A Phase 1 Study to Assess STP938 as a Monotherapy in Adults With High Risk Essential Thrombocythaemia

Last updated: January 27, 2026
Sponsor: Step Pharma, SAS
Overall Status: Active - Recruiting

Phase

1

Condition

Thrombosis

Platelet Disorders

Treatment

STP938

Clinical Study ID

NCT06786234
STP938-301
  • Ages > 18
  • All Genders

Study Summary

The goal of this clinical trial is to learn if the drug STP938 works to treat adults with high risk essential thrombocythaemia (ET) who are resistant to, or intolerant of, hydroxycarbamide (also known as hydroxyurea) therapy. The trial will also learn about the safety of STP938. The main questions the trial aims to answer are:

  • Does STP938 control platelet counts

  • Does STP938 control platelet counts without inducing unwanted side effects

Participants will:

  • Take STP938 every day for up to 12 months.

  • Visit the clinic once every week for the first month, then every 2 weeks for checkups and tests.

  • Complete a questionnaire about symptoms once a month.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Adults aged 18 years or older

  • A confirmed diagnosis of ET according to World Health Organisation (WHO) or BritishSociety for Haematology (BSH) criteria.

  • Meeting criteria for high risk ET.

  • Raised platelet count (>600 x109/L) requiring cytoreductive therapy.

  • Neutrophil count >1.0 x109/L.

  • Either intolerant of or resistant to hydroxycarbamide having met any one of thecriteria at any point in their disease whilst receiving hydroxycarbamide.

  • Adequate hepatic function.

  • Adequate blood coagulation parameters.

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

Exclusion

Key Exclusion Criteria:

  • Subjects currently or recently receiving cytoreductive therapy for the treatment ofessential thrombocythaemia (wash out periods apply).

  • Subjects who have received any investigational agents for the treatment of essentialthrombocythaemia within 4 weeks before enrolment or less than 5 half-lives sincecompletion of prior therapy, whichever is shorter.

  • Proven or suspected transformation to polycythaemia vera, myelofibrosis,myelodysplasia, acute myeloid leukaemia or another myeloid neoplasm.

  • Known malabsorption syndrome or other condition that may impair absorption of studymedication (e.g. gastrectomy).

  • Previous splenectomy.

  • Any uncontrolled intercurrent illness.

  • Immunocompromised subjects with increased risk of opportunistic infections.

  • Known active or chronic hepatitis B or active hepatitis C virus (HCV) infection.

  • Pregnant females, breastfeeding females, and women of child bearing age or males notwilling to comply with contraceptive requirements.

  • Known hypersensitivity to any of the excipients used in the formulation of the studydrug.

  • Corrected QT interval >470 msec based on averaged triplicate electrocardiogram (ECG)readings at the Screening Visit using the QT interval corrected for heart rate usingFridericia's method (QTcF).

Study Design

Total Participants: 20
Treatment Group(s): 1
Primary Treatment: STP938
Phase: 1
Study Start date:
June 18, 2025
Estimated Completion Date:
December 31, 2027

Study Description

The aim of the study is to assess a new drug called STP938 for the treatment of essential thrombocythaemia (ET). The study with assess how effective STP938 in treating ET, and also assess any side effects of taking the drug. The study will enrol individuals with high risk ET who require treatment to lower their platelet count. Individuals enrolling on the study will have already tried treatment with hydroxycarbamide (also known as hydroxyurea) but are in need of a different treatment as hydroxycarbamide either did not control the platelet count or produced unwanted side effects.

STP938 is a new class of drug that inhibits the enzyme cytidine triphosphate synthase 1 (CTPS1). Inhibition of CTPS1 is a novel way of lowering the platelet count. This study is a phase 1b, open-label, multicentre trial. Participants will receive STP938 capsules every day, in cycles of 28 days, for approximately 12 months. Participants may continue to receive study drug for a longer period, so long as it is controlling the platelet count and not causing side effects. During the study, participants will visit the study site about 26 times (2 times per cycle) over an estimated 12 months. Once the treatment is complete, safety follow-up visit(s) will occur to make sure the participant is not experiencing any adverse effects. The following study procedures will be performed: (a) physical examinations (b) ECGs (c) blood tests, (d) urine tests (e) CT/MRI scans (f) bone marrow biopsies (g) drug administration (h) study drug blood level tests and (i) gene testing.

Connect with a study center

  • CHU Brest

    Brest,
    France

    Site Not Available

  • CHU Brest

    Brest 3030300,
    France

    Active - Recruiting

  • Institut Paoli-Calmettes

    Marseille,
    France

    Site Not Available

  • Institut Paoli-Calmettes

    Marseille 2995469,
    France

    Active - Recruiting

  • CHU Nantes

    Nantes,
    France

    Site Not Available

  • CHU Nantes

    Nantes 2990969,
    France

    Active - Recruiting

  • CHU Nice

    Nice,
    France

    Site Not Available

  • CHU Nice

    Nice 2990440,
    France

    Active - Recruiting

  • CHU Nîmes

    Nîmes,
    France

    Site Not Available

  • CHU Nîmes

    Nîmes 2990363,
    France

    Active - Recruiting

  • Hôpital Saint-Louis

    Paris,
    France

    Site Not Available

  • Hôpital Saint-Louis

    Paris 2988507,
    France

    Active - Recruiting

  • Gustave Roussy

    Villejuif,
    France

    Site Not Available

  • Gustave Roussy

    Villejuif 2968705,
    France

    Active - Recruiting

  • Royal Hallamshire Hospital

    Sheffield 2638077, South Yorkshire S10 2JF
    United Kingdom

    Site Not Available

  • University Hospital of Wales

    Cardiff,
    United Kingdom

    Site Not Available

  • University Hospital of Wales

    Cardiff 2653822,
    United Kingdom

    Active - Recruiting

  • Imperial College London / Hammersmith Hospital

    London,
    United Kingdom

    Active - Recruiting

  • Sarah Cannon Research Institute

    London,
    United Kingdom

    Site Not Available

  • Imperial College London / Hammersmith Hospital

    London 2643743,
    United Kingdom

    Active - Recruiting

  • Sarah Cannon Research Institute

    London 2643743,
    United Kingdom

    Active - Recruiting

  • Cancer and Haematology Centre, Churchill Hospital

    Oxford, OX3 7LE
    United Kingdom

    Site Not Available

  • Cancer and Haematology Centre, Churchill Hospital

    Oxford 2640729, OX3 7LE
    United Kingdom

    Active - Recruiting

  • University of Southampton Hospital

    Southampton,
    United Kingdom

    Site Not Available

  • University of Southampton Hospital

    Southampton 2637487,
    United Kingdom

    Active - Recruiting

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.