Primary Objective: \- To evaluate the efficacy of daily oral doses of 300 mg, 400 mg, and 500 mg SAR302503 and combined for the response rate defined with the ≥35% reduction of spleen volume as determined by magnetic resonance imaging (MRI or computed tomography scan \[CT\] in patients with contraindications for MRI). Secondary Objectives: * To evaluate the safety of SAR302503 for both pooled (300, 400, and 500mg) and individual doses population. * To evaluate the pharmacokinetics (PK) of SAR302503 after single and repeat-dose. * To evaluate the effect on Myelofibrosis (MF)-associated symptoms (Key MF symptoms) as measured by the modified Myelofibrosis Symptom Assessment Form (MFSAF). * To evaluate the durability of splenic response. * To evaluate the effect of SAR302503 on bone marrow with regard to changes on reticulin fibrosis.
The duration of the study for an individual patient will include a period to assess eligibility (screening period 28 days), followed by a treatment period of at least 1 cycle (28 days) of study treatment, and an end-of-treatment visit at least 30 days following the last administration of study drug. However, treatment may continue if patients are deriving benefit and do not have unacceptable toxicity or meet study withdrawal criteria.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
8
Pharmaceutical form:Capsule Route of administration: oral
Investigational Site Number 392010
Akita, Japan
Investigational Site Number 392002
Bunkyō City, Japan
Investigational Site Number 392006
Bunkyō City, Japan
Investigational Site Number 392004
Sendai, Japan
Investigational Site Number 392008
Shinjuku-Ku, Japan
Investigational Site Number 392009
Shinjuku-Ku, Japan
Investigational Site Number 392003
Suita-Shi, Japan
Response Rate (RR), defined as the proportion of subjects who have a ≥35% reduction as measured by MRI (or CT scan in subjects with contraindications for MRI). - Time Frame:
Time frame: 24 weeks
Number of patients with Serious Adverse events using NCI CTCAE v4.03, clinical parameters and vital signs
Time frame: From baseline to the 30 days after last drug administration
Measurements of SAR302503 pharmacokinetic endpoints including Cmax, Tmax, and AUC0-24
Time frame: SAR302503, pre-dose and post-dose plasma collections will be obtained on Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 15, Cycle 2 Day 1, Cycle 2 Day 2, and Cycle 3 Day 1
Symptom Response Rate (SRR): Proportion of subjects with a ≥50% reduction in the total symptom score using the modified MFSAF
Time frame: 24 weeks
Duration of maintenance of ≥35% reduction in spleen volume
Time frame: From baseline to the 30 days after last drug administration
Percent change from baseline in spleen volume measured by MRI
Time frame: 24 weeks
Percent change from baseline in spleen size measured by palpation
Time frame: 24 weeks
Proportion of patients with any grade reduction in reticulin fibrosis
Time frame: 24 weeks
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