ClinicalTrials.gg
RecruitingNCT07422480ELRiSE MDSUpdated Nov 6, 2026

A Study to Compare Elritercept With Epoetin Alfa to Treat Anemia in Adults With Lower Risk Myelodysplastic Syndromes (LR-MDS) Who Need Regular Blood Transfusions

A Phase 3 interventional study of Elritercept and Epoetin Alfa in Myelodysplastic Syndrome and Anemia, sponsored by Takeda. Recruiting at 166 sites in 28 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Takeda · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Updated Nov 6, 2026Site recruiting status changedEligibility revised+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main aim of this study is to assess how much elritercept reduces the need for RBC (red blood cell) transfusions and improves hemoglobin blood values in addition to how safe elritercept is when compared with epoetin alfa. Other key aims are to learn how much elritercept improves tiredness and quality of life as reported by participants compared with epoetin alfa; to assess what risks (side effects) and how often they occur with elritercept compared with epoetin alfa. The study will also collect information for researchers to see how the disease in the bone marrow or other body areas may be affected by elritercept compared with epoetin alfa to try to learn how to better treat this disease.

02

Conditions studied

  • Myelodysplastic Syndrome
  • Anemia

Keywords

  • TAK-226
  • Drug therapy
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 300 is above the median of 40 across 1,611 interventional studies indexed under Myelodysplastic Syndromes.

Browse Myelodysplastic Syndromes studies →

Lead sponsor

Takeda is the lead sponsor of 1,026 studies on the registry; 89 are open to participants now.

Of its 178 completed or terminated interventional studies of FDA-regulated products, 154 (87%) have results posted.

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

04

Who can participate

The criteria were revised on the registry on Oct 19, 2026. See what changed

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. Male or female participants aged ≥ 18 years or older at time of signing the form (ICF).
  2. Able to understand the purpose and risks of the trial and voluntarily sign an ICF prior to any trial-related procedures being conducted and authorization to use protected health information and personal data in accordance to national and local privacy regulations.
  3. Documented diagnosis of myelodysplastic syndrome(s) (MDS) according to WHO 2016 classification that meets International Prognostic Scoring System - Revised (IPSS-R) classification of very low-, low-, or intermediate-risk disease, confirmed by central laboratory independent reviewer prior to randomization. (HgB), , and (ANC) values should be collected greater than (>) 14 days after red blood cell (RBC) transfusion or > 7 days after platelet transfusion, unless otherwise considered to be pretransfusion values.
  4. Bone marrow less than (\<) 5% blasts in an evaluable bone marrow collected at screening and confirmed by central pathology independent reviewer.
  5. Endogenous serum erythropoietin (EPO) level of \<500 units per liter (U/L). Should be results from blood samples collected >14 days following an RBC transfusion to evaluate for eligibility unless considered pretransfusion values.
  6. Participant requires RBC transfusion, as documented by the following criteria. A transfusion requirement of 2 to 6 pRBCs units/8 weeks confirmed for a minimum of 8 weeks immediately preceding randomization.

    • Hgb levels at the time of or within 3 days prior to administration of a RBC transfusion must have been less than or equal to (≤) 9.0 grams per deciliter (g/dL) (5.6 millimoles per liter (mmol/L)) with symptoms of anemia (or ≤7 g/dL [4.3 mmol/L] in the absence of symptoms) in order for the transfusion to be counted towards meeting eligibility criteria.
    • RBC transfusions administered when hemoglobin (Hgb) levels were >9.0 g/dL (or >7 g/dL in the absence of symptoms) and/or RBC transfusions administered for elective surgery, infections or bleeding events will not qualify as a required transfusion for the purpose of meeting eligibility criteria or stratification.
  7. Hgb \<11.0 g/dL (6.8 mmol/L) before randomization. Local laboratory is acceptable to facilitate randomization.
  8. score of 0, 1, or 2.

Exclusion criteria

Exclusion Criteria

  1. Prior therapy with any of the following:

    1. Epoetin alfa

      • At the investigator's discretion in consultation with the medical monitor, may be allowed if received no more than 2 doses of only epoetin alfa ≥8 weeks prior to randomization.
    2. Darbepoetin

      • At the investigator's discretion in consultation with the medical monitor, may be allowed if received no more than 1 dose of only darbepoetin ≥8 weeks prior to randomization.
    3. Granulocyte colony-stimulating factor or granulocyte-macrophage colony-stimulating factor administered ≤8 weeks (56 days) prior to randomization unless given for treatment of febrile neutropenia.
    4. Immunomodulatory drug (IMiDs) including lenalidomide

      • At the investigator's discretion in consultation with the medical monitor may be allowed if received ≤1 week of an IMiD ≥8 weeks prior to randomization.
    5. Hypomethylating agent

      • At the investigator's discretion, in consultation with the medical monitor may be allowed if received no more than 2 doses ≥8 weeks prior to randomization.
    6. Luspatercept, sotatercept, imetelstat, or elritercept
    7. therapy for the disease under study.
    8. Hematopoeitic cell transplant
    9. Iron chelation if initiated ≤8 weeks prior to randomization. Participants on stable or decreasing doses of iron chelation therapy for ≥8 weeks are allowed.
    10. Vitamin B12 or folate therapy initiated within 4 weeks prior to randomization. Participants on stable or decreasing replacement doses for ≥4 weeks and without ongoing concurrent vitamin B12 or folate deficiency are allowed.
    11. Androgen use within 8 weeks before randomization. Participants on stable androgen dosing for hypogonadism for ≥8 weeks are allowed
    12. High-dose systemic use within 4 weeks before randomization. Participants on stable chronic steroid doses of prednisone ≤10 millligrams per day (mg/day) or corticosteroid equivalent for ≥4 weeks are allowed. Other disease modifying treatments for diseases may be allowed upon medical monitor review.
    13. agent or any other agent intended for MDS treatment
  2. Diagnosed to have MDS with presence of del(5q) cytogenetic abnormality or MDS unclassifiable according to WHO 2016 classification or secondary MDS.
  3. Known history of diagnosis of acute myeloid leukemia (AML).
  4. Anemia due to any other known cause including but not limited to thalassemia; hypothyroidism, autoimmune or hereditary hemolytic anemia, any type of known bleeding or sequestration or drug induced anemia, hemolytic anemia, bleeding events, or other deficiencies (that is, iron, folate, or vitamin B12).
  5. Clinically significant cardiovascular disease defined as:

