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Polycythemia VeraPhase 3VERIFYNCT05210790

A Study of Rusfertide in Adults With Polycythemia Vera (PV)

A Phase 3 study testing Rusfertide in people with Polycythemia Vera, run by Protagonist Therapeutics, Inc. at 184 sites in 20 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

Polycythemia vera (PV) is a long-term condition in which the bone marrow makes too many red blood cells (RBCs). Bone marrow is the soft tissue inside the large bones where blood cells are made. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Polycythemia Vera
What is being tested?
Rusfertide
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
293 participants
Where
184 sitesin 20 countries
Study dates
11 Apr 2022to 31 Aug 2028
Phase
Phase 3

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female participants aged 18 (or the minimum country specific age of consent if greater than [>]18) years or older.
  • Participant understands the study procedures, is willing and able to adhere to study requirements and agrees to participate in the study by giving written informed consent.
  • Meet revised 2016 World Health Organization (WHO) criteria for the diagnosis of PV.
  • Phlebotomy requiring defined as ALL of the following:
  • At least 3 phlebotomies due to inadequate hematocrit control in 28 weeks before randomization or at least 5 phlebotomies due to inadequate hematocrit control in 1 year before randomization, and
  • Last phlebotomy due to inadequate hematocrit control within 3 months before randomization, and
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  • No phlebotomy within 6 days prior to randomization (do not include day of phlebotomy and day of randomization in the 6-day count).
  • Complete blood count (CBC) values immediately prior to randomization:
  • Hematocrit <45%,
  • White blood cell count (WBC) 4000 cells per microlitre (/μL) to 20,000/μL (inclusive), and
  • Platelets 100,000/μL to 1,000,000/μL (inclusive).
  • Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2.
  • Women of childbearing potential (WOCBP) agree to use medically acceptable contraception (<1% annual failure rate) during the study and for 30 days after the last dose of study drug.
  • A female participant must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for a period of 30 days after receiving the last dose of study medication.
  • Men with partners of childbearing potential agree to use medically acceptable contraception (<1% annual failure rate) during the study and for 90 days after the last dose of study drug. In addition, men must use a condom during the study and for 90 days after the last dose of study drug regardless of the partner's childbearing potential.
  • A male participant must agree not to donate sperm for the purpose of reproduction during the study and for a minimum of 90 days after receiving the last dose.
  • Participants receiving cytoreductive therapy at randomization must be on a stable PV therapy regimen as follows:
  • Hydroxyurea - at least 2 months
  • Janus kinase (JAK) inhibitor - at least 2 months
  • Interferon - at least 6 months.
  • Participants treated with phlebotomy alone at randomization must have stopped:
  • Hydroxyurea at least 2 months before screening
  • JAK inhibitor at least 2 months before screening
  • Interferon at least 6 months before screening.

Who cannot join

  • Clinically meaningful laboratory abnormalities at Screening, including but not limited to the following:
  • Estimated glomerular filtration rate (eGFR) <15 milliliters per minute per 1.73 square meters (mL/min/1.73 m^2)
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥2.5×upper limit of normal (ULN)
  • Total bilirubin >1.5×ULN
  • Participants who required phlebotomy at HCT levels lower than 45%.
  • Pregnant or lactating females.
Show all 22Show fewer
  • Clinically significant thrombosis (e.g., deep vein thrombosis or splenic vein thrombosis) within 2 months prior to randomization.
  • Active or chronic bleeding within 2 months prior to randomization.
  • Met the criteria for post-PV myelofibrosis as defined by the International Working Group-Myeloproliferative Neoplasms Research and Treatment.
  • Any infection requiring systemic therapy within 1 month of dosing except controlled human immunodeficiency virus (HIV), hepatitis B, and hepatitis C. Prophylactic therapies were allowed.
  • Any serious or unstable medical condition (e.g., poorly controlled HIV infection) or uncontrolled psychiatric condition as judged by the Investigator that would impair the participant's ability to participate in the study.
  • Major surgical procedure within 2 months prior to randomization unless the participant had fully recovered from surgery or planned major elective surgery during the study.
  • History of invasive malignancies within the last 5 years, except
  • localized cured cancer (e.g., prostate cancer and cervical cancer)
  • localized cured in situ or Stage 1 squamous cell carcinoma (SCC) of the skin, basal cell carcinoma (BCC) of the skin, or in situ melanoma of the skin.
  • Participants with in situ or Stage 1 SCC of the skin, in situ or Stage 1 BCC of the skin, or in situ melanoma of the skin identified during the required dermatology examination at Screening unless the cancer was adequately treated (i.e., treatment that was expected to be curative, such as Mohs surgery) before randomization. Note: Suspicious lesions were to be biopsied and results made available before randomization.
  • Participants with active alcohol or drug addiction that would have interfered with their ability to comply with study requirements.
  • Participants who did not complete at least 4 days of MFSAF assessments within 1 week prior to randomization.
  • Receipt of an investigational agent within 2 months or 5 half-lives, whichever was longer, prior to randomization.
  • Received busulfan, pipobroman, or 32Phosphorus within 7 months prior to Screening.
  • Participants with hypersensitivity to rusfertide or to any of the excipients or placebo.
  • Participants with any lesion or mass detected by physical examination or imaging during screening that was suspicious for malignancy unless evaluated and assessed to be not malignant.

Trial locations and contacts

184 sites in 20 countries.

