Clinical trial • Phase II • Haematology|Rare Disease

SAPABLURSEN for Polycythemia vera|Phlebotomy-dependent polycythemia vera

Phase II trial of SAPABLURSEN for Polycythemia vera|Phlebotomy-dependent polycythemia vera. Randomised, open-label, none/not specified-controlled.

Overview

Trial Therapeutic Area
Haematology|Rare Disease
Trial Disease
Polycythemia vera|Phlebotomy-dependent polycythemia vera
Trial Stage
Phase II
Drug Modality
Oligonucleotide

Key dates

Initial CTIS Submission Date
14-06-2024
First CTIS Authorization Date
10-07-2024

Trial design

Randomised, open-label, none/not specified-controlled Phase II trial in Poland.

Randomised
Yes
Open Label
Yes
Comparator
None/Not specified
Target Sample Size
50
Trial Duration For Participant
602

Eligibility

Recruits 50 Vulnerable population selected in the CTIS record; no further details on consent or assent handling are provided in the available data or documents..

Vulnerable Population
Vulnerable population selected in the CTIS record; no further details on consent or assent handling are provided in the available data or documents.

Inclusion criteria

  • {"criterion_text":"- Meet modified World Health Organization (WHO) 2016 diagnostic criteria for polycythemia vera (PV) at the time of clinical diagnosis\n- Participant must be phlebotomy dependent\n- Patients do not need to be on cytoreductive therapy and do not need to have been previously treated with cytoreductive therapy. If the patient was previously treated with the cytoreductive therapy it must have been discontinued at least 3 months prior to Screening. If patients are currently on cytoreductive therapy they must be on a stable dose for at least 3 months prior to Screening."}

Exclusion criteria

  • {"criterion_text":"- Meets criteria for post-polycythemia vera myelofibrosis (PPV-MF) as defined by the International Working Group- Myeloproliferative Neoplasms Research and Treatment (IWG-MRT)\n- Moderate to severe splenic pain or spleen-related organ obstruction\n- Active or chronic bleeding within 1 month of Screening, significant concurrent/recent coagulopathy, history of immune thrombocytopenic purpura (ITP)\n- Known primary or secondary immunodeficiency\n- Active infection with human immunodeficiency virus (HIV), hepatitis C, or hepatitis B.\n- Active infection requiring systemic antiviral or antimicrobial therapy or active novel coronavirus disease (Covid-19) infection\n- Malignancy within 5 years, except for basal or squamous cell carcinoma of the skin or carcinoma in situ of the cervix or nonmetastatic prostate cancer that has been successfully treated\n- Surgery requiring general anesthesia within 1 month prior to Screening"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Reduction in the frequency of phlebotomy comparing Baseline with the last 20 weeks of the 37-week Treatment Period","definition_or_measurement_approach":"Compare frequency of phlebotomy at Baseline with frequency during the last 20 weeks of the 37-week Treatment Period."}

