Clinical trial Recruiting at 38 sites Phase 3 Interventional Ages 18 and up

Sapablursen added to standard care for people with polycythemia vera

Official title: A Phase 3 Randomized, Double-blind, Placebo-controlled Global Study of Sapablursen in Polycythemia Vera

Run by Ono Pharmaceutical Co., Ltd. · NCT07429266 · Data updated 2026-11-12

This trial will test whether adding sapablursen to standard therapy can reduce the need for phlebotomy in people with polycythemia vera who remain phlebotomy-dependent.

More Polycythemia Vera trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment250 (estimated)
SponsorOno Pharmaceutical Co., Ltd.
Industry-sponsored
Locations38 sites (Orange, California and 37 other locations)
StatusRecruiting
StartedMay 25, 2026
Main results expectedSeptember 2028
Study endsJanuary 2031
Registry record updatedOctober 29, 2026
Trial IDNCT07429266 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with PV who meet 2022 WHO/ICC diagnostic criteria, are phlebotomy-dependent with Hct <45% at baseline, and are on stable cytoreductive therapy if applicable.

Probably not a fit

Patients with recent clinically significant thrombosis, progression to post‑PV myelofibrosis, prior exposure to TMPRSS6 inhibitors or hepcidin mimetics, unstable medical or psychiatric conditions, or those who are not phlebotomy-dependent are unlikely to benefit from this treatment.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Sapablursen is being tested as an add-on to current standard of care in adults with phlebotomy-dependent polycythemia vera. The phase 3 program is organized in three sequential parts: a blinded treatment period (Part 1a) comparing sapablursen to placebo, an open-label treatment period (Part 1b), and a long-term extension (Part 2) with up to 156 weeks of exposure. Eligible participants must meet the 2022 WHO and ICC diagnostic criteria for PV, be phlebotomy-dependent with baseline hematocrit <45%, and may remain on a stable cytoreductive regimen. Outcomes focus on hematocrit control, need for phlebotomy, and safety monitoring including thrombotic events and other adverse effects.

Why it matters

Potential benefit: If successful, sapablursen could reduce the frequency of phlebotomy and improve hematocrit control for people with PV.

How similar studies have gone: Hepcidin-modulating approaches and early-phase TMPRSS6 inhibitor studies have shown promising hematologic effects, but robust phase 3 evidence is still limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Meet revised 2022 World Health Organization (WHO) and 2022 International Consensus Classification criteria for the diagnosis of PV.
2. Participants must be phlebotomy-dependent.
3. Hct less than (\<) 45% at study start.
4. Participants receiving Cytoreduction therapy (CRT) must be on a stable regimen at study start.
5. Adequate organ function and electrolytes.

Exclusion Criteria:

1. Prior treatment of PV with Transmembrane serine protease 6 (TMPRSS6) inhibitors, including sapablursen, or hepcidin mimetics.
2. Clinically significant thrombosis (eg, myocardial infarction, stroke, deep vein thrombosis or splenic vein thrombosis) within 1 month prior to randomization.
3. Participants who require phlebotomy at Hct levels \<45%.
4. Meet the criteria for post-PV myelofibrosis as defined by the International Working Group-Myeloproliferative Neoplasms Research and Treatment.
5. Any serious or unstable medical condition or uncontrolled psychiatric condition that would interfere with their ability to comply with study requirements.

