About this trial
The purpose of this study is to evaluate the efficacy, safety, and pharmacokinetics of HS-20106 on anemia in patients with very low, low or intermediate risk MDS.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of MDS according to World Health Organization (WHO) classification that meets Revised International Prognostic Scoring System (IPSS-R) classification of very low, low, or intermediate risk disease(IPSS-R ≤ 3.5).
< 5% blasts in bone marrow and < 1% blasts in peripheral blood.
Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 (if related to anemia.
Females of child-bearing potential and sexually active males must agree to use effective methods of contraception.
Disqualifiers
Chromosome 5q deletion, del (5q).
Anemia caused by other reasons, such as iron deficiency anemia, megaloblastic anemia, aplastic anemia, renal anemia or blood loss.
Diagnosis of secondary MDS (i.e., MDS known to have arisen as the result of chemical injury or treatment with chemotherapy and/or radiation for other diseases).
Prior treatment with azacitidine, decitabine, lenalidomide, luspatercept, or sotatercept.
Trial design
Single group
Treatments tested in this trial
HS-20106
DrugHS-20106 administered subcutaneously every 4 weeks for up to 6 cycles. Eligible participants may be able to continue to receive subcutaneously administered HS-20106 after completing 6 cycles in the extended treatment period.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of participants who achieve modified 2006 International Working Group (IWG)Hematologic Improvement-Erythroid (HI-E) response
* In NTD and LTB participants, response is defined as a mean hemoglobin (Hgb) increase of ≥ 15 g/L from Baseline during any consecutive 8-week period during the treatment period (in the absence of RBC transfusions) * In HTB participants, response is defined as a reduction by ≥ 4 units of RBCs transfused during any consecutive 8-week period on study compared with Baseline
Secondary outcomes
HI-E Duration
the maximum duration of meeting the HI-E criteria for a subject who achieved HI-E.
Time to HI-E
the time from the first dose of study drug to the first achievement of HI-E.
Proportion of participants with RBC-TI ≥ 8 Weeks(cohort 2 only)
the proportion of participants who did not require RBC transfusion for at least 1 consecutive 8-week period.
Duration of TI response
the longest duration of response for participants who achieved RBC-TI of ≥ 8 weeks during the treatment period
Sponsors and contacts
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