Trial Outcomes & Findings for Study of the Selective GlyT1 Inhibitor Bitopertin for Steroid-Refractory Diamond-Blackfan Anemia (NCT NCT05828108)

NCT ID: NCT05828108

Last Updated: 2026-06-30

Results Overview

Response was defined as either an increase in hemoglobin or a decrease in transfusion rate. Robust response was defined as achievement of transfusion independence.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

15 participants

Primary outcome timeframe

Up to 32 Weeks

Results posted on

2026-06-30

Participant Flow

Participants who complete Stage 1 of the clinical trial and achieve a predefined response will be eligible for enrollment in the extension phase.

Participant milestones

Participant milestones
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). If response criteria are met after 8 weeks at a given dose level, that dose will be designated the minimum effective dose (MED) and continued for the remainder of the study unless dose modification is clinically indicated.
Stage 1: Week 0 to Week 32
STARTED
15
Stage 1: Week 0 to Week 32
5 mg Bitopertin
15
Stage 1: Week 0 to Week 32
10 mg Bitopertin
15
Stage 1: Week 0 to Week 32
20 mg Bitopertin
15
Stage 1: Week 0 to Week 32
40 mg Bitopertin
14
Stage 1: Week 0 to Week 32
60 mg Bitopertin
13
Stage 1: Week 0 to Week 32
COMPLETED
12
Stage 1: Week 0 to Week 32
NOT COMPLETED
3
Stage 2: Extension Phase (Wk 33 to 156)
STARTED
0
Stage 2: Extension Phase (Wk 33 to 156)
COMPLETED
0
Stage 2: Extension Phase (Wk 33 to 156)
NOT COMPLETED
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). If response criteria are met after 8 weeks at a given dose level, that dose will be designated the minimum effective dose (MED) and continued for the remainder of the study unless dose modification is clinically indicated.
Stage 1: Week 0 to Week 32
Lost to Follow-up
1
Stage 1: Week 0 to Week 32
Physician Decision
2

Baseline Characteristics

Study of the Selective GlyT1 Inhibitor Bitopertin for Steroid-Refractory Diamond-Blackfan Anemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin
n=15 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). If response criteria are met after 8 weeks at a given dose level, that dose will be designated the minimum effective dose (MED) and continued for the remainder of the study unless dose modification is clinically indicated.
Age, Categorical
<=18 years
0 Participants
n=20 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=20 Participants
Age, Categorical
>=65 years
0 Participants
n=20 Participants
Sex: Female, Male
Female
6 Participants
n=20 Participants
Sex: Female, Male
Male
9 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
1 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=20 Participants
Race (NIH/OMB)
White
12 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Region of Enrollment
United States
15 participants
n=20 Participants

PRIMARY outcome

Timeframe: Up to 32 Weeks

Population: Three participants were unevaluable due to early discontinuation.

Response was defined as either an increase in hemoglobin or a decrease in transfusion rate. Robust response was defined as achievement of transfusion independence.

Outcome measures

Outcome measures
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin
n=12 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). If response criteria are met after 8 weeks at a given dose level, that dose will be designated the minimum effective dose (MED) and continued for the remainder of the study unless dose modification is clinically indicated.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 10 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 10 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 20 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 20 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 40 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 40 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 60 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 60 mg.
Number of Participants With Response
0 Participants

SECONDARY outcome

Timeframe: 12 weeks

Response was defined as either an increase in hemoglobin or a decrease in transfusion rate. Robust response was defined as achievement of transfusion independence.

Outcome measures

Outcome measures
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin
n=15 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). If response criteria are met after 8 weeks at a given dose level, that dose will be designated the minimum effective dose (MED) and continued for the remainder of the study unless dose modification is clinically indicated.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 10 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 10 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 20 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 20 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 40 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 40 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 60 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 60 mg.
Response Rate
0 Participants

SECONDARY outcome

Timeframe: Up to 32 weeks

Population: No participants were evaluable, as no participants met criteria for response, therefore no participants were at risk of relapse

Relapse as demonstrated by new or increasing transfusion requirements and/or according to clinical outcome

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Up to 32 Weeks

Population: Three participants were unevaluable due to early discontinuation.

Intra-patient dose escalation occurred every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). Tolerability was defined as achieving a maximum tolerated dose of up to 60 mg daily without unacceptable toxicity or intolerance.

