About this trial
This is a phase 3 double-blind clinical trial arm to test Ropeginterferon alfa-2b (P1101) in adult patients with Primary Myelofibrosis (PMF) at early stage or low to medium risk.
Participants will receive the study drug/placebo bi-weekly and have an assessment visit every 4 weeks. The ratio of study drug to placebo group is 2:1.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female patients aged ≥18 years at the time of signing the informed consent form;
Patients with pre-fibrotic/early PMF (Pre-PMF) or overt primary myelofibrosis at low to intermediate-1 risk according to DIPSS plus, diagnosed according to WHO 2016 or 2022 classification;
With good liver function at screening, which is defined as total bilirubin ≤1.5 × upper limit of normal (ULN), international normalized ratio (INR) ≤1.5 × ULN, albumin >3.5 g/dL, alanine aminotransferase (ALT) ≤2.0 × ULN, and aspartate aminotransferase (AST) ≤2.0 × ULN;
Hgb ≥10.0 g/dL at screening;
Disqualifiers
Any known contraindications to interferon α or hypersensitivity to interferon α;
Patients with prior interferon therapy having poor tolerability or lack of efficacy to the previous interferon therapy per investigator's judgement;
Patients with an ongoing cytoreduction (e.g., HU or IFN-α) at the time of screening if, in the Investigator's opinion, randomizing them into the placebo arm will lead to immediate rebound increase of peripheral blood counts and thus may jeopardize their health status;
With severe or serious diseases that, in the Investigator's opinion, may affect the patient's participation in this study;
Trial design
Parallel
Treatments tested in this trial
Ropeginterferon alfa-2b
Biological/VaccinePre-filled Syringe. Dosage: up to 500mcg
Placebo
Other interventionPlacebo is a look-alike substance with the intervention (Ropeginterferon alfa-2b) that contains no active drug.
Treatment groups
Trial outcomes
Primary outcomes
Number of Participants with Platelet count equal or less (≤) 400 × 10^9/L
Platelet count ≤400 × 10\^9/L is one of the criteria for clinically relevant complete hematologic response (CrCHR).
Number of Participants with White Blood Cells (WBC) count equal or less (≤) 10 × 10^9/L
White Blood Cells (WBC) count ≤10 × 10\^9/L is one of the criteria for clinically relevant complete hematologic response (CrCHR).
Number of Participants with Hemoglobin (Hgb) equal or greater (≧) 10.0 g/dL
Peripheral blood: Hemoglobin (Hgb) ≧ 10.0 g/dL is one of the criteria for clinically relevant complete hematologic response (CrCHR).
Number of Participants absence of major thrombotic events
The absence of major thrombotic events during the observation time frame is one of the criteria for clinically relevant complete hematologic response (CrCHR).
Sponsors and contacts
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