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Ruxolitinib versus Best Available Therapy in patients with high-risk polycythemia vera or high-risk essential thrombocythemia – The Ruxo-BEAT Trial
EU CTIS ID: 2024-515619-23-00
What this study is testing
The objective of the Ruxo-BEAT trial is to assess the feasibility, safety, and efficacy of administration of ruxolitinib vs. best available therapy in patients with high-risk PV or high-risk ET.
- Therapeutic exploratory (Phase II)
A plain-language read of the study's public EU CTIS listing. The study team confirms the details.
Who can take part
You may be able to join if
- Subjects must provide written informed consent prior to study-specific procedures or assessments which are not routinely performed for diagnosis or monitoring of PV or ET, and the subjects must be willing to comply with treatment and to follow up assessments and procedures
- Patient must be 18 years of age or older
- Patient´s ECOG performance status must be 0-2
- Patient must fulfill WHO 2008 diagnostic criteria for either polycythemia vera (PV) or essential thrombocythemia (ET). Moreover, PV- and ET-patients have to be classified as high risk according to defined criteria as outlined below. - For patients with high risk PV OR PV with indication for cytoreductive therapy due to progressive myeloproliferation, AT LEAST ONE of the following must be fulfilled (according to DGHO onkopedia) (Barbui, et al., 2011), (Passamonti, 2009): Age > 60 years; Previous documented thrombosis or thromboembolism; Platelet count > 1500 x 10^9/l; Poor tolerance of phlebotomy or frequent phlebotomy requirement; Symptomatic or progressive splenomegaly; Severe disease-related symptoms (according to the investigators definition); Progressive leukocytosis with leukocyte count > 20 x 10^9/l. - For patients with high risk ET, AT LEAST ONE of the following must be fulfilled (according to DGHO guidelines): Age > 60 years; Platelet count > 1500 x 10^9/l; Previous thrombosis or thromboembolism; Previous severe hemorrhage related to ET (defined as decrease of Hgb of at least 2 g/dl)
- Patients must fulfill the following criteria regarding prior therapy: PV patients: Never treated with cytoreductive drugs except hydroxyurea, anagrelide, or interferon for up to 6 weeks maximum (phlebotomy and/or aspirin are allowed). ET patients: Naïve and pretreated patients may be entered in this trial.
- Patient must have adequate liver function as indicated by a total bilirubin, AST, and ALT ≤ 2 of the institutional upper limit of normal (ULN) value, unless directly attributable to the patient’s MPN.
You likely can't join if
- Patients who meet criteria for post PV-MF or post ET-MF (IWG-MRT).
- Any circumstance at the time of study entry that would preclude completion of the study or the required follow-up prohibits inclusion into this study.
- Subjects who have had an active malignancy during the previous 3 years except for treated cervical intraepithelial neoplasia, basal cell carcinoma of the skin, or squamous cell carcinoma of the skin, each with no evidence for recurrence in the past 3 years.
- Patients who have uncontrolled bacterial, viral, or fungal infection.
- Patients who have any medical condition requiring prolonged use of oral corticosteroids with a dose of more than 20 mg per day (> 1 month).
- Patients who have severe cerebral dysfunction and/or legal incapacity.
