Primary immune thrombocytopenia (ITP) is a condition where the immune system mistakenly destroys platelets, which are cells that help stop bleeding. This leads to a lower number of platelets, making it easier to bruise or bleed. The main aim of this study is to check how safe mezagitamab is and how well it is tolerated by adults with chronic primary ITP, if given over a longer time. Other aims are to learn how effective treatment with mezagitamab is and how the body processes it (called pharmacokinetics or PK) over a longer time.
Participants of the following previous mezagitamab studies will be invited to join this continuation study: TAK-079-3002 and TAK-079-1004. In this continuation study, participants will receive mezagitamab when certain protocol criteria are met.
During the study, participants will visit their study clinic several times.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
* Key Inclusion Criteria:
1\. The participant has completed TAK-079-3002 (end of trial \[EOT\]) or TAK-079-1004 (EOT). Participants from TAK-079-1004 must have had a response to mezagitamab as demonstrated by meeting the criteria for "platelet response" specified for that trial during either the main study or open-label extension.
* Key Exclusion criteria:
For TAK-079-3002 participants:
1\. The participant has a history of severe allergic or anaphylactic reactions to recombinant proteins or excipients used in the mezagitamab formulation.
For TAK-079-1004 participants:
1. The participant has had any thrombotic or embolic event within 12 months before signing the ICF.
2. The participant has had a splenectomy within 3 months before signing the ICF.
3. The participant has active infection with hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV).
4. History of malignancy (including myelodysplastic syndrome) within 5 years of signing the ICF, except for treated non-melanoma skin cancer or cervical carcinoma in situ.
5. In the opinion of the investigator, the participant has a serious medical or psychiatric illness that could potentially interfere with the completion of treatment according to this protocol.
6. The participant has received anti-cluster of differentiation (CD) 20 treatment within 12 months before screening and either of the following applies:
1. The last dose was received within 6 months before screening.
2. The last dose was received between 6 and 12 months before screening and the participant has a CD19+ count below the lower limit of normal.
7. The participant has received any monoclonal or polyclonal antibody for immunomodulation within 6 months before Visit 1.
8. The participant has been exposed to another investigational agent within 4 weeks or 5 half-lives, whichever is longer, before Visit 1.
9. The participant has used anticoagulants (for example, vitamin K antagonists, direct oral anticoagulants) within 3 weeks prior to Visit 1.
10 The participant has received a live or live-attenuated vaccine within 4 weeks prior to the first dose of trial treatment or has any live or live-attenuated vaccine planned during the trial.
11\. The participant has used the following immunosuppressive agents as specified prior to Visit 1: alkylating agents (for example, cyclophosphamide) within 8 weeks, vinca alkaloids (for example, vincristine) within 4 weeks, sulfones (for example, dapsone) within 3 weeks, antiproliferative agents: (for example, mycophenolate mofetil and azathioprine) within 2 weeks, and calcineurin inhibitors: (for example, cyclosporine) within 2 weeks.
12\. The participant has a history of severe allergic or anaphylactic reactions to recombinant proteins or excipients used in the mezagitamab formulation.
Other protocol defined inclusion/exclusion criteria may apply.
Primary outcome measure(s)
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs — Up to approximately 108 weeks An adverse event (AE) is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of the trial intervention, whether or not the occurrence is considered related to the trial intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of the trial intervention. TEAEs are defined as AEs with start dates at the time of or following the first exposure to mezagitamab in the parent trial for Cohort 1 and in this trial for Cohort 2. A serious TEAE is a TEAE that meets 1 or more of the criteria: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or was otherwise considered medically important.
Number of Participants With TEAEs Leading to Permanent Withdrawal of Mezagitamab — Up to approximately 108 weeks An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of the trial intervention, whether or not the occurrence is considered related to the trial intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of the trial intervention. TEAEs are defined as AEs with start dates at the time of or following the first exposure to mezagitamab in the parent trial for Cohort 1 and in this trial for Cohort 2.
