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> Record changed: 2026-10-13

# A Study to Evaluate INCA033989 Administered as a Monotherapy or in Combination With Ruxolitinib in Participants With Myeloproliferative Neoplasms

NCT05936359

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

Phase

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

Recruitment status

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

Participants

160

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

Lead sponsor

Incyte Corporation

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

Start date

2023-09-25

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

Number of sites

28

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Title and summary

**Summary**

This study is being conducted to evaluate the safety, tolerability, and dose-limiting toxicity (DLT) and determine the maximum tolerated dose (MTD) and/or recommended dose(s) for expansion (RDE) of INCA033989 administered as a monotherapy or in combination with ruxolitinib in participants with myeloproliferative neoplasms.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Short title**

A Study to Evaluate INCA033989 Administered as a Monotherapy or in Combination With Ruxolitinib in Participants With Myeloproliferative Neoplasms

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Official title**

A Phase 1, Open-Label, Multicenter Study of INCA033989 Administered as a Monotherapy or in Combination With Ruxolitinib in Participants With Myeloproliferative Neoplasms

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Recruitment status**

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Phase**

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Dates

**Completion date**

2028-02-29

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**First posted**

2023-07-07

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Registry last updated**

2026-08-10

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Primary completion date**

2028-02-29

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Start date**

2023-09-25

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Size and sites

**Actual participants**

160

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Participants**

160

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Protocol amendments**

4

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Number of sites**

28

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Sponsor and oversight

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Lead sponsor**

Incyte Corporation

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Identifiers

**Registry ID**

NCT05936359

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**ClinicalTrials.gov ID**

NCT05936359

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Study design

**Allocation**

Not randomised

**Model**

Sequential

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Outcomes

### Primary outcomes

1. Number of participants with Dose Limiting Toxicities (DLTs)  
Timeframe: Up to 28 days  
Dose-limiting toxicity will be defined as the occurrence of any of the toxicities as per protocol.
2. Number of participants with Treatment-emergent Adverse Events (TEAEs)  
Timeframe: Up to 3 years and 60 days  
Defined as adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug monotherapy and in combination with ruxolitinib
3. Number of participants with TEAEs leading to dose modification or discontinuation  
Timeframe: Up to 3 years and 60 days  
Number of participants with TEAEs leading to dose modification or discontinuation.

### Secondary outcomes

1. Participants with MF: Response using the revised IWG-MRT and ELN response criteria for MF  
Timeframe: Up to 3 years and 60 days  
Defined as the percentage of participants with Response using the revised IWG-MRT and ELN response criteria.
2. Participants With MF: Percentage of participants achieving spleen volume reduction as defined in the protocol  
Timeframe: Up to 3 years and 60 days  
Defined as percentage of participants with a protocol defined Spleen Volume Reduction.
3. Participants with MF with symptomatic anemia: Anemia Response  
Timeframe: Up to 3 years and 60 days  
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.
4. Participants With ET: Response Rate  
Timeframe: Up to 3 years and 60 days  
Defined as the proportion of participants with Complete Response or Partial Response when treated with study drug.
5. Participants With ET: Mean change from baseline of total symptom score (TSS)  
Timeframe: Up to 3 years and 60 days  
Mean change of TSS from baseline.
6. Mean change in disease-related allele burden  
Timeframe: Up to 3 years and 60 days  
Mean change in disease-related allele burden.
7. Pharmacokinetics Parameter: Cmax of INCA33989  
Timeframe: Up to 3 years and 60 days  
Defined as maximum observed plasma concentration of INCA33989.
8. Pharmacokinetics Parameter: Tmax of INCA033989  
Timeframe: Up to 3 years and 60 days  
Defined as the time to reach the maximum plasma concentration of INCA33989.
9. Pharmacokinetics Parameter: Cmin of INCA33989  
Timeframe: Up to 3 years and 60 days  
Defined as the minimum observed plasma concentration of INCA33989.
10. Pharmacokinetics Parameter: AUC(0-t) of INCA33989  
Timeframe: Up to 3 years and 60 days  
Defined as the area under the concentration-time curve up to the last measurable concentration of INCA33989.
11. Pharmacokinetics Parameter: AUC 0-∞ of INCA33989  
Timeframe: Up to 3 years and 60 days  
Defined as the area under the concentration-time curve from 0 to infinity of INCA33989.
12. Pharmacokinetics Parameter: CL/F of INCA33989  
Timeframe: Up to 3 years and 60 days  
Defined as the apparent oral dose clearance of INCA33989.
13. Pharmacokinetics Parameter: Vz/F of INCA33989  
Timeframe: Up to 3 years and 60 days  
Defined as the apparent oral dose volume of distribution of INCA33989.
14. Pharmacokinetics Parameter: t1/2 of INCA33989  
Timeframe: Up to 3 years and 60 days  
Defined as the apparent terminal phase disposition half-life of INCA33989.

