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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2500113793 |
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最近更新日期: Date of Last Refreshed on: |
2025-12-03 10:23:46 |
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注册时间: Date of Registration: |
2025-12-03 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
吉卡昔替尼治疗慢性中性粒细胞白血病(CNL)及骨髓增生异常综合征/骨髓增殖性肿瘤合并SF3B1突变伴血小板增多症(MDS/MPN-SF3B1-T)的II期研究 |
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Public title: |
A Phase 2 Study of Gecacitinib in Patients with Chronic Neutrophilic Leukemia (CNL) and myelodysplastic/myeloproliferative neoplasms with SF3B1 mutation and thrombocytosis (MDS/MPN-SFCB1-T) |
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注册题目简写: |
GEC-CNL/SF3B1-T |
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English Acronym: |
GEC-CNL/SF3B1-T |
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研究课题的正式科学名称: |
吉卡昔替尼治疗慢性中性粒细胞白血病(CNL)及骨髓增生异常综合征/骨髓增殖性肿瘤合并SF3B1突变伴血小板增多症(MDS/MPN-SF3B1-T)的II期研究 |
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Scientific title: |
A Phase 2 Study of Gecacitinib in Patients with Chronic Neutrophilic Leukemia (CNL) and myelodysplastic/myeloproliferative neoplasms with SF3B1 mutation and thrombocytosis (MDS/MPN-SF3B1-T) |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
徐泽锋 |
研究负责人: |
肖志坚 |
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Applicant: |
Zefeng Xu |
Study leader: |
Zhijian Xiao |
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申请注册联系人电话: Applicant telephone: |
+86 139 2058 7675 |
研究负责人电话:
Study leader's |
+86 22 2390 9184 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
xuzefeng@ihcams.ac.cn |
研究负责人电子邮件: Study leader's E-mail: |
zjxiao@ihcams.ac.cn |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
天津,中国医学科学院血液病医院(中国医学科学院血液学研究所),MDS/MPN诊疗中心 |
研究负责人通讯地址: |
天津市和平区南京路288号 |
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Applicant address: |
MDS and MPN Centre, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical |
Study leader's address: |
288 Nanjing Road, Tianjin |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
中国医学科学院血液病医院(中国医学科学院血液学研究所) |
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Applicant's institution: |
Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking |
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研究负责人所在单位: |
中国医学科学院血液病医院(中国医学科学院血液学研究所) |
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Affiliation of the Leader: |
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College. |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
IIT2025113-EC-1 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
中国医学科学院血液病医院(中国医学科学院血液学研究所)伦理审查委员会 |
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Name of the ethic committee: |
Ethics Committee of Blood Diseases Hospital, Chinese Academy of Medical Sciences |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-10-06 00:00:00 | ||
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伦理委员会联系人: |
王启柔 |
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Contact Name of the ethic committee: |
Wang QiRou |
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伦理委员会联系地址: |
天津市和平区南京路288号 |
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Contact Address of the ethic committee: |
288 Nanjing Road, Tianjin |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 22 2390 9095 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
wangqirou@ihcams.ac.cn |
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研究实施负责(组长)单位: |
中国医学科学院血液病医院(中国医学科学院血液学研究所) |
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Primary sponsor: |
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College. |
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研究实施负责(组长)单位地址: |
天津市和平区南京路288号 |
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Primary sponsor's address: |
288 Nanjing Road, Tianjin |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
吉卡昔替尼治疗慢性中性粒细胞白血病(CNL)及骨髓增生异常综合征/骨髓增殖性肿瘤合并SF3B1突变伴血小板增多症(MDS/MPN-SF3B1-T)的II期研究/苏州泽璟生物制药股份有限公司 |
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Source(s) of funding: |
Other(Suzhou Zelgen Biopharmaceuticals Co., Ltd.) |
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研究疾病: |
1. 慢性中性粒细胞白血病 2.骨髓增生异常综合征/骨髓增殖性肿瘤合并SF3B1突变伴血小板增多症 |
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Target disease: |
1.Chronic neutrophilic leukemia 2. myelodysplastic/myeloproliferative neoplasms with SF3B1 mutation and thrombocytosis |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
II期临床试验 | ||||||||||||||||||||||
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Study phase: |
2 |
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研究设计: |
单臂 |
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Study design: |
Single arm |
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研究目的: |
评估吉卡昔替尼在慢性中性粒细胞白血病(CNL)及骨髓增生异常综合征/骨髓增殖性肿瘤合并SF3B1突变伴血小板增多症(MDS/MPN-SF3B1-T)患者中的疗效及安全性。 主要研究目的: 1) 评估吉卡昔替尼在CNL及MDS/MPN-SF3B1-T患者中的有效性。 次要研究目的: 1) 评估基线脾肿大患者接受吉卡昔替尼治疗后实现脾脏响应的患者比例,脾脏体积缩小的百分比。 2) 评估基线MPN-SAF TSS≥10的患者接受吉卡昔替尼治疗后实现TSS评分减少≥50%的患者比例,TSS评分减少的百分比。 3) 评估吉卡昔替尼的安全性。 探索性目的: 1) 评估受试者接受吉卡昔替尼治疗后对病情变化的整体印象。 2) 估算至少服用1剂吉卡昔替尼受试者的总生存。 |
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Objectives of Study: |
