Status:
RECRUITING
Peginterferon α-2b Injection for Hydroxyurea Resistant or Intolerant ET
Lead Sponsor:
Xiamen Amoytop Biotech Co., Ltd.
Conditions:
Essential Thrombocythemia
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
This is a multicenter, randomized, open-label Phase 2 clinical study. It is aimed to enroll 27 essential thrombocytopenia (ET) patients who are resistant to or intolerant of hydroxyurea(HU). Eligible ...
Eligibility Criteria
Inclusion
- Male or female subjects, aged greater or equal to 18 years old at screening;
- Subjects diagnosed as high-risk ET according to the World Health Organization (WHO) 2016 criteria：1) who is older than 60 years and JAK2V617F positive at screening, 2) or who previously suffered from disease-related thrombosis or hemorrhage;
- Subjects who have previously received HU for ET, and the time interval between the last HU dose and the first dose of the study drug should not be less than 7 days;
- Interferon treatment-naïve, and for those who have previously received interferon the the time interval between the last dose of interferon and randomization should not be less than 1 month;
- Patients with confirmed hydroxyurea resistance or intolerant, as at least one of the following criteria is met:
- Platelet count remain greater than 600×10\^9 /L after at least 3 months of HU treatment at a dose ≥2g/d (dose ≥2.5 g/d if subject weight \> 80 kg);
- Platelet count greater than 400\*10\^9/L while white blood cell (WBC) count lower than 2.5\*10\^9/L, or platelet count greater than 400\*10\^9 /L while hemoglobin lower than 100 g/L at any dose of HU;
- Presence of HU-related toxicities at any dose of HU: e.g. ulcers in legs, or any unacceptable skin mucosal manifestations or fever;
- Platelet counts \> 450\*10\^9/L at screening;
- Neutrophil count ≥1.0\*10\^9/L at screening;
- Haemoglobin ≥11 g/dL at screening for males and 10 g/dL for females at screening;
- There is no serious function damage in liver and kidney: total bilirubin ≤1.5 upper limit of normal (ULN), alanine aminotransferase≤2.0 ULN, aspartate aminotransferase≤2.0 ULN, prothrombin time is prolonged by less than 4 seconds, Creatinine clearance ≥50 mL/min (according to Cockcroft-Gault formula) at screening;
- Both male and female subjects must agree take an appropriate contraceptive method, including:
- Male subjects: must agree to use reliable contraception from inform consent until 6 months following the last dose of the study drug.
- Female subjects: Must meet at least one of the following conditions:
- i) Women without childbearing potential; ii) Women of childbearing potential: no pregnant or breastfeed, negative in blood pregnancy test within 4 days prior to the first dosing, and must agree to use reliable contraception from inform consent until 6 months following the last dose of the study drug;
- Subjects understand the objective, characteristic, method and possible adverse reactions of the study, voluntarily participate in this study, and sign informed consent.
Exclusion
- History of any other myeloproliferative tumors, or evidence of the presence of any other myeloproliferative tumors;
- Contraindications or hypersensitivities to interferons of any of its excipients;
- Severe medical conditions or serious comorbidities that the investigators determined could jeopardize the safety or protocol adherence, e.g. New York Heart Association \[NYHA\] Class III-IV, congestive heart failure, symptomatic arrhythmias，pulmonary hypertension;
- History of major organ transplantation;
- Documented autoimmune disease or history of autoimmune disease at screening, e.g. medication un-controlled thyroid dysfunction, autoimmune hepatitis, idiopathic thrombocytopenic purpura, scleroderma, psoriasis, or any autoimmune arthritis;
- Clinically significant pulmonary infiltration, infectious pneumonia, and non-infectious pneumonia at screening that, in the investigator's opinion, would jeopardize the safety of the subject or their compliance with the protocol;
- Infection with systemic clinical manifestations at screening, e.g., bacteria, fungi, human immunodeficiency virus, excluding hepatitis B and/or C;
- Evidence of severe retinopathy, e.g., cytomegalovirus retinitis, symptomatic macular degeneration, or clinically significant eye disease, e.g. due to diabetes mellitus or hypertension;
- Diagnosed clinically significant depression or a history of depression and, in the investigator's opinion, previous suicide attempts or at any risk of suicide at screening;
- Diagnosed clinically significant neurological disease or a history of clinically significant neurological disease, except for a history of stable cerebral thrombosis or cerebral hemorrhage;
- History of any malignancy within 5 years (except stage 0 chronic lymphocytic leukemia, basal cell carcinoma, squamous cell carcinoma, and superficial melanoma);
- A history of alcohol or drug abuse within 1 year;
- Have used any investigational drug within 4 weeks prior to first dose of investigational drug, or not recovered from the effects of prior investigational drug administration;
- Other situations that, in the investigator's opinion, not appropriate for inclusion.
Key Trial Info
Start Date :
August 29 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
September 1 2027
Estimated Enrollment :
27 Patients enrolled
Trial Details
Trial ID
NCT06552429
Start Date
August 29 2024
End Date
September 1 2027
Last Update
November 17 2025
Active Locations (8)
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1
Peking Union Hospital, Chinese Academy of Medical Sciences
Beijing, China
2
Peking University People's Hospital
Beijing, China
3
Union Hospital affiliated to Fujian Medical University
Fujian, China
4
Nanfang Hospital, Southern Medical University
Guangzhou, China