NCT07802405

Brief Summary

This is a Phase I clinical study to evaluate the safety and tolerability, pharmacokinetic characteristics and preliminary efficacy of oral WJ01024 administered as monotherapy and in combination with ruxolitinib in patients with myelofibrosis(MF). The study will be conducted in two phases: Phase IA and Phase IB. Phase IA is a dose-escalation and dose-expansion study of WJ01024 monotherapy in patients with MF after failure of JAK inhibitor (JAKi) therapy (relapsed/refractory/intolerant). Phase IB is a dose-escalation and dose-expansion study of WJ01024 in combination with ruxolitinib in JAKi-naïve patients with intermediate- or high-risk MF.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at P25-P50 for phase_1

Timeline
14mo left

Started Nov 2023

Longer than P75 for phase_1

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress72%
Nov 2023Nov 2027

Study Start

First participant enrolled

November 21, 2023

Completed
2.8 years until next milestone

First Submitted

Initial submission to the registry

August 25, 2026

Completed
9 days until next milestone

First Posted

Study publicly available on registry

September 3, 2026

Completed
23 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 26, 2026

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 21, 2027

Expected
Last Updated

September 3, 2026

Status Verified

September 1, 2026

Enrollment Period

2.8 years

First QC Date

August 25, 2026

Last Update Submit

September 1, 2026

Conditions

Outcome Measures

Primary Outcomes (4)

  • DLT

    Incidence of DLT

    12 months

  • AE

    incidence and severity of adverse events(AEs) and serious adverse events(SAEs),as well as abnormal changes in clinical significance laboratory tests and other examinations

    4 years

  • MTD

    Evaluate the Maximum tolerated dose

    12 months

  • RP2D

    Evaluate the recommended dose for phase II

    12 months

Secondary Outcomes (9)

  • Pharmacokinetic (PK) Parameter

    1.5 years

  • SVR35

    4 years

  • Score in MPN-SAF-TSS

    4 years

  • incidence and severity of adverse events and serious adverse events

    4 years

  • ORR:CR + PR + clinical improvement

    4 years

  • +4 more secondary outcomes

Study Arms (1)

WJ01024 tablet

EXPERIMENTAL
Drug: WJ01024 tablet

Interventions

5-20mg BID (dosage per investigator judgement)

WJ01024 tablet

Eligibility Criteria

Age18 Days+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • The subjects voluntarily participated in this study after obtaining full informed consent and signed the informed consent form.
  • Age ≥18 years old, gender not limited;
  • Patients diagnosed with primary myelofibrosis (PMF) according to the 2016 World Health Organization (WHO) criteria, or patients diagnosed with post-essential thrombocythemia MF (PET-MF) or post-polycythemia vera MF (PPV-MF) according to International Working Group for Myeloproliferative Neoplasms Research and Treatment (IWG-MRT) criteria;
  • Patients evaluated as intermediate-1, intermediate-2, or high-risk according to the International Prognostic System (DIPSS) scoring system;;
  • Expected life expectancy is ≥ 24 weeks;
  • Eastern Cooperative Oncology Group (ECOG) score of 0-2 ;
  • No planned for stem cell transplantation in the near future.
  • Splenomegaly: Palpation of the spleen margin reaches or exceeds at least 5cm below the costal margin (the distance from the costal margin to the farthest point of the spleen protrusion), or spleen volume ≥450cm ³ by CT or MRI.
  • Adequate hematological and organ function within 7 days before the first administration of the study drug (no RBC transfusion, growth factors, colony-stimulating factors, platelet-generating factors ,or platelet transfusion within 14 days before the testing) :
  • Absolute neutrophil count (ANC) ≥1.5×109/L;
  • Platelet count ≥75×109/L(Phase IA); Platelet count ≥100×109/L(Phase IB); Hemoglobin ≥ 8.0g /dL; Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3.0× upper limit of normal (ULN); Total bilirubin ≤1.5×ULN; Creatinine ≤1.5×ULN.
  • For women of childbearing age, within 7 days before the first administration, if the serum pregnancy test is confirmed to be negative and they agree to use effective contraceptive measures during the study drug period and within 90 days after the last administration. For male subjects whose sexual partners are women of childbearing age, they must agree to take effective contraceptive measures during the use of the study drug and within 90 days after the last administration.

You may not qualify if:

  • Peripheral blood blasts \>5% or Bone marrow blasts \>10%.
  • Previous treatment with XPO1 inhibitors.
  • Unable to cooperate with or unable to perform MRI or CT scans as deemed necessary by sponsor and investigator
  • Treatment with strong CYP3A inhibitors or inducers within 14 days prior to initial administration"

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Henan Cancer Hospital

Zhengzhou, Henan, 450000, China

RECRUITING

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Masking Details
open trial
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: The study consisted of two phases: Phase IA and Phase IB. Phase IA: Patients with myelofibrosis who have relapsed, are refractory or intolerant after treatment with JAK inhibitors Phase IB: Patients with intermediate- or high-risk myelofibrosis who have not previously received JAK inhibitor treatment
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 25, 2026

First Posted

September 3, 2026

Study Start

November 21, 2023

Primary Completion

September 26, 2026

Study Completion (Estimated)

November 21, 2027

Last Updated

September 3, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will not share

Locations