ClinicalTrials.gg
RecruitingNCT05693909Updated Sep 24, 2025

A Trial Testing SP-420 in Subjects With Transfusion-dependent β-thalassemia or Low-risk Myelodysplastic Syndromes

A Phase 2 interventional study of SP-420 in Beta Thalassemia Major Anemia and Myelodysplastic Syndrome, sponsored by Pharmacosmos A/S. Recruiting at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-24.

Sponsored by Pharmacosmos A/S · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2023; still recruiting 3 years 2 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 31 studies in Myelodysplastic Syndromes with a site in Denmark — 6 open to participants now, 10 under way, 1 of them phase 3. Myelodysplastic Syndromes · Denmark.

Planned enrollment
16th of 24
90 · median 147
Started
2023
with 2 others
Phase 2
7 of 31
2 open now
Registered
28th of 31
by date

Among the 31 studies in Myelodysplastic Syndromes with a site in Denmark, this one is the 16th largest by planned enrollment of the 24 interventional ones that give a count, is one of 3 that started in 2023, is one of 7 in phase 2, and was the 28th registered.

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 90 is above the median of 40 across 1,611 interventional studies indexed under Myelodysplastic Syndromes.

Browse Myelodysplastic Syndromes studies →

Open to participants now

6 of the 31 studies in Myelodysplastic Syndromes with a site in Denmark are open now.

All 6 open studies →

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

Who these studies take

Of the 262 Myelodysplastic Syndromes studies recruiting now, 165 (63%) set no upper age limit and 70 (27%) stop at 75 or younger; 57 take children under 18; 17 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 31 studies in Myelodysplastic Syndromes with a site in Denmark, or all of them as a file.
02

Study summary

The goal of this clinical trial is to learn about SP-420 ability to remove iron from organs in subjects with transfusion-dependent β-thalassemia or transfusion-dependent low-risk myelodysplastic syndrome.

The main questions it aims to answer are:

  • How efficient is SP-420 in cleaning iron from the liver?
  • How is the safety and tolerability of ascending doses of SP-420?

Participants will:

  • Take medication three times weekly
  • Attend up to 20 site visits
  • Undergo MRI scans
03

Conditions studied

  • Beta Thalassemia Major Anemia
  • Myelodysplastic Syndrome
04

Who can participate

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

Eligibility criteria

Thalassemia cohorts:

Inclusion criteria:

  • Women and men aged 18 years or older
  • Transfusion-dependent β-thalassemia including HbE/β-thalassemia requiring iron chelation therapy (β-thalassemia with mutation and/or multiplication of α-globin is allowed)
  • On a stable dose of iron chelation for at least 4 weeks prior to screening
  • Weight ≥ 35kg at screening
  • Transfusion iron overload
  • Treated and followed for at least the past 6 months in a specialized centre

Exclusion criteria:

  • β-thalassemia with the structural variants HbS and HbC
  • Current MDS
  • Current biliary disorder
  • Historic or ongoing kidney disease
  • Unable to undergo trial assessments including MRI e.g. due to claustrophobia in MRI scanner
  • Pregnant or nursing women
  • Men who do not agree to practice effective barrier during the entire period

Myelodysplastic Syndromes Cohorts:

Inclusion criteria:

  • Women and men aged 18 years or older
  • Very low, low, or intermediate risk Myelodysplastic Syndrome according to IPSS-R
  • Weight ≥ 35kg at screening
  • Transfusion iron overload
  • Treated and followed for at least the past 6 months at medical facilities experienced with MDS

Exclusion criteria:

  • Therapy-related MDS or MDS with a known bone marrow fibrosis
  • Diagnosis of decompensated liver cirrhosis
  • Clinically significant kidney disease, either historic or ongoing
  • Uncontrolled ischemic heart disease or uncontrolled arrythmia
  • Uncontrolled hypertension
  • Uncontrolled dyslipidaemia
  • Uncontrolled Diabetes
  • Major surgery within 8 weeks prior to screening
  • Pregnant or nursing women
  • Men who do not agree to practice effective barrier contraception during the entire period
Terms in these criteria, in plain language(3)

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).

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Cohort 1a-1b

    SP-420 for 48 weeks

    Drug: SP-420

  • Experimental
    Cohort 2a-2b

    SP-420 for 48 weeks

    Drug: SP-420

  • Experimental
    Cohort 3a-3b

    SP-420 for 48 weeks

    Drug: SP-420

  • Experimental
    1c-1d

    SP-420 for 48 weeks

    Drug: SP-420

  • Experimental
    2c-2d

    SP-420 for 48 weeks

    Drug: SP-420

  • Experimental
    3c-3d

    SP-420 for 48 weeks

    Drug: SP-420

Interventions

  • DrugSP-420

    Capsules for oral intake

06

What researchers measure

Primary outcomes

  1. To establish dose-response relationship of SP-420 for 24 weeks in the treatment of subjects with transfusion-dependent β-thalassemia

    Time frame: 24 weeks

  2. To assess the safety and tolerability of ascending doses of SP-420 after 12 weeks treatment of subjects with transfusion-dependent low-risk myelodysplastic syndrome

    Time frame: 12 weeks

Secondary outcomes

  1. To assess the efficacy of SP-420 in clearing iron from the liver after 24 weeks treatment of subjects with transfusion-dependent β-thalassemia

    Change in liver iron concentration (LIC) measured by R2-magnetic resonance imaging (MRI) from baseline to week 24

    Time frame: 24 weeks

  2. To assess the efficacy of SP-420 in clearing iron from the liver after 12 and 48 weeks treatment of subjects with transfusion-dependent β-thalassemia

    Change in LIC measured by R2-MRI from baseline to week 12 and week 48

    Time frame: 12 and 48 weeks

  3. To assess the efficacy of SP-420 on serum (s-) ferritin

    Change in s-ferritin from baseline to weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48

    Time frame: up to 48 weeks

  4. To assess the safety and tolerability of ascending doses of SP-420

    Type and incidence of adverse events (AEs)

    Time frame: 48 weeks

07

Study locations

1 of 1 sites recruiting
  • Pharmacosmos Investigational Site
    Copenhagen, Denmark
    Recruiting
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 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 Sep 2023 (actual). Primary completion is estimated for Oct 2027, 49 months after the start.

Of 52 industry-sponsored phase 2 interventional studies under Myelodysplastic Syndromes, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 62. This study's planned 49 months is above that.

Counting every sponsor, half of 279 studies reached it within 66 months; a quarter within 40 and three quarters within 104.

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

Registered
Dec 22, 2022
First posted
Jan 23, 2023
StartActual
Sep 4, 2023
Primary completionEst.
Oct 2027
CompletionEst.
May 2028
Last update
Sep 24, 2025
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 Sep 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05693909
Lead sponsor
Pharmacosmos A/S
Collaborators
ICON plc
Responsible party
Sponsor
First posted
Jan 23, 2023
Start date
Sep 4, 2023
Primary completion
Oct 2027 (estimated)
Completion
May 2028 (estimated)
Last update
Sep 24, 2025

Study contacts

Pharmacosmos Clinical and non-clinical Department
Contact
info@pharmacosmos.com
+45 5948 5959
Pharmacosmos Clinical and non-clinical Department
study director · Pharmacosmos A/S

Oversight

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

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Studies of the drug tested here: SP-420

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