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Essential Thrombocythemia (ET)Phase 3NCT01467661

Long-term Safety of SPD422 in Japanese Adults With Essential Thrombocythaemia

A Phase 3 study testing SPD422 (anagrelide hydrochloride) in people with Essential Thrombocythemia (ET), run by Shire at 16 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to provide SPD422 to subjects who completed Study SPD422 308 and, in the opinion of the Investigator, will continue to benefit from treatment. Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Essential Thrombocythemia (ET)
What is being tested?
SPD422 (anagrelide hydrochloride)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
16 sitesJapan
Study dates
27 Oct 2010to 1 May 2015
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must have completed Study SPD422 308

Who cannot join

None listed.

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

Japan16 sites
  • Akita University Hospital

    Akita, Akita, 010-8543

  • Chiba University Hospital

    Chuo-ku Inohana 1-8-1, Chiba-shi, 12 260-8677

  • NHO Tokyo Medical Center

    Higashigaoka 2-5-1, Meguro-ku, 13 152-8902

  • Tokyo Metropolitan Cancer and Infectious diseases Center Kom

    Honkomagome 3-18-22, Bunkyo-ku, 13 113-8677

  • Tokai University Hospital

    Isehara-shi, Kanagawa, 259-1143

  • Juntendo University Shizuoka Hospital

    Izunokuni-shi, Shizuoka, 22 410-2295

  • University of Miyazaki Hospital

    Miyazaki, Miyazaki, 889-1692

  • Niigata Cancer Centre

    Niigata, Niigata, 951-8566

  • Okayama University Hospital

    Okayama, Okayama-ken, 33 700-8558

  • Osaka City University Hospital

    Osaka, Osaka, 545-0051

  • Hokkaido University Hospital

    Sapporo, Hokkaidō Prefecture, 01 060-8648

  • Nippon Medical School Hospital

    Sendagi 1-1-5, Bunkyo-ku, 13 113-8603

  • Gunma University Hospital

    Showa-machi 3-39-15, Maebashi-shi, 10 371-8511

  • Osaka University Hospital

    Suita-shi, Osaka, 565-0871

  • Keio University Hospital

    Tokyo, 160-8582

  • Mie University Hospital

    Tsu, Mie-ken, 514-8507

Other trials in Japan

About this study

Official title: A Phase 3, Multi-centre, Open-label, Extension Study to Investigate the Long-term Safety of SPD422 in Japanese Adults With Essential Thrombocythaemia

The purpose of this study is to provide SPD422 to subjects who completed Study SPD422 308 and, in the opinion of the Investigator, will continue to benefit from treatment.

Being tested
SPD422 (anagrelide hydrochloride)
Medical subject headings
Thrombocythemia, Essential

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SPD422 (anagrelide hydrochloride)Drug

    Also called Xagrid, Agrylin

    Subjects will be continued on the dose of anagrelide that controlled their platelet levels in Study 308 and titrated if necessary.

Study groups in NCT01467661
Study groupRoleWhat they receive
SPD422 (anagrelide hydrochloride)ExperimentalNot described
Receives: Drug: SPD422 (anagrelide hydrochloride)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Platelet Count at Final Assessment

    Baseline considered from study SPD422-308 (NCT01214915). Final assessment was defined as the last non-missing data (End of study visit in SPD422-309 [NCT01467661], or early termination visit either in SPD422-308 [NCT01214915] or SPD422-309 [NCT01467661], or last available study visit).

    Measured: Baseline and final assessment (within 5 days of the last dose of investigational product)

  2. Change From Baseline in Platelet Count During Post-marketing Trial at Final Assessment

    Baseline considered from study SPD422-308 (NCT01214915). Final assessment was defined as the last non-missing data (End of study visit in SPD422-309 [NCT01467661], or early termination visit either in SPD422-308 [NCT01214915] or SPD422-309 [NCT01467661], or last available study visit).

    Measured: Baseline and final assessment (within 5 days of the last dose of investigational product)

  3. Percentage of Participants Who Achieved Platelet Count Less Than (<) 600

    Baseline considered from study SPD422-308 (NCT01214915). Final assessment was defined as the last non-missing data (End of study visit in SPD422-309 [NCT01467661], or early termination visit either in SPD422-308 [NCT01214915] or SPD422-309 [NCT01467661], or last available study visit). Participants who achieved platelet count <600 x 10^9 platelets per liter at each visit were reported.

    Measured: Baseline, Week 1, Month 1-12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, and final assessment (within 5 days of the last dose of investigational product)

  4. Percentage of Participants Who Achieved Platelet Count Less Than (<) 600 During Post-marketing Trial

    Baseline considered from study SPD422-308 (NCT01214915). Final assessment was defined as the last non-missing data (End of study visit in SPD422-309 [NCT01467661], or early termination visit either in SPD422-308 [NCT01214915] or SPD422-309 [NCT01467661], or last available study visit). Participants who achieved platelet count <600 x 10^9 platelets per liter during the post-marketing trial were reported.

    Measured: Baseline and final assessment (within 5 days of the last dose of investigational product)

  5. Percentage of Participants Who Achieved Shift From Baseline in Platelet Count

    Baseline considered from study SPD422-308 (NCT01214915). Final assessment (FA) was defined as the last nonmissing data (End of study visit in SPD422-309 [NCT01467661], or early termination visit either in SPD422-308 [NCT01214915] or SPD422-309 [NCT01467661], or last available study visit). Participants who had platelet count <600 x 10^9 platelet per liter and greater than equal (>=) 600 x 10^9 platelet per liter at the final assessment as a shift from baseline was reported. Percentage of participants with shift = number of participants with shift / Safety analysis set (53 participants) * 100.

    Measured: Baseline and final assessment (within 5 days of the last dose of investigational product)

  6. Percentage of Participants Who Achieved Shift From Baseline in Platelet Count During Post-marketing Trial

    Baseline considered from study SPD422-308 (NCT01214915). Final assessment (FA) was defined as the last non-missing data (End of study visit in SPD422-309 [NCT01467661], or early termination visit either in SPD422-308 [NCT01214915] or SPD422-309 [NCT01467661], or last available study visit). Participants who had platelet count <600 x 10^9 platelet per liter and greater than equal (>=) 600 x 10^9 platelet per liter at the final assessment as a shift from baseline during the post marketing trial was reported. Percentage of participants with shift = number of participants with shift / post-marketing safety analysis set (33 participants) * 100.

    Measured: Baseline and final assessment (within 5 days of the last dose of investigational product)

  7. Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent adverse event was defined as the onset of any AE or if the severity of a pre-existing AE worsened any time on or after the date of first dose of investigational product in Study SPD422-308 (NCT01214915) and up to and including 12 days after the last dose is taken.

    Measured: From start of study treatment (SPD422-308) up to 12 days after the last dose of investigational product

  8. Percentage of Participants With TEAEs and TESAEs During Post-marketing Trial

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent adverse event was defined as the onset of any AE or if the severity of a pre-existing AE worsened any time on or after the date of first dose of investigational product in Study SPD422-308 (NCT01214915) and up to and including 12 days after the last dose is taken.

    Measured: From start of study treatment (SPD422-308) up to 12 days after the last dose of investigational product

  9. Percentage of Participants With TEAEs and TESAEs Related to Clinical Laboratory Result

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent adverse event was defined as the onset of any AE or if the severity of a pre-existing AE worsened any time on or after the date of first dose of investigational product in Study SPD422-308 (NCT01214915) and up to and including 12 days after the last dose is taken. Clinical Laboratory analysis included hematology, biochemistry, and urinalysis.

    Measured: From start of study treatment (SPD422-308) up to 12 days after the last dose of investigational product

  10. Percentage of Participants With TEAEs and TESAEs Related to Clinical Laboratory Result During Post-marketing Trial

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent adverse event was defined as the onset of any AE or if the severity of a pre-existing AE worsened any time on or after the date of first dose of investigational product in Study SPD422-308 (NCT01214915) and up to and including 12 days after the last dose is taken. Clinical Laboratory analysis included hematology, biochemistry, and urinalysis.

    Measured: From start of study treatment (SPD422-308) up to 12 days after the last dose of investigational product

  11. Percentage of Participants With TEAEs and TESAEs Related to Vital Signs

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent adverse event was defined as the onset of any AE or if the severity of a pre-existing AE worsened any time on or after the date of first dose of investigational product in Study SPD422-308 (NCT01214915) and up to and including 12 days after the last dose is taken. Vital signs included pulse rate, systolic and diastolic blood pressure, and weight.

    Measured: From start of study treatment (SPD422-308) up to 12 days after the last dose of investigational product

  12. Percentage of Participants With TEAEs and TESAEs Related to Vital Signs During Post-marketing Trial

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged in-patient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent adverse event was defined as the onset of any AE or if the severity of a pre-existing AE worsened any time on or after the date of first dose of investigational product in Study SPD422-308 (NCT01214915) and up to and including 12 days after the last dose is taken. Vital signs included pulse rate, systolic and diastolic blood pressure, and weight.

    Measured: From start of study treatment (SPD422-308) up to 12 days after the last dose of investigational product

  13. Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities

    Standard 12-Lead ECG analysis was performed to identify the ECG abnormalities. Clinically significant abnormalities like QT prolongation, atrial fibrillation, were decided by the investigator during the study.

    Measured: From start of study treatment (SPD422-308) up to 12 days after the last dose of investigational product

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Nov 2011 (estimated)
  2. Study start27 Oct 2010
  3. Primary completion1 May 2015
  4. Study completion1 May 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01467661
Sponsor's protocol ID
SPD422-309
Status last verified
May 2021
First submitted
31 Oct 2011
Last updated
9 Jun 2021
Data monitoring committee
No

Publications

  • Kanakura Y, Shirasugi Y, Yamaguchi H, Koike M, Chou T, Okamoto S, Achenbach H, Wu J, Nakaseko C. A phase 3b, multicenter, open-label extension study of the long-term safety of anagrelide in Japanese adults with essential thrombocythemia. Int J Hematol. 2018 Nov;108(5):491-498. doi: 10.1007/s12185-018-2510-7. Epub 2018 Aug 18.

    PubMed 30121892

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing SPD422 (anagrelide hydrochloride) in people with Essential Thrombocythemia (ET), run by Shire at 16 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Jun 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Platelet Count at Final Assessment (time frame: Baseline and final assessment (within 5 days of the last dose of investigational product)). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01467661, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jun 2021.

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