Trial Radar KI | ||
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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. | ||
Peginterferon α-2b Injection for Hydroxyurea Resistant or Intolerant ET Phase 2 27 Randomisiert Offene Studie
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.
- P2b-4-3-002
Peginterferon α-2b
hydroxyurea resistant
hydroxyurea intolerant
| Teilnehmergruppe/Studienarm | Intervention/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). |
| Ergebnismessung | Beschreibung der Messung | Zeitrahmen |
|---|---|---|
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. |
| Ergebnismessung | Beschreibung der Messung | Zeitrahmen |
|---|---|---|
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 |
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.
- 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.