ClinicalTrials.gg
RecruitingNCT07469891Updated Oct 29, 2026

A Phase 1 Study of PRT12396 in Participants With Select Myeloproliferative Neoplasms

A Phase 1 interventional study of PRT12396 in Polycythemia Vera (PV), Myelofibrosis (MF) and Myeloproliferative Neoplasms (MPNs), sponsored by Prelude Therapeutics Incorporated. Recruiting at 22 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Prelude Therapeutics Incorporated · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 6 months later.
Updated Oct 29, 2026First sites in Australia, France and Italy13 sites addedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a first-in-human, open-label, multi-center Phase 1 study designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of PRT12396 in participants with high-risk polycythemia vera (PV) and myelofibrosis (MF), and to determine the maximum tolerated dose (MTD) and recommended dose(s) for expansion (RDE[s]). The study consists of a dose-escalation phase followed by a dose-expansion phase to further evaluate selected dose level(s).

Read the detailed description

This first-in-human, open-label, multi-center Phase 1 study is designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of PRT12396 in participants with high-risk polycythemia vera (PV) and myelofibrosis (MF). Eligible MF populations include participants with intermediate-1, intermediate-2, or high-risk primary MF, as well as post-polycythemia vera MF or post-essential thrombocythemia MF, with evidence of disease burden based on splenomegaly.

The study is conducted in two parts:

Part 1 (dose escalation) evaluates escalating oral doses of PRT12396 to evaluate safety and tolerability and to determine the maximum tolerated dose (MTD) and recommended dose(s) for expansion (RDE[s]).

Part 2 (dose expansion) enrolls additional participants at selected dose level(s) to further characterize the safety, tolerability, pharmacokinetics, and preliminary efficacy of PRT12396 in the PV and MF populations.

Approximately up to 100 participants are planned for enrollment across both parts of the study.

02

Conditions studied

  • Polycythemia Vera (PV)
  • Myelofibrosis (MF)
  • Myeloproliferative Neoplasms (MPNs)
  • Post-Polycythemia Vera Myelofibrosis
  • Post-Essential Thrombocythemia Myelofibrosis
  • Primary Myelofibrosis (PMF)

Keywords

  • High-Risk Polycythemia Vera (PV)
  • Intermediate-1 or Intermediate-2 Risk Primary MF
  • High-Risk Primary MF
  • Post-Polycythemia Vera MF
  • Post-Essential Thrombocythemia MF
  • PRT12396
  • JAK Inhibitor
  • Myeloproliferative Neoplasms (MPN)
03

In context

Polycythemia Vera

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

This study's planned enrollment of 100 is above the median of 52 across 204 interventional studies indexed under Polycythemia Vera.

Browse Polycythemia Vera studies →

Lead sponsor

Prelude Therapeutics Incorporated is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

  • Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations (including requirements), and other study procedures.
  • Confirmed diagnosis of PV or MF according to WHO 2016 or revised ICC/WHO 2022 criteria
  • Documented presence of a JAK2 V617 mutation
  • (ECOG) performance status of 0-1
  • Estimate of ≥12 weeks per investigator assessment.
  • Negative serum or urine pregnancy test and agree to use contraception or maintain true abstinence.
  • Adequate organ function and bone marrow reserves (hematology, renal, and hepatic)

Exclusion criteria

Exclusion Criteria:

  • History of another within 3 years prior to enrollment, except for malignancy considered cured with low risk of recurrence.
  • anemia due to nutritional deficiency or hemolytic disorders.
  • Active or uncontrolled infection requiring systemic therapy or hospitalization.
  • Any other medical or psychiatric conditions that, in the Investigator's judgment, would increase risk or interfere with study participation or interpretation of results.
  • Clinically significant or uncontrolled medical conditions, including active infection or cardiovascular disease, that would increase risk or interfere with study participation.
  • Unresolved toxicity Grade >1 from prior anticancer therapy, except for alopecia or peripheral neuropathy Grade ≤2.
  • Pregnancy or breastfeeding
  • Known sensitivity or to any component of study, or the of study treatment.
  • Prior systemic therapy for PV or MF, prior or planned hematopoietic stem-cell transplantation, recent major surgery, prior splenectomy or prior splenic irradiation, or use of hematopoietic growth factors within protocol-defined .
  • Use of strong or moderate cytochrome P450 (CYP) 3A4 inhibitor or inducer, sensitive substrates with narrow therapeutic range, or acid-reducing agents that cannot be discontinued prior to study treatment.
  • Participation in another interventional clinical study.
Terms in these criteria, in plain language(10)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

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.

