ClinicalTrials.gg
CompletedNCT05355766Updated Mar 14, 2025

Long-term Clinical Study of CN128 in Thalassemia With Sever Liver Iron Overloaded Patients

A Phase 2 interventional study of CN128 Tablets in Thalassemia and Iron Overload, sponsored by Hangzhou Zede Pharma-Tech Co., Ltd.. Completed at 1 site in China. Open to participants aged 16 Years to 60 Years. Per ClinicalTrials.gov, last updated 2025-03-14.

Sponsored by Hangzhou Zede Pharma-Tech Co., Ltd. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
16
Allocation
Not applicable
Ages
16 Years to 60 Years
Sex
All
01

Study summary

The safety and efficacy of CN128 is studied in thalassaemia with sever liver iron overloaded patients.

Read the detailed description
  1. The study is designed as a single arm and opened phase IIb clinical trial, so as to investigate the safety and efficacy of CN128.
  2. A total of 50 eligible subjects are planned to be enrolled, and orally administration of CN128 for 52 weeks according to the administration plan.
  3. Administration plan:

The trial will start with the lower dose of CN128 (10 mg/kg body weight [bw], bid) for one week. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 15 mg/kg body weight [bw], bid for one week. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 20 mg/kg body weight [bw], bid for two weeks. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 25 mg/kg body weight [bw], bid for two weeks. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 30 mg/kg body weight [bw], bid for two weeks. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 30 mg/kg body weight [bw], bid to Week 52. Dosage will be adjusted according to subject status and study plan.

02

Conditions studied

  • Thalassemia
  • Iron Overload
03

In context

Thalassemia

250 studies on the registry are indexed under Thalassemia; 43 are open to participants now.

This study's enrollment of 16 is below the median of 33 across 170 interventional studies indexed under Thalassemia.

Browse Thalassemia studies →

Lead sponsor

Hangzhou Zede Pharma-Tech Co., Ltd. is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
16 Years to 60 Years
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

  • Thalassemia patients.
  • The number of blood transfusion per month ≥1. Or can not be maintained at 90g/L above, if blood transfusions is less than once per month.
  • Severe iron overloaded patients (serum ferritin>2500 µg/L or liver iron concentration (LIC)>15 mg/g dw) despite prior treatment with at least one iron chelator.
  • Patients aged 16 and above.
  • Volunteer for the trial and sign the .

Exclusion criteria

Exclusion Criteria:

  • Active (HBsAg positive, HBsAb negative) or (HCV antibody positive, detectable HCV RNA, and Alkaline Phosphatase () beyond normal range)
  • Active gastrointestinal disease history (including: gastric ulcer, duodenal ulcer, stomach or esophageal varices, ulcerative colitis, Crohn's disease, gastrointestinal cancer, familial genetic multiple intestinal polyps), and History of gastrointestinal perforation, gastrointestinal surgery that influence drug absorption, and other potential intestinal complications considered by researchers.
  • ALT or Aspartate Aminotransferase (AST) > 2.5 × (ULN), or serum creatinine > 1.5 × ULN.
  • Neutropenia patient ( \< 1.5 × 10\^9 / L).
  • Active infection uncontrolled.
  • hemolytic anemia patients.
  • The patients who are currently taking strong inducer or strong inhibitor drugs, or the drug that may extend the , or the drug that may decrease neutrophil count, but can not temporarily interrupt the use of such drugs.
  • Cardiac iron overloaded patients, cardiac magnetic resonance MRI T2*\<10 ms
  • The patients who are allergic or to the main ingredients or of CN128 tablets.
  • Congenital long QT syndrome or known family history of long QT syndrome, QTc interval>480 ms, ventricular or atrial fast arrhythmia.
  • The patients who can not accept MRI as detection means, such as claustrophobic for MRI, pacemaker, and those using ferromagnetic metal implants.
  • Birth planner (including male subjects) within or within 3 months after the end of the trial.
  • Participated in other clinical trials in the four weeks before taking the test preparation, except for non-interventional studies.
  • Pregnant or lactating women.
  • Unsuitable to participate in the trial considered by the researchers.
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.

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).

