A Phase 1 Study of PRT12396 in Participants With Select Myeloproliferative Neoplasms

Last updated: April 29, 2026
Sponsor: Prelude Therapeutics
Overall Status: Active - Recruiting

Phase

1

Condition

Leukemia (Pediatric)

Myelofibrosis

Post-essential Thrombocythemia Myelofibrosis

Treatment

PRT12396

Clinical Study ID

NCT07469891
PRT12396-01
2026-525484-40-00
  • Ages > 18
  • All Genders

Study Summary

This is a first-in-human, open-label, multi-center Phase 1 study designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of PRT12396 in participants with high-risk polycythemia vera (PV) and myelofibrosis (MF), and to determine the maximum tolerated dose (MTD) and recommended dose(s) for expansion (RDE[s]). The study consists of a dose-escalation phase followed by a dose-expansion phase to further evaluate selected dose level(s).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Willing and able to comply with all scheduled visits, treatment plan, laboratorytests, lifestyle considerations (including contraception requirements), and otherstudy procedures.

  • Confirmed diagnosis of PV or MF according to WHO 2016 or revised ICC/WHO 2022criteria

  • Documented presence of a JAK2 V617 mutation

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2

  • Estimate life expectancy of ≥12 weeks per investigator assessment.

  • Negative serum or urine pregnancy test and agree to use contraception or maintaintrue abstinence.

  • Adequate organ function and bone marrow reserves (hematology, renal, and hepatic)

Exclusion

Exclusion Criteria:

  • History of another malignancy within 3 years prior to enrollment, except formalignancy considered cured with low risk of recurrence.

  • Clinically significant anemia due to nutritional deficiency or hemolytic disorders.

  • Active or uncontrolled infection requiring systemic therapy or hospitalization.

  • Any other medical or psychiatric conditions that, in the Investigator's judgment,would increase risk or interfere with study participation or interpretation ofresults.

  • Clinically significant or uncontrolled medical conditions, including activeinfection or cardiovascular disease, that would increase risk or interfere withstudy participation.

  • Unresolved toxicity > Grade 1 from prior anticancer therapy, except for alopecia orperipheral neuropathy ≤ Grade 2.

  • Pregnancy or breastfeeding

  • Known sensitivity or contraindication to any component of study, or the excipientsof study treatment.

  • Prior systemic therapy for PV or MF, prior or planned allogeneic hematopoieticstem-cell transplantation, recent major surgery, prior splenectomy or prior splenicirradiation, or use of hematopoietic growth factors within protocol-defined washoutperiods.

  • Use of strong or moderate cytochrome P450 (CYP) 3A4 inhibitor or inducer, sensitiveCYP3A substrates with narrow therapeutic range, or acid-reducing agents that cannotbe discontinued prior to study treatment.

  • Participation in another interventional clinical study.

Study Design

Total Participants: 100
Treatment Group(s): 1
Primary Treatment: PRT12396
Phase: 1
Study Start date:
April 29, 2026
Estimated Completion Date:
April 30, 2028

Study Description

This first-in-human, open-label, multi-center Phase 1 study is designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of PRT12396 in participants with high-risk polycythemia vera (PV) and myelofibrosis (MF). Eligible MF populations include participants with intermediate-1, intermediate-2, or high-risk primary MF, as well as post-polycythemia vera MF or post-essential thrombocythemia MF, with evidence of disease burden based on splenomegaly.

The study is conducted in two parts:

Part 1 (dose escalation) evaluates escalating oral doses of PRT12396 to evaluate safety and tolerability and to determine the maximum tolerated dose (MTD) and recommended dose(s) for expansion (RDE[s]).

Part 2 (dose expansion) enrolls additional participants at selected dose level(s) to further characterize the safety, tolerability, pharmacokinetics, and preliminary efficacy of PRT12396 in the PV and MF populations.

Approximately up to 100 participants are planned for enrollment across both parts of the study.

Connect with a study center

  • START Midwest, LLC

    Grand Rapids, Michigan 49546
    United States

    Active - Recruiting

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