Anagre Cap. in Patients With High-Risk Essential Thrombocythemia
A Multicenter, Open-label, Clinical Study for Efficacy and Safety Evaluation of Anagrelide in Patients With Treatment-naïve, High-risk Essential Thrombocythemia as a Primary Treatment
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Anyang, Korea, Republic of
- Hallym Univ. Medical Center
-
Daegu, Korea, Republic of
- Daegu Catholic University Medical Center
-
Daegu, Korea, Republic of
- Keimyung University Dongsan Medical Center
-
Daegu, Korea, Republic of
- Kyungpook National University Hospital
-
Goyang, Korea, Republic of
- Dongguk University Medical Center
-
Hwasun, Korea, Republic of
- Cheonnam National University Hwasun Hospital
-
Incheon, Korea, Republic of
- Inha University Hospital
-
Incheon, Korea, Republic of
- Gachon University Gil Medical Center
-
Jeju City, Korea, Republic of
- Jeju National University Hospital
-
Pusan, Korea, Republic of
- Pusan National University Hospital
-
Seoul, Korea, Republic of
- Seoul National University Hospital
-
Seoul, Korea, Republic of
- Yonsei University Health System, Severance Hospital
-
Seoul, Korea, Republic of
- Korea University Anam Hospital
-
Seoul, Korea, Republic of
- Soon Chun Hyang University Hospital Seoul
-
Seoul, Korea, Republic of
- Inje University Sanggye Paik Hospital
-
Seoul, Korea, Republic of
- Ewha Wonans University Mokdong Hospital
-
Seoul, Korea, Republic of
- Hallym Univ. Medical Center
-
Seoul, Korea, Republic of
- SMG - SNU Boramae Medical Center
-
Seoul, Korea, Republic of
- Veterans Health Service Medical Center
-
-
Gyeonggi
-
Goyang, Gyeonggi, Korea, Republic of
- National Health Insurance Service Ilsan Hospital
-
Suwon-si, Gyeonggi, Korea, Republic of
- The Catholic University of Korea. ST. Vincents Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with essential thrombocythemia according to WHO 2008
Any of the following as high-risk patient
- Over 60 years old
- >100 X 10^4/ul of platelet count
- increased more than 300K of platelet count in 3 months
- Hypertension, diabetes, past history of thromboembolic bleeding
Exclusion Criteria:
- Patients with an adverse drug reaction or intolerability to anagrelide
Any of the following cardiac abnormalities;
- Complete left bundle branch block on ECG
- Patients using a pacemaker
- Patients with a family history of congenital QT prolongation syndrome or known QT prolongation syndrome
- Currently, there is no clinically uncontrolled ventricular or atrial tachycardia
- Clinically significant bradycardia (<less than 50 per minute)
- History of clinically proven myocardial infarction and unstable angina within 3 months
- Pregnant women, nursing mothers
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Anagre Cap.
twice a day
|
from 0.5mg twice a day to maximally increase total10mg in 8 weeks and maintain maximal tolerable dose to 104 weeks
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
response rate for less than 60 X 10^4/ul in platelet count
Time Frame: at week 8
|
at week 8
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
response rate for less than 60 X 10^4/ul in platelet count
Time Frame: at week 52
|
at week 52
|
|
changes from baseline in 50% reduction rate in platelet count
Time Frame: up to 52 weeks
|
up to 52 weeks
|
|
response rate for less than 40 X 10^4/ul in platelet count
Time Frame: up to 52 weeks
|
up to 52 weeks
|
|
cumulative incidence of essential thrombocythemia related events (e.g thromboembolic or hemorrhagic events)
Time Frame: at 52 week
|
at 52 week
|
|
incidence of adverse events
Time Frame: up to 52 weeks
|
up to 52 weeks
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
expression of MPN-oncogene(JAK2/CALR/MPL)
Time Frame: at 52 week
|
association of known MPN-oncogene(JAK2/CALR/MPL) with epigenetic modifiers, mRNA splicing, oncogene and other minor somatic mutations
|
at 52 week
|
|
genomic biomarker search for prediction of side effects of anagrelide
Time Frame: at 52 week
|
at 52 week
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ACTUAL)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- YMC018
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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