A Phase 3 Test of INCA033989 vs Best Available Therapy for Essential Thrombocythemia with CALR Mutation
Official title: A Phase 3, Randomized, Open-Label Study of INCA033989 Versus Best Available Therapy in Participants With Essential Thrombocythemia and a CALR Mutation Previously Treated With Cytoreductive Therapy (EXCALIBUR-ET2)
Run by Incyte Corporation · NCT07623200 · Data updated 2026-11-12
This phase 3 study tests whether INCA033989 can help people with essential thrombocythemia who have a CALR mutation and have already had cytoreductive therapy, compared to the best available treatment.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 426 (estimated) |
| Sponsor | Incyte Corporation Industry-sponsored |
| Locations | 192 sites (Birmingham, Alabama and 191 other locations) |
| Status | Recruiting |
| Started | September 8, 2026 |
| Main results expected | June 15, 2029 |
| Study ends | November 1, 2030 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT07623200 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with high-risk essential thrombocythemia, a mutCALR mutation, and prior cytoreductive therapy.
✕Probably not a fit
Patients who do not have CALR-mutated ET or who have not previously received cytoreductive therapy may not benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, interventional phase 3 trial compares INCA033989 to the best available therapy in adults with high-risk essential thrombocythemia and a CALR mutation who have previously received cytoreductive treatment. Key eligibility includes confirmed high-risk ET with mutCALR and prior cytoreductive therapy, while major recent bleeding or thrombosis, certain stem cell transplants, and specific unresolved toxicities are exclusion criteria. The study is sponsored by Incyte Corporation and involves multiple sites, including centers in Alabama, Arizona, and California. The primary goal is to determine if INCA033989 improves disease control or clinical outcomes compared with current standard options. Additional protocol criteria will further refine who can participate.
Why it matters
Potential benefit: If successful, INCA033989 could provide improved disease control and possibly better symptom management for patients with CALR-mutated essential thrombocythemia.
How similar studies have gone: Previous similar approaches in ET have shown signals of activity in targeted mutation contexts, but this exact CALR-mutated, cytoreduction-experienced population is being tested in this phase 3 setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Confirmed diagnosis of high-risk ET. * Presence of mutCALR. * Prior treatment with at least 1 cytoreductive therapy. Exclusion Criteria: * Presence of any hematologic malignancy other than ET. * Major bleeding or thrombosis within the last 3 months prior to study enrollment. * Any prior allogenic or autologous stem-cell transplantation. * Unresolved toxicity ≥ Grade 2 from previous therapy except for stable chronic toxicities (Grade 2) not expected to resolve, such as stable Grade 2 peripheral neuropathy. * Prior nonhematologic malignancy except for the following: Malignancy treated with curative intent and with no evidence of active disease for more than 2 years before screening. Adequately treated carcinoma in situ without current evidence of disease. Other protocol-defined Inclusion/Exclusion Criteria apply.
Where it's running
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City of Hope Medical Center
Duarte, California, United States Recruiting -
Marin Cancer Care
Greenbrae, California, United States Recruiting -
Texas Oncology-Tyler
Tyler, Texas, United States Recruiting -
Blacktown Cancer & Haematology Centre-Blacktown Hospital
Blacktown, New South Wales, Australia Recruiting -
Box Hill Hospital
Melbourne, Victoria, Australia Recruiting -
University of Alabama At Birmingham Comprehensive Cancer Center
Birmingham, Alabama, United States Not yet recruiting
Show 44 more locations
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Banner Md Anderson Cancer Center
Gilbert, Arizona, United States Not yet recruiting -
University of California, San Diego-Moores Cancer Center
La Jolla, California, United States Not yet recruiting -
University of California, Los Angeles Medical Center
Los Angeles, California, United States Not yet recruiting -
Stanford Cancer Center
Palo Alto, California, United States Not yet recruiting -
Rocky Mountain Cancer Centers-Lone Tree
Lone Tree, Colorado, United States Not yet recruiting -
Medstar Georgetown Medical Center, Inc
Washington D.C., District of Columbia, United States Not yet recruiting -
Florida Cancer Specialists & Research Institute
Fort Myers, Florida, United States Not yet recruiting -
University of Miami Sylvester Comprehensive Cancer Center
Miami, Florida, United States Not yet recruiting -
Cleveland Clinic
Weston, Florida, United States Not yet recruiting -
Robert H. Lurie Comprehensive Cancer Center of Northwestern University
Chicago, Illinois, United States Not yet recruiting -
University of Chicago
Chicago, Illinois, United States Not yet recruiting -
The University of Kansas Cancer Center
Westwood, Kansas, United States Not yet recruiting -
Our Lady of the Lake Medical Center
Baton Rouge, Louisiana, United States Not yet recruiting -
Johns Hopkins Medicine-the Sidney Kimmel Comprehensive Cancer Center
Baltimore, Maryland, United States Not yet recruiting -
Maryland Oncology Hematology, P.A.
