Clinical trial Recruiting at 5 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment426 (estimated)
SponsorIncyte Corporation
Industry-sponsored
Locations192 sites (Birmingham, Alabama and 191 other locations)
StatusRecruiting
StartedSeptember 8, 2026
Main results expectedJune 15, 2029
Study endsNovember 1, 2030
Registry record updatedNovember 5, 2026
Trial IDNCT07623200 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

  • 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
  • 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.