    1. heart disease class III or IV
    2. Fridericia (QTcF) interval >500 milliseconds during screening
    3. Uncontrolled arrhythmia, myocardial infarction, or unstable angina within 6 months before screening
  6. Known \<35%, confirmed by a local echocardiogram performed during screening, or a previously performed echocardiogram if collected within 6 months before screening.
  7. Medical history of thromboembolic events within 6 months before screening, including history of cerebrovascular accident (including ischemic, embolic, and hemorrhagic cerebrovascular accident), , deep venous thrombosis (DVT; including proximal and distal), pulmonary or arterial embolism, arterial thrombosis or other venous thrombosis. Participants with prior superficial thrombophlebitis are allowed.
  8. Uncontrolled hypertension, defined as repeated elevations of systolic blood pressure of ≥160 millimeters of mercury (mmHg) and/or diastolic blood pressure ≥100 mmHg despite adequate treatment.
  9. Prior history of , other than MDS. Participants who are free of other malignant disease for ≥3 years and have completed treatment, including maintenance are allowed. Participants with a history or concurrent diagnosis of the following conditions are allowed if not requiring systemic therapy:

    1. Basal or squamous cell carcinoma of the skin;
    2. Carcinoma in situ of the cervix;
    3. Carcinoma in situ of the breast;
    4. Incidental histologic finding of prostate cancer (T1a or T1b using the tumor, node, [TNM] or early papillary thyroid cancer (Stage I [T1-T2, N0, M0]) clinical staging system).
  10. History of solid organ or bone marrow transplantation.
  11. Active infection requiring intravenous antibiotics within 28 days or oral antibiotics within 14 days before randomization.
  12. Known positive for (HIV), active infectious virus (HBV), or active infectious virus (HCV). Participants without known positive history of HIV, HBV, and/or HCV do not require further testing, unless testing is mandated per local guidelines.
  13. ≥ 40 kilograms per square meter (kg/m\^2).
  14. Major surgery within 28 days before randomization.
  15. New-onset seizures or poorly controlled seizures within 12 weeks prior to randomization are excluded from trial participation.
  16. History of allergy/anaphylaxis to investigational product (including epoetin alfa) (refer to the current elritercept investigator's brochure for a list of excipients) or recombination proteins.
  17. History of pure red cell aplasia and/or antibody against erythropoietin (EPO).
  18. Any of the following laboratory abnormalities:

    1. ANC \<500/microliter (μL) (0.5×10\^9/liter [L]).
    2. count \<50,000/μL (50×10\^9/L) or ≥800,000/μL (800×10\^9/L).
    3. Serum (AST) or alanine aminotransferase (ALT) ≥3× (ULN).
    4. Total ≥2×ULN. Participants with known history of Gilbert syndrome with unconjugated bilirubin \<3×ULN are allowed. Higher levels if attributed to active RBC precursor destruction within the bone marrow (ineffective erythropoiesis) may be allowed upon medical monitor review.
    5. Estimated \<30 milliliters per minute per 1.73 square meters (mL/min/1.73 m\^2) as determined by the Chronic Kidney Disease Epidemiology (CKD-EPI) collaboration equation.
    6. Ferritin ≤50 micrograms per liter (μg/L).
    7. Folate ≤2.0 nanograms per milliliter (ng/mL).
    8. Vitamin B12 ≤200 picograms per milliliter (pg/mL).
  19. Ongoing participation in another interventional clinical trial or use of any other investigational medicinal product within 5 times the half-life.
  20. Participant is unwilling or in the opinion of the investigator the participant is unable to comply with the requirements of the protocol.
  21. Is a participant of (POCBP) but does not agree to use at least 1 form of highly effective from the time of signing the ICF until at least 60 days after the last dose of trial intervention.
  22. Participants of male birth who are fertile and who have partners of childbearing potential, who do not agree to use acceptable barrier contraception, that is, a male condom during the entire trial intervention period until at least 60 days after the last dose of trial intervention.
  23. If applicable, participant with a positive serum pregnancy test during the screening period or known to be pregnant or a lactating participant who does not agree to forego breastfeeding during the entire trial intervention period until at least 60 days after the last dose of trial intervention.
  24. For Participants in France: Persons under court protection, persons not affiliated with a social security system, and protected adults.
Terms in these criteria, in plain language(27)

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.

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.

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).

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.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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.

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.

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.

Excipients

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

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    Elritercept

    Participants will receive elritercept at a starting dose of 3.75 milligrams per kilogram (mg/kg) administered subcutaneously (SC) once every 4 weeks, and may have the dose escalated to 5.0 mg/kg if needed.

    Drug: Elritercept

  • Active comparator
    Epoetin Alfa

    Participants will receive epoetin alfa at a starting dose of 450 international units per kilograms (IU/kg) administered SC once every week, and may have the dose escalated up to 1050 IU/kg (maximum 80,000 IU).

    Drug: Epoetin Alfa

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of Participants who are RBC Transfusion Independent (RBC-TI) for any Consecutive Greater Than Equal to (≥) 12-Week Period From Day 1 Through 24 Weeks With Concurrent Mean Hemoglobin (Hgb) Increase ≥ 1.5 Grams per Deciliter (g/dL) From Baseline

    RBC-TI is defined as no red blood cell (RBC) transfusions administered for the specified time period during study treatment.

    Time frame: From Cycle 1 Day 1 through Week 24 (each cycle is 28 days)

Secondary outcomes

  1. Proportion of Participants who are RBC-TI for any Consecutive ≥16-Week Period From Day 1 to 24 Weeks

    RBC-TI is defined as no RBC transfusions administered for the specified time period during study treatment.

    Time frame: From Cycle 1 Day 1 through Week 24 (each cycle is 28 days)

  2. Proportion of Participants who are RBC-TI for any Consecutive ≥12-Week Period From Day 1 to 24 Weeks

    RBC-TI is defined as no RBC transfusions administered for the specified time period during study treatment.

    Time frame: From Cycle 1 Day 1 through Week 24 (each cycle is 28 days)

  3. Proportion of Participants who are RBC-TI for a Consecutive 24-Week Period From Day 1

    RBC-TI is defined as no RBC transfusions administered for the specified time period during study treatment.

    Time frame: From Cycle 1 Day 1 through Week 24 (each cycle is 28 days)

  4. Proportion of Participants Who Have Meaningful Improvement or Maintain a High Score With no Meaningful Deterioration in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale Score With no RBC Transfusions Based on the Average of Scores

    The FACT-An questionnaire is used to assess the effects of disease symptoms on functioning and well-being in participants with anemia. The FACT-An Anemia scale includes 13 fatigue-specific items (which together comprise the FACIT-Fatigue scale).

    Time frame: From End of Week 12 to End of Week 24

  5. Proportion of Participants who Achieved Hematological Improvement-Erythroid (HI-E) for a Minimum 8-Week Period From Day 1 to 24 Weeks

    HI-E is defined as percentage of participants meeting HI-E criteria sustained over any consecutive 56-day period over the first 24 weeks.

    Time frame: From Cycle 1 Day 1 through Week 24 (each cycle is 28 days)

  6. Proportion of Participants who Achieved Hematological Improvement-Erythroid (HI-E) for a Minimum 12-Week Period From Day 1 to 48 Weeks

    HI-E is defined as percentage of participants meeting HI-E criteria sustained over any consecutive 84-day period over the 48 weeks.

