Primary Objective: \- To evaluate the efficacy of once daily dose of SAR302503 in subjects previously treated with ruxolitinib and with a current diagnosis of intermediate-1 with symptoms, Intermediate-2 or high-risk primary myelofibrosis (PMF), post-polycythemia vera myelofibrosis (Post-PV MF), or post-essential thrombocythemia myelofibrosis (Post-ET MF) based on the reduction of spleen volume at the end of 6 treatment cycles; Secondary Objectives: * To evaluate the effect of SAR302503 on Myelofibrosis (MF) associated symptoms as measured by the modified Myelofibrosis Symptom Assessment Form (MFSAF) diary * To evaluate the durability of splenic response * To evaluate the splenic response to SAR302503 by palpation at the end of Cycle 6 * To evaluate the splenic response to SAR302503 at the end of Cycle 3 * To evaluate the effect of SAR302503 on the Janus kinase 2 (JAK2) V617F allele burden * To evaluate the safety and tolerability of SAR302503 in this population * To evaluate plasma concentrations of SAR302503 for population PK analysis, if warranted
The expected duration of the treatment in this study is approximately 8 months, based on a maximum 28-day screening period, followed by a 6-month (6-cycle) treatment period, and an EOT visit for subjects who will not continue the treatment after completing the 6 cycles of SAR302503, or discontinue the treatment early for any reasons as well as a follow-up visit which should occur 30 days after the last administration of SAR302503. Patients who continue to benefit clinically will be allowed to remain on study medication beyond the 6-month treatment period until the occurrence of disease progression or unacceptable toxicity.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
97
Pharmaceutical form:capsule Route of administration: oral
Investigational Site Number 840007
Phoenix, Arizona, United States
Investigational Site Number 840003
San Francisco, California, United States
Investigational Site Number 840004
San Francisco, California, United States
Investigational Site Number 840005
Atlanta, Georgia, United States
Investigational Site Number 840014
Chicago, Illinois, United States
Response Rate (RR), defined as the proportion of subjects who have a ≥35% reduction from baseline in volume of spleen at the end of Cycle 6 as measured by Magnetic Resonance Imaging (MRI) (or CT scan in subjects with contraindications for MRI)
Time frame: 6 months
Symptom Response Rate (SRR): Proportion of subjects with a ≥50% reduction from baseline to the end of Cycle 6 in the total symptom score using the modified MFSAF
Time frame: 6 months
Duration of spleen response, measured by MRI (or CT scan in subjects with contraindications for MRI)
Time frame: 6 months
Proportion of subjects with a ≥50% reduction in length of spleen by palpation from baseline at the end of Cycle 6
Time frame: 6 months
Response Rate at the end of Cycle 3, defined as the proportion of subjects who have a ≥35% reduction from baseline in volume of spleen at the end of Cycle 3 as measured by MRI (or CT scan in subjects with contraindications for MRI)
Time frame: 6 months
Percent change of spleen volume at the end of Cycles 3 and 6 from baseline as measured by MRI (or CT scan in subjects with contraindications for MRI)
Time frame: 6 months
Safety, as assessed by clinical, laboratory, ECG, and vital sign events; graded by the NCI CTCAE v4.03
Time frame: approximately 5 years
Plasma concentrations of SAR302503
Time frame: 4 months
The effect of SAR302503 on the JAK2V617F allele burden
Time frame: 2 years
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Investigational Site Number 840001
Kansas City, Kansas, United States
Investigational Site Number 840017
Baltimore, Maryland, United States
Investigational Site Number 840013
Baltimore, Maryland, United States
Investigational Site Number 840010
Ann Arbor, Michigan, United States
Investigational Site Number 840009
New York, New York, United States
...and 32 more locations