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Efficacy and Safety of Pegylated Interferon Alfa in Polycythemia Vera

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT00241241
Recruitment Status : Completed
First Posted : October 18, 2005
Last Update Posted : October 21, 2015
Information provided by:

Brief Summary:
Interferon alfa is an effective treatment of polycythemia vera (PV), but about 20% of patients discontinue their treatment because of side effects and treatment schedule (three times per week administration). The pegylated form of interferon alfa-2a has shown a better tolerance in hepatitis patients and is administered only once a week. The purpose of this study is to determine efficacy and safety of pegylated interferon alfa-2a in the treatment of PV patients.

Condition or disease Intervention/treatment Phase
Polycythemia Vera Drug: pegylated interferon-alfa 2a Phase 2

Detailed Description:

The aim of PV treatment is to reduce the risk of vascular thrombosis without enhancing the long-term risk of evolution toward myelofibrosis or MDS/AL. Although currently controversial, phlebotomies have been shown in the old PVSG01 study to increase the risk of both thrombosis and myelofibrosis. On the other hand, currently available cytoreductive treatments have been shown to efficiently reduce the thrombotic risk, but were demonstrated (32P, busulfan, chlorambucil) or suspected (pipobroman, hydroxyurea) to enhance the risk of evolution to MDS/AL. In fact, the main widely used cytoreductive treatment, when indicated, is hydroxyurea (HU). This drug is very efficient to control myeloproliferation with a response rate of 80 to 90%. It is generally well tolerated, even if long term toxicity leads to treatment change in 10% of cases. Although no prospective study has yet clearly demonstrated its leukemogenic potential in PV, a non-leukemogenic alternative treatment is highly warranted, especially for younger patient.

Interferon (IFN) alpha is a promising agent in PV both because of good efficacy and absence of leukemogenic risk. Expanded experience with IFN-alpha was recently reported, showing a control of erythrocytosis in approximately 75% of patients. A similar percentage of patients also have resolution of disease-related symptoms, in particular a reduction in spleen size and relief from intractable pruritus. In some cases, long-term persisting remissions after treatment discontinuation have been observed as well as demonstration of eradication of the myeloproliferative clone. However, 20% of patients may not tolerate the treatment because of side effects. Furthermore, the treatment schedule (three times per week administration) may be a factor reducing long-term compliance to this drug.

In this regard, pegylated-IFN could be a major drug in PV. The weekly administration and better tolerance by comparison to IFN reported in hepatitis patients could allow to obtain results similar to chemotherapy in terms of compliance to treatment and efficacy, with a major advantage, its lack of mutagenicity.

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Study Type : Interventional  (Clinical Trial)
Enrollment : 40 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Multicenter Phase 2 Study of Efficacy and Safety of Pegylated Interferon-alfa 2a in Polycythemia Vera Patients
Study Start Date : September 2004
Actual Primary Completion Date : October 2006
Actual Study Completion Date : January 2008

Primary Outcome Measures :
  1. response rate after one year of treatment

Secondary Outcome Measures :
  1. safety
  2. molecular response

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • polycythemia vera diagnosed according to PVSG criteria, modified by Pearson
  • Previously untreated patients or patients treated by phlebotomy only or HU or pipobroman for less than 2 years
  • Age 18 to 65 years
  • Signed informed consent

Exclusion Criteria:

  • Contra indication for interferon
  • Severe renal or liver disease
  • ECOG performance status > 2
  • Pregnancy
  • Uncontrolled endocrine disorders except well regulated hyperthyroidism and diabetes
  • Severe concomitant heart failure or psychiatric disorder
  • Patients receiving an other investigational treatment

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00241241

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Hopital Avicenne
Bobigny, France
Hopital Huriez
Lille, France
Hopital Dupuytren
Limoges, France
Hopital Lariboisiere
Paris, France
Hopital Saint-Louis
Paris, France
Sponsors and Collaborators
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Principal Investigator: Jean-Jacques Kiladjian, MD PV-Nord
Study Chair: Pierre Fenaux, MD, PhD PV-Nord
Study Chair: Christine Chomienne, MD, PhD PV-Nord
Study Chair: Sylvia Bellucci, MD PV-Nord
Study Chair: Bruno Cassinat, MD PV-Nord
Study Chair: Marie-Jose Grange, MD PV-Nord
Study Chair: Nathalie Cambier, MD PV-Nord
Study Chair: Jean-Francois Bernard, MD PV-Nord
Study Chair: Philippe Rousselot, MD PV-Nord
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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ClinicalTrials.gov Identifier: NCT00241241    
Other Study ID Numbers: PVN1
First Posted: October 18, 2005    Key Record Dates
Last Update Posted: October 21, 2015
Last Verified: October 2015
Keywords provided by PV-Nord:
myeloproliferative disorder
polycythemia vera
Additional relevant MeSH terms:
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Polycythemia Vera
Hematologic Diseases
Bone Marrow Neoplasms
Hematologic Neoplasms
Neoplasms by Site
Bone Marrow Diseases
Myeloproliferative Disorders
Interferon alpha-2
Peginterferon alfa-2a
Antineoplastic Agents
Antiviral Agents
Anti-Infective Agents
Immunologic Factors
Physiological Effects of Drugs