184 sites in 20 countries

United States80 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Rocky Mountain Cancer Centers

    Aurora, Colorado, 80012

  • University of Colorado - Aurora Cancer Center

    Aurora, Colorado, 80045

  • New York Cancer and Blood Specialists

    Babylon, New York, 11702

  • Memorial Sloan Kettering Cancer Center - BASKING RIDGE

    Basking Ridge, New Jersey, 07920

  • American Oncology Partners of Maryland PA (Center for Cancer & Blood Disorders)

    Bethesda, Maryland, 20817

  • Rocky Mountain Cancer Centers - Boulder

    Boulder, Colorado, 80303

  • Roswell Park Comprehensive Cancer Center

    Buffalo, New York, 14263

  • Gabrail Cancer Center

    Canton, Ohio, 44718

  • Northwestern Memorial Hospital

    Chicago, Illinois, 60611

  • TriHealth Cancer Institute - Good Samaritan Hospital

    Cincinnati, Ohio, 45220

  • Good Samaritan Infusion Center - Kenwood

    Cincinnati, Ohio, 45236

  • Good Samaritan Infusion Center - Thomas

    Cincinnati, Ohio, 45242

  • Rocky Mountain Cancer Centers

    Colorado Springs, Colorado, 80907

  • Rocky Mountain Cancer Centers

    Colorado Springs, Colorado, 80923

  • The Ohio State University

    Columbus, Ohio, 43210

  • Ohio Health Research Institute

    Columbus, Ohio, 43214

  • Memorial Sloan Kettering Cancer Center - COMMACK

    Commack, New York, 11725

  • Pontchartrain Cancer Center

    Covington, Louisiana, 70433

  • Rocky Mountain Cancer Centers

    Denver, Colorado, 80218

  • Mission Cancer & Blood

    Des Moines, Iowa, 50314

  • City of Hope Medical Center, Duarte

    Duarte, California, 91010

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Oncology Associates of Oregon

    Eugene, Oregon, 97401

  • Fort Wayne Medical Oncology and Hematology

    Fort Wayne, Indiana, 46845

  • California Cancer Associates for Research and Excellence - Fresno

    Fresno, California, 93720

  • Palo Verde Hematology-Oncology

    Glendale, Arizona, 85304

  • HSHS St. Vincent Hospital

    Green Bay, Wisconsin, 54301

  • HSHS St. Mary's Hospital

    Green Bay, Wisconsin, 54303

  • Marin Cancer Care

    Greenbrae, California, 94904

  • East Carolina University

    Greenville, North Carolina, 27858

  • Pontchartrain Cancer Center

    Hammond, Louisiana, 70403

  • Memorial Sloan Kettering Cancer Center - WESTCHESTER

    Harrison, New York, 10604

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • City of Hope Medical Center, Lenner

    Irvine, California, 92618

  • University of Kansas Cancer Center

    Kansas City, Kansas, 66160

  • University of California, San Diego (UCSD) - Moores Cancer Center

    La Jolla, California, 92037

  • Northwestern Medicine Lake Forest Hospital

    Lake Forest, Illinois, 60045

  • Rocky Mountain Cancer Centers

    Lakewood, Colorado, 80228

  • Monmouth Medical Center Southern Campus

    Lakewood, New Jersey, 08701

  • Rocky Mountain Cancer Centers

    Littleton, Colorado, 80120

  • Rocky Mountain Cancer Centers

    Lone Tree, Colorado, 80124

  • Monmouth Medical Center

    Long Branch, New Jersey, 07740

  • University of California, Los Angeles (UCLA) - Medical Center

    Los Angeles, California, 90095

  • Memorial Sloan Kettering Cancer Center - MONMOUTH

    Middletown, New Jersey, 07748

  • Infirmary Cancer Care

    Mobile, Alabama, 36607

  • Memorial Sloan Kettering Cancer Center - BERGEN

    Montvale, New Jersey, 07645

  • Rutgers Cancer Institute of New Jersey

    New Brunswick, New Jersey, 08901

  • Yale University School of Medicine - Yale Cancer Center

    New Haven, Connecticut, 06510

  • New York Cancer and Blood Specialists

    New Hyde Park, New York, 11042

  • Memorial Sloan Kettering Cancer Center - KOCH

    New York, New York, 10021

  • New York Cancer and Blood Specialists

    New York, New York, 10028

  • Ichan School of Medicine at Mount Sinai

    New York, New York, 10029

  • New York Presbyterian Hospital/Weill Cornell Medical Center

    New York, New York, 10065

  • Community Cancer Trials of Utah

    Ogden, Utah, 84405

  • Stanford University

    Palo Alto, California, 94304

  • New York Cancer and Blood Specialists

    Patchogue, New York, 11772

  • Thomas Jefferson University Hospital

    Philadelphia, Pennsylvania, 19107

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15232

  • BRCR Medical Center

    Plantation, Florida, 33322

  • Pomona Valley Hospital Medical Center

    Pomona, California, 91767

  • New York Cancer and Blood Specialists

    Port Jefferson Station, New York, 11776

  • Oregon Health and Science University (OHSU) Knight Cancer Institute

    Portland, Oregon, 97210

  • Cancer Care Specialists

    Reno, Nevada, 89511

  • New York Cancer and Blood Specialists

    Riverhead, New York, 11901

  • Wilmot Cancer Institute, University of Rochester

    Rochester, New York, 14642

  • Northwest Oncology and Hematology

    Rolling Meadows, Illinois, 60008

  • Texas Oncology San Antonio

    San Antonio, Texas, 78240

  • Sharp Memorial Hospital

    San Diego, California, 92123

  • University of California, San Francisco

    San Francisco, California, 94117

  • University of Washington - Fred Hutchinson Cancer Center

    Seattle, Washington, 98019

  • Orchard Healthcare Research Inc

    Skokie, Illinois, 60046

  • BayCare Suncoast Medical Clinic - Hematology/Oncology

    St. Petersburg, Florida, 33705

  • Moffitt Cancer Center

    Tampa, Florida, 33612

  • Montefiore Einstein Center for Cancer Care

    The Bronx, New York, 10461

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • New York Cancer and Blood Specialists

    The Bronx, New York, 10469

  • Memorial Sloan Kettering Cancer Center - NASSAU

    Uniondale, New York, 11553

  • City of Hope Medical Center, Upland

    Upland, California, 91786

Other trials in United States

Italy12 sites
  • Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII

    Bergamo, 24127

  • IRCCS Azienda Ospedaliero-Universtaria di Bologna

    Bologna, 40138

  • UOC Ematologia - ASST Spedail Civill Brescia

    Brescia, 25123

  • Azienda Ospedaliero - Universitaria Careggi

    Florence, 50134

  • IRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadon"

    Meldola, Forli-Cesena, 47014

  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, SC Ematologia (Padiglione Marcora),

    Milan, 35-20122

  • Fondazione IRCCS Policlinico San Matteo

    Pavia

  • UOC Ematologia e Centro Trapianti AST Pesaro Urbino, Stabilimento Muraglia

    Pesaro, 61122

  • Fondazione Policlinico Univ. A . Gemelli IRCCS

    Roma, 00168

  • AOU San Luigi Gonzaga Orbassano

    Torino, 10043

  • AOU Citta della Salute e della Scienza di Torino

    Torino, 10126

  • Azienda ASST-SETTELAGHI, Ospedale di Circolo e Fond. Macchi di Varese Ospedael Vecchio

    Varese, 21100

Other trials in Italy

Poland9 sites
  • Szpital Specjalistyczny w Brzozowie Podkarpacki Osrodek Onkologiczny im.ks.B.Markiewicza

    Brzozów, 36-200

  • MICS Centrum Medyczne Bydgoszcz

    Bydgoszcz, 85-065

  • Klinika Hematologii I Transplantologii - Uniwersyteckie Centrum Kliniczne

    Gdansk, 80-214

  • Promed P.Lach R.Glowacki Spolka Jawna

    Krakow, 31-513

  • Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Lodzi Oddział

    Lodz, 93-510

  • Wojewodzkie Wielospecjalistyczne Centrum, Onkologii i Traumatologii im. M Kopernika w Lodzi

    Lodz, 93-513

  • MICS Centrum Medyczne Torun

    Torun, 87-100

  • MTZ Clinical Research Powered by Pratia

    Warsaw, 02-172

  • Centrum Medyczne Melita Medical

    Wroclaw, 50-449

Other trials in Poland

Spain9 sites
  • Hospital Universitario Vall d'Hebron

    Barcelona, 08035

  • Hospital Clinic Barcelona

    Barcelona, 08036

  • Hospital Germans Trias i Pujol

    Barcelona, 08916

  • Hospital del Mar

    Barcelona, 8003

  • Hospital General Universitario Gregorio Maranon

    Madrid, 28007

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario 12 de Octubre

    Madrid

  • Hospital Universitari i Politecnic La Fe

    Valencia, 46026

  • Hospital Quironsalud de Zaragoza

    Zaragoza

Other trials in Spain

Turkey (Türkiye)9 sites
  • Ankara Universitesi Tip Fakultesi Hematologi Bilim dali Ankara

    Balkiraz, Ankara, 06620

  • Ege University Hospital Department of Hematology

    Bornova, İzmir, 35100

  • Sanko Universitesi tip Fakultesi Ic Hastaliklari Anabilim Dali

    Gaziantep, Sehitkamil, 27090

  • Gaziantep Universitesi Sahinbey Arastirma ve Uygulama Hastanesi

    Gaziantep, 27410

  • Marmara University Pendik Training & Research Hospital

    Istanbul, 34899

  • Erciyes Universitesi Tip Fakultesi Hastanesi, Dedeman Hospital

    Kayseri, 38039

  • Pamukkale University Hospitals

    Pamukkale, Denizli, 20160

  • Karadeniz Technical University Medical Faculty Farabi Hospital

    Trabzon, Ortahisar, 61080

  • Gazi University Medical Faculty

    Yenimahalle, Ankara, 06560

Other trials in Turkey (Türkiye)

France8 sites
  • CHU Amiens Picardie - Hopital Sud

    Amiens

  • CHU Angers

    Angers, Cedex 09

  • Centre Hospitalier d'Argenteuil

    Argenteuil, 95107

  • Centre Hospitalier de Beziers

    Béziers, 34500

  • AP-HP Hospital Necker-Enfants Malades

    Paris, Cedex 15, 75743

  • AP-HP Hopital Saint-Louis

    Paris, 75010

  • HCL Centre Hospitalier Lyon Sud

    Pierre-Bénite

  • CHU Poitiers

    Poitiers, Cedex, 86000

Other trials in France

United Kingdom8 sites
  • Barnet Hospital

    Barnet, EN5 3DJ

  • Pilgrim Hospital

    Boston, PE21 9QS

  • Northwick Park Hospital

    Harrow, HA1 3UJ

  • The Royal London Hospital

    London, E1 1BB

  • University College London Hospital

    London, NW1 2PG

  • Royal Free Hospital, Royal Free London NHSFT

    London, NW3 2QG

  • Churchill Hospital

    Oxford, OX3 7LE

  • Hillingdon Hospital

    Uxbridge, Middlesex, U38 3NN

Other trials in United Kingdom

Germany7 sites
  • Uniklinik RWTH Aachen - Klinik fuer Haematologie, Onkologie, Haemostaseologie und Stammzelltransplantation (Med. Klinik IV)

