RecruitingPhase 1NCT07008118

A Study to Evaluate INCA035784 in Participants With Myeloproliferative Neoplasms

A Phase 1, Open-Label, Multicenter Study of INCA035784 in Participants With Myeloproliferative Neoplasms


Sponsor

Incyte Corporation

Enrollment

120 participants

Start Date

Oct 1, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study is being conducted to evaluate the safety and tolerability of INCA035784 in participants with myeloproliferative neoplasms.


Eligibility

Min Age: 18 Years

Inclusion Criteria15

  • Age 18 years or older at the time of signing the ICF
  • ECOG performance status of 0 to 1 for the dose escalation (Part 1a) and 0 to 2 for the dose expansion (Part 1b)
  • Documented CALR exon-9 mutation
  • Confirmed diagnosis of MPN according to the 2022 ICC criteria:
  • DIPSS+ intermediate-2/high-risk MF with prior JAKi, <20% blasts, and measurable spleen
  • High-risk ET with platelets >450×10⁹/L
  • Resistant, refractory, intolerant, or has lost response to ≥1 prior line of therapy for MF and ≥2 prior lines for ET (unless only a single standard-of-care option is approved in the participating country)
  • No prior stem cell transplant and none planned within 6 months
  • Minimum Laboratory Requirements:
  • Platelet count ≥50 × 10⁹/L
  • Absolute neutrophil count ≥1 × 10⁹/L
  • International normalized ratio (INR) and activated partial thromboplastin time (aPTT) ≤1.5 × upper limit of normal (ULN), unless receiving vitamin K antagonists
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) <2.5 × ULN
  • Total bilirubin <2 × ULN
  • Estimated creatinine clearance >45 or >30 mL/min (depending on study part)

Exclusion Criteria4

  • Major bleeding or thrombosis (e.g., stroke, DVT, PE) within the past 3 months
  • Active or high-risk HBV, HCV, or HIV infection, or other chronic active infections requiring systemic treatment
  • Active invasive cancer within the past 2 years, except certain early-stage or low-risk cancers (e.g., resected skin, cervical, thyroid, or prostate cancer)
  • Pregnant or unwilling to avoid pregnancy or fathering a child during the study and for a defined period after the last dose.

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Interventions

DRUGINCA035784

INCA035784 will be administered at the assigned dose in the dose escalation part and at the protocol defined dose in the dose expansion part.


Locations(26)

Mayo Clinic Hospital

Phoenix, Arizona, United States

Stanford University

Palo Alto, California, United States

Colorado Blood Cancer Institute

Denver, Colorado, United States

Mayo Clinic-Florida

Jacksonville, Florida, United States

University of Chicago Medical Center

Chicago, Illinois, United States

Johns Hopkins University

Baltimore, Maryland, United States

Icahn School of Medicine At Mount Sinai

New York, New York, United States

University of North Carolina At Chapel Hill

Chapel Hill, North Carolina, United States

South Austin Medical Center

Austin, Texas, United States

University of Texas Southwestern Medical Center Harold C Simmons Comprehensive Cancer Center Blood

Dallas, Texas, United States

Huntsman Cancer Institute At University of Utah

Salt Lake City, Utah, United States

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Macquarie University Hospital

Sydney, New South Wales, Australia

Royal Adelaide Hospital

Adelaide, South Australia, Australia

The Alfred Hospital

Melbourne, Victoria, Australia

Linear Clinical Research

Nedlands, Western Australia, Australia

Cliniques Universitaires Saint-Luc

Brussels, Belgium

Universitair Ziekenhuis Gent

Ghent, Belgium

Universitaire Ziekenhuizen Leuven

Leuven, Belgium

Universitaetsklinikum Dresden

Dresden, Germany

Universitatsklinikum Halle (Saale)

Halle, Germany

Universitatsmedizin Der Johannes Gutenberg-Universitat Mainz Iii

Mainz, Germany

Azienda Socio Sanitaria Territoriale Papa Giovanni Xxiii

Bergamo, Italy

Azienda Ospedaliero Universitaria Careggi-S.O.D. Patologia Medica

Florence, Italy

Fondazione Irccs Ca Granda Ospedale Maggiore

Milan, Italy

Centro Ricerche Cliniche Di Verona

Verona, Italy

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NCT07008118


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