ClinicalTrials.gg
RecruitingNCT07441694Updated Oct 30, 2026

Study of INCA036978 in Participants With Myeloproliferative Neoplasms

A Phase 1 interventional study of INCA036978 and Standard disease-directed therapy in Myeloproliferative Neoplasms, sponsored by Incyte Corporation. Recruiting at 54 sites in 11 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Incyte Corporation · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Updated Oct 30, 2026Site recruiting status changed2 sites added+1 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
218
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will be conducted to determine the safety, tolerability, dose-limiting toxicity (DLT)s, and maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE)s of INCA036978 administered as monotherapy and in combination with a standard disease-directed therapy.

02

Conditions studied

  • Myeloproliferative Neoplasms

Keywords

  • Myeloproliferative Neoplasms
  • Myelofibrosis
  • Essential thrombocythemia
  • Polycythemia Vera
03

In context

Myeloproliferative Disorders

667 studies on the registry are indexed under Myeloproliferative Disorders; 110 are open to participants now.

This study's planned enrollment of 218 is above the median of 47 across 462 interventional studies indexed under Myeloproliferative Disorders.

Browse Myeloproliferative Disorders studies →

Lead sponsor

Incyte Corporation is the lead sponsor of 288 studies on the registry; 34 are open to participants now.

Of its 149 completed or terminated interventional studies of FDA-regulated products, 95 (64%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • > 6 months.
  • Willingness to undergo a pretreatment and limited on-study BM and aspirates (as appropriate to disease).
  • Participants with MF, PV and ET as defined in the protocol.

Exclusion criteria

Exclusion Criteria:

  • Presence of any hematological other than MF, PV, or ET.
  • Malignancy within the last 3 years prior to enrollment.
  • Acute or chronic , Active or known or tuberculosis infection.
  • or uncontrolled cardiac disease.
  • Has undergone any prior stem-cell transplantation or such transplantation is planned in the next 6 months.
  • Laboratory values outside the Protocol-defined ranges.
  • Prior history of major bleeding or thrombosis within the last 3 months prior to study enrollment.
  • Presence of chronic or current active infectious disease requiring systemic treatment.
  • Treatment with an MPN-directed therapy (approved or ) within the per protocol threshold before the administration of study drug.
  • Prior radiation therapy within 28 days before the first dose of study treatment.

Other protocol-defined Inclusion/Exclusion Criteria may apply.

Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
218 participants (estimated)

Study arms

  • Experimental
    Part 1a: Dose Escalation

    INCA036978 will be administered at a protocol defined starting regimen as monotherapy to identify the MTD and/or RDE(s).

    Drug: INCA036978

  • Experimental
    Part 1b: Dose Escalation

    INCA036978 will be administered at a protocol defined starting regimen in combination with a standard disease-directed therapy to identify the MTD and/or RDE(s).

    Drug: INCA036978 · Drug: Standard disease-directed therapy

  • Experimental
    Part 2a: Dose Expansion

    INCA036978 will be administered as monotherapy at the RDE(s) identified during Part 1

    Drug: INCA036978

  • Experimental
    Part 2b: Dose Expansion

    INCA036978 will be administered in combination with a standard disease-directed therapy at the RDE(s) identified during Part 1.

    Drug: INCA036978 · Drug: Standard disease-directed therapy

Interventions

  • DrugINCA036978

    INCA036978 will be administered at protocol defined dose.

  • DrugStandard disease-directed therapy

    A standard disease-directed therapy will be administered according to Prescribing Information/SmPC.

06

What researchers measure

Primary outcomes

  1. Number of participants with Dose Limiting Toxicities (DLT)s in Part 1

    Dose-limiting toxicity will be defined as the occurrence of any of the toxicities as per protocol.

    Time frame: Up to 28 days

  2. Number of participants with Treatment-emergent Adverse Events (TEAEs)

    Defined as adverse events AE (either reported for the first time or the worsening of a pre-existing event) occurring after the first dose of study drug and up to 60 days after last dose of study drug or until the start of a new disease-directed therapy, whichever occurs first.

    Time frame: Up to approximately 2 years

  3. Number of participants with TEAEs leading to dose modification or discontinuation

    Number of participants with TEAEs leading to study drug modifications (interruptions, dose reduction) or discontinuation.

    Time frame: Up to approximately 2 years

Secondary outcomes

  1. Pharmacokinetics Parameter: Cmax of INCA036978

    Defined as maximum observed plasma concentration of INCA036978.

    Time frame: Up to approximately 2 years

  2. Pharmacokinetics Parameter: Tmax of INCA036978

    Defined as the time to reach the maximum plasma concentration of INCA036978.

    Time frame: Up to approximately 2 years

  3. Pharmacokinetics Parameter: Cmax,ss of INCA036978

    Defined as the maximum observed plasma concentration at steady state of INCA036978.

    Time frame: Up to approximately 2 years

  4. Pharmacokinetics Parameter: Cmin,ss of INCA036978

    Defined as the minimum observed plasma concentration at steady state of INCA036978.

    Time frame: Up to approximately 2 years

  5. Pharmacokinetics Parameter: AUC(0-t) of INCA036978

    Defined as the area under the concentration-time curve up to the last measurable concentration of INCA036978.