Outcome measures

Outcome measures
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin
n=12 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). If response criteria are met after 8 weeks at a given dose level, that dose will be designated the minimum effective dose (MED) and continued for the remainder of the study unless dose modification is clinically indicated.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 10 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 10 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 20 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 20 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 40 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 40 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 60 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 60 mg.
Number of Participants Tolerating Study Drug
11 Participants

SECONDARY outcome

Timeframe: Up to 32 Weeks

Population: 2 participants withdrew from study due to non-treatment related adverse events

Safety was assessed by the number and severity of treatment-related adverse events at each dose level using the Common Terminology Criteria for Adverse Events (CTCAE), Version 5.0. Adverse events were graded as follows: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe or medically significant), Grade 4 (life-threatening), and Grade 5 (death related to adverse event).

Outcome measures

Outcome measures
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin
n=15 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). If response criteria are met after 8 weeks at a given dose level, that dose will be designated the minimum effective dose (MED) and continued for the remainder of the study unless dose modification is clinically indicated.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 10 mg
n=15 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 10 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 20 mg
n=15 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 20 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 40 mg
n=14 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 40 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 60 mg
n=13 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 60 mg.
Number of Treatment-Related Adverse Events (AEs), Including Serious Adverse Events (SAEs) by Dose Levels
Grade 2
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
1 Number of Adverse Events
Number of Treatment-Related Adverse Events (AEs), Including Serious Adverse Events (SAEs) by Dose Levels
Grade 3
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
Number of Treatment-Related Adverse Events (AEs), Including Serious Adverse Events (SAEs) by Dose Levels
Grade 5
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
Number of Treatment-Related Adverse Events (AEs), Including Serious Adverse Events (SAEs) by Dose Levels
Grade 4
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events
0 Number of Adverse Events

SECONDARY outcome

Timeframe: Up to 32 weeks

Population: Three participants were unevaluable due to early discontinuation.

Rates of clonal evolution on bitopertin as measured by karyotypic, histologic, and flow cytometric changes

Outcome measures

Outcome measures
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin
n=12 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). If response criteria are met after 8 weeks at a given dose level, that dose will be designated the minimum effective dose (MED) and continued for the remainder of the study unless dose modification is clinically indicated.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 10 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 10 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 20 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 20 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 40 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 40 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 60 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 60 mg.
Rate of Clonal Evolution
0 Participants

SECONDARY outcome

Timeframe: 32 Weeks

Rate of overall survival according to clinical outcomes. Overall survival is defined as the number of participants alive following initiation of treatment.

Outcome measures

Outcome measures
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin
n=15 Participants
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation every 4 weeks (5 mg, 10 mg, 20 mg, 40 mg, up to a maximum of 60 mg). If response criteria are met after 8 weeks at a given dose level, that dose will be designated the minimum effective dose (MED) and continued for the remainder of the study unless dose modification is clinically indicated.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 10 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 10 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 20 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 20 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 40 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 40 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 60 mg
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 60 mg.
Number of Participants Surviving
15 participants

Adverse Events

Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 5 mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 10 mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 20 mg

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 40 mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 60 mg

Serious events: 4 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 5 mg
n=15 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 5 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 10 mg
n=15 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 10 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 20 mg
n=15 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 20 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 40 mg
n=14 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 40 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 60 mg
n=13 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 60 mg.
Infections and infestations
Endocarditis infective
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
Cardiac disorders
Pulmonary valve disease
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
Nervous system disorders
Syncope
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
Gastrointestinal disorders
Abdominal pain
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
6.7%
1/15 • Number of events 2 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/13 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.

Other adverse events

Other adverse events
Measure
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 5 mg
n=15 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 5 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 10 mg
n=15 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 10 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 20 mg
n=15 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 20 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 40 mg
n=14 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 40 mg.
Steroid Refractory Diamond-Blackfan Anemia in Bitopertin at 60 mg
n=13 participants at risk
Participants with refractory Diamond-Blackfan Anemia will receive oral bitopertin once daily with dose escalation to 60 mg.
Infections and infestations
Pharyngitis
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
Nervous system disorders
Dizziness
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
Investigations
Alanine aminotransferase increased
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
Investigations
Aspartate aminotransferase increased
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
Investigations
Blood bilirubin increased
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/15 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
0.00%
0/14 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.
7.7%
1/13 • Number of events 1 • Up to 32 weeks
Adverse events (AEs) will start being recorded after informed consent has been obtained until 7 (for non-serious AEs) or 30 days (for Serious Adverse Events \[SAEs\]) after administration of the last dose of study drug or until study termination until adequate resolution or stabilization. At each study visit, the investigator will inquire about the occurrence of AE/SAEs since the last visit.

Additional Information

David J. Young, MD, PhD

The National Heart, Lung, and Blood Institute (NHLBI)

Phone: 301.827.7823

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place