New hope for High-Risk blood cancer patients: givinostat faces off against standard therapy
NCT ID NCT06093672
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial compares the experimental drug givinostat to the standard drug hydroxyurea in 220 adults with high-risk polycythemia vera, a blood cancer that increases red blood cells and raises clot risk. The study measures how well each drug controls blood counts and spleen size over 48 weeks. Participants must have the JAK2V617F gene mutation and be at high risk for blood clots.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 220 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Jul 2026
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.
Core Treatment - Inclusion Criteria: * Patients must have been diagnosed with PV according to the 2016 WHO criteria before randomization * Patients must have JAK2V617F-positive disease * Patients with PV must meet the definition of HR for thrombosis (i.e., HR) within 3 years before screening as follows: * Age ≥ 60 years, and/or * Prior thrombosis. * Patients must be in need of treatment at screening, defined by the presence of at least one of the following: * HCT ≥ 45% or HCT \< 45% with at least 1 phlebotomy performed in the 3 months before screening, or * WBC count \> 10 × 109/L, or * PLT count \> 400 × 109/L. * Patients must have normalized HCT (i.e., HCT \< 45%) at randomization Extended Treatment - Inclusion Criteria * Patients must have completed the Week 48 visit of the DSC/08/2357/32 core treatment phase and: 1. if the patient received givinostat, a complete hematological response (CHR) at Week 48 shall be achieved 2. if the patient received HU, did not achieve a CHR (see above for the definition) at Week 48 Core Treatment phase - Exclusion Criteria * Patients pre-treated with HU with a documented history of resistance or intolerance to HU defined by the original ELN criteria * Patients with a QTcF value of \> 450 msec for males and \> 460 msec for females at the Screening visit (as the mean of 3 consecutive readings 5 minutes apart in the event a first ECG demonstrates a prolonged QTcF interval); congenital or acquired history of QTc prolongation or ventricular arrhythmias, at the Screening visit * Splanchnic thrombosis and/or thrombosis of the cerebral venous sinuses and/or splenectomy in the medical history * Patients with clinically significant cardiovascular disease * Patients with myocardial infarction, stroke or unstable angina within the 6 months prior to screening. * Patients with inadequate liver or renal function at screening * Uncontrolled hypertriglyceridemia at screening, i.e., triglycerides ˃ 1.5 × ULN * Previous treatment with a JAK2 or HDAC inhibitor or 32-phosphorus (radioactive isotope) therapy. * Patients being treated concurrently with any investigational agent or prior participation in an interventional clinical study within the 30 days prior to screening or within 5 half-lives of the investigational product, whichever is longer. * Pregnant or nursing women Extended treatment phase - Exclusion criteria * For patients randomized to givinostat in the core treatment phase - Patients with a QTcF value at Week 48 of \> 500 msec * For patients randomized to HU in the core treatment phase: * PLT count ≤ 150 × 109/L at Week 48 * ANC \< 1.2 × 109/L at Week 48 * Uncontrolled hypertriglyceridemia at Week 48 * Patients with a QTcF value at Week 48 of \> 450 msec for males and \> 460 msec for female
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
82 sites in 16 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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A.O.U. Maggiore della Carità
RECRUITINGNovara, Piedmont, 28100, Italy
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Acibadem City Clinic Multiprofile Hospital for Active Treatment Tokuda
RECRUITINGSofia, Sofia-Grad, 1407, Bulgaria
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Albert Schweitzer Ziekenhuis
NOT_YET_RECRUITINGDordrecht, South Holland, 3318 AT, Netherlands
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American Oncology Partners of Maryland, PA
RECRUITINGBethesda, Maryland, 20852, United States
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Assuta Medical Center
RECRUITINGTel Aviv, Tel Aviv, 60000, Israel
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Azienda Ospedaliera Città della Salute e della Scienza di Torino
RECRUITINGTurin, Piedmont, 10126, Italy
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Azienda Ospedaliera Papa Giovanni XXIII
RECRUITINGBergamo, Lombardy, 24127, Italy
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Azienda Ospedaliera Universitaria Careggi
RECRUITINGFlorence, Tuscany, 50134, Italy
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Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
RECRUITINGPalermo, Sicily, 90127, Italy
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Azienda Ospedaliero Universitaria Policlinico G Rodolico San Marco di Catania
NOT_YET_RECRUITINGCatania, Sicily, 95123, Italy
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Azienda Ospedaliero Universitaria delle Marche
RECRUITINGAncona, The Marches, 60126, Italy
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Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
RECRUITINGBologna, Emilia-Romagna, 40138, Italy