Secondary endpoints

  • {"endpoint_text":"- Proportion of patients achieving a reduction in the frequency of phlebotomy by ≥ 30%, ≥ 50%, ≥ 75% and ≥ 90% comparing Baseline with the last 20 weeks of the 37-week Treatment Period [ Time Frame: Week 17 to Week 37 ]","definition_or_measurement_approach":"Proportion of patients meeting threshold reductions (≥30%, ≥50%, ≥75%, ≥90%) comparing Baseline to last 20 weeks of Treatment Period; time frame Week 17 to Week 37."}
  • {"endpoint_text":"- Change in the Myeloproliferative Neoplasm Symptom Assessment Form-Total Symptom Score (MPN-SAF-TSS) From Baseline to Week 37 [ Time Frame: Baseline up to Week 37 ]","definition_or_measurement_approach":"Change from Baseline in MPN-SAF Total Symptom Score measured through Week 37."}
  • {"endpoint_text":"- Safety Endpoint: AEs, vital signs, clinical laboratory tests (serum chemistry, hematology, urinalysis, coagulation panel, thyroid panel [TSH, T3, T4], electrocardiogram [ECG]","definition_or_measurement_approach":"Safety assessments including adverse events, vital signs, specified laboratory tests and ECGs collected per study schedule."}
  • {"endpoint_text":"- Exploratory Endpoints: Proportion of patients achieving Hct control (i.e. Hct<45%) without receiving phlebotomy throughout the last 20 weeks of the 37-week Treatment Period","definition_or_measurement_approach":"Proportion of patients with hematocrit <45% without phlebotomy during the last 20 weeks of the 37-week Treatment Period."}
  • {"endpoint_text":"- Exploratory Endpoints: Reduction in the frequency of phlebotomy comparing Baseline to the last 36 Weeks of the Treatment Extension Period","definition_or_measurement_approach":"Compare frequency of phlebotomy at Baseline to the last 36 weeks of the Treatment Extension Period."}
  • {"endpoint_text":"- Exploratory Endpoints: Proportion of patients achieving Hct control (i.e., Hct<45%) without receiving phlebotomy from Week 37 to 73 of the Treatment Extension Period","definition_or_measurement_approach":"Proportion of patients with hematocrit <45% without phlebotomy between Week 37 and Week 73 of the Treatment Extension Period."}
  • {"endpoint_text":"- PK Endpoint: A PK profile including pre-dose, 1,2,4, and optional 6-hour samples will be collected at Day 1. A PK profile will also be collected at Week 25 and will include: pre-dose, 1-, 2-, and 3-hour samples. Trough levels will be evaluated at all clinic visits at will not be required for hom health care visits.","definition_or_measurement_approach":"Pharmacokinetic sampling at specified timepoints: Day 1 (pre-dose, 1, 2, 4, optional 6-hour), Week 25 (pre-dose, 1, 2, 3-hour), and trough levels at clinic visits."}

Recruitment

Planned Sample Size
50
Recruitment Window Months
41
Consent Approach
Subject information and informed consent forms are available (Polish versions listed). No further specific details on assent, age-specific consent procedures, who provides consent, or other languages are provided in the available materials.

Geography

Total Number Of Sites
4
Total Number Of Participants
50

Poland

Earliest CTIS Part Ii Submission Date
22-05-2024
Latest Decision Or Authorization Date
07-04-2026
Processing Time Days
685
Number Of Sites
4
Number Of Participants
10

Sites

Site Name
Medicover Integrated Clinical Services Sp. z o.o.
Department Name
-
Contact Person Name
Dominik Chraniuk
Site Name
Wojewodzki Szpital Specjalistyczny Im. Janusza Korczaka W Slupsku Sp. z o.o.
Department Name
Oddzial Hematologiczny
Contact Person Name
Wojciech Homenda
Contact Person Email
wojhom@sl.home.pl
Site Name
Szpital Wojewodzki W Opolu Sp. z o.o.
Department Name
Oddział Kliniczny Hematologii, Onkologii Hematologicznej i Chorób Wewnętrznych
Contact Person Name
Dariusz Woszczyk
Contact Person Email
kozans@szpital.opole.pl
Site Name
Uniwersytecki Szpital Kliniczny Nr 1 W Lublinie
Department Name
Klinika Hematoonkologii i Transplantacji Szpiku
Contact Person Name
Maria Soroka-Wojtaszko
Contact Person Email
hematoonkologia@usk1.pl

Sponsor

Primary sponsor

Full Name
Ionis Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Icon Clinical Research Limited
Responsibilities
Responsibilities include SUSAR reporting and various clinical trial operational roles (multiple sponsorDuties codes present in CTIS record).

Third parties

  • {"country":"United States","full_name":"Yprime LLC","duties_or_roles":"Electronic clinical outcome assessment (eCOA) platform","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Patient Reimbursement","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Accellacare Limited","duties_or_roles":"Home healthcare services","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Icon Laboratory Services Inc.","duties_or_roles":"HIV test","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Sitero LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Millmount Healthcare Limited","duties_or_roles":"QP Declaration","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Multiple operational CRO roles including SUSAR reporting and other clinical trial operational functions (codes and roles listed in CTIS record).","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
ISIS 702843
Active Substance
SAPABLURSEN
Modality
Oligonucleotide
Routes Of Administration
Subcutaneous
Route
Subcutaneous
Authorisation Status
MIA number: IMP11566/00001 (Millmount Healthcare Ltd)
Frequency
9 doses over about 8 months

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