About this trial
This is a single-arm, single-center study aims to recruit 40 participants with Essential Thrombocythemia (ET) and Polycythemia Vera (PV). Eligible participants will receive a subcutaneous injection of Peginterferon α-2b 180 mcg once a week and follow-up,and efficacy and safety will be evaluated.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Meet the 2016 WHO diagnostic criteria for ET (Essential Thrombocythemia) and PV (Polycythemia Vera)
Platelet count > 450 * 10^9/L; (2) Bone marrow biopsy shows marked megakaryocytic proliferation with increased mature megakaryocyte volume and increased nuclear lobulation. There is no significant granulocytic proliferation, left shift, or erythroid proliferation, with grade 1 fibrosis observed in a few cases; (3) Does not meet the WHO diagnostic criteria for BCR-ABL1+ CML, PV, PMF, MDS, or other myeloproliferative neoplasms; (4) JAK2, CALR, or MPL mutation positive.
PV (Polycythemia Vera) main criteria: (1) Hemoglobin > 16.5 g/dL in males, > 16 g/dL in females, or Hematocrit > 49% in males, > 48% in females, or an increase in red cell volume of 25% or more above the normal value; (2) Bone marrow biopsy shows increased cellularity inappropriate for age, with marked erythroid, granulocytic, and megakaryocytic proliferation, and the presence of mature megakaryocytes of varying sizes and morphologies; (3) JAK2 V617F mutation positive or JAK2 exon 12 mutation positive.
Disqualifiers
Previous treatment with Peginterferon α-2b.
ET patients who do not meet the criteria for cytoreductive therapy as per the 2016 Chinese Expert Consensus on Primary Thrombocythemia.
Allergy to the active ingredient, α-interferon, or any excipients of this product.
History of psychiatric illness, or allergy to interferon.
Trial design
Single group
Treatments tested in this trial
Peginterferon α-2b injection
DrugParticipants will receive Peginterferon α-2b 180 mcg once a week and follow-up. Dose adjustments will be made by the investigator based on the type and severity of adverse event (AE).
Treatment groups
Trial outcomes
Primary outcomes
Hematologic remission rate
Secondary outcomes
Molecular remission rate
Peripheral blood driver genes
Bone marrow-driven genes
The incidence of thrombosis
Sponsors and contacts
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Zhenya Hong
Lead sponsor
Tongji Hospital
Sponsor institution