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Azienda Sanitaria Ospedaliera S. Croce e Carle
RECRUITINGCuneo, Piedmont, 12100, Italy
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Azienda Sanitaria Universitaria Friuli Centrale
RECRUITINGUdine, Friuli Venezia Giulia, 33100, Italy
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Azienda USL IRCCS di Reggio Emilia
RECRUITINGReggio Emilia, Emilia-Romagna, 42123, Italy
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Belfast City Hospital
WITHDRAWNBelfast, BT9 7AB, United Kingdom
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Bnai Zion Medical Center
TERMINATEDHaifa, 31048, Israel
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CHU Amiens Hôpital Sud
RECRUITINGAmiens, Somme, 80054, France
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CHU Angers
RECRUITINGAngers, Maine-et-Loire, 49000, France
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CHU Nantes
RECRUITINGNantes, Loire-Atlantique, 44000, France
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CHU de Nice
RECRUITINGNice, Alpes-Maritimes, 6202, France
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Carmel Medical Center
TERMINATEDHaifa, 34362, Israel
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Centre Hospitalier de Saint-Quentin
RECRUITINGSaint-Quentin, Aisne, 2100, France
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Centre Hospitalier de Troyes
RECRUITINGTroyes, Aube, 10000, France
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Clinical Center of Vojvodina
RECRUITINGNovi Sad, 21000, Serbia
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Clinical Hospital Center Bezanijska Kosa
RECRUITINGBelgrade, 11000, Serbia
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Clinical Hospital Center Rijeka
NOT_YET_RECRUITINGRijeka, 51000, Croatia
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Clinical Hospital Center Rijeka - PPDS
RECRUITINGRijeka, 51000, Croatia
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Clinical Hospital Center Zemun
RECRUITINGBelgrade, 11000, Serbia
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Clinical Hospital Dubrava
RECRUITINGZagreb, City of Zagreb, 10000, Croatia
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Connolly Hospital Blanchardstown
WITHDRAWNDublin, 15, Ireland
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Cork University Hospital
RECRUITINGCork, Ireland
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Ege Universitesi Tip Fakultesi
RECRUITINGBornova, İzmir, Turkey (Türkiye)
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Emad Ibrahim, MD, Inc
RECRUITINGRedlands, California, 92373, United States
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Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico
RECRUITINGMilan, Lombardy, 20122, Italy
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Fondazione Policlinico Universitario Campus Bio-Medico di Roma
RECRUITINGRome, Lazio, 00128, Italy
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Gemeinschaftspraxis Hämatologie - Onkologie
RECRUITINGDresden, Saxony, 01307, Germany
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General Hospital Sibenik
NOT_YET_RECRUITINGŠibenik, 22000, Croatia
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Grande Ospedale Metropolitano Bianchi-Melacrino-Morelli
RECRUITINGReggio Calabria, Calabria, 89133, Italy
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Gyor-Moson-Sopron Vármegyei Petz Aladár Egyetemi Oktató Kórház
RECRUITINGGyőr, Győr-Moson-Sopron, 9024, Hungary
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Hadassah Medical Center - PPDS
TERMINATEDJerusalem, Jerusalem, 91120, Israel
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Hopital d'Argenteuil
RECRUITINGArgenteuil, Île-de-France Region, 95107, France
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Hospital General Universitario Dr. Balmis
WITHDRAWNAlicante, 3010, Spain
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Hospital Universitari i Politecnic La Fe de Valencia
RECRUITINGValencia, 46026, Spain
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Hospital Universitario Ramon y Cajal
RECRUITINGMadrid, 28034, Spain
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Hospital Universitario Virgen de la Victoria
RECRUITINGMálaga, 29010, Spain
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Hôpital Bretonneau
RECRUITINGTours, Indre-et-Loire, 37044, France
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Hôpital Saint Louis
RECRUITINGParis, 75010, France
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ICO Badalona-H.U. Germans Trias i Pujol
NOT_YET_RECRUITINGBadalona, Barcelona, 8916, Spain
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Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10029, United States
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Imperial College Healthcare NHS Trust
RECRUITINGLondon, W12 0HS, United Kingdom
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Indywidualna Specjalistyczna Praktyka Lekarska Tomasz Woźny
RECRUITINGPoznan, 60-549, Poland
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Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l
RECRUITINGMeldola, Emilia-Romagna, 47014, Italy
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Istituto Tumori "Giovanni Paolo II" I.R.C.C.S.
