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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03381833
Registration number
NCT03381833
Ethics application status
Date submitted
12/12/2017
Date registered
22/12/2017
Titles & IDs
Public title
A Study With LJPC-401 for the Treatment of Myocardial Iron Overload in Patients With Transfusion-Dependent Beta Thalassemia
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Scientific title
A Multi-Center, Randomized, Open-Label, Parallel-Group Study With LJPC-401 for the Treatment of Myocardial Iron Overload in Patients With Transfusion-Dependent Beta Thalassemia
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Secondary ID [1]
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LJ401-BT01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Beta-Thalassemia
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Condition category
Condition code
Blood
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Haematological diseases
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Blood
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Other blood disorders
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Human Genetics and Inherited Disorders
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0
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Other human genetics and inherited disorders
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Metabolic and Endocrine
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Metabolic disorders
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Metabolic and Endocrine
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Other metabolic disorders
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Diet and Nutrition
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - LJPC-401
Treatment: Drugs - LJPC-401
Active comparator: Group A - Delayed therapy - standard chelation therapy alone for 26 weeks followed by standard chelation therapy plus LJPC-401 for 26 weeks
Active comparator: Group B - Immediate therapy - standard chelation therapy plus LJPC-401 for 52 weeks
Treatment: Drugs: LJPC-401
subcutaneous injection, up to 20 mg per week from week 26 to 52
Treatment: Drugs: LJPC-401
subcutaneous injection, up to 20 mg per week from week 1 to 52
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Effect of LJPC-401 on cardiac iron
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Assessment method [1]
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Change in cardiac T2\* magnetic resonance imaging (MRI)
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Timepoint [1]
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26 Weeks
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Secondary outcome [1]
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Effect of LJPC-401 on cardiac iron
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Assessment method [1]
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Change in cardiac T2\*MRI
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Timepoint [1]
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52 Weeks
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Secondary outcome [2]
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Effect of LJPC-401 on hepatic iron
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Assessment method [2]
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Change in hepatic T2\*MRI
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Timepoint [2]
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52 Weeks
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Secondary outcome [3]
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Effect of LJPC-401 on serum iron
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Assessment method [3]
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Mean change in serum iron
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Timepoint [3]
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56 Weeks
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Secondary outcome [4]
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Effect of LJPC-401 on hemoglobin
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Assessment method [4]
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Mean change in hemoglobin
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Timepoint [4]
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52 Weeks
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Secondary outcome [5]
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Effect of LJPC-401 on volume of blood transfused
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Assessment method [5]
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Change in transfused blood volume
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Timepoint [5]
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56 Weeks
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Secondary outcome [6]
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Effect of LJPC-401 on its potential to elicit an immune response
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Assessment method [6]
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Measured by blood laboratory tests and the presence of anti-drug antibodies
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Timepoint [6]
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56 Weeks
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Secondary outcome [7]
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Effect of LJPC-401 on the incidence of treatment-emergent adverse events
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Assessment method [7]
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Timepoint [7]
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56 Weeks
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Secondary outcome [8]
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Effect of LJPC-401 on vital signs-heart rate
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Assessment method [8]
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Timepoint [8]
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56 Weeks
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Secondary outcome [9]
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Effect of LJPC-401 on vital signs-body temperature
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Assessment method [9]
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Timepoint [9]
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56 Weeks
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Secondary outcome [10]
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Effect of LJPC-401 on vital signs-respiratory rate
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Assessment method [10]
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Timepoint [10]
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56 Weeks
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Secondary outcome [11]
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Effect of LJPC-401 on vital signs-blood pressure
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Assessment method [11]
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Timepoint [11]
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56 Weeks
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Secondary outcome [12]
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Effect of LJPC-401 on body weight
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Assessment method [12]
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Change in body weight (kilograms)
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Timepoint [12]
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56 Weeks
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Eligibility
Key inclusion criteria
* Patients = 14 years of age with transfusion-dependent beta thalassemia.
* Patients must have increased iron levels in the heart as measured by magnetic resonance imaging (MRI). Two separate cardiac T2*MRI from 6 to 35 msec; <= 15% difference between the two.
* Patients must be receiving iron chelation therapy for a minimum of 1 year and be on a stable dose prior to study and expected to remain stable during study.
* Female patients of childbearing potential must not be pregnant, must have negative pregnancy tests, and must use an effective birth control method during the study.
* Male patients must be either surgically sterile or use an effective birth control method during the study.
* Patient must be willing and able to provide written informed consent. Parent of legal guardian to patients younger than age of majority must be willing and able to provide informed consent.
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Minimum age
14
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Any significant medical condition or lab abnormality that would prevent the patient from participating in the study.
* Pregnant or lactating women.
* Patients taking an immunosuppressive agent (except topical over-the-counter steroids, inhaled steroid medications, and non-steroidal anti-inflammatory drugs) or have a planned surgery (except dental surgery or simple dermatologic procedures).
* Patients participating in an unapproved investigational clinical trial within 30 days of this study.
* Patients with a disease, disability or condition which may interfere with the conduct of the study, or which would, in the opinion of the Investigator, pose an unacceptable risk to the patient.
* Patients who are unwilling or unable to comply with the study requirements.
* Patients with known hepatitis B or hepatitis C, or being treated for a positive viral load or are noncompliant with hepatitis medications.
* Known and active human immunodeficiency virus (HIV) infection.
* Patients with Child Pugh class C cirrhosis or liver failure.
* Patients with severe congestive heart failure (NYHA Class 4).
* Use of erythropoiesis stimulating agents in the past 3 months prior to study entry.
* History of allergic reaction to hepcidin or excipients.
* Contraindication to MRI scanning.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
30/11/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
14/01/2020
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Sample size
Target
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Accrual to date
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Final
84
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Investigative Site - Camperdown
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Recruitment hospital [2]
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Investigative Site - Liverpool
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Recruitment postcode(s) [1]
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2050 - Camperdown
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Recruitment postcode(s) [2]
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2170 - Liverpool
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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New York
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Country [3]
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Greece
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State/province [3]
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Attica
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Country [4]
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Greece
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State/province [4]
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Macedonia
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Country [5]
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Greece
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State/province [5]
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Peloponnese
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Country [6]
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Italy
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State/province [6]
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Cagliari
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Country [7]
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Italy
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State/province [7]
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Modena
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Country [8]
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Italy
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State/province [8]
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Napoli
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Country [9]
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Italy
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State/province [9]
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Orbassano
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Country [10]
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Italy
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State/province [10]
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Verona
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Country [11]
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Lebanon
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State/province [11]
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Beirut
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Country [12]
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Thailand
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State/province [12]
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Bangkok Noi
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Country [13]
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Thailand
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State/province [13]
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Chiang Mai
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Country [14]
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Turkey
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State/province [14]
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Adana
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Country [15]
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Turkey
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State/province [15]
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Ankara
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Country [16]
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Turkey
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State/province [16]
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Antalya
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Country [17]
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Turkey
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State/province [17]
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Izmir
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Country [18]
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United Kingdom
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State/province [18]
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England
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Country [19]
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United Kingdom
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State/province [19]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
La Jolla Pharmaceutical Company
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is a Phase 2 multicenter, randomized, open-label, parallel-group study. The primary objective of the study is to evaluate the effect of LJPC-401 (synthetic human hepcidin) on iron levels in patients with transfusion-dependent beta thalassemia with myocardial iron overload.
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Trial website
https://clinicaltrials.gov/study/NCT03381833
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03381833