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INCB000928 Somministrato in monoterapia o in combinazione con ruxolitinib in partecipanti con anemia dovuta a disturbi mieloproliferativi

9 settembre 2026 aggiornato da: Incyte Corporation

Uno studio multicentrico di fase 1/2 in aperto su INCB000928 somministrato in monoterapia o in combinazione con ruxolitinib in partecipanti con anemia dovuta a disturbi mieloproliferativi

This Phase 1/2, open-label, dose-finding study is intended to evaluate the safety and tolerability, PK, PD, and efficacy of INCB000928 administered as monotherapy or in combination with ruxolitinib in participants with MF who are transfusion-dependent or presenting with symptomatic anemia. This study will consist of 2 parts: dose escalation and expansion.

Panoramica dello studio

Stato

Completato

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Effettivo)

84

Fase

  • Fase 2
  • Fase 1

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

  • Canada
    • Ontario
      • Toronto, Ontario, Canada, M5G 2M9
        • Princess Margaret Cancer Center
    • Quebec
      • Montreal, Quebec, Canada, H3T1E2
        • McGill University Jewish General Hospital
  • Francia
      • Angers, Francia, 49033
        • Centre Hospitalier D'Angers
      • Marseille, Francia, 13273
        • Institut Paoli Calmettes
      • Paris, Francia, 75010
        • Hospital Saint Louis
  • Giappone
      • Bunkyō City, Giappone, 113-8519
        • Tokyo Medical and Dental University Hospital
      • Chiba, Giappone, 260-8717
        • Chiba Cancer Center
      • Gifu, Giappone, 500-8513
        • Gifu Municipal Hospital
      • Hirakata, Giappone, 573-1191
        • Kansai Medical University Hospital
      • Kumamoto, Giappone, 862-8655
        • Kumamoto Shinto General Hospital
      • Osaka, Giappone, 541-8567
        • Osaka International Cancer Institute
  • Italia
      • Bergamo, Italia, 24127
        • Azienda Ospedaliera Papa Giovanni Xxiii
      • Bologna, Italia, 40138
        • S Orsolas University Hospital Seragnoli Institute of Hematology
      • Florence, Italia, 50134
        • Azienda Ospedaliero-Universitaria Careggi (Aouc)
      • Orbassano, Italia, 10043
        • Azienda Ospedaliera Universitaria San Luigi Gonzaga Orbassano
      • Pavia, Italia, 27100
        • Comitato Di Bioetica Della Fondazione Irccs Policlinico San Matteo
      • Perugia, Italia, 06124
        • Ospedale Santa Maria Della Misericordia Perugia
  • Regno Unito
      • Boston, Regno Unito, PE21 9QS
        • United Lincolnshire Hospitals
      • Lincoln, Regno Unito, LN2 5QY
        • Lincoln County Hospital
      • Truro, Regno Unito, TR1 3LJ
        • Royal Cornwall Hospital Truro Sunrise Centre
    • WLS
      • Cardiff, WLS, Regno Unito, CF14 4XW
        • University Hospital of Wales
  • Stati Uniti
    • California
      • Duarte, California, Stati Uniti, 91010
        • City of Hope National Medical Center
      • Irvine, California, Stati Uniti, 92618
        • City of Hope Orange County
      • Los Angeles, California, Stati Uniti, 90089
        • Usc Norris Comprehensive Cancer Center
      • Palo Alto, California, Stati Uniti, 94304
        • Stanford Cancer Center
      • San Diego, California, Stati Uniti, 92103
        • Prebys Cancer Center
    • Georgia
      • Atlanta, Georgia, Stati Uniti, 30322
        • Emory University - Winship Cancer Institute
      • Atlanta, Georgia, Stati Uniti, 30322
        • Emory University-Winship Cancer Institute
    • Michigan
      • Grand Rapids, Michigan, Stati Uniti, 49546
        • Start Midwest
    • Missouri
      • St Louis, Missouri, Stati Uniti, 63110
        • Washington University School of Medicine
    • New York
      • New York, New York, Stati Uniti, 10065
        • Weill Cornell Medical Centers
    • North Carolina
      • Durham, North Carolina, Stati Uniti, 27705
        • Duke University Medical Center, Department of Hematologic Malignancies and Cellular Therapy
    • Tennessee
      • Nashville, Tennessee, Stati Uniti, 37232
        • Vanderbilt University Medical Center
    • Texas
      • Houston, Texas, Stati Uniti, 77030
        • Md Anderson Cancer Center