    Aachen, 52074

  • Charite Universitaetsmedizin Berlin

    Berlin, 10117

  • Gemeinschaftspraxis Haematologie - Onkologie - Hauptstelle

    Dresden, 01307

  • Universitaetsmedizin Greifswald

    Greifswald, 17489

  • ONCOResearch Lerchenfeld GmbH

    Hamburg, 22081

  • InVo-Institut fuer Versorgungsforschung in der Onkologie GbR

    Koblenz, 56068

  • Universitaetsmedizin der Johannes Gutenberg - Universitaet Mainz

    Mainz, 55131

Other trials in Germany

Israel7 sites
  • Rambam Health Care Campus

    Haifa, 3109601

  • Hadassah Medical Center Ein Karem

    Jerusalem, 121000

  • Shaare Zedek Medical Center

    Jerusalem, 9103102

  • Meir Medical Center

    Kfar Saba, 4428164

  • Rabin Medical Center - Davidoff Hematology Center

    Petah Tikva, 4941492

  • Sourasky Medical Center

    Tel Aviv, 6423906

  • Shamir Medical Center (Assaf Harofe)

    Ẕerifin, 70300

Other trials in Israel

Austria6 sites
  • Medizinische Universitaet Graz

    Graz, 8036

  • Kepler Universitaets Klinikum GmbH

    Linz, 4021

  • Krankenhaus der Elisabethinen Linz

    Linz, A-4020

  • Medizinische Universitaet Wien

    Vienna, 1090

  • Wiener Gesundheitsverbund-Klinik Hietzing 5-Med.

    Vienna, 1130

  • Klinikum Wels-Grieskirchen Gmb

    Wels, 4600

Other trials in Austria

Canada4 sites
  • The University of Alberta - Edmonton

    Edmonton, Alberta, T6G 2G3

  • Jewish General Hospital

    Montreal, Quebec, H3T 1E2

  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N 3M5

  • Princess Margaret Hospital

    Toronto, Ontario, M5G 2C4

Other trials in Canada

Portugal4 sites
  • Conde Hospital Garcia de Orta

    Almada, 2801-951

  • Hospital de Braga

    Braga, 4710-243

  • CHULN - Hospital de Santa Maria

    Lisbon, 1649-035

  • Instituto Portugues de Oncologia do Porto Francisco Gentil, EPE

    Porto, 4200-072

Other trials in Portugal

Australia3 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

  • The Alfred Hospital

    Melbourne, Victoria, 3004

  • One Clinical Research

    Nedlands, Perth

Other trials in Australia

Belgium3 sites
  • ZNA Stuivenberg

    Antwerp, 2060

  • University Hospital Gent

    Ghent, 9000

  • Campus Gasthuisberg

    Leuven, 3000

Other trials in Belgium

Chile3 sites
  • Biocenter Centro Clinico de Investigacion

    Concepción, 4070196

  • Centro Medico Inmunocel

    Las Condes, Santiago Metropolitan, 7580206

  • Centro de Estudios Clinicos SAGA

    Providencia, Santiago Metropolitan, 7500653

Other trials in Chile

Czechia3 sites
  • Fakultni nemocnice Brno

    Brno

  • Fakultni nemocnice Olomouc

    Olomouc

  • Vseobecna fakultni nemocnice v Praze

    Prague, 128 00

Other trials in Czechia

Hungary3 sites
  • Semmelweis Egyetem

    Budapest, 1085

  • Debreceni Egyetem Klinikai Kozpont

    Debrecen, 4032

  • Markhot Ferenc Oktatokorhaz es Rendelointezet

    Eger, 3300

Other trials in Hungary

Mexico3 sites
  • Centro de Estudios de Investigacion SIYODE

    Madero, 89450

  • SUPERARE Centro de Infusion S.A. de C.V.

    Mexico City, ZC 03100

  • Boca Clinical Trials Mexico S.C. - Ciudad de Mexico

    Mexico City, ZC01120

Other trials in Mexico

Netherlands2 sites
  • Albert Schweitzer Ziekenhuis

    Dordrecht, 3318 AT

  • Erasmus MC

    Rotterdam, 3015 GD

Other trials in Netherlands

Hong Kong1 site
  • Queen Mary Hospital

    Hong Kong

Other trials in Hong Kong

About this study

Official title: A Phase 3 Study of the Hepcidin Mimetic Rusfertide (PTG-300; TAK-121) in Patients With Polycythemia Vera

Polycythemia vera (PV) is a long-term condition in which the bone marrow makes too many red blood cells (RBCs). Bone marrow is the soft tissue inside the large bones where blood cells are made. When there are too many RBCs, called erythrocytosis, the blood can become thicker and move less easily through blood vessels and organs. This can raise the risk of blood clots (thrombosis) in veins or arteries. Sometimes, these clots can be life-threatening and may cause a stroke or heart attack. Treatment aims to keep the percentage of RBCs in the blood (hematocrit) in a safe range. For adults with PV, this means keeping the hematocrit below 45%. This helps lower the blood thickness and the risk of thrombosis. PV can also be linked to low iron levels (iron deficiency), because the body uses iron to make more RBCs. Many people with PV are treated with blood removal (phlebotomy) to lower RBC levels in the blood. This can worsen the iron deficiency, because each blood removal also takes iron out of the body.

Rusfertide is a medicine that lowers the amount of iron available in the blood. It works like hepcidin, a natural hormone that helps control iron levels in the body. By limiting iron available for RBC production, rusfertide may help keep hematocrit below 45% and may improve symptoms. It may also reduce, or even remove, the need for phlebotomy in people.

Read more

The main aim of this study is to check how well rusfertide works compared with placebo to lower the number of phlebotomies. A placebo looks like rusfertide but does not have any medicine in it.

Other aims are to learn how safe rusfertide is compared with placebo and to understand how well it works to reduce the need for phlebotomy and to keep hematocrit levels under control. The study also wants to learn how rusfertide moves through the body (pharmacokinetics) and how it affects the body (pharmacodynamics or PD).