Trial sites (118)
Facility
City
Region
Status
Genesis Cancer and Blood Institute - SCRI
Hot Springs
Arkansas
Not Yet Recruiting
USC Norris Comprehensive Cancer Center - Keck Medicine of USC
Los Angeles
California
Not Yet Recruiting
University of California San Diego Center for Bleeding and Clotting Disorders
San Diego
California
Not Yet Recruiting
Rocky Mountain Cancer Center
Denver
Colorado
Withdrawn
Georgetown University Medical Center - Lombardi Comprehensive Cancer Center
Washington D.C.
District of Columbia
Not Yet Recruiting
Emory University
Atlanta
Georgia
Not Yet Recruiting
Innovative Hematology, Inc.
Indianapolis
Indiana
Not Yet Recruiting
The University of Iowa
Iowa City
Iowa
Not Yet Recruiting
University Of Louisville Brown Cancer Center
Louisville
Kentucky
Not Yet Recruiting
Massachusetts General Hospital
Boston
Massachusetts
Recruiting
University of Massachusetts Chan Medical School
Worcester
Massachusetts
Not Yet Recruiting
MidAmerica Cancer Center
Kansas City
Missouri
Not Yet Recruiting
American Oncology Partners of Maryland, PA
Morristown
New Jersey
Not Yet Recruiting
Memorial Sloan Kettering Cancer Center
New York
New York
Not Yet Recruiting
Montefiore Medical Center
The Bronx
New York
Not Yet Recruiting
Duke University Hospital
Durham
North Carolina
Not Yet Recruiting
East Carolina University
Greenville
North Carolina
Not Yet Recruiting
Cleveland Clinic
Cleveland
Ohio
Not Yet Recruiting
Oregon Health & Science University
Portland
Oregon
Recruiting
Perelman Center for Advanced Medicine (PCAM) Hospital of The University of Pennsylvania Penn Blood Disorders Program
Philadelphia
Pennsylvania
Not Yet Recruiting
Lewis Katz School of Medicine at Temple University
Philadelphia
Pennsylvania
Not Yet Recruiting
Baylor College of Medicine
Houston
Texas
Not Yet Recruiting
Virginia Oncology Associates
Norfolk
Virginia
Not Yet Recruiting
University of Washingto
Seattle
Washington
Not Yet Recruiting
Versiti Wisconsin, Inc
Milwaukee
Wisconsin
Not Yet Recruiting
Canberra Hospital
Garran
Australian Capital Territory
Recruiting
Concord Repatriation General Hospital
Concord
New South Wales
Not Yet Recruiting
St George Hospital
Kogarah
New South Wales
Recruiting
University of New South Wales (UNSW) - Liverpool Hospital - Liverpool Cancer Therapy Centre
Liverpool
New South Wales
Recruiting
Westmead Hospital
Westmead
New South Wales
Recruiting
Peter MacCallum Cancer Centre
Melbourne
Victoria
Not Yet Recruiting
Monash University - Australian Centre for Blood Diseases (ACBD)
Melbourne
Victoria
Recruiting
The Alfred Hospital
Melbourne
Victoria
Recruiting
Fiona Stanley Hospital
Murdoch
Western Australia
Recruiting
Perth Blood Institute
West Perth
Western Australia
Recruiting
Military Medical Academy Multiprofile Hospital for Active Treatment - Sofia
Sofia
Sofia-Grad
Recruiting
Medical Center "Fama Medical"
Plovdiv
Bulgaria
Recruiting
UMHAT Sv. Ivan Rilski
Sofia
Bulgaria
Recruiting
UMHAT SofiaMed, OOD
Sofia
Bulgaria
Recruiting
University Multiprofile Hospital for Active Treatment - Prof. Dr. Stoyan Kirkovich AD
Stara Zagora
Bulgaria
Not Yet Recruiting
+ 78 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.