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NCT Number: NCT06313593

A Study to Evaluate the Safety, Tolerability of INCB160058 in Participants With Myeloproliferative Neoplasms

This study is being conducted to assess the Safety, Tolerability, and Pharmacokinetics of INCB160058 in Participants With Myeloproliferative Neoplasms.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Princess Margaret Cancer Center, Toronto, Ontario, Canada

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥ 18 years
  • MF:
  • Intermediate-1 or higher risk PMF, post-PV MF, or post-ET MF with evidence of minimum burden of disease based on splenomegaly, and for the monotherapy cohort, participants must have been previously treated with at least 1 JAK inhibitor for ≥ 12 weeks and resistant, refractory, intolerant to, or have lost response to JAK inhibitor treatment.
  • For the MF SubOpt R cohort: Therapeutic regimen prior to enrollment as defined in the protocol and unlikely to benefit from further monotherapy in the opinion of the investigator.
  • PV: Confirmed diagnosis of PV and previously treated with at least 1 prior standard cytoreductive therapy and are resistant, refractory, intolerant to, or have lost response to treatment.
  • ET: Confirmed diagnosis of high-risk ET as defined in the protocol and previously treated with at least 1 prior standard cytoreductive therapy and are resistant, refractory, intolerant to, or have lost response to treatment.
  • Life expectancy > 6 months.
  • Willingness to undergo a pretreatment and regular on-study bone marrow biopsies and aspirations (as appropriate to disease).
  • Existing documentation of JAK2V617F mutation from a qualified local laboratory.

Exclusion criteria

  • Presence of a hematological malignancy requiring treatment, other than PMF, post-PV MF, post-ET MF, PV, or ET.
  • Prior history of major bleeding or thrombosis within the 3 months prior to study enrollment.
  • Participants with abnormal hematologic, hepatic, or renal function based on laboratory evaluation.
  • Has undergone prior allogenic or autologous stem-cell transplantation or allogenic stem-cell transplantation is planned
  • Active invasive malignancy.
  • Significant concurrent, uncontrolled medical condition.
  • Acute or chronic HBV, active HCV or known HIV.
  • Any prior MPN-directed therapy within 5 half-lives or 28 days (whichever is shorter) before the first dose of study treatment.
  • Participants undergoing treatment with G-CSF or GM-CSF, romiplostim, or eltrombopag at any time within 4 weeks before the first dose of study treatment.

Other protocol-defined Inclusion/Exclusion Criteria may apply.

Treatment and study plan

INCB160058

Drug

Oral; Tablet

Standard disease-directed therapy

Drug

A standard disease-directed therapy will be administered according to Prescribing Information/SmPC.

Primary outcomes

  1. Number of participants with Dose Limiting Toxicities (DLTs)

    Time frame: Up to 28 days

    Dose-limiting toxicity will be defined as the occurrence of any of the toxicities as per protocol.

  2. Number of participants with Treatment-emergent Adverse Events (TEAEs)

    Time frame: Up to 2 years and 30 days

    Defined as adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug.

  3. Number of participants with TEAEs leading to dose modification or discontinuation

    Time frame: Up to 2 years and 30 days

    Number of participants with TEAEs leading to dose modification or discontinuation.

Secondary outcomes

  1. INCB160058 and a standard disease-directed therapy pharmacokinetic (PK) in Plasma

    Time frame: Up to Day 57

    INCB160058 and the protocol defined standard disease-directed therapy concentration in plasma.

  2. For participants with MF: Response using the revised IWG-MRT and ELN response criteria for MF

    Time frame: Week 12 and 24 and then every 24 weeks up to 2 years

    Defined as the percentage of participants with Response using the revised International Working Group for Myelofibrosis Research and Treatment (IWG-MRT) and European LeukemiaNet (ELN) response criteria.

  3. For participants with MF: Percentage of participants achieving spleen volume reduction as defined in the protocol

    Time frame: Week 12 and Week 24

    Defined as percentage of participants with a protocol defined Spleen Volume Reduction.

  4. For participants with PV: Response using revised IWG-MRT and ELN response criteria for PV

    Time frame: Week 12 and 24 and then every 24 weeks up to 2 years

    Defined as the percentage of participants with Response using the revised International Working Group for Myelofibrosis Research and Treatment (IWG-MRT) and European LeukemiaNet (ELN) response criteria.

  5. For participants with ET: Response using revised IWG-MRT and ELN response criteria for ET

    Time frame: Week 12 and 24 and then every 24 weeks up to 2 years

    Defined as the percentage of participants with Response using the revised International Working Group for Myelofibrosis Research and Treatment (IWG-MRT) and European LeukemiaNet (ELN) response criteria.

  6. For all participants: Percentage of participants achieving ≥ 50% reduction from baseline of total symptom score (TSS)

    Time frame: Week 24

    Defined as the percentage of participants achieving ≥ 50% reduction from baseline of TSS.

  7. For all participants: Symptom improvement in TSS at Weeks 12 and 24 relative to baseline as measured by the Myeloproliferative Neoplasms Symptom Assessment Form (MPN-SAF) TSS.

    Time frame: Week 12 and Week 24

    Defined as the proportion of participants who achieve a protocol defined reduction in Total Symptomatic Score (TSS) relative to baseline as measured by the MPN-SAF TSS.

Study contacts

Contact information is provided by the study sponsor or research team.

Incyte Corporation Call Center (US)

CONTACT

[email protected]

1.855.463.3463

Incyte Corporation Call Center (ex-US)

CONTACT

[email protected]

+800 00027423

Sponsors and collaborators

Lead sponsor

Incyte Corporation

Industry

Registry information

Official study title

A Phase 1, Open-Label, Multicenter Study of INCB160058 in Participants With Myeloproliferative Neoplasms

Important dates

Study start
2024
Primary completion
2028
Study completion
2028
First posted
Mar 15, 2024
Registry last updated
May 4, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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