ClinicalTrials.gg
Not yet recruitingNCT06594965Updated Sep 19, 2024

A Study of HS-20106 to Treat Anemia Due to Very Low, Low, or Intermediate Risk Myelodysplastic Syndromes

A Phase 2 interventional study of HS-20106 in Myelodysplastic Syndromes, Anemia and MDS, sponsored by Hansoh BioMedical R&D Company. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Hansoh BioMedical R&D Company (part of Hansoh Pharmaceutical Group Company Limited) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Oct 2025, 1 year ago, but the record still lists the study as not yet recruiting.
Phase
Phase 2
Study type
Interventional
Enrollment
176
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy, safety, and pharmacokinetics of HS-20106 on anemia in patients with very low, low or intermediate risk MDS.

Read the detailed description

Anemia is considered to be one of the most prevalent cytopenias in patients who have myelodysplastic syndromes, an umbrella term used to describe disorders relating to the ineffective production of red blood cells, white blood cells, and/or platelets. The goal of this study is to assess the efficacy, safety and PK of HS-20106 on anemia in Chinese patients with very low, low or intermediate risk MDS. Eligible subjects will be treated with HS-20106. Patients should be treated for at least 24 weeks in the core treatment period to assess their response to treatment.

02

Conditions studied

  • Myelodysplastic Syndromes
  • Anemia
  • MDS
  • Bone Marrow Disease

Keywords

  • MDS
  • HS-20106
  • KER-050
  • fusion protein
  • TGF-β
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 176 is above the median of 40 across 1,611 interventional studies indexed under Myelodysplastic Syndromes.

Browse Myelodysplastic Syndromes studies →

Lead sponsor

Hansoh BioMedical R&D Company is the lead sponsor of 48 studies on the registry; 43 are open to participants now.

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

  1. Diagnosis of MDS according to World Health Organization (WHO) classification that meets Revised International Prognostic Scoring System (IPSS-R) classification of very low, low, or intermediate risk disease(IPSS-R ≤ 3.5).
  2. \< 5% blasts in bone marrow and \< 1% blasts in peripheral blood.
  3. Each cohort is defined as:

    Cohort 1: In NTD participants, having received no red blood cell (RBC) transfusions within 16 weeks concentration between 60 and 100g/L.

    Cohort 2: In LTB participants, having received an average of \< 4 units of RBC transfused within 8 weeks (i.e., total blood transfused over 16 weeks/2) Hgb concentration between 60 and 100 g/L.

    In HTB participants, having received an average of ≥ 4 units of RBC transfused within 8 weeks (i.e., total blood transfused over 16 weeks/2) Hgb concentration between 60 and 100 g/L.

  4. (ECOG) performance status of 0, 1, or 2 (if related to anemia.
  5. Females of and sexually active males must agree to use effective methods of .

Exclusion criteria

Exclusion Criteria:

  1. Chromosome 5q deletion, del (5q).
  2. Anemia caused by other reasons, such as iron deficiency anemia, megaloblastic anemia, aplastic anemia, renal anemia or blood loss.
  3. Diagnosis of secondary MDS (i.e., MDS known to have arisen as the result of chemical injury or treatment with chemotherapy and/or radiation for other diseases).
  4. Prior treatment with azacitidine, decitabine, lenalidomide, luspatercept, or sotatercept.
  5. Treatment within 4 weeks prior to C1D1 with:
  1. Erythropoiesis stimulating agent (ESA) OR 2) Granulocyte colony-stimulating factor (G-CSF) OR 3) Granulocyte-macrophage colony-stimulating factor (GM-CSF) 6. Iron chelation therapy if initiated within 8 weeks prior to C1D1. 7. Vitamin B12 therapy if initiated within 8 weeks prior to C1D1. 8. Treatment with another drug or device or approved therapy for investigational use \< or = 4 weeks prior to C1D1, or if the half-life of the previous product is known, within 5 times the half-life prior to C1D1, whichever is longer.
  1. Peripheral blood white blood cell count >13.0 x 10*9/L. 10. \< 1.0 x 10*9/L. 11. count > 450 x 10*9/L or \< 30 x 10*9/L. 12. Transferrin saturation \< 15%. 13. Ferritin \< 15 μg/L. 14. Folate \< 4.5 nmol/L (\< 2.0 ng/mL). 15. Vitamin B12 \< 148 pmol/L (\< 200 pg/mL). 16. Estimated (GFR) \< 40 mL/min/1.73 m2 (as determined by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI].
  1. Pregnant or lactating females
Terms in these criteria, in plain language(8)

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).

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.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

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.

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.

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.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
176 participants (estimated)

Study arms

  • Experimental
    HS-20106 Cohort 1

    Part A: Non-transfusion dependent population

    Drug: HS-20106

  • Experimental
    HS-20106 Cohort 2

    Part A: Transfusion-Dependent Population(low-transfusion burden (LTB) and high-transfusion burden (HTB))

    Drug: HS-20106

Interventions

  • DrugHS-20106

    HS-20106 administered subcutaneously every 4 weeks for up to 6 cycles. Eligible participants may be able to continue to receive subcutaneously administered HS-20106 after completing 6 cycles in the extended treatment period.

06

What researchers measure

Primary outcomes

  1. Proportion of participants who achieve modified 2006 International Working Group (IWG)Hematologic Improvement-Erythroid (HI-E) response

    * In NTD and LTB participants, response is defined as a mean hemoglobin (Hgb) increase of ≥ 15 g/L from Baseline during any consecutive 8-week period during the treatment period (in the absence of RBC transfusions) * In HTB participants, response is defined as a reduction by ≥ 4 units of RBCs transfused during any consecutive 8-week period on study compared with Baseline

    Time frame: Week 1 through Week 24

Secondary outcomes

  1. HI-E Duration

    the maximum duration of meeting the HI-E criteria for a subject who achieved HI-E.

    Time frame: Throughout the study period, assessed up to 48 weeks.

  2. Time to HI-E

    the time from the first dose of study drug to the first achievement of HI-E.

    Time frame: Week 1 through Week 24

  3. Proportion of participants with RBC-TI ≥ 8 Weeks(cohort 2 only)

    the proportion of participants who did not require RBC transfusion for at least 1 consecutive 8-week period.

    Time frame: Week 1 through Week 24

  4. Duration of TI response

    the longest duration of response for participants who achieved RBC-TI of ≥ 8 weeks during the treatment period

    Time frame: Throughout the study period, assessed up to 48 weeks.

  5. Time to RBC-TI ≥ 8 weeks

    the time from the first dose of study drug to the first achievement of RBC-TI ≥ 8 weeks.

    Time frame: Week 1 through Week 24

  6. The proportion of participants with progression to intermediate-risk (IPSS-R score > 3.5) and higher MDS or AML.

    Percentage of participants progressing to intermediate-risk (IPSS-R score \> 3.5) or higher MDS or AML throughout the course of the study

    Time frame: Week 1 through Week 24

  7. Time to progression to intermediate-risk (IPSS-R score > 3.5) or higher MDS or AML.

    Time to progression was defined as the time between the first dose date and the first diagnosis of progression.

    Time frame: Week 1 through Week 24

  8. Incidence of adverse events (AEs) and serious adverse events (SAEs).

    Type, frequency, severity of AEs and relationship of AEs to HS-20106

    Time frame: Throughout the study period, assessed up to 48 weeks.

  9. Pharmacokinetic- AUC

    Pharmacokinetics of HS-20106

    Time frame: Throughout the study period, assessed up to 48 weeks.

  10. Pharmacokinetic- Cmax

    Maximum plasma concentration of drug

    Time frame: Throughout the study period, assessed up to 48 weeks.

  11. Antidrug antibodies (ADA)

    Frequency of antidrug antibodies and effects on efficacy, safety or PK

    Time frame: Throughout the study period, assessed up to 48 weeks.

07

Study locations

1 site
08

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

Start is estimated for Oct 2024; primary completion for Oct 2025, 12 months later.

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 12 months is below 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
Sep 10, 2024
First posted
Sep 19, 2024
StartEst.
Oct 30, 2024
Primary completionEst.
Oct 30, 2025
CompletionEst.
Oct 30, 2026
Last update
Sep 19, 2024
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 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06594965
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Oct 30, 2024 (estimated)
Primary completion
Oct 30, 2025 (estimated)
Completion
Oct 30, 2026 (estimated)
Last update
Sep 19, 2024

Study contacts

Zhijian Xiao, PhD
Contact
xiaozj_mds026@163.com
(0086)022-23909184

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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