See the full eligibility criteria
Who can join
- Subjects must provide written informed consent prior to study-specific procedures or assessments which are not routinely performed for diagnosis or monitoring of PV or ET, and the subjects must be willing to comply with treatment and to follow up assessments and procedures
- Patient must be 18 years of age or older
- Patient´s ECOG performance status must be 0-2
- Patient must fulfill WHO 2008 diagnostic criteria for either polycythemia vera (PV) or essential thrombocythemia (ET). Moreover, PV- and ET-patients have to be classified as high risk according to defined criteria as outlined below. - For patients with high risk PV OR PV with indication for cytoreductive therapy due to progressive myeloproliferation, AT LEAST ONE of the following must be fulfilled (according to DGHO onkopedia) (Barbui, et al., 2011), (Passamonti, 2009): Age > 60 years; Previous documented thrombosis or thromboembolism; Platelet count > 1500 x 10^9/l; Poor tolerance of phlebotomy or frequent phlebotomy requirement; Symptomatic or progressive splenomegaly; Severe disease-related symptoms (according to the investigators definition); Progressive leukocytosis with leukocyte count > 20 x 10^9/l. - For patients with high risk ET, AT LEAST ONE of the following must be fulfilled (according to DGHO guidelines): Age > 60 years; Platelet count > 1500 x 10^9/l; Previous thrombosis or thromboembolism; Previous severe hemorrhage related to ET (defined as decrease of Hgb of at least 2 g/dl)
- Patients must fulfill the following criteria regarding prior therapy: PV patients: Never treated with cytoreductive drugs except hydroxyurea, anagrelide, or interferon for up to 6 weeks maximum (phlebotomy and/or aspirin are allowed). ET patients: Naïve and pretreated patients may be entered in this trial.
- Patient must have adequate liver function as indicated by a total bilirubin, AST, and ALT ≤ 2 of the institutional upper limit of normal (ULN) value, unless directly attributable to the patient’s MPN.
- Patient must have a creatinine clearance >40ml/min calculated according to the modified formula of Cockcroft and Gault, eGFR, or directly measured after 24h-urine collection.
- Patient must be able to swallow and retain oral medication
What rules you out
- Patients who meet criteria for post PV-MF or post ET-MF (IWG-MRT).
- Any circumstance at the time of study entry that would preclude completion of the study or the required follow-up prohibits inclusion into this study.
- Subjects who have had an active malignancy during the previous 3 years except for treated cervical intraepithelial neoplasia, basal cell carcinoma of the skin, or squamous cell carcinoma of the skin, each with no evidence for recurrence in the past 3 years.
- Patients who have uncontrolled bacterial, viral, or fungal infection.
- Patients who have any medical condition requiring prolonged use of oral corticosteroids with a dose of more than 20 mg per day (> 1 month).
- Patients who have severe cerebral dysfunction and/or legal incapacity.
- Patients who have had active splanchnic vein thrombosis within the last 3 months (includes Budd-Chiari, portal vein, splenic and mesenteric thrombosis).
- Patients who have thyroid dysfunction which is not adequately controlled.
- Fertile men or women of childbearing potential cannot be included unless they are: -surgically sterile or > 2 years after the onset of menopause and/or -willing to use a highly effective contraceptive method (Pearl Index <1) such as oral contraceptives, intrauterine device, sexual abstinence, or barrier method of contraception (i.e. condoms) in conjunction with spermicidal jelly during study treatment.
- Patients who are taking any of the following prohibited medication: -clarithromycin, telithromycin, troleandomycin (antibiotics) -ritonavir, indinavir, saquinavir, nelfinavir, amprenavir, lopinavir (HIV protease inhibitors) -itraconazole, ketoconazole, voriconazole, fluconazole (antifungals).
- Patients with a diagnosis of galactose or lactose intolerance or a glucosegalactose- malabsorption.
- Patients who have received previous ruxolitinib treatment
- Patients who have a history of anaphylaxis following exposure to the BAT drug of choice.
- Patients who have an inadequate bone marrow reserve as demonstrated by ANC ≤ 1 x 10^9/l OR platelet count <50 x 10^9/l.
- Patients who have known hepatitis B or C or HIV infection.
- Patients who suffer from other severe, concurrent diseases, including tuberculosis, serious cardiac functional dysfunction (class III or IV as defined by the New York Heart Association Classification), uncontrolled diabetes, uncontrolled hypertension, severe pulmonary disease (i.e. COPD with hypoxemia), or major organ malfunction that could interfere with the patient’s ability to participate in the study.
- Patients who have history of active substance or alcohol abuse within the last year.
- Female patients who are pregnant or nursing.
- Patients who have participated in another interventional trial and/or used investigational agents or concurrent anticancer treatment for concomitant disease within the last 4 weeks of registration.
The study team makes the final eligibility decision.
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18-64 years, 65+ years. The study team makes the final eligibility decision.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.