Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Prof Claire Harrison
+44 (0)207 188 2742
Claire.Harrison@gstt.nhs.uk


Study Location:

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Be Part of Research - Trial Details - Ruxolitinib versus hydroxycarbamide or interferon as first-line therapy in high-risk polcythemia vera

Ruxolitinib versus hydroxycarbamide or interferon as first-line therapy in high-risk polcythemia vera

Medical Conditions

Polycythaemia vera


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

30 Sep 2019 30 Oct 2025

Interventional

Intervention Type : Drug
Intervention Description : The interventions are Arm A: Ruxolitinib and Arm B: Best Available Therapy (Hydroxycarbamide OR Interferon Alpha, any formulation permitted), which will be selected by the Investigator prior to randomisation. Randomisation will be in a 1:1 ratio and will be performed using a bespoke computer randomisation system developed by the Cancer Research UK Clinical Trials Unit (CRCTU) employing a stratified minimisation method. Patients will be stratified by: 1. Country of Origin: UK, France 2. Elected standard of care therapy: IFN, HC 3. Age: <60, ≥ 60 4. Prior thrombosis: No, Yes 5. Length of time from diagnosis: <5: ≥5 years 6. Cardiovascular risk factors, (including the following: arterial hypertension, diabetes, dyslipidemia, tobacco use, obesity): No, Yes

Randomisation will be in a 1:1 ratio AND There will be no cross-over either between arm A and B or between therapies on Arm B.

Arm A: Ruxolitinib – starting dose of 10 mg adjusted in line with the summary product of characteristics throughout for treatment period of 3 years Arm B: Best Available Therapy (Hydroxycarbamide OR interferon alpha (any formulation permitted)) – treatment for 3 years, dosage is in line with the summary product of characteristics

Patients will be required to attend for study visits to monitor their disease, as they would do whilst following standard care. In addition, patients will be asked to consent to complete quality of life questionnaires every few months and have an additional bone marrow biopsy and an ultrasound scan at 3 years.




You can take part if:



You may not be able to take part if:


Current participant exclusion criteria as of 06/06/2025:1. Diagnosis of PV > 15 years previously2. Absence of JAK-2 mutation3. Patients with any contraindications to any of the investigational medical products4. Treatment with >1 cytoreductive therapy OR a cytoreductive treatment duration exceeding 10 years OR resistance/intolerance to that therapy5. Active infection including Human Immunodeficiency Virus (HIV), hepatitis B, hepatitis C, autoimmune hepatitis, tuberculosis6. Pregnant or lactating patients (Women of childbearing potential must have a negative urine or blood Human Chorionic Gonadotropin pregnancy test prior to trial entry)7. Patients with lactose allergies, hypersensitivities, or rare hereditary problems, of galactose intolerance, total lactase deficiency or glucose-galactose malabsorption8. Patients with uncontrolled neuropsychiatric disorders9. Patients with uncontrolled cutaneous cancers10. Patients and partners not prepared to adopt highly effective contraception measures (if sexually active) whilst on treatment and for at least 6 months after completion of study medication11. ECOG Performance Status Score ≥ 312. Uncontrolled rapid or paroxysmal atrial fibrillation, uncontrolled or unstable angina, recent (within the last 6 months) myocardial infarction or acute coronary syndrome or any clinically significant cardiac disease > NYHA ( New York Heart Association) Class II13. Patients who have transformed to myelofibrosis14. Previous treatment with ruxolitinib15. Previous (within the last 12 months) or current platelet count <100 x 109/L or neutrophil count < 1 x 109/L not due to therapy16. Inadequate liver function as defined by ALT/AST >2.0 x ULN17. Inadequate renal function as defined by eGFR < 30 mls/min18. Unable to give informed consent

Additional Exclusion Criteria for France Only:19. All women of childbearing potential (as per Appendix 8 definition)20. No affiliation with the French healthcare system21. Persons under psychiatric care who would impede understanding of informed consent and optimal treatment and follow-up22. Adults subject to a legal protection measure (guardianship, curatorship and safeguard of justice)23. Patients deprived of their liberty by a judicial or administrative decision_____

Previous participant inclusion criteria:1. Diagnosis of PV >10 years previously2. Absence of JAK-2 mutation3. Patients with any contraindications to any of the investigational medical products4. Treatment with >1 cytoreductive therapy OR a cytoreductive treatment duration exceeding 5 years OR resistance/intolerance to that therapy5. Active infection including hepatitis B, hepatitis C, Tuberculosis6. Pregnant or lactating patients (Women of childbearing potential must have a negative urine or blood Human Chorionic Gonadotropin pregnancy test prior to trial entry)7. Patients and partners of childbearing potential not prepared to adopt highly effective contraception measures (if sexually active) whilst on treatment and for at least 6 months after completion of study medication8. ECOG Performance Status Score ≥39. Uncontrolled rapid or paroxysmal atrial fibrillation, uncontrolled or unstable angina, recent (within the last 6 months) myocardial infarction or acute coronary syndrome or any clinically significant cardiac disease > NYHA (New York Heart Association) Class II10. Patients who have transformed to myelofibrosis11. Previous treatment with ruxolitinib12. Previous (within the last 12 months) or current platelet count <100 x 109/L or neutrophil count < 1 x 10(9)/L not due to therapy13. Inadequate liver function as defined by ALT/AST >2.0 x ULN14. Inadequate renal function as defined by eGFR < 30 ml/min15. Unable to give informed consent


