PYRUKYND®
-
Product Information
Scientific name: Mitapivat
Brand name: PYRUKYND®
RESPONSIBLE: Agios Pharmaceuticals Inc. -
Clinical Trial/Study Information
Last update: 22/6/2023
Extension of Phase 1 Pilot Study
Trial Name: Extension of Phase 1 Pilot Study in SCD*
Code: NCT04610866
Phase: 2/3
Eligible patient diagnosis: SCD (adults) (age 18 – 70)
No. of Patients enrolled: 15 (Last update: 3/5/2023)
Study Sites: 1 Sites per countryΑnticipated completion date: February 2028
Scope of the Study / Aim: Long-term effects of SCD in the frequency of VOCs
*in collaboration with National Heart, Lung & Blood Institute (NHLBI)RISE UP
Trial Name: RISE UP
Code: NCT05031780
Phase: 2/3
Eligible patient diagnosis: SCD (adults) (age 18 and above)
No. of Patients enrolled: 267 [anticipated] [79 in phase 2 ; 198 – anticipated – in phase 3] (Last update: 23/6/2023)
Study Sites: 57 Sites per countryAnticipated completion date: November 2029
Scope of the Study / Aim: Determine the recommended dose of mitapivat, evaluate efficacy & safety; decrease annual VOCs
-
Regulatory Information
Status: Not Authorised
Additional notable points:
- EMA: N/A
- FDA: Orphan drug designation (2020)
- MHRA: N/A
Update: 30 June 2023
Results from the RISE UP (phase 2) trial showed:
• Treatment with mitapivat demonstrated a statistically significant increase in hemoglobin response rate compared to placebo. Hemoglobin response was defined as an increase of ≥1 g/dL in average hemoglobin concentrations from Week 10 through Week 12 compared with baseline.
• 46.2% of patients (n=12) in the 50 mg twice daily (BID) mitapivat arm and 50.0% of patients (n=13) in the 100 mg BID mitapivat arm achieved a hemoglobin response.
• There were no adverse events (AEs) leading to discontinuation.
These results support proceeding with the Phase 3 part of the study. This is expected to enrol 198 patients, beginning in Oct-Dec 2023, reporting data in 2025 and receiving FDA approval in 2026.
Update: 31 March 2023
• Completed enrollment in the Phase 2 portion of the RISE UP study of PYRUKYND® in adults with sickle cell disease.
• Anticipate to announce data and decision to move forward with Phase 3 by mid-year.