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A Randomized Study of the JAK Inhibitor INCB018424 Tablets Compared to Best Available Therapy in Subjects with Primary Myelofibrosis (PMF), Post-Polycythemia Vera-Myelofibrosis (PPV-MF) or Post-Essential Thrombocythemia Myelofibrosis (PET-MF) - COMFORT II

Conditions
MedDRA version: 12.0Level: LLTClassification code 10028537Term: Myelofibrosis
Myelofibrosis
Registration Number
EUCTR2009-009858-24-IT
Lead Sponsor
Incyte Corporation
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
150
Inclusion Criteria

Male or female subjects, aged 18 years or older, with diagnosis of PMF, PPV-MF or PET-MF. Subjects with a palpable spleen length of 5 cm or greater below the costal margin Subjects must have either 2 (Intermediate risk) or 3 or more (High risk) prognostic factors (Cervantes et al, 2008). These prognostic factors are: a) Age > 65 yrs b) Presence of constitutional symptoms (weight loss, fever, night sweats) c) Marked anemia (Hgb < 10g/dL) d) Leukocytosis (history of WBC > 25 x 109/L) e) Circulating blasts &#8805; 1% Subjects with peripheral blood blasts of < 10% Subjects must have been on a stable therapeutic regimen for at least 2 weeks before Screening and at least 4 weeks prior to Baseline.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Subjects with a life expectancy of < 6 months. Subjects with inadequate bone marrow reserve as follows: a) Absolute neutrophil count (ANC) that is &#8804; 1000/?L. b) Platelet count that is < 100,000/?L without the assistance of growth factors, thrombopoietic factors or platelet transfusions. Subjects with any history of platelet counts < 50,000/?L or ANC < 500/?L except during treatment for a myeloproliferative disorder or treatment with cytotoxic therapy for any other reason. Subjects having clinically significant infections or current malignancies.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: o To compare the efficacy, safety and tolerability of INCB018424 given twice daily to the best-available therapy, in subjects with primary myelofibrosis (PMF), post polycythemia vera myelofibrosis (PPV-MF) or post essential thrombocythemia myelofibrosis (PET-MF).;Secondary Objective: o To evaluate the population pharmacokinetics of INCB018424;Primary end point(s): o Proportion of subjects achieving at least 35% reduction in spleen volume from Baseline to Week 48 as measured by MRI (or by CT for applicable subjects).
Secondary Outcome Measures
NameTimeMethod
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