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INCB000928 作为单一疗法或与 Ruxolitinib 联合治疗因骨髓增生性疾病导致贫血的参与者

2026年9月9日 更新者：Incyte Corporation

INCB000928 作为单一疗法或与 Ruxolitinib 联合治疗因骨髓增生性疾病导致贫血的参与者的 1/2 期开放标签多中心研究

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.

研究概览

地位

完全的

条件

干预/治疗

研究类型

介入性

注册 (实际的)

84

阶段

  • 阶段2
  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

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

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

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.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：非随机化
  • 介入模型：顺序分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：Treatment Group A (TGA)

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

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

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

INCB000928 will be administered at protocol defined dose.

药品：ruxolitinib

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

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

INCB000928 will be administered at protocol defined dose.

药品：ruxolitinib

Ruxolitinib will be administered at protocol defined dose.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Number of Participants With Any Treatment-emergent Adverse Event (TEAE) and Any Treatment-emergent Serious Adverse Event (SAE)
大体时间：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
大体时间：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)
大体时间：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)
大体时间：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)
大体时间：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

次要结果测量

结果测量
措施说明
大体时间
Percentage of Participants With Anemia Response
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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)
大体时间：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)
大体时间：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)
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：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
大体时间：up to 1530 days

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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Incyte Corporation

调查人员

  • 研究主任：Amanda McBride, MD、Incyte Corporation

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

有用的网址

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2021年3月19日

初级完成 (实际的)

2025年4月1日

研究完成 (实际的)

2026年9月8日

研究注册日期

首次提交

2020年6月19日

首先提交符合 QC 标准的

2020年6月29日

首次发布 (实际的)

2020年7月2日

研究记录更新

最后更新发布 (实际的)

2026年10月1日

上次提交的符合 QC 标准的更新

2026年9月9日

最后验证

2026年9月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • INCB 00928-104
  • 2020-004029-21 (EudraCT编号)
  • 2023-503625-19-00 (注册表标识符：EU CT Number)
  • 2023 (美国 NIH 拨款/合同)

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

是的

IPD 计划说明

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

IPD 共享时间框架

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

IPD 共享访问标准

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.

IPD 共享支持信息类型

  • 研究方案
  • 树液

药物和器械信息、研究文件

研究美国 FDA 监管的药品

是的

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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