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • Participants with MF who are transfusion-dependent or present with symptomatic anemia, defined as follows:

    1. Anemia: An Hgb value < 10 g/dL demonstrated during screening recorded on 3 separate occasions with at least 7 days between measurements (Note: RBC transfusion must be at least 2 weeks before the Hgb measurement during screening).
    2. Transfusion-dependent: Participant has received at least 4 units of RBC transfusions during the 28 days immediately preceding Cycle 1 Day 1 OR has received an average of at least 4 units of RBC transfusions in the 8 weeks immediately preceding Cycle 1 Day 1, for an Hgb level of < 8.5 g/dL, in the absence of bleeding or treatment-induced anemia. In addition, the most recent transfusion episode must have occurred in the 28 days before Cycle 1 Day 1.

  • ECOG performance status score of the following:

    1. 0 or 1 for the dose-escalation stages.
    2. 0, 1, or 2 for the dose-expansion stage.

  • Life expectancy is greater than 6 months

  • Agreement to avoid pregnancy or fathering children.

  • Ineligible to receive or have not responded to available therapies for anemia such as ESAs.

  • For TGA:

  • Participants previously treated with JAK inhibitors for at least 12 weeks.

  • Participants with intermediate-2 or high DIPSS MF according to IWG-MRT criteria.

  • For TGB:

  • Participants must have been on a therapeutic and stable regimen of ruxolitinib for at least 12 consecutive weeks immediately preceding the first dose of study treatment.

  • Participants with intermediate-1, intermediate-2, or high DIPSS MF according to IWG-MRT criteria.

  • For TGC:

  • Participants must be JAK inhibitor treatment naive (no prior treatment with any JAK inhibitor) and have an indication for initiation of ruxolitinib treatment.

  • Participants with intermediate-1, intermediate-2, or high DIPSS MF according to IWG-MRT criteria.

Exclusion Criteria:

  • Undergone any prior allogenic or autologous stem cell transplantation or a candidate for such transplantation.
  • Any prior chemotherapy, immunomodulatory drug therapy, immunosuppressive therapy, biological therapy, endocrine therapy, targeted therapy, antibody or hypomethylating agent to treat the participant's disease, with the exception of ruxolitinib for TGB only, within 5 half-lives or 28 days (whichever is shorter) before the first dose of study treatment.
  • Laboratory Values outside of protocol defined range at screening.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Non randomizzato
  • Modello interventistico: Assegnazione sequenziale
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Treatment Group A (TGA)

INCB000928 will be administered once daily (QD).
Droga: INCB000928

INCB000928 will be administered at protocol defined dose.
Sperimentale: Treatment Group B (TGB)

INCB000928 will be administered in combination with ruxolitinib.
Droga: INCB000928

INCB000928 will be administered at protocol defined dose.

Droga: ruxolitinib

Ruxolitinib will be administered at protocol defined dose.
Sperimentale: Treatment Group C (TGC)

INCB000928 will be administered in combination with ruxolitinib.
Droga: INCB000928

INCB000928 will be administered at protocol defined dose.

Droga: ruxolitinib

Ruxolitinib will be administered at protocol defined dose.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) and Any Treatment-emergent Serious Adverse Event (SAE)
Lasso di tempo: up to approximately 4 years

An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An AE could therefore have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study drug/treatment. A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug until 30 days after the last dose of study drug.
up to approximately 4 years
Number of Participants With Any ≥Grade 3 TEAE and Any Treatment-emergent SAE
Lasso di tempo: up to approximately 4 years

An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. A TEAE was defined as any AE either reported for the first time or the worsening of a pre-existing event after the first dose of study drug until 30 days after the last dose of study drug. The severity of AEs was assessed using Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 Grades 1 through 5. Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; treatment not indicated. Grade 2: moderate; minimal, local, or noninvasive treatment indicated; limiting age-appropriate activities of daily living. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4: life-threatening consequences; urgent treatment indicated. Grade 5: fatal.
up to approximately 4 years
Number of Participants With Dose-limiting Toxicities (DLTs)
Lasso di tempo: from Cycle 1 Day 1 to Cycle 1 Day 28