This study has 4 parts that follow each other:

  • In part 1a, participants will receive either rusfertide or placebo.
  • In part 1b, all participants will receive rusfertide.
  • In part 2, participants can continue to receive rusfertide if they benefit from treatment with rusfertide.
  • Part 3 will include participants who finish Part 2 and still benefit from rusfertide.

During the study, participants will visit the study clinical several times at fixed timepoints.

Being tested
Rusfertide, Placebo
Keywords
Polycythemia Vera, PV
Medical subject headings
Polycythemia Vera

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RusfertideDrug

    Rusfertide SC injection

  • PlaceboDrug

    Rusfertide-matching placebo SC injection

Study groups in NCT05210790
Study groupRoleWhat they receive
Part 1a: Randomized, Double-Blind Period: PlaceboPlacebo comparatorParticipants received their ongoing therapy for polycythemia vera (PV) along with rusfertide-matching placebo, subcutaneous (SC) injection, once weekly, from baseline up to Week 32.
Receives: Drug: Placebo
Part 1a: Randomized, Double-Blind Period: RusfertideExperimentalParticipants received their ongoing therapy for PV along with rusfertide once weekly, SC injection, from baseline up to Week 32. Rusfertide doses were titrated to maintain hematocrit less than (<) 45 percent (%). The starting dose was 19 milligrams (mg). The doses that were administered to Part 1a participants were 9.5, 19, 28, 41, 54, 69 and 82 mg.
Receives: Drug: Rusfertide
Part 1b: Open-Label Treatment Period: RusfertideExperimentalParticipants received rusfertide once weekly, SC injection, from Weeks 32 to 52. Rusfertide doses were titrated to maintain hematocrit < 45%. Participants who received rusfertide in Part 1a continued at their current dose unless dose adjustment was required. Participants who received placebo in Part 1a started rusfertide at 19 mg. The doses that were administered to Part 1b participants were 9.5, 19, 28, 41, 54, 69 and 82 mg.
Receives: Drug: Rusfertide
Part 2: Long Term Extension Period: RusfertideExperimentalParticipants received rusfertide once weekly, SC injection, from Weeks 52 to 156. Rusfertide doses were titrated to maintain hematocrit < 45%. The doses that were administered to Part 2 participants were 9.5, 19, 28, 41, 54, 69, 82, 95 and 108 mg. For weekly doses greater than (>) 90 mg, the dose of rusfertide was and will be divided into 2 doses administered 3 to 4 days apart.
Receives: Drug: Rusfertide
Part 3: Treatment Extension Period: RusfertideExperimentalParticipants will receive rusfertide once weekly, SC injection, from Week 156 to the end of the study (approximately 5 years). Rusfertide doses will be titrated to maintain hematocrit < 45%. The doses that will be administered to Part 3 participants are 9.5, 19, 28, 41, 54, 69, 82, 95 and 108 mg. For weekly doses > 90 mg, the dose of rusfertide will be divided into 2 doses administered 3 to 4 days apart.
Receives: Drug: Rusfertide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1a: Percentage of Participants Who Achieved Response

    Response was defined as absence of phlebotomy eligibility. Phlebotomy eligibility was defined as either: 1) A confirmed hematocrit (HCT) greater than or equal to (≥) 45% that was at least 3% higher than the baseline HCT, where confirmation was defined as 2 consecutive HCT assessments that were ≥ 45% and at least 3% higher than the baseline HCT, or 2) HCT ≥ 48%.

    Measured: From Weeks 20 to 32

Secondary outcomes (35)
  1. Part 1a: Number of Phlebotomies

    Measured: Baseline to Week 32

  2. Part 1a: Percentage of Participants With All Hematocrit Values < 45%

    Measured: Baseline to Week 32

  3. Part 1a: Change From Baseline in the Patient Reported Outcomes Measurement Information System (PROMIS) Fatigue Short Form 8a Total T-score

    The PROMIS Fatigue SF 8a T-score will be obtained via the item-response theory (IRT) response-pattern scoring approach using the PROMIS Scoring Service available at https://www.assessmentcenter.net/ac_scoringservice. It is an National Institutes of Health (NIH)-developed fatigue survey of 8 items that asks the participant about fatigue experience and impact over the past 7 days. Each item will be scored on a 5-point Likert scale (1=never/not at all to 5=almost always/very much). Raw scores (range: 8-40) will be converted into standardized T scores (range: 34.1-80.9), with higher scores indicating greater fatigue severity. A negative change from baseline indicates an improvement.

    Measured: Baseline, Week 32

  4. Part 1a: Change From Baseline in the Myelofibrosis Symptom Assessment Form (MFSAF) Version 4.0 Total Symptom Score-7 (TSS7) Items

    The MFSAF version 4.0 (v4.0) TSS7 is a questionnaire developed by the Patient-Reported Outcome (PRO) Consortium's Myelofibrosis Working Group that focuses on the 7 core symptoms of myelofibrosis: fatigue, night sweats, pruritus, abdominal discomfort, pain under the ribs on the left side, early satiety, and bone pain. It includes 7 items on a 0 (absent) to 10 (worst imaginable) numeric rating scale. A higher score indicates worse symptoms. A negative change from baseline indicates an improvement.

    Measured: Baseline, Week 32

  5. Part 1a: Change From Baseline in the PROMIS Fatigue Short Form 8a Total T-score Among Participants Who Have Moderate or Severe Symptoms at Baseline

    The PROMIS Fatigue SF 8a T-score will be obtained via the IRT response-pattern scoring approach using the PROMIS Scoring Service available at https://www.assessmentcenter.net/ac_scoringservice. It is a National Institutes of Health (NIH)-developed fatigue survey of 8 items that asks the participant about fatigue experience and impact over the past 7 days. Each item will be scored on a 5-point Likert scale (1=never/not at all to 5=almost always/very much). Raw scores (range: 8-40) will be converted into standardized T scores (range: 34.1-80.9), with higher scores indicating greater fatigue severity. Moderate or severe symptoms are defined as a baseline PROMIS Fatigue SF 8aT-score >/= 58.8. A negative change from baseline indicates an improvement.