RECRUITINGBari, Apulia, 70124, Italy
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Klinikum Wels-Grieskirchen GmbH
RECRUITINGWels, Upper Austria, 4600, Austria
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Landesklinikum Wiener Neustadt
RECRUITINGWiener Neustadt, Lower Austria, 2700, Austria
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MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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Mater Misericordiae University Hospital
RECRUITINGDublin, 7, Ireland
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Medical Park Bahcelievler Hastanesi
ENROLLING_BY_INVITATIONBahçelievler, Istanbul, Turkey (Türkiye)
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Medisch Spectrum Twente
NOT_YET_RECRUITINGEnschede, Overijssel, 7512 KZ, Netherlands
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Medizinische Fakultät Mannheim der Universität Heidelberg, Universitätsmedizin Mannheim
RECRUITINGMannheim, Baden-Wurttemberg, 68167, Germany
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Medizinische Universitat Wien (Medical University of Vienna)
RECRUITINGVienna, State of Vienna, 1090, Austria
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Milton Keynes University Hospital
RECRUITINGMilton Keynes, United Kingdom
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Namik Kemal Universitesi Saglik Uygulama ve Arastirma Merkezi
RECRUITINGAltınova, Terkirdag, Turkey (Türkiye)
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OncoResearch Lerchenfeld GmbH
RECRUITINGHamburg, 22081, Germany
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Oncology Associates of Oregon, P.C.
RECRUITINGEugene, Oregon, 97401, United States
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Ordensklinikum Linz GmbH Elisabethinen
RECRUITINGLinz, Upper Austria, 4020, Austria
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Pilgrim Hospital
RECRUITINGBoston, United Kingdom
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Southampton General Hospital
RECRUITINGSouthampton, United Kingdom
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Spaarne Gasthuis
NOT_YET_RECRUITINGHoofddorp, North Holland, 2134 TM, Netherlands
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Specjalistyczny Szpital im. dra Alfreda Sokołowskiego
RECRUITINGWałbrzych, 58-309, Poland
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Szabolcs-Szatmár-Bereg Vármegyei Oktatókórház
RECRUITINGNyíregyháza, Szabolcs-Szatmár-Bereg, 4400, Hungary
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Texas Oncology (Webster) - USOR
RECRUITINGHouston, Texas, 77089, United States
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Texas Oncology-Denison Cancer Center
RECRUITINGSherman, Texas, 75090, United States
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The Cleveland Clinic Foundation
RECRUITINGCleveland, Ohio, 44195, United States
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The James Cancer Hospital and Solove Research Institute
RECRUITINGRoanoke, Virginia, 43210, United States
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Tolna Vármegyei Megyei Balassa János Kórház
RECRUITINGSzekszárd, Tolna County, 7100, Hungary
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US Oncology Inc
RECRUITINGEnglewood, Colorado, 80113, United States
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University Clinical Center Nis
RECRUITINGNiš, 18000, Serbia
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University Clinical Center of Serbia
WITHDRAWNBelgrade, 11000, Serbia
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University Multiprofile Hospital for Active Treatment - Prof. Dr. Stoyan Kirkovich AD
RECRUITINGStara Zagora, 6003, Bulgaria
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University Multiprofile Hospital for Active Treatment Sveti Georgi EAD
RECRUITINGPlovdiv, 4001, Bulgaria
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University of Alabama at Birmingham
NOT_YET_RECRUITINGBirmingham, Alabama, 35294-0001, United States
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University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27599, United States
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University of Oxford - The Weatherall Institute of Molecular Medicine (WIMM)
RECRUITINGOxford, United Kingdom
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University of Utah - Huntsman Cancer Institute - PPDS
RECRUITINGSalt Lake City, Utah, 84112, United States
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Universitätsmedizin Halle, Universitätsklinikum Halle, Klinik für Innere Medizin IV
WITHDRAWNHalle, Saxony-Anhalt, 06120, Germany
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Uniwersytecki Szpital Kliniczny im. Jana Mikulicza- Radeckiego we Wrocławiu
NOT_YET_RECRUITINGWroclaw, 50-367, Poland
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VA Puget Sound Health Care System - NAVREF - PPDS
RECRUITINGSeattle, Washington, 98108-1532, United States
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VM Medical Park Mersin Hospital - Ataturk
RECRUITINGMezitli, Mersin, Turkey (Türkiye)
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