A DLT was defined as the occurrence of any protocol-defined toxicity occurring during the first treatment cycle, from Cycle 1 Day 1 up to and including Cycle 1 Day 28 (per regimen cycle schedule), except those with a clear alternative explanation (e.g., disease progression) or transient (≤72 hours) abnormal laboratory values without associated clinically significant signs or symptoms based on investigator determination. The DLT-Evaluable Population included all non-backfill participants eligible for dose escalation who met the criteria outlined in the Analysis Population field.
from Cycle 1 Day 1 to Cycle 1 Day 28
Maximum Tolerated Dose (MTD)
Lasso di tempo: from Cycle 1 Day 1 to Cycle 1 Day 28

The MTD was defined as the dose at which the observed DLT rate was closest to the target DLT rate of 28% using an isotonical method that took the assumption of a monotonic dose-toxicity relationship into account. Per the protocol, the stopping rule was either (a) reaching a certain number of participants at one dose level under the early stopping rule or (b) reaching the pre-defined maximum sample size. Dose escalation was to be considered complete only when one of these conditions was met. After completion, the MTD was to be defined as the dose level closest to the target DLT rate. The MTD could not be concluded until the stopping rule was met.
from Cycle 1 Day 1 to Cycle 1 Day 28
Recommended Dose for Expansion (RDE)
Lasso di tempo: from Cycle 1 Day 1 to Cycle 1 Day 28

The RDE was defined as a pharmacodynamically active dose. The RDE was determined in an independent fashion by evaluation of all available data (i.e., safety, pharmacokinetic, and pharmacodynamic data) from the respective dose-escalation stage of the study for further investigation in the expansion cohort, including safety (e.g., low-grade but chronic toxicities, dose reduction, dose interruption, or missed doses of zilurgisertib and/or ruxolitinib). The RDE(s) could not exceed the MTD in each treatment group
from Cycle 1 Day 1 to Cycle 1 Day 28

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Percentage of Participants With Anemia Response
Lasso di tempo: up to Week 24

Anemia response was defined as (a) a hemoglobin (Hgb) increase of 1.5 grams per deciliter (g/dL) relative to baseline for any "rolling" 12-week period (84 days with each assessment that met this requirement) during the first 24 weeks of treatment if transfusion independent (TI) at baseline; or (b) transfusion independence for any "rolling" 12-week period (absence of any red blood cell [RBC] transfusion over any 84-day period) during the first 24 weeks of treatment if transfusion dependent (TD) at baseline.
up to Week 24
Duration of Anemia Response
Lasso di tempo: up to 1530 days

Duration of anemia response was defined as (a) the interval from the first onset of anemia response to the earliest date of loss of anemia response that persisted for at least 4 weeks or death from any cause (for TI participants at baseline); or (b) the duration of the RBC-TI period for participants who achieved RBC-TI for at least 12 consecutive weeks during the first 24 weeks of treatment (for TD participants at baseline).
up to 1530 days
Mean Change From Baseline in the Hgb Value Over 12-week Treatment Periods
Lasso di tempo: Baseline; up to 24 weeks

Mean change from baseline was assessed as the largest increase from baseline in the mean Hgb values over any rolling 12-week treatment period during the first 24 weeks of treatment. Change from baseline was calculated as the post-baseline value minus the baseline value.
Baseline; up to 24 weeks
Rate of Red Blood Cell (RBC) Transfusion From Week 24 Through Week 48
Lasso di tempo: from Week 24 through Week 48

The rate of RBC transfusion was defined as the average number of RBC units per participant-month during the treatment period.
from Week 24 through Week 48
Splenic Volume Response Rate at Week 24
Lasso di tempo: Week 24

Splenic volume response rate was defined as the percentage of participants achieving a ≥35% reduction in spleen volume at Week 24 relative to baseline as measured by magnetic resonance imaging or computed tomography scan.
Week 24
Spleen Length Response
Lasso di tempo: Week 24

Spleen length response was defined as the percentage of participants achieving a ≥50% reduction in spleen length at any visit relative to baseline as measured by palpation.
Week 24
Overall Response Rate (ORR)
Lasso di tempo: Week 24

ORR was defined as the percentage of participants with complete response (CR) or partial response (PR) (including the morphologic effects of the combination of zilurgisertib with ruxolitinib on bone marrow) according to Tefferi et al (2013) definitions.
Week 24
Progression-free Survival (PFS)
Lasso di tempo: Week 24

