Myeloproliferative Neoplasms Clinical Trial
Phase III Study of SAR302503 in Intermediate-2 and High Risk Patients With Myelofibrosis
Summary
Primary Objective:
To evaluate the efficacy of daily oral doses of 400 mg or 500 mg of SAR302503 (Investigational Medicinal Product, IMP) compared to placebo in the reduction of spleen volume as determined by magnetic resonance imaging (MRI) (or computed tomography scan in patients with contraindications for MRI).
Secondary Objectives:
To evaluate the effect on Myelofibrosis (MF)-associated symptoms (key MF symptoms) as measured by the modified Myelofibrosis Symptom Assessment Form (MFSAF) diary.
To evaluate the Overall Survival of patients treated with either 400 mg/day or 500 mg/day of IMP as compared to placebo.
To evaluate the Progression Free Survival of patients treated with either 400 mg/day or 500 mg/day of IMP as compared to placebo.
To evaluate the durability of splenic response.
To evaluate the safety of IMP.
Full Description
The expected duration of a patient's 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 End Of Treatment (EOT) visit, which should be performed at least 30 days following the last administration of IMP or placebo.
Patients who continue to benefit clinically will be allowed to remain on IMP or placebo beyond the 6-month treatment period until the occurrence of disease progression or unacceptable toxicity.
Eligibility Criteria
Inclusion criteria:
Diagnosis of Primary Myelofibrosis (MF) or Post-Polycythemia Vera MF or Post-Essential Thrombocythemia MF, according to the 2008 World Health Organization and International Working Group of Myelofibrosis Research and Treatment (IWG-MRT) criteria.
MF classified as high-risk or intermediate-risk level 2, as defined by modified IWG-MRT criteria (IPSS) (according to Cervantes F. et. al.; at screening).
Enlarged spleen, palpable at least 5 cm below costal margin.
At least 18 years of age.
Eastern Cooperative Oncology Group performance status of 0, 1, or 2 at study entry.
The following laboratory values within 14 days prior to the initiation of IMP or placebo:
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
Exclusion criteria:
Splenectomy.
Any chemotherapy (eg, hydroxyurea), 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 IMP or placebo; darbepoetin use within 28 days prior to initiation of IMP or placebo. Patients who have had exposure to hydroxyurea (eg, hydrea) in the past may be enrolled into the study as long as it has not been administered within 14 days prior to initiation of IMP or placebo.
Major surgery within 28 days or radiation within 6 months prior to initiation of IMP or placebo.
Prior treatment with a Janus Kinase 2 (JAK2) inhibitor.
Known active (acute or chronic) Hepatitis A, B, or C; and hepatitis B and C carriers
AST or ALT ≥2.5 x ULN
Total Bilirubin:
Exclude if ≥3.0 x ULN
Patients with total bilirubin between 1.5-3.0 x ULN must be excluded if the direct bilirubin fraction is ≥25% of the total
Prior history of chronic liver disease (eg, chronic alcoholic liver disease, autoimmune hepatitis, sclerosing cholangitis, primary biliary cirrhosis, hemachromatosis, non-alcoholic steatohepatitis [NASH])
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 93 Locations for this study
Scottsdale Arizona, 85259, United States
La Jolla California, 92093, United States
La Jolla California, 92093, United States
Los Angeles California, 90033, United States
Baton Rouge Louisiana, 70808, United States
Rochester Minnesota, 55905, United States
Newark New Jersey, 07112, United States
Canton Ohio, 44718, United States
Houston Texas, 77030, United States
Box Hill , 3128, Australia
Herston , 4029, Australia
Randwick , 2031, Australia
Tweed Heads , 2485, Australia
Wodonga , 3690, Australia
Wien , 1090, Austria
Antwerpen , 2060, Belgium
Leuven , 3000, Belgium
Jau , 17210, Brazil
Porto Alegre , 90110, Brazil
Rio De Janeiro , 20230, Brazil
Montreal , H1T 2, Canada
Montreal , H2W 1, Canada
Saint John , E2L 4, Canada
Marseille , 13273, France
Nantes Cedex 01 , 44093, France
Nimes , 30029, France
Pierre Benite Cedex , 69495, France
Poitiers , 86000, France
Toulouse , 31000, France
Villejuif Cedex , 94805, France
Aachen , 52074, Germany
Bonn , 53127, Germany
Dresden , 01307, Germany
Mannheim , 68167, Germany
Budapest , 1097, Hungary
Debrecen , 4032, Hungary
Györ , 9023, Hungary
Kecskemét , 6000, Hungary
Miskolc , 3529, Hungary
Dublin , DUBLI, Ireland
Galway , , Ireland
Haifa , 31048, Israel
Tel Hashomer , 52621, Israel
Bergamo , 24127, Italy
Bologna , 40138, Italy
Firenze , 50134, Italy
Pavia , 27100, Italy
Pavia , 27100, Italy
Varese , 21100, Italy
Bundang-Gu , 463-7, Korea, Republic of
Seoul , 110-7, Korea, Republic of
Seoul , 120-7, Korea, Republic of
Seoul , 135-7, Korea, Republic of
Seoul , 137-7, Korea, Republic of
Seoul , 138-8, Korea, Republic of
Seoul , , Korea, Republic of
Kaunas , LT-50, Lithuania
Klaipeda , LT-92, Lithuania
Queretaro , 76000, Mexico
Brzozow , 36-20, Poland
Gdansk , 80-95, Poland
Lodz , 93-51, Poland
Warszawa , 02-10, Poland
Wroclaw , 50-36, Poland
Coimbra , 3000-, Portugal
Lisboa , 1169-, Portugal
Lisboa , 1649-, Portugal
Porto , 4200-, Portugal
Brasov , , Romania
Bucharest , 02232, Romania
Bucuresti , 03017, Romania
Bucuresti , , Romania
Timisoara , , Romania
Moscow , 12516, Russian Federation
Moscow , 12528, Russian Federation
Nizhny Novgorod , 60312, Russian Federation
Petrozavodsk , 18501, Russian Federation
St-Petersburg , 19734, Russian Federation
St.-Petersburg , 19102, Russian Federation
Volgograd , 40013, Russian Federation
Singapore , 11922, Singapore
Singapore , 16960, Singapore
Johannesburg , 2013, South Africa
Parktown , 2193, South Africa
Barcelona , 08036, Spain
Madrid , 28046, Spain
Stockholm , 14186, Sweden
Uddevalla , 451 8, Sweden
Changhua , 500, Taiwan
Kaohsiung , 833, Taiwan
Taipei , 112, Taiwan
Belfast , BT9 7, United Kingdom
Birmingham , B9 5S, United Kingdom
Glasgow , G12 0, United Kingdom
Leeds , LS9 7, United Kingdom
London , SE1 9, United Kingdom
London , W12 0, United Kingdom
Manchester , M20 4, United Kingdom
Newcastle Upon Tyne , NE7 7, United Kingdom
Oxford , OX3 7, United Kingdom
Southampton , SO16 , United Kingdom
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