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OncoMatch/Clinical Trials/NCT04116502

MITHRIDATE: Ruxolitinib Versus Hydroxycarbamide or Interferon as First Line Therapy in High Risk Polycythemia Vera

Is NCT04116502 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including Ruxolitinib and Hydroxycarbamide for polycythemia vera.

Phase 3RecruitingUniversity of BirminghamNCT04116502Data as of May 2026

Treatment: Ruxolitinib · Hydroxycarbamide · Interferon-AlphaThe trial will be a phase III, randomised-controlled, multi-centre, international, open-label trial consisting of ruxolitinib versus best available therapy, where best available therapy is a choice of interferon alpha, any formulation permitted (IFN) or hydroxycarbamide (HC), and which will be elected by the Investigator prior to randomisation.

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Extracted eligibility criteria

Cancer type

Myeloproliferative Neoplasm

Biomarker criteria

Required: JAK2 mutation

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Max 1 prior line

Must have received: antiplatelet agent

Patients may have received antiplatelet agents

Must have received: venesection

Patients may have received venesection

Cannot have received: cytoreductive therapy

Exception: ONE cytoreductive therapy for PV less than 10 years (not resistant or intolerant)

Treatment with >1 cytoreductive therapy OR a cytoreductive treatment duration exceeding 10 years OR resistance/intolerance to that therapy

Cannot have received: JAK inhibitor (ruxolitinib)

Previous treatment with ruxolitinib

Lab requirements

Blood counts

platelet count ≥ 100 x 10^9/L; neutrophil count ≥ 1 x 10^9/L (not due to therapy); screening haemoglobin >8g/dl

Kidney function

eGFR ≥ 30 mls/min

Liver function

ALT/AST ≤ 2.0 x ULN

Cardiac function

No 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 Class II

screening haemoglobin of >8g/dl; previous (within the last 12 months) or current platelet count <100 x 10^9/L or neutrophil count < 1 x 10^9/L not due to therapy [excluded]; Inadequate liver function as defined by ALT/AST >2.0 x ULN [excluded]; Inadequate renal function as defined by eGFR < 30 mls/min [excluded]; 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 Class II [excluded]

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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