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ThalassemiaPhase 2NCT05355766

Long-term Clinical Study of CN128 in Thalassemia With Sever Liver Iron Overloaded Patients

A Phase 2 study testing CN128 Tablets in people with Thalassemia and Iron Overload, run by Hangzhou Zede Pharma-Tech Co., Ltd. at 1 site in China.

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 safety and efficacy of CN128 is studied in thalassaemia with sever liver iron overloaded patients. Read more about this study

Who is it for?
Ages 16 to 60 years
Conditions the study is for
Thalassemia, Iron Overload
What is being tested?
CN128 Tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
16 participants
Where
1 siteChina
Study dates
13 Jun 2022to 6 Mar 2025
Phase
Phase 2
Are there results?
None posted in the registry

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 16 to 60 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Thalassemia patients.
  • The number of blood transfusion per month ≥1. Or hemoglobin can not be maintained at 90g/L above, if blood transfusions is less than once per month.
  • Severe iron overloaded patients (serum ferritin>2500 µg/L or liver iron concentration (LIC)>15 mg/g dw) despite prior treatment with at least one iron chelator.
  • Patients aged 16 and above.
  • Volunteer for the trial and sign the informed consent.

Who cannot join

  • Active hepatitis B (HBsAg positive, HBsAb negative) or hepatitis C (HCV antibody positive, detectable HCV RNA, and Alkaline Phosphatase (ALT) beyond normal range)
  • Active gastrointestinal disease history (including: gastric ulcer, duodenal ulcer, stomach or esophageal varices, ulcerative colitis, Crohn's disease, gastrointestinal cancer, familial genetic multiple intestinal polyps), and History of gastrointestinal perforation, gastrointestinal surgery that influence drug absorption, and other potential intestinal complications considered by researchers.
  • ALT or Aspartate Aminotransferase (AST) > 2.5 × upper limit of normal (ULN), or serum creatinine > 1.5 × ULN.
  • Neutropenia patient (neutrophil count < 1.5 × 10^9 / L).
  • Active infection uncontrolled.
  • Autoimmune hemolytic anemia patients.
Show all 15Show fewer
  • The patients who are currently taking CYP3A strong inducer or strong inhibitor drugs, or the drug that may extend the QT interval, or the drug that may decrease neutrophil count, but can not temporarily interrupt the use of such drugs.
  • Cardiac iron overloaded patients, cardiac magnetic resonance MRI T2*<10 ms
  • The patients who are allergic or contraindicated to the main ingredients or excipients of CN128 tablets.
  • Congenital long QT syndrome or known family history of long QT syndrome, QTc interval>480 ms, clinically significant ventricular or atrial fast arrhythmia.
  • The patients who can not accept MRI as detection means, such as claustrophobic for MRI, pacemaker, and those using ferromagnetic metal implants.
  • Birth planner (including male subjects) within or within 3 months after the end of the trial.
  • Participated in other clinical trials in the four weeks before taking the test preparation, except for non-interventional studies.
  • Pregnant or lactating women.
  • Unsuitable to participate in the trial considered by the researchers.

Trial locations and contacts

1 site in 1 country.

China1 site
  • The First Affiliated Hospital Of Guangxi Medical University

    Nanning, Guangxi

Other trials in China

About this study

Official title: Phase IIb Clinical Study to Assess the Safety and Efficacy of CN128 Tablets in the Treatment of Iron Overload in Transfusion Dependent Thalassemia With Sever Liver Iron Overloaded Patients Aged 16 and Above

The safety and efficacy of CN128 is studied in thalassaemia with sever liver iron overloaded patients.

Read the detailed description
  1. The study is designed as a single arm and opened phase IIb clinical trial, so as to investigate the safety and efficacy of CN128.
  2. A total of 50 eligible subjects are planned to be enrolled, and orally administration of CN128 for 52 weeks according to the administration plan.
  3. Administration plan:

The trial will start with the lower dose of CN128 (10 mg/kg body weight [bw], bid) for one week. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 15 mg/kg body weight [bw], bid for one week. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 20 mg/kg body weight [bw], bid for two weeks. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 25 mg/kg body weight [bw], bid for two weeks. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 30 mg/kg body weight [bw], bid for two weeks. If no unacceptable toxicity associated with CN128 is found, the subjects will be given 30 mg/kg body weight [bw], bid to Week 52. Dosage will be adjusted according to subject status and study plan.

