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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01773187
Registration number
NCT01773187
Ethics application status
Date submitted
18/01/2013
Date registered
23/01/2013
Date last updated
29/09/2020
Titles & IDs
Public title
Pacritinib Versus Best Available Therapy to Treat Myelofibrosis
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Scientific title
A Randomized Controlled Phase 3 Study of Oral Pacritinib Versus Best Available Therapy in Patients With Primary Myelofibrosis, Post-Polycythemia Vera Myelofibrosis, or Post-Essential Thrombocythemia Myelofibrosis
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Secondary ID [1]
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PERSIST-1 (PAC325)
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Primary Myelofibrosis
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Post-polycythemia Vera Myelofibrosis
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Post-essential Thrombocythemia Myelofibrosis
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Condition category
Condition code
Blood
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Haematological diseases
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Blood
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Other blood disorders
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Musculoskeletal
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Other muscular and skeletal disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Cancer
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Leukaemia - Chronic leukaemia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: Pacritinib - Pacritinib 400 mg QD
Active comparator: Best Available Therapy - BAT includes any physician-selected treatment for primary or secondary myelofibrosis with the exclusion of JAK inhibitors (inhibitors of Janus kinases)
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Spleen Volume Reduction
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Assessment method [1]
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Number of patients achieving a = 35% reduction in spleen volume from baseline to week 24 as measured by magnetic resonance imaging (MRI) or computed tomography (CT)
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Timepoint [1]
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Baseline to Week 24
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Secondary outcome [1]
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Total Symptom Score (TSS) Reduction
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Assessment method [1]
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Number of patients with \>= 50% reduction in total score from baseline to week 24 on the Myeloproliferative Neoplasm Symptom Assessment Form 2.0 (MPN-SAF TSS 2.0). Responses (on a scale from 0 \[absent\] to 10 \[worst imaginable\]) to questions about symptoms (tiredness, early satiety, abdominal discomfort, night sweats, pruritus, bone pain, and pain under the ribs on the left side) were used to calculate the TSS.
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Timepoint [1]
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Baseline to Week 24
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Eligibility
Key inclusion criteria
* Intermediate -1 or -2 or high-risk Myelofibrosis (per Passamonti et al 2010)
* Palpable splenomegaly = 5 cm on physical examination
* Total Symptom Score >13 on the MPN-SAF TSS 2.0, not including the inactivity question
* Patients who are platelet or red blood cell transfusion-dependent are eligible
* Adequate white blood cell counts (with low blast counts), liver function, and renal function
* No spleen radiation therapy for 6-12 months
* Last therapy for myelofibrosis was 2-4 weeks ago, including any erythropoietic or thrombopoietic agent
* Not pregnant, not lactating, and agree to use effective birth control
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior treatment with a JAK2 inhibitor
* History of (or plans to undergo) spleen removal surgery or allogeneic stem cell transplant
* Ongoing gastrointestinal medical condition such as Crohn's disease, Inflammatory bowel disease, chronic diarrhea, or constipation
* Cardiovascular disease, including recent history or currently clinically symptomatic and uncontrolled: congestive heart failure, arrhythmia, angina, QTc prolongation or other QTc risk factors, myocardial infarction
* Other malignancy within last 3 years other than certain limited skin, cervical, prostate, breast, or bladder cancers
* Other ongoing, uncontrolled illnesses (including HIV infection and active hepatitis A, B, or C), psychiatric disorder, or social situation that would prevent good care on this study
* Life expectancy < 6 months
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
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Actual
1/04/2016
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Sample size
Target
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Accrual to date
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Final
327
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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CTI Investigational Site 61006 - Box Hill
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Recruitment hospital [2]
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CTI Investigational Site 61001 - Coffs Harbour
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CTI Investigational Site 61005 - Geelong
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CTI Investigational Site 61003 - Gosford
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CTI Investigational Site 61004 - Hobart
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Recruitment hospital [6]
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CTI Investigational Site 61002 - Milton
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Recruitment postcode(s) [1]
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- Box Hill
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- Coffs Harbour
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- Geelong
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- Gosford
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Recruitment postcode(s) [5]
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- Hobart
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Recruitment postcode(s) [6]
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- Milton
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Recruitment outside Australia
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United States of America
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Arizona
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Funding & Sponsors
Primary sponsor type
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Name
CTI BioPharma
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Ethics approval
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Summary
Brief summary
Phase 3, randomized, controlled study to evaluate the safety and efficacy of oral pacritinib compared to Best Available Therapy (BAT) in patients with primary or secondary myelofibrosis.
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Trial website
https://clinicaltrials.gov/study/NCT01773187
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Trial related presentations / publications
Mesa RA, Vannucchi AM, Mead A, Egyed M, Szoke A, Suvorov A, Jakucs J, Perkins A, Prasad R, Mayer J, Demeter J, Ganly P, Singer JW, Zhou H, Dean JP, Te Boekhorst PA, Nangalia J, Kiladjian JJ, Harrison CN. Pacritinib versus best available therapy for the treatment of myelofibrosis irrespective of baseline cytopenias (PERSIST-1): an international, randomised, phase 3 trial. Lancet Haematol. 2017 May;4(5):e225-e236. doi: 10.1016/S2352-3026(17)30027-3. Epub 2017 Mar 20. Tremblay D, Mesa R, Scott B, Buckley S, Roman-Torres K, Verstovsek S, Mascarenhas J. Pacritinib demonstrates spleen volume reduction in patients with myelofibrosis independent of JAK2V617F allele burden. Blood Adv. 2020 Dec 8;4(23):5929-5935. doi: 10.1182/bloodadvances.2020002970.
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Public notes
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Contacts
Principal investigator
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Beth Ziemba
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VP, Pharmacovigilance, Clinical Operations, QA
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01773187
Download to PDF