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A Phase 3 Study of INCA033989 Versus Best Available Therapy in Participants With Essential Thrombocythemia

RecruitingPhase 3

A Phase 3, Randomized, Open-Label Study of INCA033989 Versus Best Available Therapy in Participants With Essential Thrombocythemia and a CALR Mutation Previously Treated With Cytoreductive Therapy (EXCALIBUR-ET2)

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Confirmed diagnosis of high-risk ET.
* Presence of mutCALR.
* Prior treatment with at least 1 cytoreductive therapy.

Exclusion Criteria:

* Presence of any hematologic malignancy other than ET.
* Major bleeding or thrombosis within the last 3 months prior to study enrollment.
* Any prior allogenic or autologous stem-cell transplantation.
* Unresolved toxicity ≥ Grade 2 from previous therapy except for stable chronic toxicities (Grade 2) not expected to resolve, such as stable Grade 2 peripheral neuropathy.
* Prior nonhematologic malignancy except for the following: Malignancy treated with curative intent and with no evidence of active disease for more than 2 years before screening. Adequately treated carcinoma in situ without current evidence of disease.

Other protocol-defined Inclusion/Exclusion Criteria apply.

About the study

This study is being conducted to evaluate INCA033989 versus best available therapy in participants with essential thrombocythemia and a CALR mutation previously treated with cytoreductive therapy.

What is being tested

Sponsor: Incyte Corporation · Participants: 426 · Started: Sep 8, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07623200

Locations in the U.S.

ArizonaBanner Md Anderson Cancer Center, Gilbert (Not yet recruiting)
CaliforniaCity of Hope Medical Center, Duarte (Not yet recruiting)
Marin Cancer Care, Greenbrae
University of California, Los Angeles Medical Center, Los Angeles (Not yet recruiting)
Stanford Cancer Center, Palo Alto (Not yet recruiting)
ColoradoRocky Mountain Cancer Centers-Lone Tree, Lone Tree (Not yet recruiting)
District of ColumbiaMedstar Georgetown Medical Center, Inc, Washington D.C. (Not yet recruiting)
FloridaFlorida Cancer Specialists & Research Institute, Fort Myers (Not yet recruiting)
University of Miami Sylvester Comprehensive Cancer Center, Miami (Not yet recruiting)
Cleveland Clinic, Weston (Not yet recruiting)
GeorgiaWinship Cancer Institute of Emory University, Atlanta (Not yet recruiting)
IllinoisRobert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago (Not yet recruiting)
University of Chicago, Chicago (Not yet recruiting)
KansasThe University of Kansas Cancer Center, Westwood (Not yet recruiting)
MarylandJohns Hopkins Medicine-the Sidney Kimmel Comprehensive Cancer Center, Baltimore (Not yet recruiting)
Maryland Oncology Hematology, P.A., Columbia (Not yet recruiting)
MassachusettsBeth Israel Deaconess Medical Center (Bidmc), Boston (Not yet recruiting)
Massachusetts General Hospital, Boston (Not yet recruiting)
University of Massachusetts Medical School, Worcester (Not yet recruiting)
MichiganUniversity of Michigan Rogel Cancer Center Adult Bone Marrow Transplant Clinic, Ann Arbor (Not yet recruiting)
MissouriMissouri Cancer Associates, Columbia (Not yet recruiting)
Washington University School of Medicine, St Louis (Not yet recruiting)
New JerseyJohn Theurer Cancer Center, Hackensack University Medical Center, Hackensack (Not yet recruiting)
Rutgers Cancer Institute of New Jersey, New Brunswick (Not yet recruiting)
New YorkIcahn School of Medicine At Mount Sinai, New York (Not yet recruiting)
Memorial Sloan Kettering Cancer Center, New York (Not yet recruiting)
Weill Cornell Medical College - Newyork-Presbyterian Hospita, New York (Not yet recruiting)
Strong Memorial Hospital University of Rochester Medical Center, Rochester (Not yet recruiting)
North CarolinaDuke University Medical Center, Durham (Not yet recruiting)
OhioCleveland Clinic Taussig Cancer Ctr, Cleveland (Not yet recruiting)
OregonWillamette Valley Cancer Institute and Research Center, Eugene (Not yet recruiting)
Oregon Health and Science University, Portland (Not yet recruiting)
PennsylvaniaThomas Jefferson University Sidney Kimmel Medical College, Philadelphia (Not yet recruiting)
TennesseeVanderbilt University Medical Center, Nashville (Not yet recruiting)
Vanderbilt University Medical Center, Nashville (Not yet recruiting)
TexasThe University of Texas-Md Anderson Cancer Center, Houston (Not yet recruiting)
Ut Health Science Center At San Antonio, San Antonio (Not yet recruiting)
Texas Oncology-Tyler, Tyler (Not yet recruiting)
UtahHuntsman Cancer Institute At University of Utah, Salt Lake City (Not yet recruiting)
WashingtonUniversity of Washington - Fred Hutch Cancer Center, Seattle (Not yet recruiting)

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.