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- Life expectancy > 6 months.
- Willingness to undergo a pretreatment and regular on-study BM biopsies and aspirates (as appropriate to disease).
- Existing documentation from a qualified local laboratory of CALR exon-9 mutation.
- Participants with MF and ET as defined in the protocol.

### Exclusion criteria

- Presence of any hematological malignancy other than ET, PMF, or post-ET MF.
- Active invasive malignancy over the previous 2 years.
- Active HBV/HCV, HIV.
- History of clinically significant or uncontrolled cardiac disease.
- Has undergone any prior allogenic or autologous stem-cell transplantation or such transplantation is planned.
- Laboratory values outside the Protocol-defined ranges.
- Participants undergoing treatment with G-CSF, GM-CSF, or TPO-R agonists at any time within 4 weeks before the first dose of study treatment.
- Prior history of major bleeding, or thrombosis within the last 3 months prior to study enrollment.
- Any prior chemotherapy, immunomodulatory drug therapy, immunosuppressive therapy, biological therapy, endocrine therapy, targeted therapy, antibody, or hypomethylating agent used to treat the participant's disease within 5 half-lives or 28 days (whichever is shorter) before the first dose of study treatment.
- For TGBs only: Undergoing treatment with a potent/strong inhibitor or inducer of CYP 3A4/5 within 14 days or 5 half-lives (whichever is longer) before the first dose of study treatment, or expected to receive such treatment during the study.

Other protocol-defined Inclusion/Exclusion Criteria may apply.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Sites

- Royal Brisbane and Women'S HospitalHerston, Australia
- Royal Adelaide HospitalAdelaide, Australia
- Peter Maccallum Cancer CentreMelbourne, Australia
- The Alfred HospitalMelbourne, Australia
- Princess Margaret Cancer CenterToronto, Canada
- Hopital Maisonneuve-Rosemont, Montreal, QcMontreal, Canada
- Sjaellands UniversitetshospitalRoskilde, Denmark
- Vejle HospitalVejle, Denmark
- Institut BergonieBordeaux, France
- Chu NimesNîmes, France
- Hospital Saint LouisParis, France
- Institut Gustave RoussyVillejuif, France
- University Medical Center Rwth AachenAachen, Germany
- Universitatsklinikum Halle (Saale)Halle, Germany
- Universitätsklinikum UlmUlm, Germany
- Aou Policlinico S. Orsola-MalpighiBologna, Italy
- Azienda Ospedaliero-Universitaria Careggi (Aouc)Florence, Italy
- Fondazione Irccs Ca Granda Ospedale MaggioreMilan, Italy
- National Cancer Center Hospital EastChiba-ken, Japan
- Kagoshima University HospitalKagoshima, Japan
- Osaka Metropolitan University HospitalOsaka, Japan
- Nippon Medical School HospitalTokyo, Japan
- Mie University HospitalTsu, Japan
- Hospital Universitario 12 de OctubreMadrid, Spain
- Hospital Universitari I Politecnic La FeValencia, Spain

And 3 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## References

- Related resource (incyteclinicaltrials.com)  
Source: [incyteclinicaltrials.com](https://incyteclinicaltrials.com/studies/inca-33989-101)

### Other registry identifiers

- 2022-502514-86-00

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05936359)

## Related records

### Drugs (1)

- [Ruxolitinib phosphate](https://trialight.com/data/asset/ruxolitinib-phosphate-fce80c56-88a2-456a-bcb5-431e98979584.md)

### Lead sponsors (1)

- [Incyte Corporation](https://trialight.com/data/company/incyte-corporation-e1151708-5233-40b6-a85b-04abb2816a9f.md)

### Conditions (4)

- [Essential thrombocythemia](https://trialight.com/data/condition/essential-thrombocythemia-155250c9-5856-5b62-9d8b-794d484c4616.md)
- [Myelodysplastic/myeloproliferative neoplasm](https://trialight.com/data/condition/myelodysplastic-myeloproliferative-neoplasm-1fce813e-4882-5c37-a9f8-567d47f0e521.md)
- [Myeloproliferative neoplasm](https://trialight.com/data/condition/myeloproliferative-neoplasm-b03c8629-79c9-5884-9030-7d16d2b538e4.md) Primary condition
- [Primary myelofibrosis](https://trialight.com/data/condition/primary-myelofibrosis-7777dc52-f40c-5e07-9d67-bcf779b7ff0e.md)

### Targets (2)

- [JAK1](https://trialight.com/data/target/jak1-c22a6fc9-26d6-5daa-a0f4-71cd08b3c5e1.md)
- [JAK2](https://trialight.com/data/target/jak2-6d06f09e-903b-5a13-9d7a-79efa991190f.md)

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