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Die klinische Studie NCT06552429 für Essentielle Thrombozythämie ist offene rekrutierung. In der Kartenansicht des Klinische Studien Radar und den KI-Entdeckungstools finden Sie alle Details. Oder stellen Sie hier Ihre Fragen.
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Peginterferon α-2b Injection for Hydroxyurea Resistant or Intolerant ET Phase 2 27 Randomisiert Offene Studie

Offene Rekrutierung
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Die klinische Studie NCT06552429 untersucht Behandlung im Zusammenhang mit Essentielle Thrombozythämie. Diese interventionsstudie der Phase 2 hat den Status offene rekrutierung und startete am 29. August 2024. Es ist geplant, 27 Teilnehmer aufzunehmen. Durchgeführt von Xiamen Amoytop Biotech Co., Ltd. wird der Abschluss für 1. September 2027 erwartet. Die Daten von ClinicalTrials.gov wurden zuletzt am 17. November 2025 aktualisiert.
Kurzbeschreibung
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 patients will be randomized to receive either Peginterferon α-2b 135 mcg or Peginterferon α-2b 180 mcg at a ratio of 1:2, and all subjects will go through a target treatment period (Weeks 1 ~ Week 48), an extension trea...Mehr anzeigen
Offizieller Titel

A Phase 2 Multicenter, Randomized, Open-label Study to Evaluate the Pharmacokinetic, Safety and Efficacy of Peginterferon Alfa-2b Injection in Subjects With Essential Thrombocythemia Who Are Resistant to or Intolerant of Hydroxyurea.

Erkrankungen
Essentielle Thrombozythämie
Weitere Studien-IDs
  • P2b-4-3-002
NCT-Nummer
Studienbeginn (tatsächlich)
2024-08-29
Zuletzt aktualisiert
2025-11-17
Studienende (vorauss.)
2027-09
Geplante Rekrutierung
27
Studientyp
Interventionsstudie
PHASE
Phase 2
Status
Offene Rekrutierung
Stichwörter
Essential Thrombocythemia
Peginterferon α-2b
hydroxyurea resistant
hydroxyurea intolerant
Primäres Ziel
Behandlung
Zuteilungsmethode
Randomisiert
Interventionsmodell
Parallel
Verblindung
Keine (offene Studie)
Studienarme/Interventionen
Teilnehmergruppe/StudienarmIntervention/Behandlung
ExperimentellPeginterferon α-2b 135 mcg dose group
Peginterferon α-2b injection
Peginterferon α-2b injection, 135 mcg, s.c., once a week, during the targeted treatment period (the first 48 week), peginterferon α-2b dose is depended on the patient's response and tolerability during the extension treatment (week 49 to week 96).
ExperimentellPeginterferon α-2b 180 mcg dose group
Peginterferon α-2b injection
Peginterferon α-2b injection, 180 mcg, s.c., once a week, during the targeted treatment period (the first 48 week), peginterferon α-2b dose is depended on the patient's response and tolerability during the extension treatment (week 49 to week 96).
Hauptergebnismessungen
ErgebnismessungBeschreibung der MessungZeitrahmen
Maximum concentration (Cmax)
week1,4, 8, 12, 24, 36, 48, 60, 72, 84, 96.
Time to maximum concentration (Tmax)
week1,4, 8, 12, 24, 36, 48, 60, 72, 84, 96.
Area under the plasma concentration-time curve
week1,4, 8, 12, 24, 36, 48, 60, 72, 84, 96.
Apparent volume of distribution after oral administration (Vz/f)
week1,4, 8, 12, 24, 36, 48, 60, 72, 84, 96.
Apparent plasma clearance (CL/F)
week1,4, 8, 12, 24, 36, 48, 60, 72, 84, 96.
Plasma elimination half-life (t1/2)
week1,4, 8, 12, 24, 36, 48, 60, 72, 84, 96.
Relationship between exposure and the effect (desired-effectiveness or undesirable-toxicity) in a pharmacokinetic model and pharmacodynamic model.
up to 96 weeks.
Nebenergebnismessungen
ErgebnismessungBeschreibung der MessungZeitrahmen
Rate of complete hematological remission.
Week 24, 36, 48, 60, 72, 84, 96.
Platelet counts change from baseline.
Week 12, 24, 36, 48, 60, 72, 84, 96.
White blood cell counts change from baseline.
Week 12, 24, 36, 48, 60, 72, 84, 96.
Complete remission rate.
Week 24, 36, 48, 60, 72, 84, 96.
Time to complete remission from baseline.
Week 48, 96.
Duration of complete remission.
Week 48, 96.
Remission rate of bone marrow.
Week 48, 96.
Incidence of disease progression.
Week 48, 96.
Change of JAK2V617F mutations load from baseline.
JAK2V617F mutations were quantitatively detected using next-generation sequencing
Week 48, 96.
Change of CALR mutations load from baseline.
CALR mutations were quantitatively detected using next-generation sequencing
Week 48, 96.
Change of MPL mutations load from baseline.
MPL mutations were quantitatively detected using next-generation sequencing
Week 48, 96.
Change of MPN-SAF TSS scores from baseline
Week 12, 24, 36, 48, 60, 72, 84,96.
Change of spleen size from baseline
The maximum length of the spleen was measured by ultrasound.
Week 12, 24, 36, 48, 60, 72, 84, 96.
Rate of complete hematological remission maintenance in patients received dose-reduction extension therapy
Week 96.
Duration of complete hematological remission in patients received dose-reduction extension therapy
Week 96.
Change of 3-level Version of EuroQol Five Dimensions(EQ-5D-3L) scores from baseline.
Week 12, 24, 36, 48, 60, 72, 84, 96.
Incidence of thrombotic and bleeding events.
through study completion, an average of 2 year
Teilnahme-Assistent
Eignungskriterien

Zugelassene Altersgruppen
Erwachsene, Ältere Erwachsene
Mindestalter
18 Years
Zugelassene Geschlechter
Alle
  • 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:

    1. 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);
    2. 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;
    3. 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:

    1. Male subjects: must agree to use reliable contraception from inform consent until 6 months following the last dose of the study drug.
    2. 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.

  • 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.
Xiamen Amoytop Biotech Co., Ltd. logoXiamen Amoytop Biotech Co., Ltd.
Zentrale Studienkontakte
Kontakt: Lei Zhang, 13502118379, [email protected]
Kontakt: Rongfeng Fu, 13502118379, [email protected]
8 Studienstandorte in 1 Ländern
Peking Union Hospital, Chinese Academy of Medical Sciences, Beijing, China
Minghui Duan, Kontakt, 13621262462, [email protected]
Offene Rekrutierung
Peking University People's Hospital, Beijing, China
Hongxia Shi, Kontakt, 13661049635, [email protected]
Offene Rekrutierung
Union Hospital affiliated to Fujian Medical University, Fujian, China
Yong Wu, Kontakt, 13365910911, [email protected]
Offene Rekrutierung
Nanfang Hospital, Southern Medical University, Guangzhou, China
Na Xu, Kontakt, 18620698390, [email protected]
Offene Rekrutierung
Harbin First Hospital, Harbin, China
Tiejun Gong, Kontakt, 13836027737, [email protected]
Offene Rekrutierung
Henan Cancer Hospital, Henan, China
Hu Zhou, Kontakt, 13939068863, [email protected]
Offene Rekrutierung
Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Wen Wu, Kontakt, 13611770009, [email protected]
Offene Rekrutierung
The First Affiliated Hospital of Zhejiang University School of Medicine, Zhejiang, China
Hongyan Tong, Kontakt, 13958122357, [email protected]
Offene Rekrutierung