91 Participants Needed

P1101 for Essential Thrombocythemia

Recruiting at 44 trial locations
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Overseen ByJewell Jessup, PhD
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 tests a new treatment called Ropeginterferon alfa-2b-njft (P1101) for individuals with essential thrombocythemia, a condition where the body produces too many platelets, causing blood clotting issues. The study aims to evaluate the treatment's effectiveness and safety. It targets adults needing treatment due to symptoms like night sweats, fatigue, or blood flow problems that don't improve with aspirin. Those who have found other treatments like HU ineffective or intolerable may also be suitable candidates. Participants should have a high platelet count and be prepared to follow study instructions. As a Phase 2 trial, this research focuses on assessing the treatment's efficacy in an initial, smaller group of people.

Do I need to stop my current medications to join the trial?

The trial does not specify if you need to stop taking your current medications. However, if you have been on hydroxyurea (HU), you must stop it at least 7 days before starting the trial medication.

Is there any evidence suggesting that Ropeginterferon alfa-2b-njft (P1101) is likely to be safe for humans?

Research has shown that ropeginterferon alfa-2b-njft, also known as P1101, is generally well-tolerated by patients. In one study, only 5.5% of patients stopped treatment due to unwanted effects, a lower rate than with some other treatments. Serious side effects related to the treatment were rare, affecting only 2.2% of participants.

Real-world data indicates that over several years, patients with essential thrombocythemia, a blood disorder, responded well to the treatment. Importantly, the FDA has already approved ropeginterferon alfa-2b-njft for treating another similar blood disorder called polycythemia vera, suggesting it is safe to use.12345

Why do researchers think this study treatment might be promising for essential thrombocythemia?

Ropeginterferon alfa-2b (P1101) is unique because it offers a novel approach to managing essential thrombocythemia by using a long-acting interferon. Traditional treatments like hydroxyurea and anagrelide primarily focus on reducing platelet counts but can come with significant side effects and frequent dosing. In contrast, P1101 is administered as a pre-filled syringe injection every two weeks, potentially improving convenience and compliance for patients. Researchers are excited about P1101 because it may not only control platelet levels effectively but also modify the underlying disease process with fewer side effects, offering a promising alternative for long-term disease management.

What evidence suggests that Ropeginterferon alfa-2b-njft (P1101) might be an effective treatment for Essential Thrombocythemia?

Research has shown that ropeginterferon alfa-2b-njft (P1101), the treatment under study in this trial, effectively treats essential thrombocythemia, a condition where the body produces too many platelets. In one study, 42.9% of patients experienced lasting improvement in their symptoms at 9 and 12 months, meaning their symptoms improved and remained stable for a significant time. Ropeginterferon also outperformed anagrelide, another treatment, particularly in high-risk patients. Therefore, strong evidence supports the effectiveness of this treatment for essential thrombocythemia.23467

Who Is on the Research Team?

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Oleh Zagrijtschuk, MD, PhD

Principal Investigator

PharmaEssentia Corporation

Are You a Good Fit for This Trial?

Adults diagnosed with Essential Thrombocythemia (ET) as per WHO criteria, with a platelet count over 450 × 10^9/L and good liver and kidney function. Participants must be at least 18 years old, agree to use birth control, and not breastfeed during the study. Those previously treated with ANA or HU are eligible but not if they've had poor responses or intolerance to interferon alfa therapy.

Inclusion Criteria

My liver is functioning well according to recent tests.
I haven't had treatment to reduce my blood cell counts, or I've only had hydroxyurea and/or anagrelide.
I have or have not been treated with ANA before, regardless of why I stopped.
See 5 more

Exclusion Criteria

I am not allergic to IFN-α or its ingredients.
Pregnant or lactating females
I need someone legally authorized to make decisions for me.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive Ropeginterferon alfa-2b-njft (P1101) for the treatment of Essential Thrombocythemia

52 weeks
Bi-weekly visits for injections and monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Extension

Participants may continue receiving treatment in an extension period

What Are the Treatments Tested in This Trial?

Interventions

  • Ropeginterferon alfa-2b-njft (P1101)
Trial Overview The trial is testing Ropeginterferon alfa-2b-njft (P1101) in adults with ET to evaluate its effectiveness, safety, and how well patients tolerate it. This single-arm study means all participants will receive P1101 without comparison to another treatment.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Ropeginterferon alfa-2b (P1101)Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

PharmaEssentia

Lead Sponsor

Trials
24
Recruited
2,800+

Published Research Related to This Trial

Ropeginterferon alfa-2b is an effective treatment for polycythemia vera (PV), showing long-term hematological response and reduction in JAK2V617F allele burden, making it a promising option for patients without symptomatic splenomegaly.
This treatment offers improved tolerability and safety compared to traditional therapies, with benefits such as extended dosing intervals and a potential increase in overall survival by lowering the risk of disease progression.
A pharmacokinetic evaluation of ropeginterferon alfa-2b in the treatment of polycythemia vera.Illés, Á., Pinczés, LI., Egyed, M.[2022]

Citations

Ropeginterferon Alfa-2b Succeeds in Phase 3 Essential ...In the intent-to-treat (ITT) population, 42.9% (39/91) of patients treated with ropeginterferon alfa-2b had durable responses at 9 and 12 months ...
Ropeginterferon Alfa-2b Generates Superior Efficacy vs ...Ropeginterferon alfa-2b showed superior efficacy over anagrelide in achieving durable responses in high-risk essential thrombocythemia patients.
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40330782/
EXCEED-ET trialThe goal of this study is to assess the efficacy and safety of ropeg in ET using a higher initial dose and accelerated titration (HDAC) regimen.
Real-World Evidence on Outcomes and Safety of ...Ropeginterferon alfa-2b-njft (ropegIFN) has demonstrated superior efficacy over hydroxyurea in polycythemia vera (PV); however, real-world data ...
Topline results of the phase 3 SURPASS-ET trial.Ropeg showed superior efficacy and safety compared to anagrelide as second-line therapy for ET. It represents a potential new therapeutic option for ET.
A multicenter study to assess efficacy, safety, and tolerability of ...A multicenter study to assess efficacy, safety, and tolerability of ropeginterferon alfa-2b-njft in patients with essential thrombocythemia in the US and ...
PharmaEssentia-SURPASS-ET-Data-Readout.pdfRopeginterferon alfa-2b-njft is currently FDA approved and marketed as BESREMi® and indicated for polycythemia vera (PV). The Company plans to ...
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