Skip to main content
OpenTrials
Completed

NCT Number: NCT02515630

Momelotinib in Transfusion-Dependent Adults With Primary Myelofibrosis (PMF) or Post-polycythemia Vera or Post-essential Thrombocythemia Myelofibrosis (Post-PV/ET MF)

This study will evaluate the transfusion independence response rate in transfusion-dependent adults with myelofibrosis after treatment with momelotinib (MMB).

Completed

Looking for future studies?

Notify Me

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Toronto, Ontario, Canada

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Diagnosis of PMF or Post PV/ET-MF
  • Requires myelofibrosis therapy, in the opinion of the investigator
  • High risk OR intermediate-2 risk defined by dynamic international prognostic scoring system (DIPSS) OR intermediate-1 risk defined by DIPSS and associated with symptomatic splenomegaly and/or hepatomegaly
  • Transfusion dependent at baseline, defined as ≥ 4 U red blood cell (RBC) transfusion in the 8 weeks prior to first dose of MMB
  • Acceptable organ function as evidenced by the following:
  • Platelet Count ≥ 50 x 10^9/L
  • Aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) ≤ 3 x upper limit of normal (ULN) or AST or ALT ≤ 5 x ULN if liver is involved by disease process as judged by the investigator
  • Serum creatinine ≤ 2.0 mg/dL or calculated creatinine clearance of ≥ 60 mL/min
  • Direct bilirubin ≤ 2.0 x ULN
  • Life expectancy of > 24 weeks
  • Males and females of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception
  • Lactating females must agree to discontinue nursing before MMB administration
  • Able to understand and willing to sign the informed consent form

Key Exclusion Criteria:

  • Prior splenectomy
  • Splenic irradiation within 3 months prior to the first dose of MMB
  • Prior treatment with MMB
  • Known positive status of human immunodeficiency virus (HIV)
  • Chronic active or acute viral hepatitis A, B, or C infection (testing required for hepatitis B and C), or hepatitis B or C carrier
  • Use of strong cytochrome P450 3A4 (CYP3A4) inducer within 2 weeks prior to the first dose of MMB
  • Uncontrolled intercurrent illness per protocol
  • Treatment with a Janus kinase (JAK) inhibitor within 21 days of the planned first dose of MMB
  • Presence of peripheral neuropathy ≥ Common Terminology Criteria for Adverse Events (CTCAE) Grade 2
  • Unwilling or unable to undergo a MRI per requirements in the study protocol
  • Unwilling to consent to genomics sampling

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

MMB

Drug

Momelotinib (MMB) tablet administered orally once daily

Other names: GS-0387, CYT387

Primary outcomes

  1. Transfusion Independence Response by Week 24

    Time frame: From baseline to Week 24

    The percentage of subjects who became transfusion independent for ≥ 12 weeks at any time on study. A subject was considered transfusion independent on study if no RBC transfusion occurred in any 12-week period during the 24-week treatment period.

Secondary outcomes

  1. Transfusion Response Rate by Week 24

    Time frame: From baseline to Week 24

    The percentage of subjects who became transfusion independent for ≥ 8 weeks, defined as no RBC transfusions for at least an 8-week period at any time on study.

  2. Splenic Response Rate at Week 24

    Time frame: Measured at Week 24

    The percentage of subjects who achieved a ≥ 35% reduction in spleen volume from baseline as measured by MRI at Week 24.

  3. Response Rate in Total Symptom Score (TSS) at Week 24

    Time frame: Measured at Week 24

    The percentage of subjects achieving a ≥ 50% reduction from baseline in TSS at Week 24, as measured by the modified Myeloproliferative Neoplasm Symptom Assessment Form Total Symptom Score (MPNSAF TSS) diary. Total symptom score was assessed using the modified MPN-SAF TSS Version 2, an 8-item questionnaire developed to assess symptom burden and quality of life in patients with MPN. The modified MPN-SAF TSS contained 8 questions, 7 of which were summed to generate the score (the included questions related to tiredness, early satiety, abdominal discomfort, night sweats, itching, bone pain, and pain under the ribs on the left side). Each question is scored on a scale of 0-10, where higher numbers indicate more severe symptoms. For this study, the TSS scale ranges from 0 to 70. The questionnaire was completed daily on an electronic diary device.

