A Study Evaluating the Efficacy and Safety of AG-348 in Regularly Transfused Adult Participants With Pyruvate Kinase Deficiency (PKD)

Inclusion Criteria:

- Informed consent;

- Male or female, aged 18 or older;

- Presence of at least 2 mutant alleles in the Pyruvate Kinase Liver and RBC (PKLR)
gene, of which at least 1 is a missense mutation;

- History of a minimum of 6 transfusion episodes in the 52-week period prior to date of
informed consent;

- Complete records of transfusion history for the 52 weeks prior to the date of informed
consent, including all transfusion dates, number of blood units transfused for all the
transfusions, and Hb concentrations within 1 week prior to transfusion for at least
80% of the transfusions;

- Have received at least 0.8 mg of oral folic acid daily for at least 21 days prior to
the first dose of study drug, to be continued daily during study participation;

- Have adequate organ function;

- Negative serum pregnancy test for women of reproductive potential;

- For women of reproductive potential as well as fertile men and their partners who are
women of reproductive potential: be abstinent or agree to use 2 forms of
contraception, 1 of which must be considered highly effective, from the time of giving
informed consent, during the study, and for 28 days following the last dose of AG-348;

- Willing to comply with all study procedures, in particular the individual transfusion
trigger (TT) calculated based on 52 weeks of transfusion history, for the duration of
the study.

Exclusion Criteria:

- Homozygous for the R479H mutation or have 2 non-missense mutations, without the
presence of another missense mutation, in the PKLR gene;

- Significant medical condition that confers an unacceptable risk to participate in the
study, and/or that could confound the interpretation of the study data;

- History of transfusions occurring on average more frequently than once every 3 weeks
during the 52 weeks prior to date of informed consent;

- Splenectomy scheduled during the study treatment period or have undergone splenectomy
within 12 months prior to signing informed consent;

- Currently enrolled in another therapeutic clinical trial. Prior participation in the
PK Deficiency Natural History Study (NHS) (NCT02053480) or PK Deficiency Registry is
permitted;

- Exposure to any investigational drug, device, or procedure within 3 months prior to
the first dose of study drug;

- Prior bone marrow or stem cell transplant;

- Currently pregnant or breastfeeding;

- History of major surgery within 6 months of signing informed consent;

- Currently receiving medications that are strong inhibitors of CYP3A4, strong inducers
of CYP3A4, strong inhibitors of P-glycoprotein (P-gp), or digoxin (a P-gp sensitive
substrate medication) that have not been stopped for a duration of at least 5 days or
5 times their half-lives (whichever is longer) prior to start of study drug;

- Currently receiving hematopoietic stimulating agents (eg, erythropoietins [EPOs],
granulocyte colony stimulating factors, thrombopoietins) that have not been stopped
for a duration of at least 28 days prior to the first dose of study drug;

- History of allergy to sulfonamides if characterized by acute hemolytic anemia, drug
induced liver injury, anaphylaxis, rash of erythema multiforme type or Stevens-Johnson
syndrome, cholestatic hepatitis or other serious clinical manifestations;

- Allergy to AG-348 or its excipients;

- Currently receiving anabolic steroids, including testosterone preparations, within 28
days prior to the first dose of study drug.