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Oral Presentation Information
Title: ACTIVATE: A Phase 3, randomized, multicenter, double-blind, placebo-controlled study of mitapivat in adults with pyruvate kinase deficiency who are not regularly transfused
Live Q&A Session Date and Time: Tuesday, June 15, 2021, at 7:45 p.m. CEST /1:45 p.m. ET
Oral Abstract Session: Changing the scene in congenital anemias
Abstract: S270
Presenter: Hanny Al-Samkari, M.D., Division of Hematology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
Title: ACTIVATE-T: A Phase 3, open-label, multicenter study of mitapivat in adults with pyruvate kinase deficiency who are regularly transfused
Live Q&A Session Date and Time: Tuesday, June 15, 2021, at 7:45 p.m. CEST / 1:45 p.m. ET
Oral Abstract Session: Changing the scene on congenital anemias
Abstract: S271
Presenter: Andreas Glenthøj, M.D., Department of Hematology, Rigshospitalet Copenhagen, Denmark
Mitapivat Clinical Development
ACTIVATE and ACTIVATE-T are intended to support global regulatory filings for mitapivat in adults with PK deficiency in the U.S. in the second quarter of 2021 and the EU in mid-2021. Agios also is conducting an extension study for adults with PK deficiency previously enrolled in ACTIVATE or ACTIVATE-T, which is designed to evaluate the long-term safety, tolerability and efficacy of treatment with mitapivat.
In addition, Agios completed a Phase 2 study evaluating the efficacy, safety, pharmacokinetics and pharmacodynamics of treatment with mitapivat in adults with non-transfusion-dependent α- or ß-thalassemia. The primary endpoint for the Phase 2 study was hemoglobin response, defined as a ³1.0 g/dL increase in hemoglobin concentration from baseline at one or more assessments between Week 4 and Week 12. These results are also being reported as part of an oral presentation at the EHA Virtual Congress. Agios is conducting an extension study of mitapivat for adults previously enrolled in the Phase 2 study and is initiating two Phase 3 studies, ENERGIZE and ENERGIZE-T, in not regularly transfused and regularly transfused adults with thalassemia in the second half of 2021.
Mitapivat is also being evaluated as a potential treatment for sickle cell disease under a Cooperative Research and Development Agreement (CRADA) with the U.S. National Institutes of Health. Mitapivat has been shown to decrease 2,3-diphosphoglycerate (2,3-DPG) and increase adenosine triphosphate (ATP), and through this mechanism, it may reduce hemoglobin S polymerization and red blood cell sickling. Preliminary clinical data establishing proof-of-concept for mitapivat in sickle cell disease were disclosed in June 2020, and updated data were presented at the American Society of Hematology (ASH) Annual Meeting in December 2020. Agios is initiating its pivotal Phase 2/3 study in sickle cell disease by year-end 2021.