    Time frame: From Cycle 1 Day 1 through Week 48 (each cycle is 28 days)

  7. Proportion of Participants who are RBC-TI for a Minimum Consecutive 8-Week Period From Day 1 to 24 Weeks

    Time frame: From Cycle 1 Day 1 through Week 24 (each cycle is 28 days)

  8. Proportion of Participants who are RBC-TI for a Minimum Consecutive 24-Week Period From Day 1 to 48 Weeks

    Time frame: From Cycle 1 Day 1 through Week 48 (each cycle is 28 days)

  9. Time From Date of First Dose to First Onset of Achieving RBC-TI

    RBC-TI is defined as the absence of RBC transfusions for a prespecified period of time during continued treatment. Time from date of first dose to first onset of achieving RBC-TI for minimum consecutive 12 weeks and for minimum consecutive 16 weeks.

    Time frame: From Cycle 1 Day 1 through Week 24 (each cycle is 28 days)

  10. Mean Hgb Change From Baseline Through 24 Weeks and 48 Weeks

    Time frame: From Baseline through Week 24 and Week 48

  11. Maximum Duration of RBC-TI for Participants who Achieved RBC-TI for a Consecutive ≥12 Weeks and ≥16 Weeks

    Time frame: From Cycle 1 Day 1 through Week 24 (each cycle is 28 days)

  12. Total Number of Packed Red Blood Cells (pRBC) Units Received During the Study Treatment

    Time frame: From Cycle 1 Day 1 to End of Treatment (approximately 5 years) (each cycle is 28 days)

  13. Monthly Average of pRBC Units Received During Study Treatment Period

    Time frame: From Cycle 1 Day 1 to End of Treatment (approximately 5 years) (each cycle is 28 days)

  14. Time From Date of First Dose of Study Drug to Date of First RBC Transfusion Received During Treatment Period

    Time frame: From Cycle 1 Day 1 to End of Treatment (approximately 5 years) (each cycle is 28 days)

  15. Time From Date of First Dose of Study Drug to First Onset of Achieving HI-E for Minimum Consecutive 8 Weeks Period

    Time frame: From Cycle 1 Day 1 through Week 24 (each cycle is 28 days)

  16. Proportion of Participants with Meaningful Improvement in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Scale Scores

    EORTC QLQ-C30 is a 30-item,participant-reported multidomain questionnaire designed to assess the functioning,well-being,and symptom experience of patients with cancer.

    Time frame: From Cycle 1 Day 1 through Week 24 and 48 (each cycle is 28 days)

  17. Proportion of Participants with Meaningful Improvement in FACT-Anemia (FACT-An) Scale Scores

    The FACT-An questionnaire is used to assess the effects of disease symptoms on functioning and well-being in participants with anemia.

    Time frame: From Cycle 1 Day 1 through Week 24 and 48 (each cycle is 28 days)

  18. Proportion of Participants with Meaningful Improvement in FACIT-Fatigue Scale Scores

    The FACT-An Anemia scale includes 13 fatigue-specific items (which together comprise the FACIT-Fatigue scale).

    Time frame: From Cycle 1 Day 1 through Week 24 and 48 (each cycle is 28 days)

  19. Time to Confirmed Improvement and Time to Confirmed Deterioration in EORTC QLQ-C30 Scale Scores

    EORTC QLQ-C30 is a 30-item,participant-reported multidomain questionnaire designed to assess the functioning,well-being,and symptom experience of patients with cancer.

    Time frame: Baseline through Week 24 and 48

  20. Time to Confirmed Improvement and Time to Confirmed Deterioration in FACT-An Scale Scores

    The FACT-An questionnaire is used to assess the effects of disease symptoms on functioning and well-being in participants with anemia.

    Time frame: Baseline through Week 24 and 48

  21. Time to Confirmed Improvement and Time to Confirmed Deterioration in FACIT-Fatigue Scale Scores

    The FACT-An Anemia scale includes 13 fatigue-specific items (which together comprise the FACIT-Fatigue scale).

    Time frame: Baseline through Week 24 and 48

  22. Average Changes in EORTC QLQ-C 30 Scale Scores Through 48 Weeks

    EORTC QLQ-C30 is a 30-item,participant-reported multidomain questionnaire designed to assess the functioning,well-being,and symptom experience of patients with cancer.

    Time frame: Up to Week 48

  23. Average Changes in FACT-An Scale Scores Through 48 Weeks

    The FACT-An questionnaire is used to assess the effects of disease symptoms on functioning and well-being in participants with anemia.

    Time frame: Up to Week 48

  24. Average Changes in FACIT-Fatigue Scale Scores Through 48 Weeks

    The FACT-An Anemia scale includes 13 fatigue-specific items (which together comprise the FACIT-Fatigue scale).

    Time frame: Up to Week 48

  25. Concentration of Study Drug in Plasma Over Time Data for Participants Treated With Elritercept

    Time frame: Pre-dose and multiple times post-dose from Cycle 1 Day 1 up to Cycle 13 Day 1 (approximately 49 weeks) (each cycle is 28 days)

  26. Proportion of Participants Treated with Elritercept with Antidrug Antibodies (ADA)

    Time frame: From Cycle 1 Day 1 to 60 days post last dose (approximately 5 years) (each cycle is 28 days)

  27. Time from Randomization to First Diagnosis of Acute Myeloid Leukemia (AML)

    Progression of disease to diagnosis of AML as per world health organisation (WHO) classification of ≥20 percent (%) blasts in peripheral blood or bone.

