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PTG-300 in Patients With Polycythemia Vera and Elevated Hematocrit

A Phase 2 Study of the Hepcidin Mimetic PTG-300 in Patients With Polycythemia Vera and Elevated Hematocrit (PACIFIC)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04767802
Acronym
PACIFIC
Enrollment
20
Registered
2021-02-23
Start date
2021-02-02
Completion date
2023-03-15
Last updated
2024-03-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Polycythemia Vera

Keywords

PV

Brief summary

This is an open label, single arm trial of PTG-300 in subjects with PV who are newly diagnosed or for whom current therapy is not sufficient to control their hematocrit and have hematocrit \>48% prior to dosing. The PTG-300 dose and schedule may be adjusted every 2 to 4 weeks to maintain hematocrit \<45% with a target of \<43%. Subjects may receive PTG-300 treatment for up to 52 weeks.

Interventions

Hepcidin mimetic

Sponsors

Protagonist Therapeutics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Known diagnosis of polycythemia vera. 2. Hematocrit \>48% before dosing. 3. Evidence of hematocrit \>48% three or more times in the 28 weeks before dosing or five or more times in 52 weeks before dosing (except for newly diagnosed patients). 4. Clinically reasonable alternative causes for erythrocytosis have been evaluated and excluded. 5. Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2.

Exclusion criteria

1. Clinically significant thrombosis (e.g., deep vein thrombosis or splenic vein thrombosis) within 3 months of Screening. 2. Active or chronic bleeding within 4 weeks of Screening. 3. Meets the criteria for post-PV myelofibrosis as defined by the International Working Group-Myeloproliferative Neoplasms Research and Treatment (IWG-MRT). 4. Infection requiring hospitalization or intravenous antimicrobial therapy, or opportunistic infection within 3 months of dosing; any infection requiring systemic antimicrobial therapy within 4 weeks of dosing. Prophylactic antibiotics are allowed. 5. Any serious or unstable medical or psychiatric condition that would prevent, (as judged by the Investigator) the subject from properly providing informed consent or any condition which would jeopardize compliance with the study. 6. Known primary or secondary immunodeficiency. 7. Known positive for active hepatitis B, hepatitis C or human immunodeficiency virus (HIV) infection. 8. Any surgical procedure requiring general anesthesia within 1 month prior to Screening or planned elective surgery during the study. 9. History of invasive malignancies within the last 2 years, except non-melanoma skin cancer and localized curatively treated prostate cancer or cervical cancer. 10. Current or recent history of alcohol dependence or illicit drug use within 1 year prior to Screening.

Design outcomes

Primary

MeasureTime frameDescription
Evaluate PTG-300's efficacy in subjects with PV and baseline elevated hematocrit.Estimate the proportion of subject with a hematocrit less than 45% at Week 16Proportion of subjects with hematocrit \<45%

Secondary

MeasureTime frameDescription
Safety of PTG-300Week 52Proportion of Subjects Treatment-Emergent Adverse Events

Countries

Malaysia, South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026