    Measured: Baseline, Week 32

  6. Part 1a: Change From Baseline in the MFSAF Total Symptom Score-4 Items (TSS4) Among Participants Who Have Moderate or Severe Symptoms at Baseline

    The MFSAF v4.0 is a questionnaire developed by the PRO Consortium's Myelofibrosis Working Group that focused on the 7 core symptoms of myelofibrosis: fatigue, night sweats, pruritus, abdominal discomfort, pain under the ribs on the left side, early satiety, and bone pain. Items are scored on a 0 (absent) to 10 (worst imaginable) numeric rating scale. The MFSAF TSS4 is the sum of four items in the MFSAF (fatigue, itching [pruritis], night sweats, and abdominal discomfort). The weekly TSS4 will be calculated by averaging daily scores over a 7-day interval leading to Week 32 (inclusive). Moderate or severe symptoms are defined as a baseline MFSAF TSS4 >/=9.1. A higher score indicates worse symptoms. A negative change from baseline indicates an improvement.

    Measured: Baseline, Week 32

  7. Part 1a: Change From Baseline in the Myeloproliferative Neoplasm Symptom Assessment Form (MPN-SAF) Problems With Concentration Among Participants Who Have Moderate or Severe Symptoms at Baseline

    MPN-SAF is a 10-item questionnaire measurement tool for symptoms of MPNs. Moderate or severe symptoms are defined as baseline MPN-SAF problems with concentration ≥4. The descriptive analysis approach the distribution of the MPN-SAF problems with concentration at Baseline will be categorized using the Patient Global Impression of Severity (PGI-S). The response quartiles will be used to establish the recommended cut-off points for the MPN-SAF Problems with Concentration corresponding to "none" or "mild" versus "moderate or "severe" categories on the PGI-S.

    Measured: Baseline, Week 32

  8. Part 1a: Percentage of Participants With a Meaningful Within-person Change at Week 32 in the PROMIS Fatigue SF 8a Total T-score Among Participants Who Have Moderate or Severe Symptoms at Baseline

    The PROMIS Fatigue SF 8a T-score will be obtained via the IRT response-pattern scoring approach using the PROMIS Scoring Service available at https://www.assessmentcenter.net/ac_scoringservice. It is an NIH-developed fatigue survey of 8 items that asks the participant about fatigue experience and impact over the past 7 days. Each item will be scored on a 5-point Likert scale (1=never/not at all to 5=almost always/very much). Raw scores (range: 8-40) will be converted into standardized T scores (range: 34.1-80.9), with higher scores indicating greater fatigue severity. Moderate or severe symptoms are defined as a baseline PROMIS Fatigue SF 8aT-score >/= 58.8.

    Measured: At Week 32

  9. Part 1a: Percentage of Participants With a Meaningful Within-person Change at Week 32 in the MFSAF TSS4 Among Participants Who Had Moderate or Severe Symptoms at Baseline

    The MFSAF v4.0 is a questionnaire developed by the PRO Consortium's Myelofibrosis Working Group that focuses on the 7 core symptoms of myelofibrosis: fatigue, night sweats, pruritus, abdominal discomfort, pain under the ribs on the left side, early satiety, and bone pain. It included 7 items on a 0 (absent) to 10 (worst imaginable) numeric rating scale. The MFSAF TSS4 is the sum of four items in the MFSAF (fatigue, itching [pruritis], night sweats, and abdominal discomfort). The weekly TSS4 will be calculated by averaging daily scores over a 7-day interval leading to Week 32 (inclusive). Moderate or severe symptoms are defined as a baseline MFSAF TSS4 >/=9.1.

    Measured: At Week 32

  10. Part 1a: Percentage of Participants With a Meaningful Within-person Change at Week 32 in the MPN-SAF Problems With Concentration Among Participants Who Had Moderate or Severe Symptoms at Baseline

    MPN-SAF is a 10-item questionnaire measurement tool for symptoms of MPNs. Moderate or severe symptoms are defined as baseline MPN-SAF problems with concentration ≥4. The descriptive analysis approach the distribution of the MPN-SAF problems with concentration at Baseline was categorized using the PGI-S. The response quartiles were used to establish the recommended cut-off points for the MPN-SAF Problems with Concentration corresponding to "none" or "mild" versus "moderate or "severe" categories on the PGI-S.

    Measured: At Week 32

  11. Change From Baseline at Each Scheduled Assessment in Individual Questions and the Total Fatigue T-score Based on PROMIS Fatigue SF 8a

    The PROMIS Fatigue SF 8a T-score will be obtained via the IRT response-pattern scoring approach using the PROMIS Scoring Service available at https://www.assessmentcenter.net/ac_scoringservice. It is an NIH-developed fatigue survey that includes 8 items that asks the participant about fatigue experience and impact over the past 7 days. Each item will be scored on a 5-point Likert scale (1=never/not at all to 5=almost always/very much). Raw scores (range: 8-40) will be converted into standardized T scores (range: 34.1-80.9), with higher scores indicating greater fatigue severity.

    Measured: Baseline to end of study (up to approximately 5 years)

  12. Change From Baseline at Each Scheduled Assessment in Individual Questions and the Total Fatigue T-score Based on PROMIS Fatigue Short Form 8a for Among Participants With Moderate or Severe Symptoms at Baseline

    The PROMIS Fatigue SF 8a T-score was obtained via the IRT response-pattern scoring approach using the PROMIS Scoring Service available at https://www.assessmentcenter.net/ac_scoringservice. It is a National Institutes of Health (NIH)-developed fatigue survey of 8 items that asks the participant about fatigue experience and impact over the past 7 days. Each item will be scored on a 5-point Likert scale (1=never/not at all to 5=almost always/very much). Raw scores (range: 8-40) will be converted into standardized T scores (range: 34.1-80.9), with higher scores indicating greater fatigue severity. Moderate or severe symptoms are defined as a baseline PROMIS Fatigue SF 8aT-score >/= 58.8. A negative change from baseline indicates an improvement.