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.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

Excipients

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

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

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

Study arms

  • Experimental
    CN128 Group

    All subjects will be given the lower (10 mg/kg bw, bid) to higher dose (30 mg/kg bw, bid) for 52 weeks, according to the administration plan. The dosage form is tablets.

    Drug: CN128 Tablets

Interventions

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events, adverse reactions, severe adverse events and severe adverse reactions as a measure of safety and tolerability during the study period.

    To determine the incidence, type and severity of adverse events, adverse reactions, severe adverse events and severe adverse reactions in patients up to 52 weeks.

    Time frame: Up to 52 weeks

  2. Absolute Change in Weight (Unit: kg) From Baseline Over Time

    The patient's weight will be determined, and it's one kind of Physical examination.

    Time frame: Baseline, 26, 39 and 52 weeks.

  3. Absolute Change in Height (Unit: m) From Baseline Over Time

    The patient's height will be determined, and it's one kind of Physical examination.

    Time frame: Baseline, 26, 39 and 52 weeks.

  4. Absolute Change in Temperature (Unit: ℃)From Baseline Over Time

    The patient's temperature will be determined, and it's one kind of vital signs checks.

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  5. Absolute Change in Blood pressure (Unit: mmHg ) From Baseline Over Time

    Both patient's systolic and diastolic blood pressure will be measured, and it's one kind of vital signs checks.

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  6. Absolute Change in Heart rate (Unit: bpm) From Baseline Over Time

    The patient's heart rate will be determined, and it's one kind of vital signs checks.

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  7. Absolute Change in Respiration (Unit: bpm) From Baseline Over Time

    The patient's respiration will be determined, and it's one kind of vital signs checks.

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  8. Absolute Change in Electrocardiogram (P-R (Unit: ms), QRS (Unit: ms), QTc interval (Unit: ms), etc) From Baseline Over Time

    The patient's electrocardiogram will be measured, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  9. Change in Auditory Function From Baseline Over Time

    The patient's auditory function will be determined by otorhinolaryngology.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  10. Absolute Change in White Blood Count (Unit: 10^9/L) From Baseline Over Time

    The patient's white blood count will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  11. Absolute Change in Neutrophil Count (Unit: 10^9/L) From Baseline Over Time

    The patient's neutrophil count will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  12. Absolute Change in Lymphocyte Count (Unit: 10^9/L) From Baseline Over Time

    The patient's lymphocyte count will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  13. Absolute Change in Monocyte Count (Unit: 10^9/L) From Baseline Over Time

    The patient's monocyte count will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  14. Absolute Change in Eosinophilic Count (Unit: 10^9/L) From Baseline Over Time

    The patient's eosinophilic count will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  15. Absolute Change in Basophilic Count (Unit: 10^9/L) From Baseline Over Time

    The patient's basophilic count will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  16. Absolute Change in Red Blood Count (Unit: 10^9/L) From Baseline Over Time

    The patient's red blood count will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  17. Absolute Change in Hemoglobin (Unit: g/L) From Baseline Over Time

    The patient's hemoglobin will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  18. Absolute Change in Hematocrit (Unit:%) From Baseline Over Time

    The patient's hematocrit will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  19. Absolute Change in Blood Platelet Count (Unit: 10^9/L) From Baseline Over Time

    The patient's blood platelet count will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  20. Absolute Change in Thrombocytocrit (Unit: %) From Baseline Over Time

    The patient's thrombocytocrit will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  21. Absolute Change in Alanine Aminotransferase (Unit: U/L) From Baseline Over Time

    The patient's alanine aminotransferase will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  22. Absolute Change in Total Bilirubin (Unit:µmol/L) From Baseline Over Time

    The patient's total bilirubin will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  23. Absolute Change in Total Protein (Unit:g/L) From Baseline Over Time

    The patient's total protein will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  24. Absolute Change in Albumin (Unit: g/L) From Baseline Over Time

    The patient's albumin will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  25. Absolute Change in Globulin (Unit: g/L) From Baseline Over Time

    The patient's globulin will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  26. Absolute Change in Alkaline Phosphatase (Unit: U/L) From Baseline Over Time

    The patient's alkaline phosphatase will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  27. Absolute Change in Aspartate Aminotransferase (Unit: U/L) From Baseline Over Time