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    PRT12396: MF

    Participants with myelofibrosis receive PRT12396, an investigational oral capsule, administered twice daily. The study includes a dose-escalation followed by dose-expansion at the recommended dose for expansion (RDE)

    Drug: PRT12396

  • Experimental
    PRT12396: PV

    Participants with polycythemia vera receive PRT12396, an investigational oral capsule, administered twice daily. The study includes a dose-escalation followed by dose-expansion at the recommended dose for expansion (RDE)

    Drug: PRT12396

Interventions

  • DrugPRT12396

    PRT12396 is an investigational oral capsule administered twice daily at the assigned dose level or RDE. Capsules are swallowed whole with water and may be taken one hour before or two hours after meals.

06

What researchers measure

Primary outcomes

  1. Dose limiting toxicity (DLT) of PRT12396

    Incidence of dose limiting toxicities, defined according to protocol-specified criteria

    Time frame: Through cycle 1 (4 weeks)

  2. Incidence and severity of Adverse events

    Incidence and severity of treatment-emergent adverse events (AEs), graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 6.0

    Time frame: Through study completion, an average of 2 years

  3. Adverse Events Leading to Dose Modifications or Discontinuation

    Incidence of AEs leading to dose reductions, dose interruptions, treatment discontinuations, and clinically significant laboratory abnormalities

    Time frame: Through study completion, an average of 2 years

  4. Maximum tolerated dose (MTD) and Recommended Dose(s) for Expansion (RDE[s]) of PRT12396

    Determination of the maximum tolerated dose (MTD) and recommended dose(s) for expansion (RDE\[s\]) based on evaluation of DLTs, safety, and tolerability data

    Time frame: Through study completion, an average of 2 years

Secondary outcomes

  1. Hematologic Response Rate (PV)

    Proportion of participants with polycythemia vera (PV) achieving best overall hematologic response (complete hematologic response or partial hematologic response) from the overall response assessments by Investigator

    Time frame: Through study completion, an average of 2 years

  2. Duration of Hematologic Response (PV)

    Duration of hematologic response in PV participants, defined as the time from first documented response (best overall hematologic response) to disease progression or death, whichever comes first

    Time frame: Through study completion, an average of 2 years

  3. Hematocrit Control Without Phlebotomy Requirements (PV)

    Proportion of PV participants achieving and maintaining hematocrit control without phlebotomy, time to first phlebotomy, and frequency of phlebotomy

    Time frame: Through study completion, an average of 2 years

  4. Spleen Response (MF)

    Assessment of spleen response including proportion achieving protocol-specified reduction in spleen volume, time to spleen response, duration of spleen response, and reduction in palpable spleen length

    Time frame: Through study completion, an average of 2 years

  5. Change from Baseline in Hemoglobin (MF)

    Change from baseline in hemoglobin levels in MF participants

    Time frame: Through study completion, an average of 2 years

  6. Change from Baseline in Platelet Count (MF)

    Change from baseline in platelet count in MF participants

    Time frame: Through study completion, an average of 2 years

  7. Change from Baseline in Absolute Neutrophil Count (MF)

    Change from baseline in absolute neutrophil count in MF participants

    Time frame: Through study completion, an average of 2 years

  8. Transfusion Independence (MF)

    Proportion achieving transfusion independence and duration of transfusion independence as defined by protocol criteria

    Time frame: Through study completion, an average of 2 years

  9. Maximum Observed Plasma Concentration (Cmax)

    Maximum observed plasma concentration will be calculated using non-compartmental analysis

    Time frame: Up to Cycle 4 Day 1 (each cycle is 4 weeks)

  10. Time To Maximum Concentration (Tmax)

    Time to maximum concentration will be calculated using non-compartmental analysis

    Time frame: Up to Cycle 4 Day 1 (each cycle is 4 weeks)

  11. Area under the plasma concentration versus time curve (AUC)

    Area under the plasma concentration-time curve will be calculated using non-compartmental analysis

    Time frame: Up to Cycle 4 Day 1 (each cycle is 4 weeks)

  12. Terminal Elimination Half-life (T1/2)

    Terminal elimination half-life will be calculated using non-compartmental analysis

    Time frame: Cycle 1 Day 1

  13. Steady State Trough Concentrations

    Steady state trough concentrations will be calculated using non-compartmental analysis

    Time frame: Up to Cycle 4 Day 1 (each cycle is 4 weeks)

