Status:

TERMINATED

Platform Study of Novel Ruxolitinib Combinations in Myelofibrosis Patients

Lead Sponsor:

Novartis Pharmaceuticals

Conditions:

Myelofibrosis

Eligibility:

All Genders

18-100 years

Phase:

PHASE1

PHASE2

Brief Summary

The purpose of this study was to investigate the safety, pharmacokinetics and preliminary efficacy of combination treatment of ruxolitinib with 5 novel compounds: siremadlin, crizanlizumab, sabatolima...

Detailed Description

This open-label, multi-center, Phase Ib/II platform study design consisted of 3 parts. Part 1 was a Phase Ib dose escalation and safety run-in for the 5 novel agents in combination with ruxolitinib to...

Eligibility Criteria

Inclusion

  • Core treatment phase
  • Subjects have diagnosis of primary myelofibrosis (PMF) according to the 2016 World Health Organization (WHO) criteria, or diagnosis of post-essential thrombocythemia (ET) (PET-MF) or post-polycythemia vera (PV) myelofibrosis (PPV-MF) according to the International Working Group for Myelofibrosis Research and Treatment (IWG-MRT) 2007 criteria
  • Palpable spleen of at least 5 cm from the left costal margin (LCM) to the point of greatest splenic protrusion or enlarged spleen volume of at least 450 cm3 per MRI or CT scan at baseline (a MRI/CT scan up to 8 weeks prior to first dose of study treatment can be accepted).
  • Have been treated with ruxolitinib for at least 12 weeks prior to first dose of study treatment
  • Are stable (no dose adjustments) on the prescribed ruxolitinib dose (between 5 and 25 mg twice a day (BID)) for ≥ 4 weeks prior to first dose of study treatment
  • Extension treatment phase inclusion criteria:
  • Signed consent for the extension treatment phase
  • ongoing in the core treatment phase
  • demonstrates clinical benefit of treatment in core treatment phase per investigator's assessment.
  • Core treatment phase

Exclusion

  • Not able to understand and to comply with study instructions and requirements.
  • Received any investigational agent for the treatment of MF (except ruxolitinib) within 30 days of first dose of study treatment or within 5 half-lives of the study treatment, whichever is greater
  • Peripheral blood blasts count of \> 10%.
  • has documented severe hypersensitivity reactions/immunogenicity (IG) to a prior biologic product or Received a monoclonal antibody (Ab) or immunoglobulin-based agent within 1 year of screening in NIS793, crizanlizumab or sabatolimab arms, or in rineterkib or siremadlin arms within \<=4 weeks of screening or \<=5 half-lives whichever is shorter
  • Splenic irradiation within 6 months prior to the first dose of study drug
  • Received blood platelet transfusion within 28 days prior to first dose of study treatment.
  • Extension treatment phase

Key Trial Info

Start Date :

September 26 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 28 2024

Estimated Enrollment :

45 Patients enrolled

Trial Details

Trial ID

NCT04097821

Start Date

September 26 2019

End Date

August 28 2024

Last Update

August 7 2025

Active Locations (22)

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Page 1 of 6 (22 locations)

1

Novartis Investigative Site

Adelaide, South Australia, Australia, 5000

2

Novartis Investigative Site

Melbourne, Victoria, Australia, 3000

3

Novartis Investigative Site

Melbourne, Victoria, Australia, 3004

4

Novartis Investigative Site

Toronto, Ontario, Canada, M5G 2M9