    Time frame: From Randomization to Week 48

  28. Time From Randomization to the Death of a Participant From any Cause

    Time frame: From Randomization to Week 48

07

Study locations

103 of 166 sites recruiting
  • Banner MD Anderson Cancer Center
    Gilbert, Arizona 85234, United States
    Not yet recruiting
    • Site Contact · Contact
    • Mark Faber · Principal investigator
  • City of Hope - Comprehensive Cancer Center (CCC)
    Duarte, California 91010, United States
    Not yet recruiting
    • Site Contact · Contactaartz@coh.org · 626-218-2404
    • Andrew Artz · Principal investigator
  • Providence Medical Group
    Santa Rosa, California 95403, United States
    Not yet recruiting
  • Cancer & Blood Research Center
    Whittier, California 94538, United States
    Not yet recruiting
    • Site Contact · Contact
    • Merrill Shum · Principal investigator
  • Yale
    New Haven, Connecticut 06510, United States
    Not yet recruiting
    • Site Contact · Contactamer.zeidan@yale.edu · 203-432-4771
    • Amer Zeidan · Principal investigator
  • Florida Oncology & Hematology
    Fort Myers, Florida 33912, United States
    Not yet recruiting
  • University of Miami
    Miami, Florida 33136, United States
    Not yet recruiting
  • BRCR Medical Center Inc
    Tamarac, Florida 33321, United States
    Recruiting
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
    Not yet recruiting
  • Emory University
    Atlanta, Georgia 30322, United States
    Recruiting
  • Saint Luke's Cancer Institute
    Boise, Idaho 83712, United States
    Not yet recruiting
    • Site Contact · Contactkreislew@slhs.org
    • William Kreisle · Principal investigator
  • Orchard Healthcare Research Inc. (OHR) - Skokie
    Skokie, Illinois 60077, United States
    Recruiting
  • Norton Cancer Institute
    Louisville, Kentucky 40207, United States
    Recruiting
  • Epic Medical Research
    Monroe, Louisiana 71201, United States
    Not yet recruiting
  • Epic Medical Research - Shreveport
    Shreveport, Louisiana 71106, United States
    Not yet recruiting
  • The Cancer and Hematology Centers
    Grand Rapids, Michigan 49503, United States
    Not yet recruiting
    • Site Contact · Contactdfoley@thechc.com · 616-954-5550
    • Daniel Foley · Principal investigator
  • American Oncology Partners P.A. MidAmerica Cancer Care
    Kansas City, Missouri 64132, United States
    Recruiting
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
    Not yet recruiting
  • Hematology Oncology Associates of Rockland
    Nyack, New York 10960, United States
    Not yet recruiting
  • UR Medicine (University of Rochester Medical Center)
    Rochester, New York 14642, United States
    Not yet recruiting
  • Albert Einstein College - Montefiore
    The Bronx, New York 10467, United States
    Recruiting
  • Novant Health Care Institute
    Winston-Salem, North Carolina 27106, United States
    Not yet recruiting
  • Cleveland clinic OH
    Cleveland, Ohio 44195, United States
    Not yet recruiting
    • Site Contact · Contactcarrawh@ccf.org · 216-287-5665
    • Hetty Carraway · Principal investigator
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
    Not yet recruiting
  • Fox Chase Cancer Center
    Philadelphia, Pennsylvania 19111, United States
    Recruiting
    • Site Contact · ContactIberia.sosa@fccc.edu · 215-534-8529
    • Iberia Sosa · Principal investigator
  • Tennessee Oncology, PLLC
    Nashville, Tennessee 37203, United States
    Recruiting
    • Site Contact · Contactclogothetis@tnonc.com · 877-836-6662
    • Constantine Logothetis · Principal investigator
  • World Research Link
    Baytown, Texas 77521, United States
    Recruiting
  • Texas Oncology - Denton
    Denton, Texas 76201, United States
    Recruiting
    • Site Contact · Contact
    • Charles Kurkul · Principal investigator
  • The Center for Cancer and Blood Disorders
    Fort Worth, Texas 76104, United States
    Recruiting
    • Site Contact · Contactray_page@txcc.com · 817-759-7000
    • Ray Page · Principal investigator
  • The University of Texas-MD Anderson Cancer Center - Leukemia Center
    Houston, Texas 77030, United States
    Recruiting
    • Site Contact · Contactggarciam@mdanderson.org · 713-745-3428
    • Guillermo Garcia-Manero · Principal investigator
  • LUMI Research
    Houston, Texas 90603, United States
    Recruiting
    • Site Contact · Contact
    • David Nguyen · Principal investigator
  • Renovatio Clinical
    The Woodlands, Texas 77380, United States
    Recruiting
  • Huntsman Cancer Institute
    Salt Lake City, Utah 84124, United States
    Not yet recruiting
  • Virginia Commonwealth University (VCU)-Medical Center - North Hospital
    Richmond, Virginia 23298, United States
    Not yet recruiting
  • West Virginia University Cancer Institute
    Wheeling, West Virginia 26003, United States
    Recruiting
  • Instituto Medico de la Fundacion Estudios Clinicos
    Rosario, Santa Fe Province 2000, Argentina
    Recruiting
  • Swiss Medical Center - Barrio Parque
    Buenos Aires, 1425, Argentina
    Recruiting
    • Site Contact · Contactmiastrebner@gmail.com · +54 91169816300
    • Claudio Marcelo Iastrebner · Principal investigator
  • Sanatorio Allende S.A. - Nueva Cordoba
    Córdoba, 5000, Argentina
    Not yet recruiting
    • Site Contact · Contactgjarchu.sa@gmail.com · 03516657011
    • Gustavo D Jarchum · Principal investigator
  • Hospital Privado de Cordoba
    Córdoba, X5000, Argentina
    Recruiting
  • Mid North Coast Local Health District - Mid North Coast Cancer Institute (MNCCI) - Coffs Harbour
    Coffs Harbour, New South Wales 2450, Australia
    Not yet recruiting
  • South Eastern Sydney Local Health District
    Sydney, New South Wales 2217, Australia
    Recruiting
  • Calvary Mater Newcastle
    Waratah, New South Wales 2282, Australia
    Not yet recruiting
  • Royal Adelaide Hospital
    Adelaide, South Australia 5000, Australia
    Not yet recruiting
  • Flinders Medical Centre
    Bedford Park, South Australia 5042, Australia
    Not yet recruiting
  • Monash University-Monash Medical Centre (MMC) - Clayton
    Clayton, Victoria 3168, Australia
    Not yet recruiting
  • St. Vincent's Hospital Melbourne
    Fitzroy, Victoria 3065, Australia
    Not yet recruiting
  • Eastern Haematology & Oncology Group or Austin Hospital
    Heidelberg, Victoria 3084, Australia
    Recruiting
  • Alfred Hospital
    Richmond, Victoria 3004, Australia
    Not yet recruiting
  • Fiona Stanley Hospital
    Perth, Western Australia 6150, Australia
    Not yet recruiting
  • Chu-Ucl Namur Site Godinne
    Yvoir, Namur 5530, Belgium
    Recruiting
  • UZ Leuven
    Leuven, Vlaams-Brabant 3000, Belgium
    Recruiting
  • AZ Delta (H.-Hartziekenhuis Roeselare-Menen vzw (HHRM)) - Campus Rumbeke
    Roeselare, West Flanders 8800, Belgium
    Recruiting
  • D'OR Institute for Research and Education