    Time frame: Up to approximately 2 years

  6. Pharmacokinetics Parameter: AUC 0-∞ of INCA036978

    Defined as the area under the concentration-time curve from 0 to infinity of INCA036978.

    Time frame: Up to approximately 2 years

  7. Pharmacokinetics Parameter: CL/F of INCA036978

    Defined as the apparent clearance of INCA036978.

    Time frame: Up to approximately 2 years

  8. Pharmacokinetics Parameter: Vz/F of INCA036978

    Defined as the apparent volume of distribution of INCA036978.

    Time frame: Up to approximately 2 years

  9. Pharmacokinetics Parameter: t1/2 of INCA036978

    Defined as the apparent terminal phase disposition half-life of INCA036978.

    Time frame: Up to approximately 2 years

  10. For participants with myelofibrosis (MF): Percentage of participants achieving spleen volume reduction as defined in the protocol

    Defined as percentage of participants with a protocol defined spleen volume reduction.

    Time frame: Week 12 and Week 24

  11. For participants with MF and anemia: Anemia Response as defined in the protocol

    For non transfusion-dependent (TD) participants: An Hb increase relative to baseline as defined in the protocol if non-TD at baseline. For TD participants: Achieving transfusion independency (TI) as defined in the protocol.

    Time frame: Up to approximately 2 years

  12. For participants with polycythemia vera (PV): Peripheral blood count remission as defined by the protocol.

    Peripheral blood count remission as defined by the protocol.

    Time frame: Up to approximately 2 years

  13. For participants with essential thrombocythemia (ET): Peripheral blood count remission as defined by the protocol.

    Peripheral blood count remission as defined by the protocol.

    Time frame: Up to approximately 2 years

07

Study locations

18 of 54 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

09

Updates

2 registry updates since Sep 25, 2026
Sites
2 sites added, 2 sites removed. 10 sites changed recruiting status (10 now recruiting)
Show 10 sites
  • City of Hope-Lennar Foundation Cancer Center · Irvine, United StatesNot yet recruiting→Recruiting
  • Massachusetts General Hospital · Boston, United StatesNot yet recruiting→Recruiting
  • University of North Carolina At Chapel Hill · Chapel Hill, United StatesNot yet recruiting→Recruiting
  • Princess Margaret Cancer Center · Toronto, CanadaNot yet recruiting→Recruiting
  • Hospital Saint Louis · Paris, FranceNot yet recruiting→Recruiting
  • Institut Gustave Roussy · Villejuif, FranceNot yet recruiting→Recruiting
  • University Medical Center Rwth Aachen · Aachen, GermanyNot yet recruiting→Recruiting
  • Universitatklinikum Freiburg · Freiburg im Breisgau, GermanyNot yet recruiting→Recruiting
  • University of Oxford · Oxford, United KingdomNot yet recruiting→Recruiting
  • Francois-Xavier · Bordeaux, FranceNot yet recruiting→Recruiting
Show 2 added (1 France, 1 Canada)
  • Francois-Xavier · Bordeaux, France
  • Princess Margaret Cancer Centre · Toronto, Canada
Show 2 removed
  • Institut Bergonie · Bordeaux, France
  • Princess Margaret Cancer Center · Toronto, Canada
across 2 updates, Oct 9, 2026 – Oct 30, 2026
Show all 2 updates
  1. Oct 30, 2026
    1 site added, 1 site removed. Francois-Xavier is now Recruiting
    Show site
    • Princess Margaret Cancer Centre · Toronto, Canada
    Show 1 removed
    • Princess Margaret Cancer Center · Toronto, Canada
  2. Oct 9, 2026
    1 site added, 1 site removed. 9 sites changed recruiting status (9 now recruiting)
    Show 9 sites
    • City of Hope-Lennar Foundation Cancer Center · Irvine, United StatesNot yet recruiting→Recruiting
    • Massachusetts General Hospital · Boston, United StatesNot yet recruiting→Recruiting
    • University of North Carolina At Chapel Hill · Chapel Hill, United StatesNot yet recruiting→Recruiting
    • Princess Margaret Cancer Center · Toronto, CanadaNot yet recruiting→Recruiting
    • Hospital Saint Louis · Paris, FranceNot yet recruiting→Recruiting
    • Institut Gustave Roussy · Villejuif, FranceNot yet recruiting→Recruiting
    • University Medical Center Rwth Aachen · Aachen, GermanyNot yet recruiting→Recruiting
    • Universitatklinikum Freiburg · Freiburg im Breisgau, GermanyNot yet recruiting→Recruiting
    • University of Oxford · Oxford, United KingdomNot yet recruiting→Recruiting
    Show site
    • Francois-Xavier · Bordeaux, France
    Show 1 removed
    • Institut Bergonie · Bordeaux, France
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07441694
Lead sponsor
Incyte Corporation
Responsible party
Sponsor
First posted
Mar 2, 2026
Start date
May 11, 2026
Primary completion
May 24, 2030 (estimated)
Completion
May 24, 2030 (estimated)
Last update
Oct 30, 2026

Study contacts

Incyte Corporation Call Center (US)
Contact
medinfo@incyte.com
1.855.463.3463
Incyte Corporation Call Center (ex-US)
Contact
eumedinfo@incyte.com
+800 00027423
Incyte Medical Monitor
study director · Incyte Corporation

Oversight

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

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