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Immune Thrombocytopenic Purpura (ITP)Phase 1/2NCT03866577

Safety and Tolerability of M254 in Healthy Volunteers and Immune Thrombocytopenic Purpura (ITP) Patients

A Phase 1/2 study testing Biological: M254 and Intravenous immunoglobulin (IVIg) in people with Immune Thrombocytopenic Purpura (ITP), run by Momenta Pharmaceuticals, Inc. at 28 sites in 7 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to assess safety, tolerability, pharmacokinetics, and pharmacodynamics of M254 after administration of a single ascending dose and repeat doses in healthy volunteers and immune thrombocytopenic purpura (ITP) patients. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Immune Thrombocytopenic Purpura (ITP)
What is being tested?
Biological: M254 and Intravenous immunoglobulin (IVIg)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
28 sitesin 7 countries
Study dates
21 Dec 2018to 9 Jun 2021
Phase
Phase 1/2
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Key Criteria for Healthy Volunteers: Subject must be between the ages of 18 and 55 years; healthy as indicated by medical history, physical examination, vital signs, clinical laboratory tests, and 12-lead electrocardiogram, and all abnormal findings are assessed as not clinically significant by the Investigator; not pregnant or breastfeeding; and no other clinically relevant abnormalities currently or in their history that the Investigator would deem them ineligible to participate.

Key Criteria for Immune Thrombocytopenic Purpura (ITP) Patients: Patient must be aged ≥18 years and diagnosed with ITP at least 3 months prior to screening, stable maintenance therapy for at least 4 weeks prior to the first study visit, not pregnant or breastfeeding, and no other clinically relevant abnormalities currently or in their history that the Investigator would deem them ineligible to participate.

Trial locations and contacts

28 sites in 7 countries.

28 sites in 7 countries

United States6 sites
  • Taussig Cancer Insititute Cleveland Clinic

    Cleveland, Ohio, 44195

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • University of Southern California

    Los Angeles, California, 90089

  • Lakes Research

    Miami Lakes, Florida, 33014

  • University of South Florida

    St. Petersburg, Florida, 33701

  • Oncology Institute of Hope and Innovation

    Whittier, California, 90603

Other trials in United States

Spain6 sites
  • Hosp Univ Vall D Hebron

    Barcelona, 08035

  • Hosp. Univ. de Burgos

    Burgos, 09003

  • Hosp. Regional. Carlos Haya

    Málaga, 29010

  • Hosp. Gral. Univ. J.M. Morales Meseguer

    Murcia, 30008

  • Hosp Clinico Univ de Salamanca

    Salamanca, 37007

  • Hosp. Univ. Dr. Peset

    Valencia, 46017

Other trials in Spain

Italy5 sites
  • Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori

    Meldola, 47014

  • Azienda Unita Sanitaria Locale di Ravenna

    Ravenna, 48100

  • Arcispedale Santa Maria Nuova - IRCCS

    Reggio Emilia, 42123

  • Policlinico Universitario Agostino Gemelli

    Roma, 168

  • Ospedale 'Casa Sollievo della Sofferenza' - U.O. Ematologia-

    San Giovanni Rotondo, 71013

Other trials in Italy

Poland5 sites
  • Silesian Healthy Blood Clinic

    Chorzów, 41 503

  • Samodzielny Publiczny Szpital Kliniczny Nr 1

    Lublin, 20-081

  • Szpital Wojewodzki w Opolu

    Opole, 45-061

  • Samodzielny Publiczny Zaklad Opieki Zdrowotnej MSW w Poznaniu im prof Ludwika Bierkowskiego

    Poznan, 60-631

  • Uniwersytecki Szpital Kliniczny im Jana Mikulicza Radeckiego we Wroclawiu

    Wroclaw, 50 367

Other trials in Poland

Hungary3 sites
  • Debreceni Egyetem Klinikai Kozpont

    Debrecen, 4032

  • Somogy Megyei Kaposi Mor Oktato Korhaz

    Kaposvár, 7400

  • Pecsi Tudomanyegyetem

    Pécs, 7624

Other trials in Hungary

Netherlands2 sites
  • Universitair Medisch Centrum Groningen

    Groningen, 9713 GZ

  • PRA Health Sciences

    Groningen, NZ 9728

Other trials in Netherlands

Belgium1 site
  • Ucl de Mont-Godinne

    Yvoir, 5530

Other trials in Belgium

About this study

Official title: A 4-part Phase 1/2 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of M254 in Healthy Volunteers and in Patients With Immune Thrombocytopenic Purpura

The purpose of this study is to assess safety, tolerability, pharmacokinetics, and pharmacodynamics of M254 after administration of a single ascending dose and repeat doses in healthy volunteers and immune thrombocytopenic purpura (ITP) patients. The pharmacodynamics of the drug will be measured as platelet response in patients with ITP.

Read the detailed description

The Part A of the study is currently not accepting healthy volunteers as the recruitment for the part A has completed.

Being tested
Biological: M254, Placebo, Intravenous immunoglobulin (IVIg)
Keywords
Immune thrombocytopenic purpura, Healthy subjects, M254, Intravenous immunoglobulin (IVIg)
Medical subject headings
Purpura, Thrombocytopenic, Idiopathic

What participants receive

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

  • Biological: M254Biological

    M254 administered as intravenous infusion

  • PlaceboDrug

    Placebo administered as intravenous infusion

  • Intravenous immunoglobulin (IVIg)Biological

    IVIg administered as intravenous infusion

Study groups in NCT03866577
Study groupRoleWhat they receive
Part AExperimentalHealthy volunteers will receive a single ascending dose of M254 or placebo
Receives: Biological: Biological: M254; Drug: Placebo
Part BExperimentalImmune thrombocytopenic purpura (ITP) patients will receive a single ascending dose of M254 followed by IVIg
Receives: Biological: Biological: M254; Biological: Intravenous immunoglobulin (IVIg)
Part CExperimentalITP patients will receive a single dose of M254 or IVIg, followed by a single dose of the other drug approximately 28 days later
Receives: Biological: Biological: M254; Biological: Intravenous immunoglobulin (IVIg)
Part DExperimentalITP patients will receive repeated doses of M254
Receives: Biological: Biological: M254

What is being measured

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

  1. Parts A, B, and C: Number of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity

    An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. A TEAE was defined as any event not present prior to administration of the study drug or any event already present that worsened in either severity or frequency following exposure to the study drug. Severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to adverse event. Data was planned to be collected and analyzed on pooled population of participants who received placebo in Part A. For Parts B and C, treatment period wise AE data were presented.

    Measured: From Day 1 up to Day 29

  2. Parts A, B, and C: Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Values

    Number of participants with clinically significant laboratory abnormalities (chemistry, hematology, urinalysis and coagulation) were reported. Data was planned to be collected and analyzed on pooled population of participants who received placebo in Part A.

    Measured: From Day 1 up to Day 29

  3. Parts A, B, and C: Number of Participants With Clinically Significant Abnormalities in Vital Signs

    Number of participants with clinically significant abnormalities in vital signs (blood pressure [systolic blood pressure {SBP} and diastolic blood pressure {DBP}], pulse rate, respiratory rate, and body temperature) were reported. Data was planned to be collected and analyzed on pooled population of participants who received placebo in Part A.

    Measured: From Day 1 up to Day 29

  4. Parts A, B, and C: Number of Participants With Clinically Significant Abnormalities in Electrocardiograms (ECGs)

    Number of participants with clinically significant abnormalities in ECGs were reported. Data was planned to be collected and analyzed on pooled population of participants who received placebo in Part A.

    Measured: From Day 1 up to Day 29

  5. Part C: Maximum Observed Response of M254 (Rmax) on Platelet Count

    Rmax is defined as the maximum observed response of M254 on platelet count. Baseline was the pre-dose sample. Data was planned to be collected and analyzed Part C only. For Part C, data were collected and analyzed on the pooled population per the study drug (M254 120 mg/kg and IVIg 1000 mg/kg) which the participants received.

    Measured: Predose (baseline) up to Day 29 post dose

  6. Part C: Change From Baseline in Rmax of M254 in Platelet Count

    Change from baseline in Rmax of M254 in platelet count was reported. Rmax is defined as the maximum observed response of M254. Baseline was the predose sample. Therapeutic platelet count was defined as >=50*10^9 cells/L. Platelet response of >=20*10^9 cells/L was considered as increase from baseline. Data was planned to be collected and analyzed for Part C only. For Part C, data were collected and analyzed on the pooled population per the study drug (M254 120 mg/kg and IVIg 1000 mg/kg) which the participants received.

    Measured: Predose (baseline) up to Day 29 post dose

  7. Part C: Area Under Effect Curve of the Change From Baseline in Platelet Count From Day 0 to Day 14 (AUEC[0-Day 14]) of M254

    AUEC(0-Day 14) is defined as the area under effect curve of the change from baseline in platelet count from Day 0 to Day 14 of M254. Baseline was the predose sample. Data was planned to be collected and analyzed for Part C only. For Part C, data were collected and analyzed on the pooled population per the study drug (M254 120 mg/kg and IVIg 1000 mg/kg) which the participants received.

    Measured: Predose (baseline) up to Day 14 post dose

  8. Part C: Area Under Effect Curve of the Change From Baseline in Platelet Count From Day 0 to Day 28 (AUEC[0-Day 28]) of M254

    AUEC(0-Day 28) is defined as the area under effect curve of the change from baseline in platelet count from Day 0 to Day 28 of M254. Baseline was the predose sample. Data was planned to be collected and analyzed for Part C only. For Part C, data were collected and analyzed on the pooled population per the study drug (M254 120 mg/kg and IVIg 1000 mg/kg) the participants received.

    Measured: Predose (baseline) up to Day 29 post dose

Secondary outcomes (10)
  1. Part C: Number of Participants With Overall Platelet Response After M254 Administration Compared to IVIg

    Number of participants with overall platelet response after M254 administration compared to IVIg were reported. Overall platelet response rate is defined as reaching the therapeutic platelet count. A therapeutic platelet count is defined as greater than or equal to (>=) 50*10^9 cells/liter (L) and an increase from baseline of >=20*10^9 cells/L. Data was planned to be collected and analyzed for Part C only. For Part C, data were collected and analyzed on the pooled population per the study drug (M254 120 mg/kg and IVIg 1000 mg/kg) the participants received.

    Measured: Up to Day 29

  2. Parts A, B, and C: Maximum Observed Plasma Concentration (Cmax) of M254

    Cmax is defined as the maximum observed plasma concentration of M254. Baseline was the predose sample. Data was planned to be collected and analyzed on pooled population of participants who received placebo in Part A. In Part C, combined data of both arms of Group 1 is presented as planned.

    Measured: Predose (baseline) up to Day 29 post dose

  3. Parts A, B, and C: Time to Reach Maximum Observed Plasma Concentration (Tmax) of M254

    Tmax is defined as the time to reach the maximum observed plasma concentration of M254. Baseline was the predose sample. Data was planned to be collected and analyzed on pooled population of participants who received placebo in Part A. In Part C, combined data of both arms of Group 1 is presented as planned.

    Measured: Predose (baseline) up to Day 29 post dose

  4. Parts A, B, and C: Area Under the Plasma Concentration-time Curve From Time Zero to Infinite Time (AUC[0-Infinity]) of M254

    AUC(0-Infinity) is defined as area under the plasma concentration-time curve from time 0 to infinite time of M254. Baseline was the predose sample. Data was planned to be collected and analyzed on pooled population of participants who received placebo in Part A. In Part C, combined data of both arms of Group 1 is presented as planned.

    Measured: Predose (baseline) up to Day 29 post dose

  5. Parts A, B, and C: Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC[0-Last]) of M254

    AUC(0-last) is defined as area under the plasma concentration-time curve from time 0 to time of the last quantifiable concentration of M254. AUC(0-last) is calculated by linear-linear trapezoidal summation. Baseline was the predose sample. Data was planned to be collected and analyzed on pooled population of participants who received placebo in Part A. In Part C, combined data of both arms of Group 1 is presented as planned.

    Measured: Predose (baseline) up to Day 29 post dose

  6. Parts A, B, and C: Apparent Terminal Phase Half-life (t1/2) of M254

    t1/2 is defined as the time measured for the plasma concentration to decrease by 1 half to its original concentration of M254. Baseline was the predose sample. Data was planned to be collected and analyzed on pooled population of participants who received placebo in Part A. In Part C, combined data of both arms of Group 1 is presented as planned.

    Measured: Predose (baseline) up to Day 29 post dose

  7. Parts A, B, and C: Volume of Distribution (Vz) of M254

    Vz is defined as volume of distribution of M254 at terminal phase. Baseline was the predose sample. Data for this outcome measure was not planned for pooled placebo arm in Part A and thus no data was presented for placebo arm in Part A. In Part C, combined data of both arms of Group 1 is presented as planned.

    Measured: Predose (baseline) up to Day 29 post dose

  8. Parts A, B, and C: Clearance (CL) of M254

    CL is defined as clearance of M254, calculated as dose/AUC(0-infinity). Baseline was the predose sample. Data for this outcome measure was not planned for pooled placebo arm in Part A and thus no data was presented for placebo arm in Part A. In Part C, combined data of both arms of Group 1 is presented as planned.

    Measured: Predose (baseline) up to Day 29 post dose

  9. Parts A, B, and C: Mean Residence Time (MRT) of M254

    Mean residence time is the average time that drug dose remained in the body. Baseline was the predose sample. Data for this outcome measure was not planned for pooled placebo arm in Part A and thus no data was presented for placebo arm in Part A. In Part C, combined data of both arms of Group 1 is presented as planned.

    Measured: Predose (baseline) up to Day 29 post dose

  10. Parts A, B, and C: Percentage of the Estimated Part for the Calculation of AUC(0-infinity) (%AUCextra) of M254

    Percentage of the estimated part for the calculation of AUC(0-infinity) (%AUCextra) of M254 were reported. Baseline was the predose sample. Data for this outcome measure was not planned for pooled placebo arm in Part A and thus no data was presented for placebo arm in Part A. In Part C, combined data of both arms of Group 1 is presented as planned.

    Measured: Predose (baseline) up to Day 29 post dose

Timeline

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

  1. First posted7 Mar 2019
  2. Study start21 Dec 2018
  3. Primary completion9 Jun 2021
  4. Study completion9 Jun 2021

Why it stopped: Study was terminated based on Sponsor decision.

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03866577
Sponsor's protocol ID
CR108979
Other IDs
2018-003534-32, MOM-M254-001, 2018
Status last verified
May 2025
First submitted
12 Feb 2019
Last updated
28 May 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Biological: M254 and Intravenous immunoglobulin (IVIg) in people with Immune Thrombocytopenic Purpura (ITP), run by Momenta Pharmaceuticals, Inc. at 28 sites in 7 countries.

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

Who may be eligible to take part?

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: stopped early, as of the sponsor's last update on 28 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States, Spain, Italy, Poland, Hungary and 2 more countries. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 1 Jul 2024). 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?

Parts A, B, and C: Number of Participants With Treatment-emergent Adverse Events (TEAEs) by Severity (time frame: From Day 1 up to Day 29). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 May 2025.

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