  4. Change in Markers of Iron Metabolism and Anemia - Change From Baseline in Hepcidin Daily Change

    Time frame: At baseline, Day 1, Weeks 2, 4, 8, 12, 16, 20 and 24

    Hepcidin daily change (in nM) was calculated as the predose value subtracted from the 6 hours postdose value at each study visit. Daily hepcidin change at the baseline visit was the difference between 2 values obtained 6 hours apart. No momelotinib was administered on that day.

  5. Change in Markers of Iron Metabolism and Anemia - Trough Hepcidin

    Time frame: At baseline, Day 1, Weeks 2, 4, 8, 12, 16, 20 and 24

    Median hepcidin at trough was assessed predose at each study visit.

  6. Change in Markers of Iron Metabolism and Anemia - Serum Iron

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in serum iron, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  7. Change in Markers of Iron Metabolism and Anemia - Hemoglobin

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in hemoglobin, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  8. Change in Markers of Iron Metabolism and Anemia - Total Iron Binding Capacity

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in total iron binding capacity, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  9. Change in Markers of Iron Metabolism and Anemia - Reticulocytes

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in reticulocytes, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  10. Change in Markers of Iron Metabolism and Anemia - Reticulocytes/Erythrocytes%

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in reticulocytes/erythrocytes%, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  11. Change in Markers of Iron Metabolism and Anemia - Erythropoietin

    Time frame: At Weeks 8 and 20

    Percent change in erythropoietin at Weeks 8 and 20. The baseline erythropoietin value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  12. Change in Markers of Iron Metabolism and Anemia - Erythrocytes

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in erythrocytes, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  13. Change in Markers of Iron Metabolism and Anemia - Hematocrit

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in hematocrit, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  14. Change in Markers of Iron Metabolism and Anemia - Ferritin

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in ferritin, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  15. Change in Markers of Iron Metabolism and Anemia - Soluble Transferrin Receptor

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in soluble transferrin receptor, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  16. Change in Markers of Iron Metabolism and Anemia - Transferrin Saturation

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in transferrin saturation, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  17. Change in Markers of Iron Metabolism and Anemia - Unsaturated Iron Binding Capacity

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in unsaturated iron binding capacity, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  18. Change in Markers of Iron Metabolism and Anemia - Platelets

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in platelets, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  19. Change in Markers of Iron Metabolism and Anemia - Leukocytes

    Time frame: At Weeks 2, 4, 8, 12, 16, 20 and 24

    Percent change from baseline in leukocytes, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  20. Change in Markers of Iron Metabolism and Anemia - Blasts

    Time frame: At Weeks 2 and 4

    Change from baseline in % blasts at Weeks 2 and 4. The baseline % blasts value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  21. Change in Liver Iron Content

    Time frame: Measured at Week 24

    Percent change from baseline in liver iron content assessed by MRI. The baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

  22. Change in Pharmacodynamics Biomarker - pSTAT3

    Time frame: On Day 1 and at Weeks 4 and 24

    Percent change in %pSTAT stimulated CD3+/4+ T cell at Day 1 (postdose), Week 4 and Week 24. The baseline value is defined as the last predose value from the baseline period prior to or on the date of first dose of momelotinib administration (Day 1 predose).

  23. Change in Pharmacodynamics Biomarker - pSTAT3/tSTAT3 Ratio

    Time frame: On Day 1 and at Weeks 4 and 24

    Percent change in %pSTAT/%tSTAT Stimulated CD3+/4+ T cell ratio at Day 1 (postdose), Week 4 and Week 24. The baseline value is defined as the last predose value from the baseline period prior to or on the date of first dose of momelotinib administration (Day 1 predose).

  24. Change in Inflammatory Markers - C-Reactive Protein (CRP)

    Time frame: At Weeks 2, 12 and 24

    Percent change in C-reactive protein at Weeks 2, 12 and 24. The baseline C-reactive protein value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

Sponsors and collaborators

Lead sponsor

Sierra Oncology LLC - a GSK company

Industry

Registry information

Official study title

A Phase 2, Open-label, Translational Biology Study of Momelotinib in Transfusion-Dependent Subjects With Primary Myelofibrosis (PMF) or Post-polycythemia Vera or Post-essential Thrombocythemia Myelofibrosis (Post-PV/ET MF)

Important dates

Study start
2016
Primary completion
2017
Study completion
2017
First posted
Aug 5, 2015
Registry last updated
Jun 18, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.