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Safety Study of Pegylated Interferon Alpha 2b to Treat Polycythemia Vera (PEGINVERA)

Primary Purpose

Polycythemia Vera

Status
Completed
Phase
Phase 1
Locations
Austria
Study Type
Interventional
Intervention
PEG-P-INF alpha-2b (P1101)
Sponsored by
AOP Orphan Pharmaceuticals AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Polycythemia Vera

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Written informed consent obtained prior to any study specific screening activities and able to comply with this protocol.
  2. Patients age ≥18 years
  3. Confirmed diagnosis of PV according to either the WHO criteria (2008, appendix 6) or the PSVG (appendix 7) criteria plus JAK-2 positivity, including newly diagnosed, pre-treated and on cytoreductive therapy.
  4. Eastern Cooperative Oncology Group performance status ≤ 2
  5. If female of childbearing potential - have a negative urine pregnancy test result within 7 days prior to the scheduled first application of investigational product and agree to employ adequate birth control measures for the duration of the study.

Exclusion criteria:

  1. Diagnosis of any other myeloproliferative disorder
  2. Any clinically significant illness or surgery within 4 weeks prior to dosing
  3. Systemic infections, e.g. hepatitis B, hepatitis C, or HIV at screening
  4. Uncontrolled hypertension (systolic > 150 mmHg and diastolic > 100 mmHg, or clinically significant (i.e. active) cardiovascular disease: CVA/stroke (≤ 3 months prior to enrolment), myocardial infarction (≤ 3 months prior to enrolment), significant coronary artery stenosis, unstable angina, New York Heart Association (NYHA) Class 2 or greater Congestive heart failure, or serious cardiac arrhythmia requiring medication.
  5. Previous treatment with Interferon for PV
  6. Concurrent treatment with cytoreductive agents other than Hydroxyurea and investigational agents of any type
  7. History of malignant disease, including solid tumours and haematological malignancies (except basal cell and squamous cell carcinomas of the skin and carcinoma in situ of the cervix that have been completely excised and are considered cured) within the last 3 years
  8. History of severe allergic (like anaphylaxis) or hypersensitivity reactions (like angioedema), any known or suspected intolerance to the investigational product.
  9. Use of any investigational drug or participation in any investigational drug study within the last 4 weeks
  10. Clinically significant history or known presence of psychiatric disorders, including but not limited to depression, anxiety and sleep disorders
  11. Organ transplant, past or planned
  12. Inadequate liver function defined by serum (total) bilirubin > 2,5 x ULN and/ or AST and ALT > 2,5 x ULN
  13. Clinically significant ECG findings
  14. History of renal disease requiring haemodialysis or seizure disorder requiring anticonvulsant therapy
  15. Pregnant or lactating females (pregnancy test to be assessed within 7 days prior to study treatment start)
  16. Acute or chronic infections or autoimmune diseases (collagen diseases, polyarthritis, immune thrombocythemia, thyroiditis, psoriasis, lupus nephritis or any other autoimmune disorder).

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

P1101

Arm Description

Outcomes

Primary Outcome Measures

Maximum tolerated dose (MTD)
The definition of MTD is based on a 3+3 dose escalation design. MTD is defined as the next lower dose of that dose which was considered to be untolerated (observed DLT frequency at least 2 out of 3 in one cohort or at least 2 out of six patients in 2 cohorts).

Secondary Outcome Measures

Full Information

First Posted
September 1, 2010
Last Updated
January 29, 2018
Sponsor
AOP Orphan Pharmaceuticals AG
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1. Study Identification

Unique Protocol Identification Number
NCT01193699
Brief Title
Safety Study of Pegylated Interferon Alpha 2b to Treat Polycythemia Vera
Acronym
PEGINVERA
Official Title
An Open-label, Prospective, Multicentre, Phase I/II Dose Escalation Study to Determine the Maximum Tolerated Dose and to Assess the Safety and Efficacy of P1101, PEG-Proline-Interferon Alpha-2b in Patients With Polycythaemia Vera
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
August 2010 (Actual)
Primary Completion Date
January 25, 2018 (Actual)
Study Completion Date
January 25, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AOP Orphan Pharmaceuticals AG

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is the identification of the maximum tolerated dose (MTD) of the investigational medicinal product. Moreover the safety and tolerability will be assessed and an exploratory analysis of efficacy and biomarker modulation will be performed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Polycythemia Vera