    Salvador, Estado de Bahia 41253-190, Brazil
    Not yet recruiting
    • Site Contact · Contactlainefiscina@gmail.com · +55 11 95089-926
    • Laine Santos Fiscina Alvarenga · Principal investigator
  • Porto Alegre Clinical Hospital (HCPA)
    Porto Alegre, Rio Grande do Sul 90035903, Brazil
    Recruiting
  • Hospital Mae de Deus, Clinical Research Unit - Cancer Institute
    Porto Alegre, Rio Grande do Sul 90110-270, Brazil
    Recruiting
  • Centro de Hematologia e Oncologia (CHO)
    Joinville, Santa Catarina 89201-260, Brazil
    Recruiting
    • Site Contact · Contactacdalloglio@gmail.com · +55 47 34331849
    • Ana Claudia Dall'Oglio · Principal investigator
  • Hospital Amaral Carvalho (HAC)
    Jaú, São Paulo 17210080, Brazil
    Recruiting
  • Irmandade da Santa Casa da Misericordia de Santos (ISCMS)
    Santos, São Paulo 11075-101, Brazil
    Recruiting
  • Portuguese Charity of Sao Paulo, Clinical Hematology / Oncology Center
    São Paulo, 01321-001, Brazil
    Recruiting
    • Site Contact · Contactscheinbp@gmail.com · 5511 3505-6687
    • Phillip Scheinberg · Principal investigator
  • Hospital 9 de Julho (Rede Americas/DASA)
    São Paulo, 01409-000, Brazil
    Recruiting
  • Dr. Pencho Georgiev - Outpatient Center for Individual Practice for Specialized Medical Care in Internal Medicine and Clinical Hematology (EOOD)
    Plovdiv, 4000, Bulgaria
    Recruiting
  • Specialized Hospital for Active Treatment of Hematological Diseases, Sofia, Clinic of Hematology
    Sofia, 1756, Bulgaria
    Recruiting
  • Centre Hospitalier Universitaire Grenoble Alpes
    La Tronche, Isere 38700, France
    Recruiting
  • Poitiers University Hospital Center - Miletrie Site
    Poitiers, Vienne 86021, France
    Recruiting
  • Gustave Roussy
    Villejuif, X 94805, France
    Not yet recruiting
  • Centre Hospitalier Universitaire (CHU) de Nice - Hopital L'Archet I - Hematologie Clinique
    Nice, 06200, France
    Recruiting
  • Saint-Louis Hospital
    Paris, 75010, France
    Not yet recruiting
    • Site Contact · Contactlionel.ades@aphp.fr · 33 (0)1 71 20 70 21
    • Lionel Ades · Principal investigator
  • Universitatsklinikum Bayreuth, Med. Klinik IV
    Bayreuth, Bavaria 95445, Germany
    Recruiting
  • Gemeinschaftspraxis fuer Haematologie und Onkologie - Praxis Steinfurter Strasse
    Münster, North Rhine-Westphalia 48153, Germany
    Recruiting
  • University Hospital Halle (Saale), Department of Internal Medicine IV - Hematology and Oncology
    Halle, Saxony-Anhalt 06120, Germany
    Recruiting
  • Praxis am Volkspark
    Berlin, 10715, Germany
    Recruiting
  • Charite Campus Benjamin Franklin
    Berlin, 12200, Germany
    Recruiting
  • Laiko General Hospital
    Athens, Central Athens 11526, Greece
    Not yet recruiting
  • National and Kapodistrian University of Athens (NKUA)-Laiko General Hospital
    Athens, Central Athens 11527, Greece
    Recruiting
  • Democritus University of Thrace (DUTH) - University General Hospital of Alexandroupolis
    Alexandroupoli, Evros 68100, Greece
    Recruiting
    • Site Contact · Contactikotsian@med.duth.gr · 302551352218
    • Ioannis Kotsianidis · Principal investigator
  • General Hospital of Thessaloniki "Ippokratio"
    Thessaloniki, Macedonia 55133, Greece
    Recruiting
    • Site Contact · Contactelenicelli@yahoo.gr · 6973841671
    • Eleni Gavriilaki · Principal investigator
  • National and Kapodistrian University of Athens-University General Hospital Attikon
    Athens, West Athens 12462, Greece
    Not yet recruiting
    • Site Contact · Contactvas_pappa@yahoo.com · 6937255084
    • Vassiliki Pappa · Principal investigator
  • Faculty of Medicine, School of Health Sciences, University of Ioannina
    Ioannina, 45500, Greece
    Recruiting
    • Site Contact · Contactehatzim@uoi.gr · 2651099650
    • Eleftheria Hatzimichael · Principal investigator
  • University of Debrecen Clinical Center, Clinic of Internal Medicine, Department of Hematology
    Debrecen, H-B 500096, Hungary
    Recruiting
  • Szent Borbala Korhaz, Department of Internal Medicine and Haematology, Division of Hematology
    Tatabánya, Komárom-Esztergom 2800, Hungary
    Recruiting
    • Site Contact · Contactzsocogo@gmail.com · 06204119459
    • Zsofia Simon · Principal investigator
  • AIMS, Kochi
    Kochi, Kerala 682041, India
    Not yet recruiting
    • Site Contact · Contactneerajsidh@gmail.com · 9946047464
    • Neeraj Sidharthan · Principal investigator
  • Tata Medical Center, Kolkata
    Kochi, Kerala 682041, India
    Not yet recruiting
  • Sahyadri Hospitals, Pune
    Pune, Maharashtra 411004, India
    Recruiting
  • Christian Medical College
    Vellore, Tamil Nadu 632517, India
    Not yet recruiting
  • Apollo Hospital Hyderabad
    Hyderabad, Telangana 500096, India
    Recruiting
    • Site Contact · Contactdrloki2002@yahoo.com · 9553077700
    • Padmaja Lokireddy · Principal investigator
  • Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh
    Chandigarh, 160012, India
    Not yet recruiting
  • Max SuperSpeciality Saket, Delhi
    Delhi, 110017, India
    Recruiting
  • Cork University Hospital
    Cork, T12 DC4A, Ireland
    Recruiting
    • Site Contact · Contactvitaliy.mykytiv@hse.ie · +353 (0)21 4920347
    • Vitaliy Mykytiv · Principal investigator
  • St. James's Hospital
    Dublin, 091 524411, Ireland
    Not yet recruiting
    • Site Contact · Contactcmflynn@stjames.ie · 353 1 410 3991
    • Catherine Flynn · Principal investigator
  • Mater Misericordiae University Hospital
    Dublin, Dublin 7, Ireland
    Recruiting
    • Site Contact · ContactSuMaung@mater.ie · 35318034831
    • Su Maung · Principal investigator
  • University Hospital Galway
    Galway, H91 YR71, Ireland
    Not yet recruiting
  • Universita degli Studi di Firenze - Azienda Ospedaliero-Universitaria Careggi (AOUC)
    Florence, Florence 50141, Italy
    Recruiting
  • Gruppo Humanitas-Humanitas Research Hospital (Istituto Clinico Humanitas)
    Rozzano, Milan 20089, Italy
    Not yet recruiting
  • Polyclinic San Matteo, IRCCS, Department of Oncohematology, Operative Unit of Hematology
    Pavia, PV 27100, Italy
    Not yet recruiting
  • Policlinico Umberto I
    Roma, Rome 00161, Italy
    Recruiting
  • Institute of Cancer Research and Treatment of Candiolo
    Candiolo, Torino 10060, Italy
    Recruiting
    • Site Contact · Contactelena.crisa@ircc.it · 0119933842
    • Elena Crisa · Principal investigator
  • Azienda Ospedaliero Universitaria di Bologna - Policlinico S. Orsola-Malpighi - Istituto di Ematologia "Lorenzo e Ariosto Seragnoli"
    Bologna, 40138, Italy
    Not yet recruiting
  • IRCCS Ospedale San Raffaele
    Milan, 20132, Italy
    Recruiting
    • Site Contact · Contactdiral.elisa@hsr.it · 022643
    • Elisa Diral · Principal investigator
  • Ospedale Cardarelli
    Naples, 80131, Italy
    Recruiting
  • Ospedale di Novara
    Novara, 28100, Italy
    Recruiting

