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Can a new drug help when standard treatment fails for polycythemia vera?
NCT ID NCT07722611
First seen Jul 23, 2026 · Last updated Jul 24, 2026 · Updated 1 time
Summary
This trial tests whether an experimental drug called bomedemstat can help people with polycythemia vera (a condition where the body makes too many red blood cells) who did not get better with or could not tolerate the common treatment hydroxyurea. Participants will receive either bomedemstat or one of two standard treatments (ruxolitinib or ropeginterferon alfa-2b). The study aims to see if bomedemstat leads to healthy blood cell counts and prevents serious complications like blood clots or disease progression.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an experimental drug called bomedemstat (MK-3543)
- What this could lead to
- If it works, bomedemstat could offer a new treatment option for people with polycythemia vera who do not respond to or cannot tolerate current therapies.
- What could go wrong
- This is a mid-stage trial, so the drug may not prove effective or safe. Side effects are possible, and the results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 380 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: * Has confirmed local diagnosis of polycythemia vera (PV) per World Health Organization (WHO) diagnostic criteria for PV * Must have discontinued prior cytoreductive therapy for condition under study for protocol specified duration * Has failed at least one prior line of cytoreductive therapy to lower hematocrit * Has a history of inadequate response, resistance to, or intolerant to hydroxyurea (HU) per protocol specified criteria * Has no evidence of splenomegaly and no symptoms attributable to splenomegaly, including early satiety, left upper quadrant discomfort, or splenic pain * Has locally assessed bone marrow (BM) fibrosis score of Grade 0 or Grade 1 as per modified version of the European Consensus Criteria for Grading Myelofibrosis * Human Immunodeficiency Virus (HIV)-infected participants have well controlled HIV on antiretroviral therapy (ART) * Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B Virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load * Participants with history of Hepatitis C Virus (HCV) infection are eligible if HCV viral load is undetectable * Participants must be able to swallow oral medication and follow instructions for at home dosing of bomedemstat Exclusion Criteria: The main exclusion criteria include but are not limited to the following: * Has history of any illness/impairment of gastrointestinal (GI) function that might interfere with drug absorption * Has evidence at the time of screening of increased risk of bleeding * Has history of malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 2 years * HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease * Is currently receiving anticancer therapy * Has an active infection requiring systemic therapy * Has had major surgical procedure ≤4 weeks before first dose of study intervention or has not recovered from side effects of major surgical procedure
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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