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Not Yet RecruitingNCT07447817

Selinexor and Pacritinib in JAK Inhibitor-naïve MF Patients With Cytopenias

Investigator-Initiated, Open-Label, Phase II Trial of Selinexor in Combination With Pacritinib in Patients With Myelofibrosis Who Are JAK Inhibitor-Naïve and Have Cytopenias (ILLUMINATE)

Status
Not Yet Recruiting
Phase
Phase 2
Study type
Interventional
Enrollment
26 (estimated)
Sponsor
John Mascarenhas · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Not accepted

Summary

This is a phase II, multicenter, open-label trial evaluating the safety and efficacy of pacritinib and selinexor in JAK inhibitor naïve patients with anemia and thrombocytopenia.

Detailed description

This Phase II, multicenter, open-label will evaluate the safety and efficacy of pacritinib and selinexor in JAK inhibitor naïve patients with anemia and thrombocytopenia. Participants will receive pacritinib monotherapy for 1 cycle (4 weeks) and will be assessed for qualification to proceed to combination therapy at Cycle 2 Day 1. Participants who qualify for combination therapy will receiving pacritinib and selinexor for the remaining cycles. Participants who do not qualify at Cycle 2 Day 1 will have weekly assessments and count checks. If they meet criteria for combination therapy at any point, selinexor will be added onto pacritinib. Participants who do not qualify for combination therapy by Cycle 4 Day 1 will complete 6 cycles of pacritinib monotherapy, complete primary endpoint assessments after 24 weeks, and discontinue study participation. Participants receiving combination therapy must demonstrate clinical benefit at Cycle 7 Day 1 (24 weeks) to continue receiving therapy until loss of response, disease progression, unacceptable toxicity, participant/physician withdrawal, or the study is terminated.

Conditions

Interventions

TypeNameDescription
DRUGPacritinibPacritinib 200mg twice a day (BID) by mouth (PO)
DRUGSelinexorSelinexor 60mg once weekly (QW) by mouth (PO)

Timeline

Start date
2026-05-04
Primary completion
2030-05-24
Completion
2030-05-24
First posted
2026-03-04
Last updated
2026-03-18

Locations

3 sites across 1 country: United States

Regulatory

Source: ClinicalTrials.gov record NCT07447817. Inclusion in this directory is not an endorsement.