Phase 3
N=222
Study of Efficacy and Safety in Polycythemia Vera Subjects Who Are Resistant to or Intolerant of Hydroxyurea: JAK Inhibitor INC424 (INCB018424) Tablets Versus Best Available Care: (The RESPONSE Trial)
Polycythemia Vera
Bottom Line
View on ClinicalTrials.gov: NCT01243944 ↗Enrolled (actual)
222
Serious AEs
20.8%
Results posted
Mar 2015
Primary outcome: Primary: The Percentage of Participants Achieving a Primary Response at Week 32 — 22.7; 0.9 percentage of participants — p=< 0.0001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- ruxolitinib tablets (Drug); Best Available Therapy (BAT) (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Incyte Corporation
- Primary completion
- Jan 2014
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Percentage of Participants Achieving a Primary Response at Week 32 |
22.7; 0.9 | < 0.0001 sig |
| SECONDARY The Percentage of Participants Achieving a Durable Primary Response at Week 48 |
20.0; 0.9 | <0.0001 sig |
| SECONDARY The Percentage of Participants Achieving Complete Hematological Remission at Week 32 |
23.6; 8.0 | 0.0016 sig |
| SECONDARY The Percentage of Participants Who Achieved a Durable Complete Hematological Remission at Week 48 |
20.9; 0.9 | — |
| SECONDARY The Percentage of Participants Who Achieved a Durable Hematocrit Control at Week 48 |
54.5; 1.8 | — |
| SECONDARY The Percentage of Participants Who Achieved Durable Spleen Volume Reduction at Week 48 |
37.3; 0.9 | — |
| SECONDARY Estimated Duration of the Primary Response |
1.00; 1.00; 0.92; 0.92; 0.92; 0.88 | — |
| SECONDARY The Percentage of Participants Who Achieved Overall Clinicohematologic Response at Week 32 |
8.2; 0.9; 54.5; 18.8 | — |
| SECONDARY The Percentage of Participants Achieving a Durable Complete or Partial Clinicohematologic Response at Week 48 |
7.3; 0.9; 50.9; 0.9 | — |
| SECONDARY Estimated Duration of the Complete Hematological Remission |
1.00; 1.00; 0.88; 0.83; 0.74; 0.74 | — |
| SECONDARY Duration of the Absence of Phlebotomy Eligibility |
1.00; 1.00; 0.97; 0.92; 0.91; 0.91 | — |
| SECONDARY Duration of Reduction in Spleen Volume |
1.00; 1.00; 1.00; 1.00; 1.00; 0.98 | — |
| SECONDARY Duration of The Overall Clinicohematologic Response |
1.00; 0.99; 0.96; 0.91; 0.88; 0.88 | — |
Summary
This pivotal phase III trial (CINC424B2301) is designed to compare the efficacy and safety of ruxolitinib (INC424) to Best Available Therapy (BAT) in participants with polycythemia vera (PV) who are resistant to or intolerant of hydroxyurea (HU).
Eligibility Criteria
Inclusion Criteria
- Participants diagnosed with PV for at least 24 weeks prior to screening according to the 2008 World Health Organization criteria
- Participants resistant to or intolerant of hydroxyurea
- Participants with a phlebotomy requirement
- Participants with splenomegaly (palpable or non-palpable) and a spleen volume, as measured by MRI (or CT in applicable participants ), of greater than or equal to 450 cubic centimeters
- Participants with an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
Exclusion Criteria
- Women who are pregnant or nursing
- Participants with inadequate liver or renal function
- Participants with significant bacterial, fungal, parasitic, or viral infection requiring treatment
- Participants with an active malignancy within the past 5 years, excluding specific skin cancers
- Participants with known active hepatitis or HIV positivity
- Participants who have previously received treatment with a JAK inhibitor
- Participants being treated with any investigational agent
Data sourced from ClinicalTrials.gov (NCT01243944). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.