    Measured: Baseline to end of study (up to approximately 5 years)

  13. Change From Baseline at Each Scheduled Assessment in Individual Symptom Score and the Total Score Based on MFSAF v4.0 TSS4

    The MFSAF v4.0 is a questionnaire developed by the PRO Consortium's Myelofibrosis Working Group that focuses on the 7 core symptoms of myelofibrosis: fatigue, night sweats, pruritus, abdominal discomfort, pain under the ribs on the left side, early satiety, and bone pain. It includes 7 items on a 0 (absent) to 10 (worst imaginable) numeric rating scale. A higher score indicates worse symptoms.

    Measured: Baseline to end of study (up to approximately 5 years)

  14. Change From Baseline at Each Scheduled Assessment in Individual Symptom Score and the MFSAF v4.0 TSS4 Among Participants With Moderate or Severe Symptoms at Baseline

    The MFSAF v4.0 is a questionnaire developed by the PRO Consortium's Myelofibrosis Working Group that focused on the 7 core symptoms of myelofibrosis: fatigue, night sweats, pruritus, abdominal discomfort, pain under the ribs on the left side, early satiety, and bone pain. Items are scored on a 0 (absent) to 10 (worst imaginable) numeric rating scale. The MFSAF TSS4 is the sum of four items in the MFSAF (fatigue, itching [pruritis], night sweats, and abdominal discomfort). The weekly TSS4 will be calculated by averaging daily scores over a 7-day interval leading to Week 32 (inclusive). Moderate or severe symptoms are defined as a baseline MFSAF TSS4 >/=9.1. A higher score indicates worse symptoms. A negative change from baseline indicates an improvement.

    Measured: Baseline to end of study (up to approximately 5 years)

  15. Part 1a: Percentage of Participants With a Meaningful Within-person Change at Week 32 in the PROMIS Fatigue SF 8a Total T-score

    The PROMIS Fatigue SF 8a T-score will be obtained via the IRT response-pattern scoring approach using the PROMIS Scoring Service available at https://www.assessmentcenter.net/ac_scoringservice. It is an NIH-developed fatigue survey that includes 8 items that asks the participant about fatigue experience and impact over the past 7 days. Each item will be scored on a 5-point Likert scale (1=never/not at all to 5=almost always/very much). Raw scores (range: 8-40) will be converted into standardized T scores (range: 34.1-80.9), with higher scores indicating greater fatigue severity. A negative change from baseline indicates an improvement.

    Measured: At Week 32

  16. Part 1a: Percentage of Participants With a Meaningful Within-person Change at Week 32 in the MFSAF TSS4

    The MFSAF v4.0 is a questionnaire developed by the PRO Consortium's Myelofibrosis Working Group that focuses on the 7 core symptoms of myelofibrosis: fatigue, night sweats, pruritus, abdominal discomfort, pain under the ribs on the left side, early satiety, and bone pain. It includes 7 items on a 0 (absent) to 10 (worst imaginable) numeric rating scale. The MFSAF TSS4 is the sum of four items in the MFSAF (fatigue, itching [pruritis], night sweats, and abdominal discomfort). The weekly TSS4 will be calculated by averaging daily scores over a 7-day interval leading to Week 32 (inclusive).

    Measured: At Week 32

  17. Part 1a: Percentage of Participants With a Meaningful Within-person Change at Week 32 in the MPN-SAF Problems With Concentration

    MPN-SAF is a 10-item questionnaire measurement tool for symptoms of MPNs. Moderate or severe symptoms are defined as a baseline MPN-SAF problems with concentration ≥ 4. The descriptive analysis approach the distribution of the MPN-SAF problems with concentration at Baseline was categorized using the PGI-S. The response quartiles were used to establish the recommended cut-off points for the MPN-SAF Problems with Concentration corresponding to "none" or "mild" versus "moderate or "severe" categories on the PGI-S.

    Measured: At Week 32

  18. Change From Baseline at Each Scheduled Assessment in Individual Symptom Score and the Total Score Based on MPN-SAF TSS 10

    MPN-SAF is a 10-item questionnaire measurement tool for symptoms of MPNs. Moderate or severe symptoms are defined as a baseline MPN-SAF problems with concentration ≥ 4. The descriptive analysis approach the distribution of the MPN-SAF problems with concentration at Baseline was categorized using the PGI-S. The response quartiles were used to establish the recommended cut-off points for the MPN-SAF Problems with Concentration corresponding to "none" or "mild" versus "moderate or "severe" categories on the PGI-S.

    Measured: Baseline to end of study (up to approximately 5 years)

  19. Change From Baseline in Patient Global Impression of Severity (PGI-S) at Each Scheduled Assessment

    The PGI-S is a single question to assess the severity of PV symptoms over the last 24 hours prior to dosing. The participant will determine the severity of their PV symptoms on a 4-point scale ranging from "None" (0) to "Severe" (3). A higher score indicates worse symptoms. A negative change from baseline indicates an improvement.

    Measured: Baseline to end of study (up to approximately 5 years)

  20. Percentage of Participants With at Least One Unit Improvement in the PGI-S From Baseline at Each Scheduled Assessment

    The PGI-S is a single question to assess the severity of PV symptoms over the last 24 hours prior to dosing. The participant will determine the severity of their PV symptoms on a 4-point scale ranging from "None" (0) to "Severe" (3). A higher score indicates worse symptoms. A negative change from baseline indicates an improvement.

