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Not yet recruitingNCT07459114Updated Mar 9, 2026

TGD001 Treatment in Thrombotic Microangiopathies

A Phase 1/2 interventional study of TGD001 in Thrombotic Microangiopathies and ITP Immune-Mediated Thrombocytopenia, sponsored by TargED Biopharmaceuticals B.V.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-09.

Sponsored by TargED Biopharmaceuticals B.V. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
70
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 1/2, prospective, adaptive design trial of TGD001 in participants with suspicion or clinical diagnosis of acute immune thrombotic thrombocytopenic purpura (iTTP) episodes and participants with suspicion or clinical diagnosis of an acute Thrombotic Microangiopathy (TMA) episode. The trial is an open-label, dose escalation and expansion basket trial.

Read the detailed description

In Part A, dose escalation of TGD001 is conducted in participants with suspicion or clinical diagnosis of immune thrombotic thrombocytopenic purpura (iTTP) in conjunction with their respective standard of care to identify a tolerated dose(s) with a pharmacological/clinical response to be evaluated in Part B.

Once a recommended dose of TGD001 is established in Part A, the dose expansion/basket part of the trial will commence. In Part B, "basket" cohorts of participants with iTTP and other Thrombotic Microangiopathies (TMAs) will receive single or repeat doses of TGD001 in conjunction with their respective standard of care to determine the TGD001 dose and treatment regimen with clinical effect in reducing the initial thrombus burden.

Baskets will include up to 20 participants each and may be combined based on emerging safety and efficacy findings. Baskets may be further expanded with the TGD001 dose(s) and regimen(s) that displayed the best clinical response as assessed by the Data Safety Management Committee up to a total of approximately 60 participants in Part B.

02

Conditions studied

  • Thrombotic Microangiopathies
  • ITP Immune-Mediated Thrombocytopenia

Keywords

  • iTTP
  • TMA
  • Thrombotic Microangiopathies
  • immune-mediated thrombotic thrombocytic purplura
  • thrombotic microangiopathy
  • TGD001
03

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  • 18 years old or older
  • Willing to sign an informed consent form
  • Willing to refrain from sexual intercourse or must use a contraceptive method that is highly effective for 90 days after the last dose of TGD001
  • Symptomatic acute TMA episode
  • Accessible to follow-up

Key Exclusion Criteria:

  • Diagnosis other than TMA, which could account for the findings of thrombocytopenia and hemolytic anemia
  • Diagnosis of Shiga-toxin induced HUS
  • Known bone marrow/graft failure
  • Diagnosis of ongoing severe, uncontrolled Graft versus Host Disease
  • Received therapeutic plasma exchange (PEX) within 7 days prior to screening
  • Use of an anticoagulant and/or thrombolytics
  • Active internal bleeding
  • Any major bleeding episode within the past 30 days, or diagnosis of chronic bleeding conditions
  • Known gastrointestinal ulcer
  • Severe, uncontrolled hypertension, renal impairment requiring dialysis, or liver impairment, or active infection indicated by sepsis
  • Life expectancy less than 3 months independent of TMA disorder
  • Pregnant or breastfeeding
04

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    Dose Level 1

    TGD001 IV bolus administration

    Drug: TGD001

  • Experimental
    Dose Level 2

    TGD001 IV bolus administration

    Drug: TGD001

  • Experimental
    Dose Level 3

    TGD001 IV bolus administration

    Drug: TGD001

  • Experimental
    Dose Level 4

    TGD001 IV bolus administration

    Drug: TGD001

  • Experimental
    Basket 1

    TGD001 IV bolus administration

    Drug: TGD001

  • Experimental
    Basket 2

    TGD001 IV bolus administration

    Drug: TGD001

  • Experimental
    Basket 3

    TGD001 IV bolus administration

    Drug: TGD001

Interventions

  • DrugTGD001

    IV bolus administration

05

What researchers measure

Primary outcomes

  1. Incidence of treatment emergent adverse events (safety and tolerability of TGD001)

    Measurement of treatment emergent adverse events using the Common Terminology Criteria for Adverse Events (CTCAE) criteria

    Time frame: 90 days

Secondary outcomes

  1. Change from baseline in lactate dehydrogenase (LDH) and other tissue damage markers

    Measurement of LDH and other tissue damage markers

    Time frame: 90 days

  2. Change from baseline in platelet count

    Measurements of platelet count from baseline

    Time frame: 90 days

  3. Time to resolution of the thrombotic episode

    Measurement of platelet count and LDH levels

    Time frame: 90 days

  4. Change from baseline of disease-related signs and symptoms using CTCAE v5.0 criteria

    Assessment or improvement of disease related signs and symptoms

    Time frame: 90 days

  5. Duration of ICU stay and hospitalization

    Number of days in the ICU and the number of days hospitalized

    Time frame: 90 days

  6. Occurrence of all-cause and disease-specific mortality

    All-cause and disease-specific mortality post-intervention

    Time frame: 90 days

  7. Peak plasma concentration (Cmax) of TGD001

    Plasma concentrations and Cmax of TGD001

    Time frame: 90 days

  8. Area under the plasma concentration versus time curve (AUC) of TGD001

    Plasma concentrations of and AUC of TGD001

    Time frame: 90 days

  9. Time to maximum TGD001 plasma concentration

    Plasma concentrations and Tmax of TGD001

    Time frame: 90 days

  10. Plasma half-life (t1/2) of TGD001

    Plasma concentrations and t1/2 of TGD001

    Time frame: 90 days

  11. Number of participants with ADA

    Development of ADA

    Time frame: 90 days

06

Study locations

No study locations are listed for this record.

07

References and documents

Individual participant data

Plan to share: No — IPD will not be shared due to the small sample size in this early phase clinical trial in a rare patient population. Such a small sample size would pose a significant risk of re-identification of study participants.

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07459114
Lead sponsor
TargED Biopharmaceuticals B.V.
Responsible party
Sponsor
First posted
Mar 9, 2026
Start date
May 31, 2026 (estimated)
Primary completion
May 31, 2028 (estimated)
Completion
Aug 30, 2028 (estimated)
Last update
Mar 9, 2026

Study contacts

Melinda Snyder
Contact
melinda.snyder@targedbio.com
1 617 233 4057
Barbara van den Aarsen
Contact
barbara.van.den.aarsen@Targedbio.com
31620161487
Marielle Klein Hesselink, MD
study director · TargED

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 Mar 2026. You cannot join it, but the record below documents what was studied.

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