured by reduced transfusion burden) from Week 12 to Week 24 compared to the 12 weeks prior to Baseline (Day 1)
Time frame: Baseline to Week 24
NTDT Patients: Proportion of Subjects With an Increase From Baseline of Hb at Week 12 to Week 24 in the Absence of Transfusions.
Proportion of subjects with an increase from baseline of ≥1.0 g/dL in mean Hb values at Week 12 to Week 24 in the absence of transfusions.
Time frame: Baseline to Week 24
NTDT Patients: Proportion of Subjects With an Increase From Baseline of ≥3% in Mean HbF Values at Week 12 to Week 24 in Absence of Transfusions
Proportion of subjects with an increase from baseline of ≥3% in mean HbF values at Week 12 to Week 24 in absence of transfusions
Time frame: Baseline to Week 24
TDT Patients: Reduction in Red Blood Cell (RBC) Transfusion Burden With ≥33% Hematological Improvement From Week 24 to Week 36
Proportion of patients with ≥33% hematological improvement from Week 24 to Week 36 compared to the 12 weeks prior to Baseline (Day 1)
Time frame: Baseline to Week 36
TDT Patients: Reduction in Red Blood Cell (RBC) Transfusion Burden With ≥50 % Hematological Improvement From Week 12 to Week 24
Proportion of patients with ≥50% hematological improvement from Week 12 to Week 24 compared to the 12 weeks prior to Baseline (Day 1)
Time frame: Baseline to Week 24
TDT Patients: Reduction in Red Blood Cell (RBC) Transfusion Burden With ≥50% Hematological Improvement From Week 24 to Week 36
Proportion of patients with ≥50% hematological improvement from Week 24 to Week 36 compared to the 12 weeks prior to Baseline (Day 1)
Time frame: Baseline to Week 36
NTDT Patients: Proportion of Subjects With an Increase From Baseline of Hb at Week 24 to Week 36 in the Absence of Transfusions
Proportion of subjects with an increase from baseline of ≥1.0 g/dL in mean Hb values at Week 24 to Week 36 in the absence of transfusions.
Time frame: Baseline to Week 36
NTDT: Proportion of Subjects With an Increase From Baseline of ≥3% in Mean HbF Values at Week 24 to Week 36 in Absence of Transfusions
Proportion of subjects with an increase from baseline of ≥3% in mean HbF values at Week 24 to Week 36 in absence of transfusions
Time frame: Baseline to Week 36
| Milestone | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo |
|---|---|---|---|---|---|---|
| Started | 29 | 25 | 20 | 24 | 12 | 12 |
| Completed | 18 | 16 | 16 | 10 | 8 | 6 |
| Not completed | 11 | 9 | 4 | 14 | 4 | 6 |
Incidence and severity of Adverse Events Incidence and severity of Serious Adverse Events
| Participants | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo |
|---|---|---|---|---|---|---|
| Treatment emergent Adverse Events | 25 | 22 | 15 | 18 | 12 | 6 |
| Treatment emergent Adverse Event related to study drug | 19 | 15 | 8 | 11 | 7 | 4 |
| Grade 3 or greater treatment emergent Adverse Event | 4 | 9 | 2 | 4 | 1 | 1 |
Proportion of patients with ≥33% hematological improvement (as measured by reduced transfusion burden) from Week 12 to Week 24 compared to the 12 weeks prior to Baseline (Day 1)
| Participants | TDT High Dose | TDT Low Dose | TDT Placebo |
|---|---|---|---|
| TDT Patients: Reduction in Red Blood Cell (RBC) Transfusion Burden With ≥33% Hematological Improvement From Week 12 to Week 24 | 2 | 1 | 2 |
Proportion of subjects with an increase from baseline of ≥1.0 g/dL in mean Hb values at Week 12 to Week 24 in the absence of transfusions.
