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ROP-ET: a prospective phase III trial investigating the efficacy and safety of ropeginterferon alfa-2b in essential thrombocythemia patients with limited treatment options

JJ. Kiladjian, FF. Marin, HK. Al-Ali, A. Alvarez-Larrán, E. Beggiato, M. Bieniaszewska, M. Breccia, V. Buxhofer-Ausch, O. Cerna, AM. Crisan, CD. Danaila, V. De Stefano, K. Döhner, V. Empson, J. Gora-Tybor, M. Griesshammer, S. Grosicki, P....

. 2024 ; 103 (7) : 2299-2310. [pub] 20240304

Jazyk angličtina Země Německo

Typ dokumentu protokol klinické studie, časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc24019944

Interferon-based therapies, such as ropeginterferon alfa-2b have emerged as promising disease-modifying agents for myeloproliferative neoplasms (MPNs), including essential thrombocythemia (ET). Current ET treatments aim to normalize hematological parameters and reduce the thrombotic risk, but they do not modify the natural history of the disease and hence, have no impact on disease progression. Ropeginterferon alfa-2b (trade name BESREMi®), a novel, monopegylated interferon alfa-2b with an extended administration interval, has demonstrated a robust and sustained efficacy in polycythemia vera (PV) patients. Given the similarities in disease pathophysiology and treatment goals, ropeginterferon alfa-2b holds promise as a treatment option for ET. The ROP-ET trial is a prospective, multicenter, single-arm phase III study that includes patients with ET who are intolerant or resistant to, and/or are ineligible for current therapies, such as hydroxyurea (HU), anagrelide (ANA), busulfan (BUS) and pipobroman, leaving these patients with limited treatment options. The primary endpoint is a composite response of hematologic parameters and disease-related symptoms, according to modified European LeukemiaNet (ELN) criteria. Secondary endpoints include improvements in symptoms and quality of life, molecular response and the safety profile of ropeginterferon alfa-2b. Over a 3-year period the trial assesses longer term outcomes, particularly the effects on allele burden and clinical outcomes, such as disease-related symptoms, vascular events and disease progression. No prospective clinical trial data exist for ropeginterferon alfa-2b in the planned ET study population and this study will provide new findings that may contribute to advancing the treatment landscape for ET patients with limited alternatives. TRIAL REGISTRATION: EU Clinical Trials Register; EudraCT, 2023-505160-12-00; Registered on October 30, 2023.

AOP Health Vienna Austria

Centre d'Investigations Cliniques AP HP Hôpital Saint Louis Paris 75010 France

Centre Léon Bérard Lyon France

CIC 1427 Inserm Université Paris Cité 75010 Paris France

Clinic for Hematology Hemostasis Oncology and Stem Cell Transplantation Hannover Medical School Hannover Germany

Clinic of Internal Hematology University Hospital Kralovske Vinohrady Prague Czech Republic

Department of Clinical Hematology Regional Institute of Oncology Iasi Romania

Department of Clinical Therapeutics School of Medicine National and Kapodistrian University of Athens Athens Greece

Department of Hematology Careggi University Hospital Florence Italy

Department of Hematology Hospital Clínic of Barcelona Barcelona Spain

Department of Hematology Jagiellonian University Hospital Kraków Poland

Department of Hematology Medical University of Lodz Lodz Poland

Department of Hematology Policlinica de Diagnostic Rapid Brasov Brasov Romania

Department of Hematooncology Copernicus Memorial Hospital Lodz Poland

Department of Internal Medicine 1 Clinical Department of Hematology and Hemostaseology Medical University of Vienna Vienna Austria

Department of Internal Medicine 1 for Hematology with Stem Cell Transplantation Hemostaseology and Medical Oncology Ordensklinikum Linz Elisabethinen Johannes Kepler University Linz Linz Austria

Department of Internal Medicine 3 University Hospital Ulm Ulm Germany

Department of Internal Medicine 5 Medical University Innsbruck Innsbruck Austria

Department of Internal Medicine and Hematology Division of Hematology Semmelweis University Budapest Hungary

Department of Internal Medicine Clinical Divison of Hematology Medical University Graz Graz Austria

Department of Oncology and Hematology Ruhr University Bochum Johannes Wesling Hospital Minden Minden Germany

Department of Translational and Precision Medicine Sapienza University of Rome Rome Italy

Faculty of Medicine Department of Hematology Oncology Hemostaseology and Stem Cell Transplantation RWTH Aachen University Aachen Germany

Faculty of Medicine Department of Internal Medicine Division of Hematology University of Debrecen Debrecen Hungary

Fondazione Policlinico Gemelli IRCCS Section of Hematology Catholic University Rome Italy

Fundeni Clinical Institute Center for Hematology and Bone Marrow Transplantation București Romania

Hospital Universitario Ramón y Cajal Madrid Madrid Spain

Institut Català d' Oncologia Hospital Germans Trias i Pujol Josep Carreras Leukemia Research Institute Universitat Autònoma de Barcelona Barcelona Spain

Ion Chiricuta Institute of Oncology Hematology Department and Medfuture Research Center for Advanced Medicine Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca Romania

IRCCS Azienda Ospedaliero Universitaria di Bologna and Istituto di Ematologia Seràgnoli Bologna Italy

Laboratory of Hematology Bordeaux University Hospital Bordeaux France

Medical Clinic 3 Hematology and Internistic Oncology University Hospital Mannheim Mannheim Germany

Medical Faculty Johannes Kepler University Linz Linz Austria

Medical University of Gdańsk Gdańsk Poland

Medical University of Silesia Katowice Poland

Morales Meseguer University General Hospital Regional Center of Blood Donation CIBERER UCAM IMIB Murcia Murcia Spain

Universidad de Alcalá Madrid Spain

University Bordeaux INSERM BMC U1034 F 33600 Pessac France

University General Hospital Attikon Athens Greece

University Hospital Brno Department of Internal Medicine Hematology and Oncology Masaryk University Brno Czech Republic

University Hospital City of Health and Science of Turin Hospital Molinette Complex Structure of Hematology Torino Italy

University Hospital Halle Krukenberg Cancer Center Halle Halle Germany

Citace poskytuje Crossref.org

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