55 Participants NeededMy employer runs this trial

Ropeginterferon for Polycythemia Vera

Recruiting at 6 trial locations
RR
BC
Overseen ByBrian Chernak, MD
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Memorial Sloan Kettering Cancer Center
Must be taking: Ropeg-interferon
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine the practicality of stopping treatment with ropeginterferon for individuals with polycythemia vera (PV), a blood condition characterized by excessive red blood cell production. The focus is on participants with a specific mutation in the JAK2 gene and their response to the treatment. The trial seeks participants diagnosed with PV within the past year who have not received more than six months of hydroxyurea treatment. As a Phase 2 trial, the research measures the treatment's effectiveness in an initial, smaller group of participants.

Is there any evidence suggesting that ropeginterferon is likely to be safe for humans?

Research has shown that ropeginterferon is generally safe for people with polycythemia vera (PV). In one study, 94.1% of patients experienced at least one side effect, but most were mild, such as flu-like symptoms and tiredness. Another study found that ropeginterferon remained consistently safe for Japanese patients with PV. Although there are risks of side effects, patients generally tolerate the treatment well. Additionally, the National Comprehensive Cancer Network (NCCN) recommends ropeginterferon as a preferred treatment for PV, supporting its safety and effectiveness.12345

Why do researchers think this study treatment might be promising for polycythemia vera?

Ropeginterferon is unique because it offers a different approach to treating polycythemia vera compared to standard therapies like hydroxyurea and phlebotomy. Unlike these treatments, Ropeginterferon is a long-acting interferon that is administered subcutaneously, potentially reducing the frequency of injections. Additionally, it works by modulating the immune system to target and control the overproduction of red blood cells, providing a more targeted approach. Researchers are excited about Ropeginterferon because it could offer a more convenient and potentially more effective option for patients with this condition.

What evidence suggests that ropeginterferon might be an effective treatment for polycythemia vera?

Studies have shown that ropeginterferon, the treatment being tested in this trial, effectively treats polycythemia vera (PV), a condition where the body produces too many red blood cells. Research indicates that after 52 weeks of treatment, ropeginterferon significantly reduced spleen size, a common issue in PV. In another study, about 67 out of 95 patients achieved a complete hematologic response (CHR), meaning their blood cell levels returned to normal. Additionally, ropeginterferon reduced the need for blood removal procedures, known as phlebotomies, from an average of 3 times a year to only 0.5 times. Over a longer period of 5 years, 55.8% of patients maintained this complete response, demonstrating its lasting effectiveness.56789

Who Is on the Research Team?

RR

Raajit Rampal, MD, PhD

Principal Investigator

Memorial Sloan Kettering Cancer Center

Are You a Good Fit for This Trial?

This trial is for people diagnosed with polycythemia vera (PV) who have a JAK2 gene mutation and are currently being treated with ropeg-interferon. Participants should be responding well to treatment.

Inclusion Criteria

Serum creatinine < 2 x ULN or creatinine clearance ≥30 mL/min based on Cockroft-Gault GFR estimation
Serum total bilirubin < 1.5 x ULN or higher if attributed to ineffective erythropoiesis or Gilbert's syndrome
I am 18 years old or older.
See 11 more

Exclusion Criteria

I have taken interferon-α medication in the past.
Positive thyroglobulin (TgAb) and/or thyroid peroxidase (TPOAb) autoantibodies at screening
Other conditions that may compromise achievement of study objectives in investigator's opinion
See 18 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive ropeg-interferon subcutaneously for polycythemia vera

36 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 months

What Are the Treatments Tested in This Trial?

Interventions

  • Ropeginterferon

Trial Overview

The study is testing if it’s possible and safe for some people with PV to stop taking ropeg-interferon, depending on how their disease has responded so far.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Ropeg-Interferon in People With Polycythemia VeraExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials
1,998
Recruited
602,000+

PharmaEssentia

Industry Sponsor

Trials
24
Recruited
2,800+

Citations

Effective Management of Polycythemia Vera With ... - thejh.org

After the 52-week ropeginterferon alfa-2b treatment, the mean spleen index reduced to 50.2 cm2 with a mean spleen size reduction of 5.6 cm2, as ...

An alternative dosing strategy for ropeginterferon alfa-2b ...

Ropeginterferon alfa-2b group showed a continuous trend of improved outcomes. At 36 months, ropeginterferon alfa-2b treatment led to CHR in 67 of 95 patients ( ...

Efficacy and Safety of Ropeginterferon Alfa-2b in Low-Risk ...

Among 42 patients, Ropeg significantly reduced mean phlebotomy frequency per year from 3.0 to 0.5 (p < 0.05) and improved CHR rates (69.1% at 48 weeks).

Ropeginterferon-Treated Patients With Polycythemia Vera ...

At 5 years, 55.8% of patients who received ropeginterferon experienced a complete hematologic response (CHR) compared with 44.0% of those who ...

5.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/37002907/

Evaluating ropeginterferon alfa-2b for the treatment of ...

Expert opinion: RCT have demonstrated high rates of hematological and molecular responses in PV patients treated with ROPEG, irrespective of thrombotic risk.

Efficacy and Safety of Long-Term Ropeginterferon Alfa-2b ...

Ropeginterferon Alfa-2b Induces High Rates of Clinical, Hematological and Molecular Responses in Polycythemia Vera: Two-Year Results from the ...

Efficacy and Safety of Ropeginterferon Alfa 2b (P1101) for ...

This is a randomized, open-label, multicenter, two-arm study to assess the efficacy and safety of ropeginterferon alfa-2b for patients with PV.

8.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/42566639/

Ropeginterferon alfa-2b in Polycythemia Vera

Conclusion: Ropeginterferon alfa-2b demonstrates no statistically significant difference compared to hydroxyurea, but gives better outcomes over ...

Ropeginterferon Alfa-2b Proves to be Efficacious, Safe in ...

showcased a consistent safety profile in Japanese patients with polycythemia vera, The agent induced a CHR rate of 27.6% a median time to CHR ...