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Freeman Road Hospital
    Freeman Road High Heaton
    Newcastle upon Tyne
    NE7 7DN
  • Churchill Hospital
    Churchill Hospital Old Road Headington
    Oxford
    OX3 7LE
  • Southmead Hospital
    Southmead Road Westbury-on-trym
    Bristol
    BS10 5NB
  • Aberdeen Royal Infirmary
    Foresterhill Road
    Aberdeen
    AB25 2ZN
  • Raigmore Hospital
    Old Perth Rd
    Inverness
    IV2 3UJ
  • University Hospital of Wales
    Heath Park
    Cardiff
    CF14 4XW
  • Royal Hallamshire Hospital
    Glossop Road
    Sheffield
    S10 2JF
  • Royal Gwent Hospital
    Cardiff Road
    Newport
    NP20 2UB
  • Royal Stoke University Hospital
    Newcastle Road
    Stoke-on-Trent
    ST4 6QG
  • Derriford Hospital
    Derriford Road Crownhill
    Plymouth
    PL6 8DH
  • Nottingham City Hospital
    Hucknall Road
    Nottingham
    NG5 1PB
  • St George's Hospital
    Blackshaw Road Tooting
    London
    SW17 0QT
  • York Hospital
    Wigginton Road
    York
    YO31 8HE
  • Addenbrookes
    Addenbrookes Hospital Hills Road
    Cambridge
    CB2 0QQ
  • Royal Berkshire Hospital
    Royal Berkshire Hospital London Road
    Reading
    RG1 5AN
  • Western General Hospital
    Crewe Road South Edinburgh
    Lothian
    EH4 2XU
  • Kettering General Hospital
    Rothwell Road
    Kettering
    NN16 8UZ
  • The James Cook University Hospital
    Marton Road
    Middlesbrough
    TS4 3BW
  • Leicester Royal Infirmary
    Infirmary Square
    Leicester
    LE1 5WW
  • Russells Hall Hospital
    Pensnett Road
    Dudley
    DY1 2HQ
  • Sunderland Royal Hospital
    Kayll Road
    Sunderland
    SR4 7TP
  • Royal Bournemouth General Hospital
    Castle Lane East
    Bournemouth
    BH7 7DW
  • Castle Hill Hospital
    Entrance 3 Castle Road
    Cottingham
    HU16 5JQ
  • Royal Cornwall Hospital (treliske)
    Treliske
    Truro
    TR1 3LJ
  • Royal Devon and Exeter Hospital
    Royal Devon & Exeter Hospital Barrack Road
    Exeter
    EX2 5DW
  • Belfast City Hospital
    51 Lisburn Rd
    Belfast
    BT9 7AB
  • Worthing Hospital
    Lyndhurst Road
    Worthing
    BN11 2DH
  • Warwick Hospital
    Lakin Road
    Warwick
    CV34 5BW
  • Wythenshawe Hospital
    Southmoor Road Wythenshawe
    Manchester
    M23 9LT
  • Northumbria Healthcare NHS Foundation Trust
    North Tyneside General Hospital Rake Lane
    North Shields
    NE29 8NH
  • Norfolk and Norwich University Hospital
    Colney Lane Colney
    Norwich
    NR4 7UY
  • Guys Hospital
    Guys Hospital Great Maze Pond
    London
    SE1 9RT
  • Blackpool Victoria Hospital
    Whinney Heys Road
    Blackpool
    FY3 8NR
  • Southampton
    Southampton General Hospital Tremona Road
    Southampton
    SO16 6YD
  • Good Hope Hospital
    Rectory Road
    Sutton Coldfield
    B75 7RR
  • Royal United Hospital
    Combe Park
    Bath
    BA1 3NG
  • Gloucestershire Royal Hospital
    Great Western Road
    Gloucester
    GL1 3NN
  • Birmingham Heartlands Hospital
    Bordesley Green East Bordesley Green
    Birmingham
    B9 5SS
  • St Richard's Hospital
    Spitalfield Lane
    Chichester
    PO19 6SE
  • Colchester General Hospital
    Colchester District General Hosp. Charter Way Turner Road
    Colchester
    CO4 5JL
  • St John's Hospital
    Howden West Livingston
    Lothian
    EH54 6PP
  • Huddersfield Royal Infirmary
    Acre Street
    Huddersfield
    HD3 3EA
  • Wexham Park Hospital
    Wexham Street Wexham
    Slough
    SL2 4HL
  • Northampton
    Northampton General Hospital Cliftonville
    Northampton
    NN1 5BD
  • Arrow Park Hospital
    Arrowe Park Hospital Arrowe Park Road
    Wirral
    CH49 5PE
  • University College Hospital Elizabeth Garrett Anderson Wing
    235 Euston Road
    London
    NW1 2BU
  • Kent and Canturbury Hospital
    Ethelbert Road
    Canterbury
    CT1 3NG
  • Calderdale Royal Hospital Pts Control
    The Calderdale Royal Hospital Godfrey Road Salterhebble
    Halifax
    HX3 0PW
  • Halton General Hospital
    Hospital Way Halton
    Runcorn
    WA7 2DA
  • New Cross Hospital
    Wolverhampton Road
    Wolverhampton
    WV10 0QP

This information has not yet been provided by the study team. You'll have an opportunity to discuss any risks and benefits that may be associated with this study prior to consenting to taking part.


The study is sponsored by University of Birmingham and funded by Novartis; MPN Voice.




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Read full details for Trial ID: ISRCTN12885480

Or CPMS: 39201

Last updated 06 June 2025

This page is to help you find out about a research study and if you may be able to take part

You can print or share the study information with your GP/healthcare provider or contact the research team directly.