Showing the first 100 of 166 sites across 28 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Access criteria: IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.

Data sharing details ↗ · vivli.org

09

Updates

2 registry updates since Sep 25, 2026
Sites
4 sites added. 41 sites changed recruiting status (41 now recruiting)
Show 41 sites
  • West Virginia University Cancer Institute · Wheeling, United StatesNot yet recruiting→Recruiting
  • Instituto Medico de la Fundacion Estudios Clinicos · Rosario, ArgentinaNot yet recruiting→Recruiting
  • Swiss Medical Center - Barrio Parque · Buenos Aires, ArgentinaNot yet recruiting→Recruiting
  • Eastern Haematology & Oncology Group or Austin Hospital · Heidelberg, AustraliaNot yet recruiting→Recruiting
  • AZ Delta (H.-Hartziekenhuis Roeselare-Menen vzw (HHRM)) - Campus Rumbeke · Roeselare, BelgiumNot yet recruiting→Recruiting
  • Hospital Mae de Deus, Clinical Research Unit - Cancer Institute · Porto Alegre, BrazilNot yet recruiting→Recruiting
  • Centro de Hematologia e Oncologia (CHO) · Joinville, BrazilNot yet recruiting→Recruiting
  • Hospital 9 de Julho (Rede Americas/DASA) · São Paulo, BrazilNot yet recruiting→Recruiting
  • National and Kapodistrian University of Athens (NKUA)-Laiko General Hospital · Athens, GreeceNot yet recruiting→Recruiting
  • General Hospital of Thessaloniki "Ippokratio" · Thessaloniki, GreeceNot yet recruiting→Recruiting
  • Faculty of Medicine, School of Health Sciences, University of Ioannina · Ioannina, GreeceNot yet recruiting→Recruiting
  • Mater Misericordiae University Hospital · Dublin, IrelandNot yet recruiting→Recruiting
  • Universita degli Studi di Firenze - Azienda Ospedaliero-Universitaria Careggi (AOUC) · Florence, ItalyNot yet recruiting→Recruiting
  • Ospedale Cardarelli · Naples, ItalyNot yet recruiting→Recruiting
  • Filantropia Municipal Clinical Hospital · Craiova, RomaniaNot yet recruiting→Recruiting
  • Korea University Anam Hospital · Seoul, South KoreaNot yet recruiting→Recruiting
  • Hospital Universitari Vall d'Hebron-Institut de Recerca (VHIR) · Barcelona, SpainNot yet recruiting→Recruiting
  • Taipei Veterans General Hospital · Taipei, TaiwanNot yet recruiting→Recruiting
  • Maharaj Nakorn Chiangmai Hospital · Chiang Mai, ThailandNot yet recruiting→Recruiting
  • Banphaeo General Hospital · Ban Phaeo, ThailandNot yet recruiting→Recruiting
  • King Chulalongkorn Memorial Hospital · Bangkok, ThailandNot yet recruiting→Recruiting
  • Texas Oncology - Denton · Denton, United StatesNot yet recruiting→Recruiting
  • Renovatio Clinical · The Woodlands, United StatesNot yet recruiting→Recruiting
  • Hospital Privado de Cordoba · Córdoba, ArgentinaNot yet recruiting→Recruiting
  • South Eastern Sydney Local Health District · Sydney, AustraliaNot yet recruiting→Recruiting
  • Porto Alegre Clinical Hospital (HCPA) · Porto Alegre, BrazilNot yet recruiting→Recruiting
  • Hospital Amaral Carvalho (HAC) · Jaú, BrazilNot yet recruiting→Recruiting
  • Irmandade da Santa Casa da Misericordia de Santos (ISCMS) · Santos, BrazilNot yet recruiting→Recruiting
  • Portuguese Charity of Sao Paulo, Clinical Hematology / Oncology Center · São Paulo, BrazilNot yet recruiting→Recruiting
  • Centre Hospitalier Universitaire Grenoble Alpes · La Tronche, FranceNot yet recruiting→Recruiting
  • …and 11 more on the registry record
Show 4 added (4 United States)
  • Florida Oncology & Hematology · Fort Myers, United States
  • Saint Luke's Cancer Institute · Boise, United States
  • Icahn School of Medicine at Mount Sinai · New York, United States
  • UR Medicine (University of Rochester Medical Center) · Rochester, United States
across 2 updates, Oct 19, 2026 – Nov 6, 2026
Eligibility
4 inclusion criteria edited; 12 exclusion criteria edited, 2 added; 2 criteria removed
What changed in the criteria
  • RemovedInclusion Criteria
  • Removed<!-- -->
Inclusion criteria
  • EditedDocumented diagnosis of myelodysplastic syndrome(s) (MDS) according to WHO 2016 classification that meets International Prognostic Scoring System - Revised (IPSS-R) classification of very low-, low-, or intermediate-risk disease, confirmed by central laboratory independent reviewer prior to randomization. Hemoglobin (HgbHgB), platelet, and absolute neutrophil count (ANC) values should be collected greater than (>) 14 days after red blood cell (RBC) transfusion or greater than (>) 7 days after platelet transfusion, unless otherwise considered to be pretransfusion values.
  • EditedEndogenous serum erythropoietin s (EPO) level of <500 units per liter (U/L). Should be results from blood samples collected >14 days following an RBC transfusion to evaluate for eligibility unless considered pretransfusion values.
  • EditedHgb <11.0 g/dL (6.8 mmol/L) after last RBC transfusion precedingbefore randomization. Local laboratory is acceptable to facilitate randomization.
  • EditedEastern Cooperative Oncology Group score of 0, 1, or 2. Exclusion Criteria
Exclusion criteria
  • EditedAt the investigator's discretion in consultation with the medical monitor, may be allowed if received no more than 2 doses of only epoetin alfa ≥8 weeks prior to randomization. No other erythropoiesis-stimulating agent (ESA) agent is allowed.
  • AddedAt the investigator's discretion in consultation with the medical monitor, may be allowed if received no more than 1 dose of only darbepoetin ≥8 weeks prior to randomization.
  • ChangedBefore Immunosuppressive therapyNow Immunosuppressive therapy for the disease under study.
  • AddedIron chelation if initiated ≤8 weeks prior to randomization. Participants on stable or decreasing doses of iron chelation therapy for ≥8 weeks are allowed.
  • EditedIron chelation if administered ≤8 weeks prior to randomization. Participants on stable doses of iron chelation therapy for ≥8 weeks are allowed Vitamin B12 or folate therapy initiated within 4 weeks prior to randomization. Participants on stable or decreasing replacement doses for ≥4 weeks and without ongoing concurrent vitamin B12 or folate deficiency are allowed.
  • EditedHigh-dose systemic corticosteroid use within 4 weeks before randomization. Participants on stable chronic steroid doses of prednisone ≤10 millligrams per day (mg/day) or corticosteroid equivalent for ≥ 4 weeks are allowed. Other disease modifying treatments for autoimmune diseases may be allowed upon medical monitor review.