| Participants | NTDT High Dose | NTDT Low Dose | NTDT Placebo |
|---|---|---|---|
| NTDT Patients: Proportion of Subjects With an Increase From Baseline of Hb at Week 12 to Week 24 in the Absence of Transfusions. | 0 | 0 | 0 |
Proportion of subjects with an increase from baseline of ≥3% in mean HbF values at Week 12 to Week 24 in absence of transfusions
| Participants | NTDT High Dose | NTDT Low Dose | NTDT Placebo |
|---|---|---|---|
| NTDT Patients: Proportion of Subjects With an Increase From Baseline of ≥3% in Mean HbF Values at Week 12 to Week 24 in Absence of Transfusions | 1 | 1 | 0 |
Proportion of patients with ≥33% hematological improvement from Week 24 to Week 36 compared to the 12 weeks prior to Baseline (Day 1)
| Participants | TDT High Dose | TDT Low Dose | TDT Placebo |
|---|---|---|---|
| TDT Patients: Reduction in Red Blood Cell (RBC) Transfusion Burden With ≥33% Hematological Improvement From Week 24 to Week 36 | 0 | 1 | 1 |
Proportion of patients with ≥50% hematological improvement from Week 12 to Week 24 compared to the 12 weeks prior to Baseline (Day 1)
| Participants | TDT High Dose | TDT Low Dose | TDT Placebo |
|---|---|---|---|
| TDT Patients: Reduction in Red Blood Cell (RBC) Transfusion Burden With ≥50 % Hematological Improvement From Week 12 to Week 24 | 0 | 0 | 2 |
Proportion of patients with ≥50% hematological improvement from Week 24 to Week 36 compared to the 12 weeks prior to Baseline (Day 1)
| Participants | TDT High Dose | TDT Low Dose | TDT Placebo |
|---|---|---|---|
| TDT Patients: Reduction in Red Blood Cell (RBC) Transfusion Burden With ≥50% Hematological Improvement From Week 24 to Week 36 | 0 | 1 | 1 |
Proportion of subjects with an increase from baseline of ≥1.0 g/dL in mean Hb values at Week 24 to Week 36 in the absence of transfusions.
| Participants | NTDT High Dose | NTDT Low Dose | NTDT Placebo |
|---|---|---|---|
| NTDT Patients: Proportion of Subjects With an Increase From Baseline of Hb at Week 24 to Week 36 in the Absence of Transfusions | 1 | 1 | 0 |
Proportion of subjects with an increase from baseline of ≥3% in mean HbF values at Week 24 to Week 36 in absence of transfusions
| Participants | NTDT High Dose | NTDT Low Dose | NTDT Placebo |
|---|---|---|---|
| NTDT: Proportion of Subjects With an Increase From Baseline of ≥3% in Mean HbF Values at Week 24 to Week 36 in Absence of Transfusions | 1 | 0 | 0 |
Collected over 10 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| TDT High Dose | 0/29 (0%) | 1/29 (3.4%) | 25/29 (86.2%) |
| TDT Low Dose | 0/25 (0%) | 3/25 (12%) | 22/25 (88%) |
| TDT Placebo | 0/20 (0%) | 1/20 (5%) | 15/20 (75%) |
| NTDT High Dose | 0/24 (0%) | 3/24 (12.5%) | 18/24 (75%) |
| NTDT Low Dose | 0/12 (0%) | 0/12 (0%) | 12/12 (100%) |
| NTDT Placebo | 0/12 (0%) | 0/12 (0%) | 6/12 (50%) |
| Event | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo |
|---|---|---|---|---|---|---|
| COVID19Infections and infestations | 0/29 | 2/25 | 0/20 | 0/24 | 0/12 | 0/12 |
| Carbon Monoxide PoisoningInjury, poisoning and procedural complications | 0/29 | 0/25 | 1/20 | 0/24 | 0/12 | 0/12 |
| Lower Respiratory Tract InfectionInfections and infestations | 0/29 | 0/25 | 0/20 | 1/24 | 0/12 | 0/12 |
| Lower Limb FractureInjury, poisoning and procedural complications | 0/29 | 0/25 | 0/20 | 1/24 | 0/12 | 0/12 |
| CholelithiasisHepatobiliary disorders | 0/29 | 0/25 | 0/20 | 1/24 | 0/12 | 0/12 |
| Liver abscessInfections and infestations | 0/29 | 1/25 | 0/20 | 0/24 | 0/12 | 0/12 |
| PneumoniaInfections and infestations | 0/29 | 1/25 | 0/20 | 0/24 | 0/12 | 0/12 |
| Back PainMusculoskeletal and connective tissue disorders | 1/29 | 0/25 | 0/20 | 0/24 | 0/12 | 0/12 |
