Study on Efficacy and Safety of Givinostat Versus Hydroxyurea in Patients With Polycythemia Vera

Launched by ITALFARMACO · Oct 19, 2023

Keywords

ClinConnect Summary

This clinical trial is studying how effective and safe a new treatment called givinostat is compared to the standard treatment, hydroxyurea, for patients with a condition called polycythemia vera (PV). Polycythemia vera is a blood disorder where the body makes too many red blood cells, which can increase the risk of blood clots. The trial is specifically looking at patients who have a certain genetic marker (JAK2V617F-positive) and are at high risk for complications, such as those over 60 years old or who have had blood clots before.

To participate, patients need to have been diagnosed with polycythemia vera within the last three years and require treatment for their condition. They should also have certain blood levels that indicate the need for therapy, like high red blood cell counts. Participants will be randomly assigned to receive either givinostat or hydroxyurea and will be monitored for how well the treatments work and any side effects they may experience. This trial is currently recruiting participants, and it’s important to note that not everyone will qualify—there are specific health criteria that need to be met for safety reasons.

Gender

ALL

Eligibility criteria

• Core Treatment - Inclusion Criteria:
• • Patients must have been diagnosed with PV according to the 2016 WHO criteria before randomization
• • Patients must have JAK2V617F-positive disease
• * Patients with PV must meet the definition of HR for thrombosis (i.e., HR) within 3 years before screening as follows:
• • Age ≥ 60 years, and/or
• • Prior thrombosis.
• * Patients must be in need of treatment at screening, defined by the presence of at least one of the following:
• • HCT ≥ 45% or HCT \< 45% with at least 1 phlebotomy performed in the 3 months before screening, or
• • WBC count \> 10 × 109/L, or
• • PLT count \> 400 × 109/L.
• • Patients must have normalized HCT (i.e., HCT \< 45%) at randomization
• • Extended Treatment - Inclusion Criteria
• * Patients must have completed the Week 48 visit of the DSC/08/2357/32 core treatment phase and:
• • 1. if the patient received givinostat, a complete hematological response (CHR) at Week 48 shall be achieved
• • 2. if the patient received HU, did not achieve a CHR (see above for the definition) at Week 48
• • Core Treatment phase - Exclusion Criteria
• • Patients pre-treated with HU with a documented history of resistance or intolerance to HU defined by the original ELN criteria
• • Patients with a QTcF value of \> 450 msec for males and \> 460 msec for females at the Screening visit (as the mean of 3 consecutive readings 5 minutes apart in the event a first ECG demonstrates a prolonged QTcF interval); congenital or acquired history of QTc prolongation or ventricular arrhythmias, at the Screening visit
• • Splanchnic thrombosis and/or thrombosis of the cerebral venous sinuses and/or splenectomy in the medical history
• • Patients with clinically significant cardiovascular disease
• • Patients with myocardial infarction, stroke or unstable angina within the 6 months prior to screening.
• • Patients with inadequate liver or renal function at screening
• • Uncontrolled hypertriglyceridemia at screening, i.e., triglycerides ˃ 1.5 × ULN
• • Previous treatment with a JAK2 or HDAC inhibitor or 32-phosphorus (radioactive isotope) therapy.
• • Patients being treated concurrently with any investigational agent or prior participation in an interventional clinical study within the 30 days prior to screening or within 5 half-lives of the investigational product, whichever is longer.
• • Pregnant or nursing women
• • Extended treatment phase - Exclusion criteria
• • For patients randomized to givinostat in the core treatment phase - Patients with a QTcF value at Week 48 of \> 500 msec
• * For patients randomized to HU in the core treatment phase:
• • PLT count ≤ 150 × 109/L at Week 48
• • ANC \< 1.2 × 109/L at Week 48
• • Uncontrolled hypertriglyceridemia at Week 48
• • Patients with a QTcF value at Week 48 of \> 450 msec for males and \> 460 msec for female