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临床试验/NCT07281781
NCT07281781招募中1 期

Treating Anemia in Myelofibrosis With Repurposed Drugs (Nelfinavir) That Restore Iron Delivery to the Bone Marrow

University of California, Irvine1 个研究点 分布在 1 个国家目标入组 10 人开始时间: 2025年9月16日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
招募中
入组人数
10
试验地点
1
主要终点
Change in Hepcidin Levels

研究概览

简要总结

This is a phase I/II protocol investigating whether Nelfinavir can improve anemia and lower serum fibrosis biomarkers in Myelofibrosis patients.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • ≥18 years of age
  • Have a diagnosis of myelofibrosis (MF) according to the 2016 WHO criteria
  • Has a hemoglobin ≤ 10gm/dL at screening
  • Serum ferritin ≥ 100
  • May continue on current MPN treatment, including aspirin, hydroxyurea, interferon-alpha, ruxolitinib, fedratinib, or anagrelide.
  • Peripheral blast count <10% during Screening.
  • Free of other known active or metastatic malignancies other than localized skin cancer.
  • Amenable to blood draws and symptom assessments.
  • Agree to the use of contraceptives. Female subjects of childbearing potential and their male partners, or male subjects who have female partners of childbearing potential, should both use an effective contraception method during the study and continue to use contraception for 60 days after the last dose of study drug.

排除标准

  • Eastern Cooperative Oncology Group (ECOG) questionnaire score of ≥3
  • Currently pregnant or planning on being pregnant within the study period.
  • Currently taking Momelotinib or Pacritinib (these agents are purported to reduce hepcidin).
  • Currently taking any of the contraindicated medications to Nelfinavir listed in section 13.2
  • Currently breastfeeding.
  • Known uncontrolled active viral or bacterial infection.
  • Known HIV+
  • Significant impairment of major organ or hematopoietic function defined as
  • Serum creatinine clearance less than 30 ml/min (eGFR).
  • Bilirubin more than 1.5 mg/dl except for Gilbert's disease. ALT or AST more than 2X upper normal limit or has radiologic evidence of liver cirrhosis.
  • Platelets < 50 × 10^9/L without transfusions
  • ANC < 0.75 × 10^9/L without growth factors
  • Known history of allergic reaction to nelfinavir.

研究组 & 干预措施

Nelfinavir

Experimental

Given Orally

干预措施: Nelfinavir (Drug)

结局指标

主要结局

Change in Hepcidin Levels

时间窗: 30 days

Comparison of Hepcidin Levels prior to and after Nelfinavir treatment

次要结局

  • Change From Baseline in Serum Fibrosis Biomarker Concentrations(30 days)
  • Change in Hemoglobin Levels(30 days)
  • Change in Fibrosis Biomarkers(30 days)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Angela G. Fleischman

Associate Professor

University of California, Irvine

研究点 (1)

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