  • EditedInvestigational agent or any other agent intended for treatment MDS treatment
  • EditedDiagnosed to have MDS associated withwith presence of del(5q) cytogenetic abnormality or MDS unclassifiable according to WHO 2016 classification or secondary MDS.
  • EditedAnemia due to any other known cause including but not limited to thalassemia; hypothyroidism; due to iron, vitamin B12, vitamin B6, zinc, or folate deficiencies; autoimmune or hereditary hemolytic anemia;, any type of known clinically significant bleeding or sequestration or drug induced anemia, hemolytic anemia, or bleeding events, or other deficiencies (that is, iron, folate, or vitamin B12).
  • EditedIncidental histologic finding of prostate cancer (T1a or T1b using the tumor, node, metastasis [TNM] or early papillary thyroid cancer (Stage I [T1-T2, N0, M0]) clinical staging system).
  • EditedANC <500/microliter (μL) (0.5×10910\^9/liter [L]).
  • EditedPlatelet count <50,000/μL (50×10910\^9/L) or ≥450800,000/μL (450800×10910\^9/L).
  • EditedEstimated glomerular filtration rate <30 milliliters per minute per 1.73 square meters (mL/min/1.73 m\^2) as determined by the Chronic Kidney Disease Epidemiology (CKD-EPI) collaboration equation.
  • EditedOngoing participation in another interventional clinical trial or use of any other investigational medicinal product within 5 times the half-life.
Oct 19, 2026
Secondary outcomes
1 edited
What changed in the outcomes
  • EditedProportion of Participants whoWho Have Confirmed Meaningful Improvement or Maintain a High Score With no Meaningful Deterioration in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale Score With no RBC Transfusions Between Week 12 to Week 24Based on the Average of ScoresTime frame: From End of Week 12 to End of Week 24
Oct 19, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • West Virginia University Cancer Institute · Wheeling, United StatesContact person changed (no phone or email listed)
Oct 19, 2026
Title
A Study to Compare Elritercept With Epoetin Alfa to Treat Anemia in Adults With Very Low, Low, or IntermediateLower Risk Myelodysplastic Syndromes (LR-MDS) Who Need Regular Blood Transfusions
Oct 19, 2026
Show all 2 updates
  1. Nov 6, 2026
    4 sites added. 20 sites changed recruiting status (20 now recruiting)
    Show 20 sites
    • Texas Oncology - Denton · Denton, United StatesNot yet recruiting→Recruiting
    • Renovatio Clinical · The Woodlands, United StatesNot yet recruiting→Recruiting
    • Hospital Privado de Cordoba · Córdoba, ArgentinaNot yet recruiting→Recruiting
    • South Eastern Sydney Local Health District · Sydney, AustraliaNot yet recruiting→Recruiting
    • Porto Alegre Clinical Hospital (HCPA) · Porto Alegre, BrazilNot yet recruiting→Recruiting
    • Hospital Amaral Carvalho (HAC) · Jaú, BrazilNot yet recruiting→Recruiting
    • Irmandade da Santa Casa da Misericordia de Santos (ISCMS) · Santos, BrazilNot yet recruiting→Recruiting
    • Portuguese Charity of Sao Paulo, Clinical Hematology / Oncology Center · São Paulo, BrazilNot yet recruiting→Recruiting
    • Centre Hospitalier Universitaire Grenoble Alpes · La Tronche, FranceNot yet recruiting→Recruiting
    • University Hospital Halle (Saale), Department of Internal Medicine IV - Hematology and Oncology · Halle, GermanyNot yet recruiting→Recruiting
    • Democritus University of Thrace (DUTH) - University General Hospital of Alexandroupolis · Alexandroupoli, GreeceNot yet recruiting→Recruiting
    • Sahyadri Hospitals, Pune · Pune, IndiaNot yet recruiting→Recruiting
    • Apollo Hospital Hyderabad · Hyderabad, IndiaNot yet recruiting→Recruiting
    • Max SuperSpeciality Saket, Delhi · Delhi, IndiaNot yet recruiting→Recruiting
    • Policlinico Umberto I · Roma, ItalyNot yet recruiting→Recruiting
    • IRCCS Ospedale San Raffaele · Milan, ItalyNot yet recruiting→Recruiting
    • Universita degli Studi di Padova-Azienda Ospedaliera di Padova · Padua, ItalyNot yet recruiting→Recruiting
    • Institut Catala d'Oncologia (ICO) - Hospital Duran i Reynals Location · L'Hospitalet de Llobregat, SpainNot yet recruiting→Recruiting
    • University Hospital Ramon y Cajal · Madrid, SpainNot yet recruiting→Recruiting
    • Churchill Hospital · Oxford, United KingdomNot yet recruiting→Recruiting
    Show 4 added (4 United States)
    • Florida Oncology & Hematology · Fort Myers, United States
    • Saint Luke's Cancer Institute · Boise, United States
    • Icahn School of Medicine at Mount Sinai · New York, United States
    • UR Medicine (University of Rochester Medical Center) · Rochester, United States
    + 1 other change: verification date
  2. Oct 19, 2026
    21 sites changed recruiting status (21 now recruiting)
    Show 21 sites
    • West Virginia University Cancer Institute · Wheeling, United StatesNot yet recruiting→Recruiting
    • Instituto Medico de la Fundacion Estudios Clinicos · Rosario, ArgentinaNot yet recruiting→Recruiting
    • Swiss Medical Center - Barrio Parque · Buenos Aires, ArgentinaNot yet recruiting→Recruiting
    • Eastern Haematology & Oncology Group or Austin Hospital · Heidelberg, AustraliaNot yet recruiting→Recruiting
    • AZ Delta (H.-Hartziekenhuis Roeselare-Menen vzw (HHRM)) - Campus Rumbeke · Roeselare, BelgiumNot yet recruiting→Recruiting
    • Hospital Mae de Deus, Clinical Research Unit - Cancer Institute · Porto Alegre, BrazilNot yet recruiting→Recruiting
    • Centro de Hematologia e Oncologia (CHO) · Joinville, BrazilNot yet recruiting→Recruiting
    • Hospital 9 de Julho (Rede Americas/DASA) · São Paulo, BrazilNot yet recruiting→Recruiting
    • National and Kapodistrian University of Athens (NKUA)-Laiko General Hospital · Athens, GreeceNot yet recruiting→Recruiting
    • General Hospital of Thessaloniki "Ippokratio" · Thessaloniki, GreeceNot yet recruiting→Recruiting
    • Faculty of Medicine, School of Health Sciences, University of Ioannina · Ioannina, GreeceNot yet recruiting→Recruiting
    • Mater Misericordiae University Hospital · Dublin, IrelandNot yet recruiting→Recruiting
    • Universita degli Studi di Firenze - Azienda Ospedaliero-Universitaria Careggi (AOUC) · Florence, ItalyNot yet recruiting→Recruiting