Columbia, Maryland, United States Not yet recruiting -
Massachusetts General Hospital
Boston, Massachusetts, United States Not yet recruiting -
Beth Israel Deaconess Medical Center (Bidmc)
Boston, Massachusetts, United States Not yet recruiting -
University of Massachusetts Medical School
Worcester, Massachusetts, United States Not yet recruiting -
University of Michigan Rogel Cancer Center Adult Bone Marrow Transplant Clinic
Ann Arbor, Michigan, United States Not yet recruiting -
Missouri Cancer Associates
Columbia, Missouri, United States Not yet recruiting -
Washington University School of Medicine
St Louis, Missouri, United States Not yet recruiting -
John Theurer Cancer Center, Hackensack University Medical Center
Hackensack, New Jersey, United States Not yet recruiting -
Icahn School of Medicine At Mount Sinai
New York, New York, United States Not yet recruiting -
Memorial Sloan Kettering Cancer Center
New York, New York, United States Not yet recruiting -
Weill Cornell Medical College - Newyork-Presbyterian Hospita
New York, New York, United States Not yet recruiting -
Strong Memorial Hospital University of Rochester Medical Center
Rochester, New York, United States Not yet recruiting -
Duke University Medical Center
Durham, North Carolina, United States Not yet recruiting -
Cleveland Clinic Taussig Cancer Ctr
Cleveland, Ohio, United States Not yet recruiting -
Willamette Valley Cancer Institute and Research Center
Eugene, Oregon, United States Not yet recruiting -
Oregon Health and Science University
Portland, Oregon, United States Not yet recruiting -
Thomas Jefferson University Sidney Kimmel Medical College
Philadelphia, Pennsylvania, United States Not yet recruiting -
Vanderbilt University Medical Center
Nashville, Tennessee, United States Not yet recruiting -
Baylor Charles A. Sammons Cancer Center
Dallas, Texas, United States Not yet recruiting -
The University of Texas-Md Anderson Cancer Center
Houston, Texas, United States Not yet recruiting -
Ut Health Science Center At San Antonio
San Antonio, Texas, United States Not yet recruiting -
Huntsman Cancer Institute At University of Utah
Salt Lake City, Utah, United States Not yet recruiting -
Virginia Oncology Associates (Brock Cancer Center)
Norfolk, Virginia, United States Not yet recruiting -
University of Washington - Fred Hutch Cancer Center
Seattle, Washington, United States Not yet recruiting -
Gosford Hospital (Gh) - Central Coast Cancer Centre
Gosford, New South Wales, Australia Not yet recruiting -
Liverpool Hospital - South Western Sydney Local Health District
Liverpool, New South Wales, Australia Not yet recruiting -
Sunshine Coast University Hospital
Birtinya, Queensland, Australia Not yet recruiting -
Royal Brisbane and Women'S Hospital
Brisbane, Queensland, Australia Not yet recruiting -
Icon Cancer Centre Adelaide
Kurralta Park, South Australia, Australia Not yet recruiting -
Peter Maccallum Cancer Centre
Melbourne, Victoria, Australia Not yet recruiting
+142 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Incyte Corporation Call Center (US)
- Email: medinfo@incyte.com
- Phone: 1.855.463.3463
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.