Being tested
CN128 Tablets
Medical subject headings
Thalassemia, Iron Overload

What participants receive

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

  • CN128 TabletsDrug

    Also called CN128

    Iron chelator, oral tablets

Study groups in NCT05355766
Study groupRoleWhat they receive
CN128 GroupExperimentalAll subjects will be given the lower (10 mg/kg bw, bid) to higher dose (30 mg/kg bw, bid) for 52 weeks, according to the administration plan. The dosage form is tablets.
Receives: Drug: CN128 Tablets

What is being measured

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

  1. Number of participants with adverse events, adverse reactions, severe adverse events and severe adverse reactions as a measure of safety and tolerability during the study period.

    To determine the incidence, type and severity of adverse events, adverse reactions, severe adverse events and severe adverse reactions in patients up to 52 weeks.

    Measured: Up to 52 weeks

  2. Absolute Change in Weight (Unit: kg) From Baseline Over Time

    The patient's weight will be determined, and it's one kind of Physical examination.

    Measured: Baseline, 26, 39 and 52 weeks.

  3. Absolute Change in Height (Unit: m) From Baseline Over Time

    The patient's height will be determined, and it's one kind of Physical examination.

    Measured: Baseline, 26, 39 and 52 weeks.

  4. Absolute Change in Temperature (Unit: ℃)From Baseline Over Time

    The patient's temperature will be determined, and it's one kind of vital signs checks.

    Measured: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  5. Absolute Change in Blood pressure (Unit: mmHg ) From Baseline Over Time

    Both patient's systolic and diastolic blood pressure will be measured, and it's one kind of vital signs checks.

    Measured: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  6. Absolute Change in Heart rate (Unit: bpm) From Baseline Over Time

    The patient's heart rate will be determined, and it's one kind of vital signs checks.

    Measured: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  7. Absolute Change in Respiration (Unit: bpm) From Baseline Over Time

    The patient's respiration will be determined, and it's one kind of vital signs checks.

    Measured: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  8. Absolute Change in Electrocardiogram (P-R (Unit: ms), QRS (Unit: ms), QTc interval (Unit: ms), etc) From Baseline Over Time

    The patient's electrocardiogram will be measured, and it's one kind of laboratory test.

    Measured: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

  9. Change in Auditory Function From Baseline Over Time

    The patient's auditory function will be determined by otorhinolaryngology.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  10. Absolute Change in White Blood Count (Unit: 10^9/L) From Baseline Over Time

    The patient's white blood count will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  11. Absolute Change in Neutrophil Count (Unit: 10^9/L) From Baseline Over Time

    The patient's neutrophil count will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  12. Absolute Change in Lymphocyte Count (Unit: 10^9/L) From Baseline Over Time

    The patient's lymphocyte count will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  13. Absolute Change in Monocyte Count (Unit: 10^9/L) From Baseline Over Time

    The patient's monocyte count will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  14. Absolute Change in Eosinophilic Count (Unit: 10^9/L) From Baseline Over Time

    The patient's eosinophilic count will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  15. Absolute Change in Basophilic Count (Unit: 10^9/L) From Baseline Over Time

    The patient's basophilic count will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  16. Absolute Change in Red Blood Count (Unit: 10^9/L) From Baseline Over Time

    The patient's red blood count will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  17. Absolute Change in Hemoglobin (Unit: g/L) From Baseline Over Time

    The patient's hemoglobin will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  18. Absolute Change in Hematocrit (Unit:%) From Baseline Over Time

    The patient's hematocrit will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  19. Absolute Change in Blood Platelet Count (Unit: 10^9/L) From Baseline Over Time

    The patient's blood platelet count will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  20. Absolute Change in Thrombocytocrit (Unit: %) From Baseline Over Time

    The patient's thrombocytocrit will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  21. Absolute Change in Alanine Aminotransferase (Unit: U/L) From Baseline Over Time

    The patient's alanine aminotransferase will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  22. Absolute Change in Total Bilirubin (Unit:µmol/L) From Baseline Over Time

    The patient's total bilirubin will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  23. Absolute Change in Total Protein (Unit:g/L) From Baseline Over Time

    The patient's total protein will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  24. Absolute Change in Albumin (Unit: g/L) From Baseline Over Time

    The patient's albumin will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  25. Absolute Change in Globulin (Unit: g/L) From Baseline Over Time

    The patient's globulin will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  26. Absolute Change in Alkaline Phosphatase (Unit: U/L) From Baseline Over Time

    The patient's alkaline phosphatase will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  27. Absolute Change in Aspartate Aminotransferase (Unit: U/L) From Baseline Over Time

    The patient's aspartate aminotransferase will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  28. Absolute Change in Lactate Dehydrogenase (Unit: IU/L) From Baseline Over Time

    The patient's lactate dehydrogenase will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  29. Absolute Change in Urea (Unit: mmol/L) From Baseline Over Time

    The patient's urea will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  30. Absolute Change in Creatinine (Unit:µmol/L) From Baseline Over Time

    The patient's creatinine will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  31. Absolute Change in Glucose (Unit: mmol/L) From Baseline Over Time [ Time

    The patient's glucose will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  32. Absolute Change in Potassium (Unit: mmol/L) From Baseline Over Time

    The patient's potassium will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  33. Absolute Change in Sodium (Unit: mmol/L) From Baseline Over Time

    The patient's sodium will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  34. Absolute Change in Chlorine (Unit: mmol/L) From Baseline Over Time

    The patient's chlorine will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  35. Absolute Change in Calcium (Unit: mmol/L) From Baseline Over Time

    The patient's calcium will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  36. Absolute Change in Fibrinogen (Unit: g/L) From Baseline Over Time

    The patient's fibrinogen will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  37. Absolute Change in Prothrombin time (Unit: s) From Baseline Over Time

    The patient's prothrombin time will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  38. Absolute Change in Activated Partial Thromboplastin Time (APTT, Unit: s) From Baseline Over Time

    The patient's APTT will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  39. Absolute Change in Serum Total Thyroxine (Unit: nmol/L) From Baseline Over Time

    The patient's serum total thyroxine will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  40. Absolute Change in Parathyroid Hormone (Unit: pg/mL) From Baseline Over Time

    The patient's parathyroid hormone will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  41. Absolute Change in Total Triiodothyronine (Unit: nmol/L) From Baseline Over Time

    The patient's total triiodothyronine will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  42. Absolute Change in Thyrotropin (Unit: mIU/L) From Baseline Over Time

    The patient's thyrotropin will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  43. Absolute Change in Urine Glucose (Unit: mmol/L) From Baseline Over Time

    The patient's urine glucose will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  44. Absolute Change in Urine Protein (Unit: g/L)) From Baseline Over Time

    The patient's urine protein will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 12, 26, 39 and 52 weeks.

  45. Absolute Change in Total Testosterone (Unit: ng/ml) in men From Baseline Over Time

    The patient's total testosterone will be determined in men, and it's one kind of laboratory test.

    Measured: Baseline, 26, 39 and 52 weeks.

  46. Absolute Change in Free Testosterone (Unit: nmol/L) in men From Baseline Over Time

    The patient's free testosterone will be determined in men, and it's one kind of laboratory test.

    Measured: Baseline, 26, 39 and 52 weeks.

  47. Absolute Change in Follicle-generating Hormone (Unit: mIU/mL) in women From Baseline Over Time

    The patient's follicle-generating hormone will be determined in women, and it's one kind of laboratory test.

    Measured: Baseline, 26, 39 and 52 weeks.

  48. Absolute Change in Luteinizing Hormon (Unit: mIU/mL) in women From Baseline Over Time

    The patient's luteinizing hormonwill be determined in women, and it's one kind of laboratory test.

    Measured: Baseline, 26, 39 and 52 weeks.

Secondary outcomes (2)
  1. Absolute Change in Liver iron content (Unit: mg/g dw) From Baseline Over Time

    Liver iron content will be determined by liver magnetic resonance.

    Measured: Baseline, 12, 26,39 and 52 weeks.

  2. Absolute Change in Serum ferritin (Unit: µg/L) From Baseline Over Time

    Serum ferritin will be determined, and it's one kind of laboratory test.

    Measured: Baseline, 2, 4, 6, 8, 12, 16, 20, 26, 39 and 52 weeks.

Timeline

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

  1. First posted2 May 2022
  2. Study start13 Jun 2022
  3. Primary completion23 Sep 2024
  4. Study completion6 Mar 2025

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05355766
Sponsor's protocol ID
A160605-202
Status last verified
Mar 2025
First submitted
22 Apr 2022
Last updated
14 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CN128 Tablets in people with Thalassemia and Iron Overload, run by Hangzhou Zede Pharma-Tech Co., Ltd. at 1 site in China.

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 5 inclusion and 15 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 14 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Number of participants with adverse events, adverse reactions, severe adverse events and severe adverse reactions as a measure of safety and tolerability during the study period. (time frame: Up to 52 weeks). The study lists 48 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 14 Mar 2025.

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