CClinicalTrials.gg
Active, not recruitingNCT05210790VERIFYUpdated Aug 7, 2025

A Phase 3 Study of Rusfertide in Patients With Polycythemia Vera

A Phase 3 interventional study of Placebo and Rusfertide in Polycythemia Vera, sponsored by Protagonist Therapeutics, Inc.. Active, not recruiting at 184 sites in 20 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-07.

Sponsored by Protagonist Therapeutics, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
293
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study is designed to evaluate the safety and efficacy of rusfertide in subjects with polycythemia vera (PV) in maintaining hematocrit control and in improving symptoms of PV.

Read the detailed description

Phase 3 study in approximately 250 subjects previously diagnosed with polycythemia vera (PV) who require phlebotomy on a routine basis. There is a 32-week period during which rusfertide or placebo will be added-on to each subject's ongoing therapy for polycythemia vera which may include phlebotomy only or phlebotomy plus stable doses of either of hydroxyurea, interferon and/or ruxolitinib. All subjects who successfully complete the double blind 32-week portion of the study will receive rusfertide for 124 weeks. Approximately 6 and 12 months after their last dose of rusfertide, subjects will have a post-study contact (e.g. by phone) for safety.

02

Conditions studied

  • Polycythemia Vera

Browse trials for

Keywords

  • Polycythemia Vera
  • PV
03

In context

Polycythemia Vera

228 studies on the registry are indexed under Polycythemia Vera; 53 are open to participants now.

This study's enrollment of 293 is above the median of 55 across 174 interventional studies indexed under Polycythemia Vera.

Browse Polycythemia Vera studies →

Lead sponsor

Protagonist Therapeutics, Inc. is the lead sponsor of 13 studies on the registry; none are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 1 (11%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Main Inclusion Criteria: All subjects must meet ALL of the following inclusion criteria to be enrolled. There are additional inclusion criteria.

  • Male and female subjects aged 18 (or the country specific minimum age of consent >18) years or older.
  • Meet revised 2016 World Health Organization (WHO) criteria for the diagnosis of polycythemia vera.
  • At least 3 phlebotomies due to inadequate hematocrit control in 6 months before randomization or at least 5 phlebotomies due to inadequate hematocrit control in 1 year before randomization.
  • CBC values immediately prior to randomization:

    1. Hematocrit \<45%,
    2. WBC 4000/μL to 20,000/μL (inclusive), and
    3. Platelets 100,000/μL to 1,000,000/μL (inclusive)
  • Subjects receiving cytoreductive therapy at randomization must be on a stable PV therapy regimen.
  • Subjects treated with phlebotomy alone at randomization must have stopped cytoreductive therapy 2 to 6 months before screening.

Main Exclusion Criteria: Subjects must meet NONE of the following exclusion criteria to be enrolled. There are additional exclusion criteria.

  • Clinically meaningful laboratory abnormalities at Screening.
  • Subjects who require phlebotomy at hematocrit levels lower than 45%.
  • Clinically significant thrombosis (e.g., deep vein thrombosis or splenic vein thrombosis) within 2 months prior to randomization.
  • Active or chronic bleeding within 2 months prior to randomization.
  • History of invasive malignancies within the last 5 years, except localized cured prostate cancer and cervical cancer.
  • Subjects with in situ or stage 1 squamous cell carcinoma of the skin, in situ or stage 1 basal cell carcinoma of the skin, or in situ melanoma of the skin identified during screen unless the cancer is adequately treated before randomization.
  • Received Busulfan, Pipobroman or 32Phosphorus within 7 months prior to screening.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
293 participants (actual)

Study arms

  • Experimental
    Rusfertide

    Rusfertide (32 Weeks) - Rusfertide (124 Weeks Open-label)

    Drug: Rusfertide

  • Experimental
    Placebo

    Placebo (32 Weeks) - Rusfertide (124 Weeks Open-label)

    Drug: Placebo · Drug: Rusfertide

Interventions

  • DrugPlacebo

    Placebo

  • DrugRusfertide

    Experimental drug

06

What researchers measure

Primary outcomes

  1. Proportion of subjects achieving a response who receive rusfertide compared to placebo.

    Response is defined as absence of phlebotomy eligibility.

    Time frame: Week 20 through Week 32

Secondary outcomes

  1. Comparison of mean number of phlebotomies between rusfertide and placebo.

    Time frame: Week 0 to Week 32

  2. Proportion of subjects with HCT values <45% for rusfertide and placebo.

    Time frame: Week 0 to Week 32

  3. Comparison mean change from baseline in total fatigue score based on PROMIS Short Form between rusfertide and placebo.