    • Ospedale Cardarelli · Naples, ItalyNot yet recruiting→Recruiting
    • Filantropia Municipal Clinical Hospital · Craiova, RomaniaNot yet recruiting→Recruiting
    • Korea University Anam Hospital · Seoul, South KoreaNot yet recruiting→Recruiting
    • Hospital Universitari Vall d'Hebron-Institut de Recerca (VHIR) · Barcelona, SpainNot yet recruiting→Recruiting
    • Taipei Veterans General Hospital · Taipei, TaiwanNot yet recruiting→Recruiting
    • Maharaj Nakorn Chiangmai Hospital · Chiang Mai, ThailandNot yet recruiting→Recruiting
    • Banphaeo General Hospital · Ban Phaeo, ThailandNot yet recruiting→Recruiting
    • King Chulalongkorn Memorial Hospital · Bangkok, ThailandNot yet recruiting→Recruiting
    Eligibility 4 inclusion criteria edited; 12 exclusion criteria edited, 2 added; 2 criteria removed
    What changed in the criteria
    • RemovedInclusion Criteria
    • Removed<!-- -->
    Inclusion criteria
    • EditedDocumented diagnosis of myelodysplastic syndrome(s) (MDS) according to WHO 2016 classification that meets International Prognostic Scoring System - Revised (IPSS-R) classification of very low-, low-, or intermediate-risk disease, confirmed by central laboratory independent reviewer prior to randomization. Hemoglobin (HgbHgB), platelet, and absolute neutrophil count (ANC) values should be collected greater than (>) 14 days after red blood cell (RBC) transfusion or greater than (>) 7 days after platelet transfusion, unless otherwise considered to be pretransfusion values.
    • EditedEndogenous serum erythropoietin s (EPO) level of <500 units per liter (U/L). Should be results from blood samples collected >14 days following an RBC transfusion to evaluate for eligibility unless considered pretransfusion values.
    • EditedHgb <11.0 g/dL (6.8 mmol/L) after last RBC transfusion precedingbefore randomization. Local laboratory is acceptable to facilitate randomization.
    • EditedEastern Cooperative Oncology Group score of 0, 1, or 2. Exclusion Criteria
    Exclusion criteria
    • EditedAt the investigator's discretion in consultation with the medical monitor, may be allowed if received no more than 2 doses of only epoetin alfa ≥8 weeks prior to randomization. No other erythropoiesis-stimulating agent (ESA) agent is allowed.
    • AddedAt the investigator's discretion in consultation with the medical monitor, may be allowed if received no more than 1 dose of only darbepoetin ≥8 weeks prior to randomization.
    • ChangedBefore Immunosuppressive therapyNow Immunosuppressive therapy for the disease under study.
    • AddedIron chelation if initiated ≤8 weeks prior to randomization. Participants on stable or decreasing doses of iron chelation therapy for ≥8 weeks are allowed.
    • EditedIron chelation if administered ≤8 weeks prior to randomization. Participants on stable doses of iron chelation therapy for ≥8 weeks are allowed Vitamin B12 or folate therapy initiated within 4 weeks prior to randomization. Participants on stable or decreasing replacement doses for ≥4 weeks and without ongoing concurrent vitamin B12 or folate deficiency are allowed.
    • EditedHigh-dose systemic corticosteroid use within 4 weeks before randomization. Participants on stable chronic steroid doses of prednisone ≤10 millligrams per day (mg/day) or corticosteroid equivalent for ≥ 4 weeks are allowed. Other disease modifying treatments for autoimmune diseases may be allowed upon medical monitor review.
    • EditedInvestigational agent or any other agent intended for treatment MDS treatment
    • EditedDiagnosed to have MDS associated withwith presence of del(5q) cytogenetic abnormality or MDS unclassifiable according to WHO 2016 classification or secondary MDS.
    • EditedAnemia due to any other known cause including but not limited to thalassemia; hypothyroidism; due to iron, vitamin B12, vitamin B6, zinc, or folate deficiencies; autoimmune or hereditary hemolytic anemia;, any type of known clinically significant bleeding or sequestration or drug induced anemia, hemolytic anemia, or bleeding events, or other deficiencies (that is, iron, folate, or vitamin B12).
    • EditedIncidental histologic finding of prostate cancer (T1a or T1b using the tumor, node, metastasis [TNM] or early papillary thyroid cancer (Stage I [T1-T2, N0, M0]) clinical staging system).
    • EditedANC <500/microliter (μL) (0.5×10910\^9/liter [L]).
    • EditedPlatelet count <50,000/μL (50×10910\^9/L) or ≥450800,000/μL (450800×10910\^9/L).
    • EditedEstimated glomerular filtration rate <30 milliliters per minute per 1.73 square meters (mL/min/1.73 m\^2) as determined by the Chronic Kidney Disease Epidemiology (CKD-EPI) collaboration equation.
    • EditedOngoing participation in another interventional clinical trial or use of any other investigational medicinal product within 5 times the half-life.
    Secondary outcomes 1 edited
    What changed in the outcomes
    • EditedProportion of Participants whoWho Have Confirmed Meaningful Improvement or Maintain a High Score With no Meaningful Deterioration in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale Score With no RBC Transfusions Between Week 12 to Week 24Based on the Average of ScoresTime frame: From End of Week 12 to End of Week 24
    Site contacts Changed at 1 site. See the sites
    Show the site
    • West Virginia University Cancer Institute · Wheeling, United StatesContact person changed (no phone or email listed)
    Title A Study to Compare Elritercept With Epoetin Alfa to Treat Anemia in Adults With Very Low, Low, or IntermediateLower Risk Myelodysplastic Syndromes (LR-MDS) Who Need Regular Blood Transfusions
    + 3 other changes: verification date, description and arm descriptions

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07422480
Lead sponsor
Takeda
Responsible party
Sponsor
First posted
Feb 20, 2026
Start date
May 21, 2026
Primary completion
Apr 30, 2029 (estimated)
Completion
Oct 1, 2033 (estimated)
Last update
Nov 6, 2026

Study contacts

Takeda Contact
Contact
medinfoUS@takeda.com
+1-877-825-3327
Study Director
study director · Takeda

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: Elritercept

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