This is a Phase 2 open-label, multicenter study evaluating tolerability and efficacy of navitoclax alone or when added to ruxolitinib in participants with myelofibrosis.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
191
Tablet; Oral
Film-coated tablet; Oral
Percentage of Participants With ≥ 35% Reduction From Baseline in Spleen Volume at Week 24
Reduction in spleen volume is measured by magnetic resonance imaging/computerized tomography (MRI/CT).
Time frame: Baseline, Week 24
Percentage of Participants Achieving ≥ 50% Reduction From Baseline in Total System Score (TSS) at Week 24
TSS is assessed by the Myelofibrosis Symptom Assessment Form (MFSAF) version 4.0. Participants complete a symptom diary and rate the following seven MF symptoms: fatigue, night sweats, abdominal discomfort, pruritus, pain under the ribs on the left side, early satiety, and bone pain daily using a scale from 0 (absent) to 10 (worst imaginable), and the scores are averaged over 7 days, with a minimum of 4 days required to calculate the average score. Participants for whom a valid average score cannot be calculated either at baseline or post-baseline are considered non-responders. The TSS reflects the sum of the scores of these symptoms, for a maximum possible score of 70 (i.e., most severe symptom experience).
Time frame: Baseline, Week 24
Percentage of Participants Achieving Anemia Response
For a participant who is transfusion independent (TI) at Baseline with hemoglobin value \< 10 g/dL, anemia response is achieved if the post-Baseline hemoglobin level increases by ≥2 g/dL without receiving packed red blood cells (PRBC) transfusion (for any reason) within 2 weeks and without any erythropoietin or mimetics within the last 4 weeks prior to the increase in hemoglobin level by ≥2g/dL was observed. Hemoglobin values more than 30 days after the last dose of study treatment or after the start of post-study treatment or disease progression, whichever is earlier, will not be considered in the analysis of anemia response. For a participant who is transfusion dependent (TD) at Baseline, anemia response is defined as a period of at least 12 consecutive weeks without PRBC transfusion at any time after the first dose of study drug and on or prior to 30 days post last dose of study drug, the start of post-study treatment, disease progression or death, whichever occurs earlier.
Time frame: Up to 254 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
UAB Comprehensive Cancer Cente /ID# 165464
Birmingham, Alabama, United States
TOI Clinical Research /ID# 222546
Cerritos, California, United States
City of Hope /ID# 221395
Duarte, California, United States
Moores Cancer Center at UC San Diego /ID# 164084
La Jolla, California, United States
Long Beach Memorial Medical Ct /ID# 230148
Long Beach, California, United States
University of Southern California /ID# 164095
Los Angeles, California, United States
Colorado Blood Cancer Institute /ID# 224250
Denver, Colorado, United States
Baptist MD Anderson Cancer Center - Jacksonville /ID# 222548
Jacksonville, Florida, United States
Mayo Clinic /ID# 164201
Jacksonville, Florida, United States
Moffitt Cancer Center /ID# 164082
Tampa, Florida, United States
...and 81 more locations
Percentage of Participants With ≥ 1 Grade Reduction From Baseline in Fibrosis Grade At Any Time
Bone marrow grading is assessed according to the European Consensus Grading System. The 4-point grading scale ranges from MF-0, which corresponds to normal bone marrow, to MF-3, diffuse and dense increase in reticulin with extensive intersections with coarse bundles of collagen, often associated with significant osteosclerosis.
Time frame: Up to 254 weeks
Time to First Reduction in Fibrosis Grade
Grade of bone marrow fibrosis was assessed by investigators according to the European Consensus Grading System. The 4-point grading scale ranges from MF-0, which corresponds to normal bone marrow, to MF-3, diffuse and dense increase in reticulin with extensive intersections with coarse bundles of collagen, often associated with significant osteosclerosis. The time to first achieving a reduction of at least 1 grade in bone marrow fibrosis from Baseline was summarized.
Time frame: Up to 254 weeks