    Measured: Baseline to end of study (up to approximately 5 years)

  21. Percentage of Participants With a Rating on the Patient Global Impression of Change (PGI-C) of Either "Much Better" or "a Little Better" at Each Scheduled Assessment

    PGI-C is a simple, commonly used instrument to obtain a participant's overall assessment of the impact of treatment on the participant's quality of life. Participants will compare his/her condition from the start of the study on a 5-point scale ranging from "Much better" (1) to "Much worse" (5) at the time of the assessment.

    Measured: Baseline to end of study (up to approximately 5 years)

  22. Mean PGI-C at Each Scheduled Assessment

    PGI-C is a simple, commonly used instrument to obtain a participant's overall assessment of the impact of treatment on the participant's quality of life. Participants will compare his/her condition from the start of the study on a 5-point scale ranging from "Much better" (1) to "Much worse" (5) at the time of the assessment. A higher score indicates a worse condition.

    Measured: Baseline to end of study (up to approximately 5 years)

  23. Change From Baseline at Each Scheduled Assessment in Individual Symptom Score and the MFSAF v4.0 Total Symptom Score-7 Items (TSS7)

    The MFSAF version 4.0 (v4.0) TSS7 is a questionnaire developed by the Patient-Reported Outcome (PRO) Consortium's Myelofibrosis Working Group that focuses on the 7 core symptoms of myelofibrosis: fatigue, night sweats, pruritus, abdominal discomfort, pain under the ribs on the left side, early satiety, and bone pain. It includes 7 items on a 0 (absent) to 10 (worst imaginable) numeric rating scale. A higher score indicates worse symptoms. A negative change from baseline indicates an improvement.

    Measured: Baseline to end of study (up to approximately 5 years)

  24. Change From Baseline in the Individual Domain Scores and the Total European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score

    The EORTC QLQ-C30 is a validated instrument to obtain a participant's overall assessment of the impact of treatment on the participant's quality of life. It consists of 5 functional scales (physical, role, cognitive, emotional, and social functioning), a global quality of life (QoL) scale, 3 symptom scales (fatigue, nausea and vomiting, and pain), and 6 single items (appetite loss, diarrhea, dyspnea, constipation, insomnia, financial impact). For the functional and the global QoL scales, a higher score indicates better health. For the symptom scales, a higher score indicates more symptom burden. The QLQ-C30 summary score is calculated as the mean of the combined 13 QLQ-C30 scale and item scores (excluding global QoL and financial impact), with a higher score indicating a better health related QoL. Raw scores are converted into scale scores ranging from 0 to 100.

    Measured: Baseline, Week 32

  25. Median Time to First Hematocrit Equal to or Greater Than 45% After Randomization

    Measured: Baseline to end of study (up to approximately 5 years)

  26. Median Time to Phlebotomy-eligible After Randomization

    Phlebotomy eligibility was defined as either: 1) A confirmed HCT ≥ 45% that was at least 3% higher than the baseline HCT, where confirmation was defined as 2 consecutive HCT assessments that were ≥ 45% and at least 3% higher than the baseline HCT, or 2) HCT ≥ 48%.

    Measured: Baseline to end of study (up to approximately 5 years)

  27. Percentage of Participants With at Least One Hematocrit Equal to or Greater Than 48%

    Measured: Baseline to end of study (up to approximately 5 years)

  28. Percentage of Participants Who Maintain Absence of Phlebotomy Eligibility

    Phlebotomy eligibility was defined as either: 1) A confirmed HCT ≥ 45% that was at least 3% higher than the baseline HCT, where confirmation was defined as 2 consecutive HCT assessments that were ≥ 45% and at least 3% higher than the baseline HCT, or 2) HCT ≥ 48%.

    Measured: Baseline to end of study (up to approximately 5 years)

  29. Phlebotomy Annualized Rate

    Measured: Baseline to end of study (up to approximately 5 years)

  30. Parts 1a + 1b: Percentage of Participants Originally Randomized to Rusfertide Achieving Absence of Phlebotomy Eligibility More Than 52 Weeks

    Phlebotomy eligibility was defined as either: 1) A confirmed HCT ≥ 45% that was at least 3% higher than the baseline HCT, where confirmation was defined as 2 consecutive HCT assessments that were ≥ 45% and at least 3% higher than the baseline HCT, or 2) HCT ≥ 48%.

    Measured: Baseline to Week 52

  31. Part 1b: Median Time to First Hematocrit Equal to or Greater Than 45%

    Measured: Week 32 to Week 52

  32. Part 1b: Median Time to First Phlebotomy

    Measured: Week 32 to Week 52

  33. Parts 1a + 1b: Percentage of Participants With All Hematocrit Values Less Than 45%

    Measured: Baseline to Week 52

  34. Parts 1a + 1b: Percentage of Participants Randomized to Placebo Who Meet the Phlebotomy Eligibility in Part 1a and Part 1b, Separately

    Phlebotomy eligibility was defined as either: 1) A confirmed HCT ≥ 45% that was at least 3% higher than the baseline HCT, where confirmation was defined as 2 consecutive HCT assessments that were ≥ 45% and at least 3% higher than the baseline HCT, or 2) HCT ≥ 48%.

    Measured: Baseline to Week 52

  35. Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)

    Measured: Baseline up to end of study (up to approximately 5 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jan 2022
  2. Study start11 Apr 2022
  3. Primary completion21 Feb 2025
  4. Study completion31 Aug 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
293 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05210790
Sponsor's protocol ID
PTG-300-11
Other IDs
2023-509750-58-00, 2023
Acronym
VERIFY
Status last verified
Sep 2026
First submitted
14 Jan 2022
Last updated
19 Oct 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

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