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
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.
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.
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There are 41 Locations for this study
Phoenix Arizona, 85054, United States
San Francisco California, 94143, United States
San Francisco California, 94143, United States
Atlanta Georgia, 30322, United States
Chicago Illinois, 60637, United States
Kansas City Kansas, 66160, United States
Baltimore Maryland, 21201, United States
Baltimore Maryland, 21229, United States
Ann Arbor Michigan, 48109, United States
New York New York, 10021, United States
New York New York, 10032, United States
Cleveland Ohio, 44195, United States
Middletown Ohio, 45042, United States
Charleston South Carolina, 29406, United States
Houston Texas, 77030, United States
Salt Lake City Utah, 84112, United States
Salzburg , 5020, Austria
Wien , 1090, Austria
Antwerpen , 2060, Belgium
Leuven , 3000, Belgium
Toronto , M5G 2, Canada
Marseille , 13273, France
Nimes Cedex 9 , 30029, France
Paris Cedex 10 , 75475, France
Paris Cedex 12 , 75571, France
Toulouse , 31000, France
Frankfurt Am Main , 60590, Germany
Leipzig , 04103, Germany
Magdeburg , 39120, Germany
Mannheim , 68167, Germany
Ulm , 89081, Germany
Firenze , 50134, Italy
Milano , 20122, Italy
Roma , 00161, Italy
Varese , 21100, Italy
Amsterdam , 1081 , Netherlands
Maastricht , 6229 , Netherlands
Nijmegen , 6525 , Netherlands
Barcelona , 08036, Spain
Majadahonda , 28222, Spain
Salamanca , 37007, Spain
London , SE1 9, United Kingdom
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