    The patient's aspartate aminotransferase will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  28. Absolute Change in Lactate Dehydrogenase (Unit: IU/L) From Baseline Over Time

    The patient's lactate dehydrogenase will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  29. Absolute Change in Urea (Unit: mmol/L) From Baseline Over Time

    The patient's urea will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  30. Absolute Change in Creatinine (Unit:µmol/L) From Baseline Over Time

    The patient's creatinine will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  31. Absolute Change in Glucose (Unit: mmol/L) From Baseline Over Time [ Time

    The patient's glucose will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  32. Absolute Change in Potassium (Unit: mmol/L) From Baseline Over Time

    The patient's potassium will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  33. Absolute Change in Sodium (Unit: mmol/L) From Baseline Over Time

    The patient's sodium will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  34. Absolute Change in Chlorine (Unit: mmol/L) From Baseline Over Time

    The patient's chlorine will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  35. Absolute Change in Calcium (Unit: mmol/L) From Baseline Over Time

    The patient's calcium will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  36. Absolute Change in Fibrinogen (Unit: g/L) From Baseline Over Time

    The patient's fibrinogen will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  37. Absolute Change in Prothrombin time (Unit: s) From Baseline Over Time

    The patient's prothrombin time will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  38. Absolute Change in Activated Partial Thromboplastin Time (APTT, Unit: s) From Baseline Over Time

    The patient's APTT will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  39. Absolute Change in Serum Total Thyroxine (Unit: nmol/L) From Baseline Over Time

    The patient's serum total thyroxine will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  40. Absolute Change in Parathyroid Hormone (Unit: pg/mL) From Baseline Over Time

    The patient's parathyroid hormone will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  41. Absolute Change in Total Triiodothyronine (Unit: nmol/L) From Baseline Over Time

    The patient's total triiodothyronine will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  42. Absolute Change in Thyrotropin (Unit: mIU/L) From Baseline Over Time

    The patient's thyrotropin will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  43. Absolute Change in Urine Glucose (Unit: mmol/L) From Baseline Over Time

    The patient's urine glucose will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  44. Absolute Change in Urine Protein (Unit: g/L)) From Baseline Over Time

    The patient's urine protein will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 12, 26, 39 and 52 weeks.

  45. Absolute Change in Total Testosterone (Unit: ng/ml) in men From Baseline Over Time

    The patient's total testosterone will be determined in men, and it's one kind of laboratory test.

    Time frame: Baseline, 26, 39 and 52 weeks.

  46. Absolute Change in Free Testosterone (Unit: nmol/L) in men From Baseline Over Time

    The patient's free testosterone will be determined in men, and it's one kind of laboratory test.

    Time frame: Baseline, 26, 39 and 52 weeks.

  47. Absolute Change in Follicle-generating Hormone (Unit: mIU/mL) in women From Baseline Over Time

    The patient's follicle-generating hormone will be determined in women, and it's one kind of laboratory test.

    Time frame: Baseline, 26, 39 and 52 weeks.

  48. Absolute Change in Luteinizing Hormon (Unit: mIU/mL) in women From Baseline Over Time

    The patient's luteinizing hormonwill be determined in women, and it's one kind of laboratory test.

    Time frame: Baseline, 26, 39 and 52 weeks.

Secondary outcomes

  1. Absolute Change in Liver iron content (Unit: mg/g dw) From Baseline Over Time

    Liver iron content will be determined by liver magnetic resonance.

    Time frame: Baseline, 12, 26,39 and 52 weeks.

  2. Absolute Change in Serum ferritin (Unit: µg/L) From Baseline Over Time

    Serum ferritin will be determined, and it's one kind of laboratory test.

    Time frame: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

07

Study locations

1 site
  • The First Affiliated Hospital Of Guangxi Medical University
    Nanning, Guangxi, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05355766
Lead sponsor
Hangzhou Zede Pharma-Tech Co., Ltd.
Responsible party
Sponsor
First posted
May 2, 2022
Start date
Jun 13, 2022
Primary completion
Sep 23, 2024
Completion
Mar 6, 2025
Last update
Mar 14, 2025

Study contacts

Jianmin Luo, PhD
principal investigator · First Affiliated Hospital of Guangxi Medical University

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

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.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

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: CN128

Start the discussion