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
P1101
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
PEG-P-INF alpha-2b (P1101)
Intervention Description
µg (starting with 50 µg), subcutaneously, 2-weekly administration
Primary Outcome Measure Information:
Title
Maximum tolerated dose (MTD)
Description
The definition of MTD is based on a 3+3 dose escalation design. MTD is defined as the next lower dose of that dose which was considered to be untolerated (observed DLT frequency at least 2 out of 3 in one cohort or at least 2 out of six patients in 2 cohorts).
Time Frame
The incidence of dose limiting toxicities (DLTs), which define the MTD are assessed continously until achievement of MTD.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent obtained prior to any study specific screening activities and able to comply with this protocol. Patients age ≥18 years Confirmed diagnosis of PV according to either the WHO criteria (2008, appendix 6) or the PSVG (appendix 7) criteria plus JAK-2 positivity, including newly diagnosed, pre-treated and on cytoreductive therapy. Eastern Cooperative Oncology Group performance status ≤ 2 If female of childbearing potential - have a negative urine pregnancy test result within 7 days prior to the scheduled first application of investigational product and agree to employ adequate birth control measures for the duration of the study. Exclusion criteria: Diagnosis of any other myeloproliferative disorder Any clinically significant illness or surgery within 4 weeks prior to dosing Systemic infections, e.g. hepatitis B, hepatitis C, or HIV at screening Uncontrolled hypertension (systolic > 150 mmHg and diastolic > 100 mmHg, or clinically significant (i.e. active) cardiovascular disease: CVA/stroke (≤ 3 months prior to enrolment), myocardial infarction (≤ 3 months prior to enrolment), significant coronary artery stenosis, unstable angina, New York Heart Association (NYHA) Class 2 or greater Congestive heart failure, or serious cardiac arrhythmia requiring medication. Previous treatment with Interferon for PV Concurrent treatment with cytoreductive agents other than Hydroxyurea and investigational agents of any type History of malignant disease, including solid tumours and haematological malignancies (except basal cell and squamous cell carcinomas of the skin and carcinoma in situ of the cervix that have been completely excised and are considered cured) within the last 3 years History of severe allergic (like anaphylaxis) or hypersensitivity reactions (like angioedema), any known or suspected intolerance to the investigational product. Use of any investigational drug or participation in any investigational drug study within the last 4 weeks Clinically significant history or known presence of psychiatric disorders, including but not limited to depression, anxiety and sleep disorders Organ transplant, past or planned Inadequate liver function defined by serum (total) bilirubin > 2,5 x ULN and/ or AST and ALT > 2,5 x ULN Clinically significant ECG findings History of renal disease requiring haemodialysis or seizure disorder requiring anticonvulsant therapy Pregnant or lactating females (pregnancy test to be assessed within 7 days prior to study treatment start) Acute or chronic infections or autoimmune diseases (collagen diseases, polyarthritis, immune thrombocythemia, thyroiditis, psoriasis, lupus nephritis or any other autoimmune disorder).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Barbara Grohmann-Izay, MD
Organizational Affiliation
AOP Orphan Pharmaceuticals AG
Official's Role
Study Director
Facility Information:
City
Innsbruck
State/Province
Tirol
ZIP/Postal Code
6020
Country
Austria
City
Wels
State/Province
Upper Austria
ZIP/Postal Code
4600
Country
Austria
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
City
Vienna
ZIP/Postal Code
1090
Country
Austria
City
Vienna
ZIP/Postal Code
1140
Country
Austria
City
Vienna
ZIP/Postal Code
1220
Country
Austria

12. IPD Sharing Statement

Citations:
PubMed Identifier
26261238
Citation
Gisslinger H, Zagrijtschuk O, Buxhofer-Ausch V, Thaler J, Schloegl E, Gastl GA, Wolf D, Kralovics R, Gisslinger B, Strecker K, Egle A, Melchardt T, Burgstaller S, Willenbacher E, Schalling M, Them NC, Kadlecova P, Klade C, Greil R. Ropeginterferon alfa-2b, a novel IFNalpha-2b, induces high response rates with low toxicity in patients with polycythemia vera. Blood. 2015 Oct 8;126(15):1762-9. doi: 10.1182/blood-2015-04-637280. Epub 2015 Aug 10.
Results Reference
derived

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Safety Study of Pegylated Interferon Alpha 2b to Treat Polycythemia Vera

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