| RashSkin and subcutaneous tissue disorders | 1/29 | 0/25 | 0/20 | 0/24 | 0/12 | 0/12 |
| Transfusion ReactionInjury, poisoning and procedural complications | 1/29 | 0/25 | 0/20 | 0/24 | 0/12 | 0/12 |
| Event | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo |
|---|---|---|---|---|---|---|
| HeadacheNervous system disorders | 10/29 | 10/25 | 7/20 | 5/24 | 2/12 | 2/12 |
| NauseaGastrointestinal disorders | 11/29 | 6/25 | 1/20 | 5/24 | 1/12 | 1/12 |
| Abdominal Pain UpperGastrointestinal disorders | 2/29 | 1/25 | 1/20 | 3/24 | 3/12 | 0/12 |
| DizzinessNervous system disorders | 5/29 | 5/25 | 2/20 | 1/24 | 0/12 | 1/12 |
| DiarrhoeaGastrointestinal disorders | 4/29 | 1/25 | 2/20 | 1/24 | 2/12 | 0/12 |
| FatigueGeneral disorders | 1/29 | 0/25 | 0/20 | 3/24 | 2/12 | 0/12 |
| VomittingGastrointestinal disorders | 1/29 | 0/25 | 0/20 | 3/24 | 2/12 | 0/12 |
| AnemiaBlood and lymphatic system disorders | 0/29 | 1/25 | 1/20 | 2/24 | 2/12 | 1/12 |
| COVID19Infections and infestations | 1/29 | 3/25 | 0/20 | 3/24 | 0/12 | 2/12 |
| GastroenteritisInfections and infestations | 3/29 | 0/25 | 0/20 | 0/24 | 0/12 | 0/12 |
Safety Analysis Set
| Age, Continuous(Years) | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo | Total |
|---|---|---|---|---|---|---|---|
| Mean | 31.7 ± 12.06 | 30.0 ± 9.95 | 31.3 ± 8.57 | 34.1 ± 12.64 | 28.5 ± 8.21 | 36.0 ± 9.56 | 31.9 ± 10.69 |
| Sex: Female, Male(Participants) | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo | Total |
|---|---|---|---|---|---|---|---|
| Female | 15 | 15 | 9 | 10 | 6 | 8 | 63 |
| Male | 14 | 10 | 11 | 14 | 6 | 4 | 59 |
| Race (NIH/OMB)(Participants) | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo | Total |
|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 5 | 7 | 4 | 4 | 3 | 4 | 27 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 1 | 0 | 0 | 0 | 1 | 0 | 2 |
| White | 19 | 17 | 14 | 17 | 7 | 6 | 80 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 4 | 1 | 2 | 3 | 1 | 2 | 13 |
| Region of Enrollment(Participants) | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo | Total |
|---|---|---|---|---|---|---|---|
| United Kingdom | 1 | 0 | 0 | 2 | 0 | 1 | 4 |
| Malaysia | 4 | 6 | 4 | 3 | 3 | 2 | 22 |
| Greece | 9 | 2 | 1 | 5 | 0 | 2 | 19 |
| Lebanon | 0 | 4 | 3 | 0 | 1 | 0 | 8 |
| Netherlands | 0 | 0 | 0 | 2 | 0 | 1 | 3 |
| Turkey | 3 | 5 | 7 | 1 | 0 | 0 | 16 |
| Morocco | 1 | 1 | 0 | 2 | 0 | 2 | 6 |
| Denmark | 3 | 0 | 2 | 0 | 0 | 0 | 5 |
| Italy | 0 | 0 | 0 | 0 | 1 | 1 | 2 |
| Georgia | 0 | 2 | 1 | 3 | 1 | 1 | 8 |
| Israel | 2 | 2 | 2 | 1 | 0 | 0 | 7 |
| France | 2 | 1 | 0 | 0 | 2 | 2 | 7 |
| Tunisia | 4 | 2 | 0 | 5 | 4 | 0 | 15 |
| BMI(kg/m2) | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo | Total |
|---|---|---|---|---|---|---|---|
| Mean | 22.900 ± 3.2252 | 21.252 ± 2.2874 | 22.699 ± 2.9968 | 22.031 ± 3.5415 | 21.1320 ± 3.5047 | 21.9120 ± 3.5638 | 22.0873 ± 3.1573 |
| Serum Ferritin(micrograms per liter) | TDT High Dose | TDT Low Dose | TDT Placebo | NTDT High Dose | NTDT Low Dose | NTDT Placebo | Total |
|---|---|---|---|---|---|---|---|
| Mean | 1724.4 ± 1857.66 | 3449.1 ± 5093.24 | 1793.3 ± 1844.72 | 981.4 ± 951.29 | 945.8 ± 962.09 | 447.8 ± 222.32 | 1726.69 ± 2740.18 |
PDFs hosted by the registry, ClinicalTrials.gov.
Ran from Oct 2020 to primary completion in Mar 2022, 16 months.
Results were first posted in Jun 2022, 3 months after primary completion.
How these figures are worked out, and which studies are left out of them.
This study is terminated, as verified in May 2025. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Tovinontrine
Cardurion Pharmaceuticals, Inc.