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.
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.
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- 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
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
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
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
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
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
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
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
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
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
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
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
Australia3 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
The Alfred Hospital
Melbourne, Victoria, 3004
One Clinical Research
Nedlands, Perth
Belgium3 sites
ZNA Stuivenberg
Antwerp, 2060
University Hospital Gent
Ghent, 9000
Campus Gasthuisberg
Leuven, 3000
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
Czechia3 sites
Fakultni nemocnice Brno
Brno
Fakultni nemocnice Olomouc
Olomouc
Vseobecna fakultni nemocnice v Praze
Prague, 128 00
Hungary3 sites
Semmelweis Egyetem
Budapest, 1085
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Markhot Ferenc Oktatokorhaz es Rendelointezet
Eger, 3300
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
Netherlands2 sites
Albert Schweitzer Ziekenhuis
Dordrecht, 3318 AT
Erasmus MC
Rotterdam, 3015 GD
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.
- Conditions
- Polycythemia Vera
- 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 group | Role | What they receive |
|---|---|---|
| Part 1a: Randomized, Double-Blind Period: Placebo | Placebo comparator | Participants 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: Rusfertide | Experimental | Participants 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: Rusfertide | Experimental | Participants 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: Rusfertide | Experimental | Participants 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: Rusfertide | Experimental | Participants 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.
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)
Part 1a: Number of Phlebotomies
Measured: Baseline to Week 32
Part 1a: Percentage of Participants With All Hematocrit Values < 45%
Measured: Baseline to Week 32
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
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
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
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
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
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
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
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
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)
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)
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)
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)
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
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
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
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)
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)
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)
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)
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)
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)
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
Median Time to First Hematocrit Equal to or Greater Than 45% After Randomization
Measured: Baseline to end of study (up to approximately 5 years)
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)
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)
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)
Phlebotomy Annualized Rate
Measured: Baseline to end of study (up to approximately 5 years)
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
Part 1b: Median Time to First Hematocrit Equal to or Greater Than 45%
Measured: Week 32 to Week 52
Part 1b: Median Time to First Phlebotomy
Measured: Week 32 to Week 52
Parts 1a + 1b: Percentage of Participants With All Hematocrit Values Less Than 45%
Measured: Baseline to Week 52
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
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.
- First posted27 Jan 2022
- Study start11 Apr 2022
- Primary completion21 Feb 2025
- Study completion31 Aug 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Polycythemia VeraStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Protagonist Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Takeda
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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.