PFS was defined as the interval from the first dose of study treatment until the first documented progression or death according to Tefferi et al (2013) definitions.
Week 24
Leukemia-free Survival (LFS)
Lasso di tempo: Week 24

LFS was defined as the interval from the first dose of study treatment until the first documented leukemia transformation or death from any cause.
Week 24
Cmax of Zilurgisertib Alone
Lasso di tempo: Cycle 1 Day 1 (first dose) and Cycle 1 Day 15 (steady state): pre-dose and 2 hours, 4 hours, and 6-8 hours post-dose

Cmax was defined as the maximum concentration of zilurgisertib.
Cycle 1 Day 1 (first dose) and Cycle 1 Day 15 (steady state): pre-dose and 2 hours, 4 hours, and 6-8 hours post-dose
Tmax of Zilurgisertib
Lasso di tempo: Cycle 1 Day 1 (first dose) and Cycle 1 Day 15 (steady state): pre-dose and 2 hours, 4 hours, and 6-8 hours post-dose

tmax was defined as the time to the maximum concentration of zilurgisertib.
Cycle 1 Day 1 (first dose) and Cycle 1 Day 15 (steady state): pre-dose and 2 hours, 4 hours, and 6-8 hours post-dose
AUC0-t of Zilurgisertib
Lasso di tempo: Cycle 1 Day 1 (first dose) and Cycle 1 Day 15 (steady state): pre-dose and 2 hours, 4 hours, and 6-8 hours post-dose

AUC0-t was defined as the area under the plasma concentration-time curve from time 0 to the last quantifiable measurable plasma concentration of zilurgisertib.
Cycle 1 Day 1 (first dose) and Cycle 1 Day 15 (steady state): pre-dose and 2 hours, 4 hours, and 6-8 hours post-dose
Percentage Change in Hepcidin From Cycle 1 Day 15 to Cycle 7 Day 1
Lasso di tempo: from Cycle 1 Day 15 to Cycle 7 Day 1

Percentage change was calculated as the ([post-baseline value minus the baseline value] / [baseline value]) * 100.
from Cycle 1 Day 15 to Cycle 7 Day 1
Change From Baseline in Ferritin
Lasso di tempo: Baseline; Cycle 1 Day 8; Cycle 1 Day 15; Cycle 1 Day 22; Cycles 2, 3, 4, 5, 6, and 7 Day 1; Cycle 2 Day 15

Change from Baseline (CFB) was calculated as the post-Baseline value minus the Baseline value.
Baseline; Cycle 1 Day 8; Cycle 1 Day 15; Cycle 1 Day 22; Cycles 2, 3, 4, 5, 6, and 7 Day 1; Cycle 2 Day 15
Change From Baseline in Hemoglobin at the End of Treatment
Lasso di tempo: up to 1530 days

Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
up to 1530 days

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Incyte Corporation

Investigatori

  • Direttore dello studio: Amanda McBride, MD, Incyte Corporation

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Pubblicazioni generali

Collegamenti utili

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

19 marzo 2021

Completamento primario (Effettivo)

1 aprile 2025

Completamento dello studio (Effettivo)

8 settembre 2026

Date di iscrizione allo studio

Primo inviato

19 giugno 2020

Primo inviato che soddisfa i criteri di controllo qualità

29 giugno 2020

Primo Inserito (Effettivo)

2 luglio 2020

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

1 ottobre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

9 settembre 2026

Ultimo verificato

1 settembre 2026

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • INCB 00928-104
  • 2020-004029-21 (Numero EudraCT)
  • 2023-503625-19-00 (Identificatore di registro: EU CT Number)
  • 2023 (Sovvenzione/contratto NIH degli Stati Uniti)

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

SÌ

Descrizione del piano IPD

Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.

The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency

Periodo di condivisione IPD

Data will be shared after the primary publication or 2 years after the study has ended for market authorized products and indications.

Criteri di accesso alla condivisione IPD

Data from eligible studies will be shared with qualified researchers according to the criteria and process described in the Data Sharing section of the www.incyteclinicaltrials.com website. For approved requests, the researchers will be granted access to anonymized data under the terms of a data sharing agreement.

Tipo di informazioni di supporto alla condivisione IPD

  • STUDIO_PROTOCOLLO
  • LINFA

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Sì

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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