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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 250 (estimated) |
| Sponsor | Ono Pharmaceutical Co., Ltd. Industry-sponsored |
| Locations | 38 sites (Orange, California and 37 other locations) |
| Status | Recruiting |
| Started | May 25, 2026 |
| Main results expected | September 2028 |
| Study ends | January 2031 |
| Registry record updated | October 29, 2026 |
| Trial ID | NCT07429266 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
- Study coordinator: Clinical Team
- Email: clinicaltrials@deciphera.com
- Phone: 888-724-3274
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
MPNdpoint: Long-term Look at Philadelphia-negative Myeloproliferative Neoplasms
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.
-
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.
-
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.
-
MPN PROGRESSion Registry — tracking symptoms, treatments, and disease progression in people with MPNs.
Track long-term symptoms, treatments, and disease progression in adults with myeloproliferative neoplasms to see how these conditions evolve over time.
-
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.
-
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.
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.