  14. Clearance

    Clearance will be calculated using non-compartmental analysis

    Time frame: Cycle 1 Day 1

  15. Accumulation

    Accumulation will be calculated using non-compartmental analysis

    Time frame: Up to Cycle 4 Day 1 (each cycle is 4 weeks)

  16. Myeloproliferative Neoplasm Symptom Assessment Form Total Symptom Score (MPN-SAF TSS)

    Patient-reported outcomes assessed using the Myeloproliferative Neoplasm Symptom Assessment Form Total Symptom Score (MPN-SAF TSS), evaluated as change from baseline at protocol-specified time points. The MPN SAF TSS is a validated questionnaire in which individual symptoms are scored using a numeric rating scale ranging from 0 to 10, with 0 indicating no symptoms and 10 indicating the worst imaginable symptoms; higher scores indicate greater symptom severity.

    Time frame: Through study completion, an average of 2 years

  17. Patient Global Impression of Change (PGI-C)

    Participant reported outcomes assessed using the Patient Global Impression of Change (PGI-C), evaluated at protocol-specified time points. The PGI C is a global assessment scale in which participants rate their overall change in condition since baseline using a 7 point ordinal scale ranging from "very much improved" to "very much worse," with lower scores indicating improvement and higher scores indicating worsening of symptoms.

    Time frame: Through study completion, an average of 2 years

07

Study locations

22 of 22 sites recruiting
08

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2026 (actual). Primary completion is estimated for Apr 2028, 24 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 26, 2026
First posted
Mar 13, 2026
StartActual
Apr 29, 2026
Primary completionEst.
Apr 2028
CompletionEst.
Apr 2028
Last update
Oct 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
13 sites added — first sites in Australia, France and Italy
Show 13 added (3 United States, 3 Australia, 3 France, 3 Spain, 1 Italy)
  • UCLA Ronald Reagan Medical Center · Los Angeles, United States
  • Royal Adelaide Hospital · Adelaide, Australia
  • Monash Health, Monash Medical Centre · Clayton, Australia
  • One Clinical Research · Nedlands, Australia
  • Saint-Louis Hospital · Paris, France
  • Oncopole Claudius Regaud · Toulouse, France
  • Hospital Universitario Ramon y Cajal · Madrid, Spain
  • Hospital Universitario 12 de Octubre · Madrid, Spain
  • Hospital Clínico Universitario de Valencia · Valencia, Spain
  • University of California, Davis Comprehensive Cancer Center · Sacramento, United States
  • Sylvester Comprehensive Cancer Center · Miami, United States
  • Nice University Medicâl Center (CHU Nice, Hôpital Archet 1) · Nice, France
  • Azienda Ospedaliero Universitaria Careggi · Florence, Italy
across 2 updates, Oct 1, 2026 – Oct 29, 2026
Show all 2 updates
  1. Oct 29, 2026
    4 sites added — first site in Italy
    Show 4 added (2 United States, 1 France, 1 Italy)
    • University of California, Davis Comprehensive Cancer Center · Sacramento, United States
    • Sylvester Comprehensive Cancer Center · Miami, United States
    • Nice University Medicâl Center (CHU Nice, Hôpital Archet 1) · Nice, France
    • Azienda Ospedaliero Universitaria Careggi · Florence, Italy
  2. Oct 1, 2026
    9 sites added — first sites in Australia and France
    Show 9 added (3 Australia, 3 Spain, 2 France, 1 United States)
    • UCLA Ronald Reagan Medical Center · Los Angeles, United States
    • Royal Adelaide Hospital · Adelaide, Australia
    • Monash Health, Monash Medical Centre · Clayton, Australia
    • One Clinical Research · Nedlands, Australia
    • Saint-Louis Hospital · Paris, France
    • Oncopole Claudius Regaud · Toulouse, France
    • Hospital Universitario Ramon y Cajal · Madrid, Spain
    • Hospital Universitario 12 de Octubre · Madrid, Spain
    • Hospital Clínico Universitario de Valencia · Valencia, Spain

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 ↗

09

Registry details

Key details

Study ID
NCT07469891
Lead sponsor
Prelude Therapeutics Incorporated
Responsible party
Sponsor
First posted
Mar 13, 2026
Start date
Apr 29, 2026
Primary completion
Apr 2028 (estimated)
Completion
Apr 2028 (estimated)
Last update
Oct 29, 2026

Study contacts

Study Contact (Please Do Not Disclose Personal Information)
Contact
clinicaltrials@preludetx.com
See Email

Oversight

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

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