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Table 2 Novel Therapeutics in β-Thalassemia

From: Erythropoiesis: insights into pathophysiology and treatments in 2017

Company

Drug/Target

Mechanism

Eligibility

Route

Clintrials.gov

Status

a. Gene therapy

 Bluebird Bio

BB305 lentiviral vector (betibeglogene darolentivec)

Improved erythropoiesis

- Transfusion-dependent β-Thalassemia

-age 12–35

IV

NCT01745120

Active, not recruiting

- Phase 1/2

 IRCCS San Raffaele

GLOBE lentiviral vector

Improved erythropoiesis

- Transfusion-dependent β-Thalassemia

-age ≥ 3 and < 65

IV

NCT02453477

Open

- Phase 1/2

b. Small molecule targets

 New England Research Institutes

Decitabine

HbF induction

- age ≥ 18

- TD β Thalassemia and HbEβ-Thalassemia

Subcutaneously

NCT00661726

Completed

- Phase 2

 Medical College Kolkata

Decitabine

HbF induction

- age ≥ 18

- TDT and NDTD HbEβ-Thalassemia

Subcutaneously

–

Completed

- ASH 2017

 Novartis Pharmaceuticals

INC424 (Ruxolitinib)

Jak 1/2 inhibitor

- age ≥ 18

- TDT β- Thalassemia

- Splenomegaly

- iron chelation × 4 weeks

Oral

NCT02049450

Completed

- Phase 2a

Acceleron

ACE-536 (Luspatercept)

Ligand trap TBG beta superfamily

- age ≥ 18

- TD and NTDT β-Thalassemia

Subcutaneously

NCT02268409

Active, not recruiting

- Phase 2

Celgene

ACE-011 (Sotatercept)

Ligand trap TBG beta superfamily

- age ≥ 18

- TD and NTDT β-Thalassemia

Subcutaneously

NCT01571635

Active, not recruiting

- Phase 2a

  1. NTDT non-transfusion-dependent thalassemia
  2. TDT transfusion-dependent thalassemia