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Randomized, Open-label, Multicenter Phase 3 Study to Assess the Efficacy and Safety of GIVinostat Versus Hydroxyurea IN JAK2V617F-positive High-risk Polycythemia Vera Patients: the GIV-IN PV TRIAL


Description

The goal of this clinical trial is to compare the efficacy and safety of givinostat to hydroxyurea in Jak2V617F-positive high risk polycythemia vera patients.

Trial Eligibility

Inclusion Criteria: * Patients must have been diagnosed with PV according to the 2016 WHO criteria within 3 years before randomization * Patients must have JAK2V617F-positive disease * Patients with PV must meet the definition of HR for thrombosis (i.e., HR) at screening as follows: * Age ≥ 60 years, and/or * Prior thrombosis. * Patients must be in need of treatment at screening, defined by the presence of at least one of the following: * HCT ≥ 45% or HCT \< 45% with at least 1 phlebotomy performed in the 3 months before screening, or * WBC count \> 10 × 109/L, or * PLT count \> 400 × 109/L. * Patients must have normalized HCT (i.e., HCT \< 45%) at randomization Exclusion Criteria: * Patients pre-treated with HU with a documented history of resistance or intolerance to HU defined by the original ELN criteria * Patients with a QTcF value of \> 450 msec for males and \> 460 msec for females at the Screening visit (as the mean of 3 consecutive readings 5 minutes apart in the event a first ECG demonstrates a prolonged QTcF interval); congenital or acquired history of QTc prolongation or ventricular arrhythmias, at the Screening visit * Splanchnic thrombosis and/or thrombosis of the cerebral venous sinuses and/or splenectomy in the medical history * Patients with clinically significant cardiovascular disease * Patients with myocardial infarction, stroke or unstable angina within the 6 months prior to screening. * Patients with inadequate liver or renal function at screening * Uncontrolled hypertriglyceridemia at screening, i.e., triglycerides ˃ 1.5 × ULN * Previous treatment with a JAK2 or HDAC inhibitor or 32-phosphorus (radioactive isotope) therapy. * Patients being treated concurrently with any investigational agent or prior participation in an interventional clinical study within the 30 days prior to screening or within 5 half-lives of the investigational product, whichever is longer. * Pregnant or nursing women

Study Info

Organization

Italfarmaco


Primary Outcome

Proportion of patients achieving a response at Week 48.


Outcome Timeframe week 25 - week 48

NCTID NCT06093672

Phases PHASE3

Primary Purpose TREATMENT

Start Date 2024-03-26

Completion Date 2026-07

Enrollment Target 220

Interventions

DRUG Givinostat

DRUG Hydroxyurea

Locations Recruiting

University of Alabama at Birmingham

United States, Alabama, Birmingham


Emad Ibrahim, MD, Inc

United States, California, Redlands


Icahn School of Medicine at Mount Sinai

United States, New York, New York


The Cleveland Clinic Foundation

United States, Ohio, Cleveland


MD Anderson Cancer Center

United States, Texas, Houston


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