About this trial
This is a multicenter, randomized, open-label Phase 2 clinical study. It is aimed to enroll 27 essential thrombocytopenia (ET) patients who are resistant to or intolerant of hydroxyurea(HU). Eligible patients will be randomized to receive either Peginterferon α-2b 135 mcg or Peginterferon α-2b 180 mcg at a ratio of 1:2, and all subjects will go through a target treatment period (Weeks 1 \~ Week 48), an extension treatment period (Weeks 49 \~ Week 96) and a follow-up period (Weeks 97 \~ Week 100). Pharmacokinetics, safety, efficacy will be evaluated.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female subjects, aged greater or equal to 18 years old at screening;
Subjects diagnosed as high-risk ET according to the World Health Organization (WHO) 2016 criteria:1) who is older than 60 years and JAK2V617F positive at screening, 2) or who previously suffered from disease-related thrombosis or hemorrhage;
Subjects who have previously received HU for ET, and the time interval between the last HU dose and the first dose of the study drug should not be less than 7 days;
Interferon treatment-naïve, and for those who have previously received interferon the the time interval between the last dose of interferon and randomization should not be less than 1 month;
Disqualifiers
History of any other myeloproliferative tumors, or evidence of the presence of any other myeloproliferative tumors;
Contraindications or hypersensitivities to interferons of any of its excipients;
Severe medical conditions or serious comorbidities that the investigators determined could jeopardize the safety or protocol adherence, e.g. New York Heart Association [NYHA] Class III-IV, congestive heart failure, symptomatic arrhythmias,pulmonary hypertension;
History of major organ transplantation;
Trial design
Parallel
Treatments tested in this trial
Peginterferon α-2b injection
DrugPeginterferon α-2b injection, 135 mcg, s.c., once a week, during the targeted treatment period (the first 48 week), peginterferon α-2b dose is depended on the patient's response and tolerability during the extension treatment (week 49 to week 96).
Peginterferon α-2b injection
DrugPeginterferon α-2b injection, 180 mcg, s.c., once a week, during the targeted treatment period (the first 48 week), peginterferon α-2b dose is depended on the patient's response and tolerability during the extension treatment (week 49 to week 96).
Treatment groups
Trial outcomes
Primary outcomes
Maximum concentration (Cmax)
Time to maximum concentration (Tmax)
Area under the plasma concentration-time curve
Apparent volume of distribution after oral administration (Vz/f)
Secondary outcomes
Rate of complete hematological remission.
Platelet counts change from baseline.
White blood cell counts change from baseline.
Complete remission rate.
Sponsors and contacts
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