Where it's running

  • UC Irvine Health - Chao Family Comprehensive Cancer Center
    Orange, California, United States
    Recruiting
  • Regis Clinical Research LLC.
    Miami, Florida, United States
    Recruiting
  • Florida Clinical Trials Group
    Plantation, Florida, United States
    Recruiting
  • Florida Clinical Trials Group
    Tamarac, Florida, United States
    Recruiting
  • Central Georgia Cancer Care
    Macon, Georgia, United States
    Recruiting
  • The Center for Cancer & Blood Disorders
    Bethesda, Maryland, United States
    Recruiting
Show 32 more locations
  • The Cancer and Hematology Centers
    Grand Rapids, Michigan, United States
    Recruiting
  • Montefiore Medical Center
    The Bronx, New York, United States
    Recruiting
  • Gabrail Cancer Center Research
    Canton, Ohio, United States
    Recruiting
  • The James Cancer Hospital and Solove Research Institute at The Ohio State University
    Columbus, Ohio, United States
    Recruiting
  • Fox Chase Cancer Center
    Philadelphia, Pennsylvania, United States
    Recruiting
  • University of Texas M.D. Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • Hematology Oncology Associates of Fredericksburg
    Fredericksburg, Virginia, United States
    Recruiting
  • Perth Blood Institute
    West Perth, Western Australia, Australia
    Recruiting
  • Austin Health
    Heidelberg, Australia
    Recruiting
  • Icon Cancer Centre Kurralta Park
    Kurralta Park, Australia
    Recruiting
  • Medizinische Universität Graz, Klinische Abteilung für Hämatologie
    Graz, Austria
    Recruiting
  • Hospital Ophir Loyola
    Belém, Pará, Brazil
    Recruiting
  • Meso Clinic Servicos Medicos Ltda
    Blumenau, Santa Catarina, Brazil
    Recruiting
  • Instituto Joinvilense de Hematologia e Oncologia LTDA
    Santa Catarina, Brazil
    Recruiting
  • Centre Hospitalier Universitaire d'Angers
    Angers, France
    Recruiting
  • Hospices Civils de Lyon (HCL) - Centre Hospitalier Lyon-Sud
    Pierre-Bénite, France
    Recruiting
  • Cortex Study Center
    Budapest, Hungary
    Recruiting
  • Gyor-Moson-Sopron County Petz Aladar University Teaching Hospital
    Győr, Hungary
    Recruiting
  • Japanese Red Cross Nagasaki Genbaku Hospital
    Nagasaki, Japan
    Recruiting
  • Osaka Metropolitan University Hospital
    Osaka, Japan
    Recruiting
  • Institute of Science Tokyo Hospital
    Tokyo, Japan
    Recruiting
  • Tokyo Women's Medical University Hospital
    Tokyo, Japan
    Recruiting
  • Aidport Sp. z. o. o.
    Skórzewo, Poland
    Recruiting
  • MICS Centrum Medyczne Torun
    Torun, Poland
    Recruiting
  • Pratia Onkologia Wroclaw
    Wroclaw, Poland
    Recruiting
  • Royal Devon University Healthcare NHS Foundation Trust
    Exeter, United Kingdom
    Recruiting
  • Imperial College Healthcare NHS Trust
    London, United Kingdom
    Recruiting
  • The New Castle upon Tyne Hospital
    Newcastle upon Tyne, United Kingdom
    Recruiting
  • Royal Gwent Hospital
    Newport, United Kingdom
    Recruiting
  • Nottingham University Hospitals NHS Trust
    Nottingham, United Kingdom
    Recruiting
  • GensisCare
    Oxford, United Kingdom
    Recruiting
  • Genesis Care Windsor
    Windsor, United Kingdom
    Recruiting

Study contacts

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Other studies for the same condition or treatment. Recruiting studies are listed first.

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    This study tests how outcomes differ for patients 16 and older with polycythemia vera, essential thrombocythemia, or myelofibrosis by collecting and analyzing clinical and treatment data.

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  • Test of bomedemstat for polycythemia vera in adults

    This study tests bomedemstat (MK-3543) to see if it helps people with polycythemia vera reach healthier blood counts compared with standard treatments.

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  • Rusfertide in Japanese adults with polycythemia vera

    This study tests rusfertide in Japanese adults with polycythemia vera to see if it helps keep hematocrit under control and reduce the need for blood removal.

    Recruiting at 8 sites Phase 2 Takeda · Nagoya, Aichi-ken and 8 other locations · NCT07648030

  • MPN PROGRESSion Registry — tracking symptoms, treatments, and disease progression in people with MPNs.

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  • ELN multicenter analysis of phenotypic evolution and clinical outcomes

    This study tries to find features linked to JAK2V617F-positive essential thrombocythemia (ET) patients who later developed polycythemia vera (PV) by comparing them with matched ET patients who did not progress and with patients diagnosed with de novo PV.

    Recruiting at 10 sites FROM- Fondazione per la Ricerca Ospedale di Bergamo- ETS · Rochester, Minnesota and 23 other locations · NCT07203768

  • BEBT-507 Injection for Polycythemia Vera

    This study tests BEBT-507 to see if it is safe and possibly helpful for adults with polycythemia vera who have not responded well to standard therapies.

    Recruiting Phase 1 BeBetter Med Inc · Tianjin, Tianjin Municipality · NCT07012109

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.