    Time frame: Week 32

  4. Comparison of mean change from baseline in total MFSAF total score.

    Time frame: Week 32

07

Study locations

184 sites
  • Infirmary Cancer Care
    Mobile, Alabama 36607, United States
  • Palo Verde Hematology-Oncology
    Glendale, Arizona 85304, United States
  • City of Hope Medical Center, Duarte
    Duarte, California 91010, United States
  • California Cancer Associates for Research and Excellence - Fresno
    Fresno, California 93720, United States
  • Marin Cancer Care
    Greenbrae, California 94904, United States
  • City of Hope Medical Center, Lenner
    Irvine, California 92618, United States
  • University of California, San Diego (UCSD) - Moores Cancer Center
    La Jolla, California 92037, United States
  • University of California, Los Angeles (UCLA) - Medical Center
    Los Angeles, California 90095, United States
  • Stanford University
    Palo Alto, California 94304, United States
  • Pomona Valley Hospital Medical Center
    Pomona, California 91767, United States
  • Sharp Memorial Hospital
    San Diego, California 92123, United States
  • University of California, San Francisco
    San Francisco, California 94117, United States
  • City of Hope Medical Center, Upland
    Upland, California 91786, United States
  • Rocky Mountain Cancer Centers
    Aurora, Colorado 80012, United States
  • University of Colorado - Aurora Cancer Center
    Aurora, Colorado 80045, United States
  • Rocky Mountain Cancer Centers - Boulder
    Boulder, Colorado 80303, United States
  • Rocky Mountain Cancer Centers
    Colorado Springs, Colorado 80907, United States
  • Rocky Mountain Cancer Centers
    Colorado Springs, Colorado 80923, United States
  • Rocky Mountain Cancer Centers
    Denver, Colorado 80218, United States
  • Rocky Mountain Cancer Centers
    Lakewood, Colorado 80228, United States
  • Rocky Mountain Cancer Centers
    Littleton, Colorado 80120, United States
  • Rocky Mountain Cancer Centers
    Lone Tree, Colorado 80124, United States
  • Yale University School of Medicine - Yale Cancer Center
    New Haven, Connecticut 06510, United States
  • BRCR Medical Center
    Plantation, Florida 33322, United States
  • BayCare Suncoast Medical Clinic - Hematology/Oncology
    St. Petersburg, Florida 33705, United States
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
  • Northwestern Memorial Hospital
    Chicago, Illinois 60611, United States
  • Northwestern Medicine Lake Forest Hospital
    Lake Forest, Illinois 60045, United States
  • Northwest Oncology and Hematology
    Rolling Meadows, Illinois 60008, United States
  • Orchard Healthcare Research Inc
    Skokie, Illinois 60046, United States
  • Fort Wayne Medical Oncology and Hematology
    Fort Wayne, Indiana 46845, United States
  • Mission Cancer & Blood
    Des Moines, Iowa 50314, United States
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
  • University of Kansas Cancer Center
    Kansas City, Kansas 66160, United States
  • Pontchartrain Cancer Center
    Covington, Louisiana 70433, United States
  • Pontchartrain Cancer Center
    Hammond, Louisiana 70403, United States
  • American Oncology Partners of Maryland PA (Center for Cancer & Blood Disorders)
    Bethesda, Maryland 20817, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • Cancer Care Specialists
    Reno, Nevada 89511, United States
  • Memorial Sloan Kettering Cancer Center - BASKING RIDGE
    Basking Ridge, New Jersey 07920, United States
  • Monmouth Medical Center Southern Campus
    Lakewood, New Jersey 08701, United States
  • Monmouth Medical Center
    Long Branch, New Jersey 07740, United States
  • Memorial Sloan Kettering Cancer Center - MONMOUTH
    Middletown, New Jersey 07748, United States
  • Memorial Sloan Kettering Cancer Center - BERGEN
    Montvale, New Jersey 07645, United States
  • Rutgers Cancer Institute of New Jersey
    New Brunswick, New Jersey 08901, United States
  • New York Cancer and Blood Specialists
    Babylon, New York 11702, United States
  • Roswell Park Comprehensive Cancer Center
    Buffalo, New York 14263, United States
  • Memorial Sloan Kettering Cancer Center - COMMACK
    Commack, New York 11725, United States
  • Memorial Sloan Kettering Cancer Center - WESTCHESTER
    Harrison, New York 10604, United States
  • New York Cancer and Blood Specialists
    New Hyde Park, New York 11042, United States
  • Memorial Sloan Kettering Cancer Center - KOCH
    New York, New York 10021, United States
  • New York Cancer and Blood Specialists
    New York, New York 10028, United States
  • Ichan School of Medicine at Mount Sinai
    New York, New York 10029, United States
  • New York Presbyterian Hospital/Weill Cornell Medical Center
    New York, New York 10065, United States
  • New York Cancer and Blood Specialists
    Patchogue, New York 11772, United States
  • New York Cancer and Blood Specialists
    Port Jefferson Station, New York 11776, United States
  • New York Cancer and Blood Specialists
    Riverhead, New York 11901, United States
  • Wilmot Cancer Institute, University of Rochester
    Rochester, New York 14642, United States
  • Montefiore Einstein Center for Cancer Care
    The Bronx, New York 10461, United States
  • Montefiore Medical Center
    The Bronx, New York 10467, United States
  • New York Cancer and Blood Specialists
    The Bronx, New York 10469, United States
  • Memorial Sloan Kettering Cancer Center - NASSAU
    Uniondale, New York 11553, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • East Carolina University
    Greenville, North Carolina 27858, United States
  • Gabrail Cancer Center
    Canton, Ohio 44718, United States
  • TriHealth Cancer Institute - Good Samaritan Hospital
    Cincinnati, Ohio 45220, United States
  • Good Samaritan Infusion Center - Kenwood
    Cincinnati, Ohio 45236, United States
  • Good Samaritan Infusion Center - Thomas
    Cincinnati, Ohio 45242, United States
  • The Ohio State University
    Columbus, Ohio 43210, United States
  • Ohio Health Research Institute
    Columbus, Ohio 43214, United States
  • Oncology Associates of Oregon
    Eugene, Oregon 97401, United States
  • Oregon Health and Science University (OHSU) Knight Cancer Institute
    Portland, Oregon 97210, United States
  • Thomas Jefferson University Hospital
    Philadelphia, Pennsylvania 19107, United States
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15232, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Texas Oncology San Antonio
    San Antonio, Texas 78240, United States
  • Community Cancer Trials of Utah
    Ogden, Utah 84405, United States
  • University of Washington - Fred Hutchinson Cancer Center
    Seattle, Washington 98019, United States
  • HSHS St. Vincent Hospital
    Green Bay, Wisconsin 54301, United States
  • HSHS St. Mary's Hospital
    Green Bay, Wisconsin 54303, United States
  • One Clinical Research
    Nedlands, Perth, Australia
  • Royal Adelaide Hospital
    Adelaide, South Australia 5000, Australia
  • The Alfred Hospital
    Melbourne, Victoria 3004, Australia
  • Medizinische Universitaet Graz
    Graz, 8036, Austria
  • Kepler Universitaets Klinikum GmbH
    Linz, 4021, Austria
  • Krankenhaus der Elisabethinen Linz
    Linz, A-4020, Austria
  • Medizinische Universitaet Wien
    Vienna, 1090, Austria
  • Wiener Gesundheitsverbund-Klinik Hietzing 5-Med.
    Vienna, 1130, Austria
  • Klinikum Wels-Grieskirchen Gmb
    Wels, 4600, Austria
  • ZNA Stuivenberg
    Antwerp, 2060, Belgium
  • University Hospital Gent
    Ghent, 9000, Belgium
  • Campus Gasthuisberg
    Leuven, 3000, Belgium
  • The University of Alberta - Edmonton
    Edmonton, Alberta T6G 2G3, Canada
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
  • Princess Margaret Hospital
    Toronto, Ontario M5G 2C4, Canada
  • Jewish General Hospital
    Montreal, Quebec H3T 1E2, Canada
  • Centro Medico Inmunocel
    Las Condes, Santiago Metropolitan 7580206, Chile
  • Centro de Estudios Clinicos SAGA
    Providencia, Santiago Metropolitan 7500653, Chile
  • Biocenter Centro Clinico de Investigacion
    Concepción, 4070196, Chile
  • Fakultni nemocnice Brno
    Brno, Czechia

Showing the first 100 of 184 sites across 20 countries.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05210790
Lead sponsor
Protagonist Therapeutics, Inc.
Responsible party
Sponsor
First posted
Jan 27, 2022
Start date
Apr 1, 2022
Primary completion
Feb 21, 2025
Completion
Jun 2027 (estimated)
Last update
Aug 7, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion