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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01998828
Registration number
NCT01998828
Ethics application status
Date submitted
25/11/2013
Date registered
2/12/2013
Date last updated
20/04/2020
Titles & IDs
Public title
Safety and Efficacy of Momelotinib in Subjects With Polycythemia Vera or Essential Thrombocythemia
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Scientific title
A Phase 2, Open-label, Randomized Study to Evaluate the Safety and Efficacy of Momelotinib in Subjects With Polycythemia Vera or Essential Thrombocythemia
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Secondary ID [1]
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2013-004105-11
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Secondary ID [2]
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GS-US-354-0101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Polycythemia Vera
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Essential Thrombocythemia
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Condition category
Condition code
Blood
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Haematological diseases
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Blood
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Other blood disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Momelotinib
Experimental: Momelotinib 100 mg PV - Participants with polycythemia vera will receive 100 mg of momelotinib.
Experimental: Momelotinib 200 mg PV - Participants with polycythemia vera will receive 200 mg of momelotinib.
Experimental: Momelotinib 100 mg ET - Participants with essential thrombocythemia will receive 100 mg of momelotinib.
Experimental: Momelotinib 200 mg ET - Participants with essential thrombocythemia will receive 200 mg of momelotinib.
Treatment: Drugs: Momelotinib
Momelotinib tablet administered orally once daily
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Overall response rate
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Assessment method [1]
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For the PV Cohort, overall response rate (ORR) is defined as the proportion of participants with all of the following at some point during the treatment period:
* Hematocrit \< 45% in the absence of phlebotomy that lasts at least 4 weeks
* White blood cell (WBC) count \< 10 x 10\^9/L that lasts at least 4 weeks
* Platelet count = 400 x 10\^9/L that lasts at least 4 weeks
* Resolution of palpable splenomegaly that lasts at least 4 weeks
For the ET Cohort, overall response rate is defined as the proportion of participants with all of the following at some point during the treatment period:
* WBC count \< 10 x 10\^9/L that lasts at least 4 weeks
* Platelet count = 400 x 10\^9/L that lasts at least 4 weeks
* Resolution of palpable splenomegaly that lasts at least 4 weeks
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Timepoint [1]
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Up to 24 weeks
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Secondary outcome [1]
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Confirmed overall response rate
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Assessment method [1]
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Confirmed overall response rate is defined as the proportion of participants who meet all the criteria listed for the primary endpoints of PV or ET, sustained for at least 12 weeks.
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Timepoint [1]
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Up to 24 weeks
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Secondary outcome [2]
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Proportion of participants with hematocrit < 45% in the absence of phlebotomy that lasts at least 4 weeks
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Assessment method [2]
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Timepoint [2]
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Up to 24 weeks
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Secondary outcome [3]
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Proportion of participants with WBC < 10 x 10^9/L that lasts at least 4 weeks
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Assessment method [3]
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Timepoint [3]
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Up to 24 weeks
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Secondary outcome [4]
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Proportion of participants with platelet count = 400 x 10^9/L that lasts at least 4 weeks
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Assessment method [4]
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Timepoint [4]
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Up to 24 weeks
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Secondary outcome [5]
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Proportion of participants with resolution of palpable splenomegaly that lasts at least 4 weeks
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Assessment method [5]
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Timepoint [5]
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Up to 24 weeks
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Secondary outcome [6]
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Proportion of participants with = 10 point decrease in modified Myeloproliferative Neoplasm Symptom Assessment Form Total Symptom Score (MPNSAF TSS) compared to baseline that lasts at least 12 weeks
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Assessment method [6]
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Timepoint [6]
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Up to 24 weeks
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Eligibility
Key inclusion criteria
* Diagnosis of either PV or ET as defined by the 2008 World Health Organization (WHO) Diagnostic Criteria
* Requires treatment for PV or ET, in the opinion of the study investigator
* Intolerant of, resistant to, or refuses current or available treatment for PV or ET
* Direct bilirubin = 2.0 x upper limit of the normal range (ULN)
* Aspartate transaminase (AST) and alanine transaminase (ALT) = 3 x ULN
* Calculated creatinine clearance (CrCl) of = 45 mL/min
* Life expectancy > 24 weeks
* Male subjects and female subjects of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception
* Females who are nursing must agree to discontinue nursing before the first dose of study drug
* Able to comprehend and willing to sign informed consent form
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior splenectomy
* Uncontrolled intercurrent illness, per protocol
* Known positive status for human immunodeficiency virus (HIV)
* Chronic active or acute viral hepatitis A, B, or C infection, or hepatitis B or C carrier
* Myeloproliferative neoplasm-directed therapy, other than aspirin, hydroxyurea, anagrelide, and/or phlebotomy, within 21 days prior to the first dose of study drug
* Anagrelide within 7 days prior to the first dose of study drug
* Presence of peripheral neuropathy = Grade 2
* Unwilling or unable to take oral medication
* Prior use of a JAK1 or JAK2 inhibitor
* Use of strong CYP3A4 inducers within 1 week prior to the first dose of study drug
* QTc interval > 450 msec, unless attributed to bundle branch block
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
19/02/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
7/05/2015
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Sample size
Target
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Accrual to date
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Final
39
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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- Frankston
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Recruitment hospital [2]
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- Parkville
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Recruitment postcode(s) [1]
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- Frankston
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Recruitment postcode(s) [2]
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- Parkville
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Recruitment outside Australia
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United States of America
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State/province [1]
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Arizona
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United States of America
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California
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United States of America
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Mississippi
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United States of America
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Missouri
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United States of America
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Texas
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Canada
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British Columbia
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Country [7]
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Canada
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Ontario
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Canada
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Quebec
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Country [9]
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France
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La Tronche
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France
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Nantes Cedex 1
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France
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Paris
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Germany
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Dresden
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Germany
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State/province [13]
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Minden
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Sierra Oncology LLC - a GSK company
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This open-label study is to determine the safety and efficacy of momelotinib in participants with either polycythemia vera (PV) or essential thrombocythemia (ET) who have not yet received treatment with a Janus kinase (JAK) inhibitor.
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Trial website
https://clinicaltrials.gov/study/NCT01998828
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Trial related presentations / publications
Verstovsek S, Courby S, Griesshammer M, Mesa RA, Brachmann CB, Kawashima J, Maltzman JD, Shao L, Xin Y, Huang D, Bajel A. A phase 2 study of momelotinib, a potent JAK1 and JAK2 inhibitor, in patients with polycythemia vera or essential thrombocythemia. Leuk Res. 2017 Sep;60:11-17. doi: 10.1016/j.leukres.2017.05.002. Epub 2017 May 30.
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Public notes
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Contacts
Principal investigator
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Peter Lee, MD, PhD
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Address
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Gilead Sciences
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01998828
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