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Completed

NCT Number: NCT01243944

Study of Efficacy and Safety in Polycythemia Vera Subjects Who Are Resistant to or Intolerant of Hydroxyurea: JAK Inhibitor INC424 (INCB018424) Tablets Versus Best Available Care: (The RESPONSE Trial)

This pivotal phase III trial (CINC424B2301) is designed to compare the efficacy and safety of ruxolitinib (INC424) to Best Available Therapy (BAT) in participants with polycythemia vera (PV) who are resistant to or intolerant of hydroxyurea (HU).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Buenos Aires, Argentina

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Participants diagnosed with PV for at least 24 weeks prior to screening according to the 2008 World Health Organization criteria
  • Participants resistant to or intolerant of hydroxyurea
  • Participants with a phlebotomy requirement
  • Participants with splenomegaly (palpable or non-palpable) and a spleen volume, as measured by MRI (or CT in applicable participants ), of greater than or equal to 450 cubic centimeters
  • Participants with an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2

Exclusion criteria

  • Women who are pregnant or nursing
  • Participants with inadequate liver or renal function
  • Participants with significant bacterial, fungal, parasitic, or viral infection requiring treatment
  • Participants with an active malignancy within the past 5 years, excluding specific skin cancers
  • Participants with known active hepatitis or HIV positivity
  • Participants who have previously received treatment with a JAK inhibitor
  • Participants being treated with any investigational agent

Treatment and study plan

ruxolitinib tablets

Drug

Starting dose of 10 mg BID with individualized dose titration ranging from 5 mg QD to 25 mg BID based on safety and efficacy

Best Available Therapy (BAT)

Other

Best Available Therapy (BAT) will be selected by the Investigator for each participant. BAT may not include experimental agents (i.e. those not approved for the treatment of any indication) as well as a limited number of other selected drugs in accordance with the protocol-defined requirements.

Other names: BAT could include:, Hydroxyurea, IFN/PEG-IFN, Pipobroman, Anagrelide, Lenalidomide, Pomalidomide, Observation only

Primary outcomes

  1. The Percentage of Participants Achieving a Primary Response at Week 32

    Time frame: 32 Weeks

    Primary response was defined as having achieved hematocrit control (the absence of phlebotomy eligibility beginning at the Week 8 visit and continuing through Week 32) and Spleen Volume Reduction (a greater than or equal to 35% reduction from baseline in spleen volume at Week 32).

Secondary outcomes

  1. The Percentage of Participants Achieving a Durable Primary Response at Week 48

    Time frame: 48 Weeks

    Durable Primary Response was defined as any participant who achieved the primary outcome measure and who maintained their response up to 48 weeks after randomization.

  2. The Percentage of Participants Achieving Complete Hematological Remission at Week 32

    Time frame: 32 Weeks

    Complete Hematological Remission at Week 32 was defined as any participant who achieved hematocrit control with a platelet count less than or equal to 400 X 10^9/L and a white blood cell count less than or equal to 10 X 10^9/L.

  3. The Percentage of Participants Who Achieved a Durable Complete Hematological Remission at Week 48

    Time frame: 48 Weeks

    Durable Complete Hematological Remission was defined as any participant who achieved Complete Hematological Remission at Week 32 and maintained their response up to 48 weeks after randomization.

  4. The Percentage of Participants Who Achieved a Durable Hematocrit Control at Week 48

    Time frame: 48 Weeks

    Durable Hematocrit Control was defined as any participant who achieved phlebotomy eligibility independence from Week 8 to Week 32 and maintained hematocrit control up to 48 weeks after randomization.

  5. The Percentage of Participants Who Achieved Durable Spleen Volume Reduction at Week 48

    Time frame: 48 Weeks

    Durable Spleen Volume Reduction was defined as a participant who achieved at least 35% reduction from baseline in spleen volume at Week 32 and maintained that response 48 weeks after randomization.

  6. Estimated Duration of the Primary Response

    Time frame: Through study completion, analysis was conducted when all participants had completed the Week 80 visit or discontinued the study

    Duration of the primary response is defined as the time from the first occurrence when both components of the primary endpoint are met until the date of the first documented disease progression (end of response).

    Kaplan-Meier estimates are provided for duration of primary response.

  7. The Percentage of Participants Who Achieved Overall Clinicohematologic Response at Week 32

    Time frame: 32 Weeks

    Overall Clinicohematologic Response is defined as any participant who achieved a complete or partial clinicohematologic response per the European LeukemiaNet modified criteria for response in polycythemia vera (PV). A Complete Response (CR) is defined as: hematocrit control, spleen volume reduction at least 35% from baseline, platelet count less than or equal to 400 x 10(9)/L, and white blood cell count less than or equal to 10 x 10(9)/L. A Partial Response (PR) is defined as hematocrit control or response in all 3 of the other criteria.

  8. The Percentage of Participants Achieving a Durable Complete or Partial Clinicohematologic Response at Week 48

    Time frame: 48 Weeks

    Durable Complete or Partial Clinicohematologic Response was defined as any participant who achieved complete or partial clinicohematologic response per the European LeukemiaNet modified criteria for response in polycythemia vera at Week 32 and maintained that response 48 weeks after randomization.

  9. Estimated Duration of the Complete Hematological Remission

    Time frame: Through study completion, analysis was conducted when all participants had completed the Week 80 visit or discontinued the study

    Duration of the complete hematological remission is defined as the time from the first occurrence of complete hematological remission until the date of the first documented progression (end of response).

    Kaplan-Meier estimates are provided for duration of complete hematological remission.

  10. Duration of the Absence of Phlebotomy Eligibility

    Time frame: 256 Weeks

    Duration of the absence of phlebotomy eligibility is defined as the time from the first occurrence of absence of phlebotomy eligibility until the date of the first documented progression.

  11. Duration of Reduction in Spleen Volume

    Time frame: 256 Weeks

    Duration of spleen volume reduction is defined as the time from the first occurrence of a >=35% reduction from baseline in spleen volume until the date of the first documented progression.

  12. Duration of The Overall Clinicohematologic Response

    Time frame: 256 Weeks

    Duration of the overall clinicohematologic response was defined as the time from the first occurrence of complete response (CR) or partial response (PR) until the date of the first documented disease progression.

Sponsors and collaborators

Lead sponsor

Incyte Corporation

Industry

Collaborators

  • Novartis Pharmaceuticals

Registry information

Official study title

Randomized, Open Label, Multicenter Phase III Study of Efficacy and Safety in Polycythemia Vera Subjects Who Are Resistant to or Intolerant of Hydroxyurea: JAK Inhibitor INC424 Tablets Versus Best Available Care (The RESPONSE Trial)

Important dates

Study start
2010
Primary completion
2014
Study completion
2018
First posted
Nov 19, 2010
Registry last updated
Mar 6, 2019

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

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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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