To evaluate the efficacy and safety of gecacitinib in patients with Chronic Neutrophilic Leukemia (CNL) and myelodysplastic/myeloproliferative neoplasms with SF3B1 mutation and thrombocytosis (MDS/MPN-SF3B1-T). Primary objective: 1) To assess the efficacy of gecacitinib in patients with CNL and MDS/MPN-SF3B1-T. Secondary objectives: 1) To determine the proportion of patients with baseline splenomegaly who achieve a spleen response and the percentage reduction in spleen volume after gecacitinib treatment. 2) To determine the proportion of patients with baseline MPN-SAF TSS >= 10 who achieve a >= 50 % reduction in TSS score and the percentage reduction in TSS score after gecacitinib treatment. 3) To evaluate the safety of gecacitinib. Exploratory objectives: 1) To assess the patient’s global impression of change after gecacitinib treatment. 2) To estimate overall survival in subjects who receive at least one dose of gecacitinib. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1.年龄≥18岁,男女不限; |
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Inclusion criteria |
18 years of age or older,either male or female; 1.Morphologically confirmed diagnosis of one of the following in accordance with WHO (2022) diagnostic criteria:CNL or MDS/MPN-SF3B1-T; 2.Subjects must have a platelet count of >= 100×10?/L and an ANC of >= 1.0×10?/L at baseline and the study-initiation visit (within 7 days before treatment starts). 3.No plans for stem cell transplantation in the near future; 4.Expected life expectancy is >= 24 weeks; 5.Eastern Cooperative Oncology Group (ECOG) score of 0-2; 6.Peripheral blood blasts <= 5 %; 7.Bone-marrow blasts <= 5 %; 8.Adequate organ function within 7 days before first dose, defined as: ALT and AST <= 2.5 × ULN; DBIL and TBIL <= 2.0 × ULN; serum creatinine <= 1.5 × ULN. 9.Provision of informed consent in accordance with the ethics committee; 10.Able to comply with study and follow-up procedures; |
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排除标准: |
1.接受任何化疗、免疫调节药物治疗(例如来那度胺、泊马度胺、沙利度胺、α-干扰素)、芦可替尼、阿那格雷、皮质类固醇(剂量>10 mg/天的泼尼松或等效药物)的受试者。若受试者正在使用羟基脲以控制白细胞增多,且在使用吉卡昔替尼前已稳定剂量超过14天,则可继续使用羟基脲; |
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Exclusion criteria: |
1.Subjects who have received any chemotherapy, immunomodulatory agents (e.g., lenalidomide, pomalidomide, thalidomide, interferon-α), ruxolitinib, anagrelide, or corticosteroids (>10 mg/day prednisone or equivalent). Subjects on stable-dose hydroxyurea for leukocytosis may continue if the dose has remained unchanged for >= 14 days prior to starting gecacitinib. 2.Subjects who received myeloid growth factors (e.g., G-CSF) within 14 days before the first dose of gecacitinib. 3.Subjects with prior exposure to gecacitinib; 4.Subjects on daily aspirin >150 mg. 5.Any clinically significant laboratory or clinical abnormality that, in the investigator’s opinion, could compromise safety assessment, including: a) Uncontrolled diabetes (glucose >250 mg/dL or >13.9 mmol/L); b) Hypertension not adequately controlled (SBP >= 160 mmHg or DBP >= 100 mmHg) on combination therapy; c) Peripheral neuropathy >= Grade 2 per NCI-CTC AE v5.0. 6.Hepatic or renal impairment at screening defined as: a) Child-Pugh Class B or C; b) Known hepatocellular disease (e.g., HBsAg positive or HBV DNA >200 IU/mL or 1000 copies/mL; anti-HCV positive or HCV RNA positive), cirrhosis, or other significant hepatic disorder; c) Direct bilirubin >= 2 × ULN; d) ALT >2.5 × ULN; e) Serum creatinine >= 1.5 × ULN or calculated CrCl <30 mL/min or requirement for dialysis. 7.Clinically significant cardiac disease (NYHA Class III or IV). 8.Disorders that could markedly impair oral drug absorption (e.g., major gastric disease). 9.Active severe infection (significant bacterial, fungal, parasitic, or viral infection) not resolved. 10.History of active tuberculosis or positive interferon-gamma release assay at screening judged by the investigator to indicate active TB. 11.Positive HIV, active HBV (HBsAg positive plus HBV DNA positive or above LLoQ), or anti-HCV positive with HCV RNA positive at screening. 12.History of epilepsy or use of psycholeptics or sedatives (except eszopiclone). 13.Women who are pregnant, planning pregnancy, breastfeeding, or not using effective contraception; men unwilling to use condoms from first dose until 2 days (≈5 half-lives) after last dose. 14.Active alcohol or drug addiction that could interfere with protocol compliance. 15.Malignancy within 5 years (except adequately treated basal-cell carcinoma or cervical carcinoma in situ). 16.Any other severe condition that, in the investigator’s judgment, could compromise safety or compliance. 17.Known hypersensitivity to gecacitinib HCl or related compounds. 18.Inability to swallow tablets. 19.Participation in another clinical trial of an investigational drug or device within 12 weeks prior to screening and has received the investigational product or used the investigational device. |
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研究实施时间: Study execute time: |
从 From 2025-11-01 00:00:00至 To 2027-10-31 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2025-12-03 00:00:00 至 To 2027-03-01 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
无 |
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Blinding: |
None |
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
不共享 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
Non-sharing |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
通过eCRF进行数据采集 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Data will be collected via eCRF. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |