Myeloproliferative Neoplasms Clinical Trial

Phase II, Open Label, Single Arm Study of SAR302503 In Myelofibrosis Patients Previously Treated With Ruxolitinib

Summary

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

View Full Description

Full Description

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.

View Eligibility Criteria

Eligibility Criteria

Inclusion criteria:

Diagnosis of PMF or Post-PV MF or Post-ET MF, according to the 2008 World Health Organization and IWG-MRT response criteria
Subjects who previously received Ruxolitinib treatment for PMF or Post-PV MF or Post-ET MF or PV or ET for at least 14 days (exposure of <14 days is allowed for subjects who discontinued Ruxolitinib due to intolerability or allergy) and discontinued the treatment for at least 14 days prior to the first dose of SAR302503
MF classified as Intermediate-1 with symptoms, Intermediate-2 or high-risk by Dynamic International Prognostic Scoring System (Passamonti et al., Blood 2010)
Spleen ≥5 cm below costal margin as measured by palpation
Male and female subjects ≥18 years of age
Signed written informed consent

Exclusion criteria:

Splenectomy
Eastern Cooperative Oncology Group (ECOG) performance status of >2 before the first dose of SAR302503 at Cycle 1 Day1

The following laboratory values within 14 days prior to the initiation of SAR302503:

Absolute Neutrophil Count (ANC) <1.0 x 10exp9/L
Platelet count <50 x 10exp9/L
Serum creatinine >1.5 x Upper limit of normal (ULN)
Serum amylase and lipase >1.5 x ULN
Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≥2.5 x ULN
Total bilirubin ≥3.0 x ULN
Subjects with total bilirubin between 1.5-3.0 x ULN must be excluded if the direct bilirubin fraction is ≥25% of the total
Subjects with known active (acute or chronic) Hepatitis A, B, or C; and Hepatitis B and C carriers
Prior history of chronic liver disease (eg, chronic alcoholic liver disease, autoimmune hepatitis, sclerosing cholangitis, primary biliary cirrhosis, hemachromatosis, non-alcoholic steatohepatitis [NASH])
Subjects with any other prior malignancies are not eligible, except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer from which subject has been disease-free for at least 5 years
Any chemotherapy, immunomodulatory drug therapy (eg, thalidomide, interferon-alpha), Anagrelide, immunosuppressive therapy, corticosteroids >10 mg/day prednisone or equivalent, or growth factor treatment (eg, erythropoietin), or hormones (eg, androgens, danazol) within 14 days prior to initiation of SAR302503; darbepoetin use within 28 days prior to initiation of SAR302503.The only chemotherapy allowed will be hydroxyurea within 1 day prior to initiation of SAR302503
Uncontrolled congestive heart failure (New York Heart Association Classification 3 or 4), angina, myocardial infarction, cerebrovascular accident, coronary/peripheral artery bypass graft surgery, transient ischemic attack, or pulmonary embolism within 3 months prior to initiation of SAR302503

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Study is for people with:

Myeloproliferative Neoplasms

Phase:

Phase 2

Estimated Enrollment:

97

Study ID:

NCT01523171

Recruitment Status:

Completed

Sponsor:

Sanofi

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There are 41 Locations for this study

See Locations Near You

Investigational Site Number 840007
Phoenix Arizona, 85054, United States
Investigational Site Number 840003
San Francisco California, 94143, United States
Investigational Site Number 840004
San Francisco California, 94143, United States
Investigational Site Number 840005
Atlanta Georgia, 30322, United States
Investigational Site Number 840014
Chicago Illinois, 60637, United States
Investigational Site Number 840001
Kansas City Kansas, 66160, United States
Investigational Site Number 840017
Baltimore Maryland, 21201, United States
Investigational Site Number 840013
Baltimore Maryland, 21229, United States
Investigational Site Number 840010
Ann Arbor Michigan, 48109, United States
Investigational Site Number 840009
New York New York, 10021, United States
Investigational Site Number 840018
New York New York, 10032, United States
Investigational Site Number 840022
Cleveland Ohio, 44195, United States
Investigational Site Number 840019
Middletown Ohio, 45042, United States
Investigational Site Number 840024
Charleston South Carolina, 29406, United States
Investigational Site Number 840002
Houston Texas, 77030, United States
Investigational Site Number 840015
Salt Lake City Utah, 84112, United States
Investigational Site Number 040002
Salzburg , 5020, Austria
Investigational Site Number 040001
Wien , 1090, Austria
Investigational Site Number 056002
Antwerpen , 2060, Belgium
Investigational Site Number 056003
Leuven , 3000, Belgium
Investigational Site Number 124001
Toronto , M5G 2, Canada
Investigational Site Number 250001
Marseille , 13273, France
Investigational Site Number 250003
Nimes Cedex 9 , 30029, France
Investigational Site Number 250002
Paris Cedex 10 , 75475, France
Investigational Site Number 250006
Paris Cedex 12 , 75571, France
Investigational Site Number 250004
Toulouse , 31000, France
Investigational Site Number 276003
Frankfurt Am Main , 60590, Germany
Investigational Site Number 276007
Leipzig , 04103, Germany
Investigational Site Number 276006
Magdeburg , 39120, Germany
Investigational Site Number 276001
Mannheim , 68167, Germany
Investigational Site Number 276005
Ulm , 89081, Germany
Investigational Site Number 380004
Firenze , 50134, Italy
Investigational Site Number 380001
Milano , 20122, Italy
Investigational Site Number 380002
Roma , 00161, Italy
Investigational Site Number 380003
Varese , 21100, Italy
Investigational Site Number 528002
Amsterdam , 1081 , Netherlands
Investigational Site Number 528003
Maastricht , 6229 , Netherlands
Investigational Site Number 528001
Nijmegen , 6525 , Netherlands
Investigational Site Number 724001
Barcelona , 08036, Spain
Investigational Site Number 724003
Majadahonda , 28222, Spain
Investigational Site Number 724002
Salamanca , 37007, Spain
Investigational Site Number 826001
London , SE1 9, United Kingdom

How clear is this clinincal trial information?

Study is for people with:

Myeloproliferative Neoplasms

Phase:

Phase 2

Estimated Enrollment:

97

Study ID:

NCT01523171

Recruitment Status:

Completed

Sponsor:


Sanofi

How clear is this clinincal trial information?

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