Zelgen’s Jacktinib Hits Phase IIb Endpoint in Myelofibrosis Study

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Suzhou Zelgen Biopharmaceuticals Co., Ltd (SHA: 688266) announced the successful completion of a pivotal Phase IIb clinical trial (ZGJAK006) for its in-house Janus kinase (JAK) inhibitor, jacktinib, in patients with ruxolitinib-intolerant, medium- to high-risk myelofibrosis. The study met its primary endpoint, with 43.2% of subjects achieving ≥35% spleen volume reduction at 24 weeks.

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Study Results
The trial, conducted across 45 centers including Zhejiang University’s First Affiliated Hospital, demonstrated jacktinib’s efficacy in reducing spleen volume—a key marker of disease progression in myelofibrosis. The 43.2% response rate underscores the drug’s potential to address unmet needs in ruxolitinib-intolerant patients.

Previous Milestones
In June, Zelgen reported Phase III success in medium- to high-risk myelofibrosis, meeting primary endpoints. The company plans to file two New Drug Applications (NDAs) for jacktinib: one for first-line treatment and another for ruxolitinib-intolerant patients.

Mechanism and Pipeline
Jacktinib inhibits JAK/STAT signaling pathways to reduce immune-related inflammation. It is under investigation for multiple indications, including severe alopecia areata, idiopathic pulmonary fibrosis, and COVID-19. The U.S. FDA granted orphan drug designation for myelofibrosis, while China approved Phase II trials for severe COVID-19.-Fineline Info & Tech

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