A Phase 1b/2 Study of BMS-986158 Monotherapy and in Combination With Either Ruxolitinib or Fedratinib in Participants With DIPSS-Intermediate or High Risk Myelofibrosis
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 发起方
- 入组人数
- 216
- 试验地点
- 102
- 主要终点
- Incidence of AEs meeting protocol-defined dose-limiting toxicity (DLT) criteria
研究概览
简要总结
The purpose of this study is to assess the safety, tolerability, and efficacy of BMS-986158 alone and in combination with either Ruxolitinib or Fedratinib in participants with Dynamic International Prognostic Scoring System (DIPSS)-intermediate or high risk blood cancer. Part 1 consists of BMS-986158 in combination with either Ruxolitinib or Fedratinib and Part 2 consists of BMS-986158 in combination with either Ruxolitinib or Fedratinib and BMS-986158 alone.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of primary myelofibrosis (PMF), post-essential thrombocythemia (ET) or post-polycythemia vera (PV) myelofibrosis
- •Treatment-related toxicities from prior therapy resolved to Grade 1 or pre-treatment baseline or determined to be irreversible prior to study treatment
- •Must agree to follow specific methods of contraception, if applicable
排除标准
- •Women who are pregnant or breastfeeding at screening
- •Any significant acute or uncontrolled chronic medical illness
- •Other protocol-defined inclusion/exclusion criteria apply
研究组 & 干预措施
Part 2A2 Add-On: BMS-986158 + Ruxolitinib
干预措施: Ruxolitinib (Drug)
Part 2A1: BMS-986158 + Ruxolitinib
干预措施: Ruxolitinib (Drug)
Part 1A: BMS-986158 + Ruxolitinib
干预措施: BMS-986158 (Drug)
Part 2B1: BMS-986158 + Fedratinib
干预措施: Fedratinib (Drug)
Part 2A3: BMS-986158 + Ruxolitinib
干预措施: BMS-986158 (Drug)
Part 2A3: BMS-986158 + Ruxolitinib
干预措施: Ruxolitinib (Drug)
Part 1A: BMS-986158 + Ruxolitinib
干预措施: Ruxolitinib (Drug)
Part 1B: BMS-986158 + Fedratinib
干预措施: BMS-986158 (Drug)
Part 1B: BMS-986158 + Fedratinib
干预措施: Fedratinib (Drug)
Part 2A1: BMS-986158 + Ruxolitinib
干预措施: BMS-986158 (Drug)
Part 2B1: BMS-986158 + Fedratinib
干预措施: BMS-986158 (Drug)
Part 2B2: BMS-986158 Mono and/or (BMS-986158 + Fedratinib), if applicable
干预措施: BMS-986158 (Drug)
Part 2B2: BMS-986158 Mono and/or (BMS-986158 + Fedratinib), if applicable
干预措施: Fedratinib (Drug)
Part 2A2 Add-On: BMS-986158 + Ruxolitinib
干预措施: BMS-986158 (Drug)
结局指标
主要结局
Incidence of AEs meeting protocol-defined dose-limiting toxicity (DLT) criteria
时间窗: Up to 26 months
Incidence of AEs leading to discontinuation
时间窗: Up to 52 months
Incidence of death
时间窗: Up to 52 months
Incidence of adverse events (AEs)
时间窗: Up to 52 months
Incidence of serious adverse events (SAEs)
时间窗: Up to 52 months
次要结局
- Spleen volume reduction (SVR) at end of Cycle 6 assessed by Blinded Independent Central Review (BICR)(Up to 175 days)
- Response rate defined as proportion of participants with SVR ≥ 35% by MRI (preferred) or CT (if MRI is contraindicated and if CT is allowed by local guidelines) assessed by BICR(Up to 175 days)
- SVR at end of Cycle 3 and 6 assessed by BICR(Up to 175 days)
- Response rate defined as proportion of participants with SVR ≥ 25% by MRI (preferred) or CT (if MRI is contraindicated and if CT is allowed by local guidelines) assessed by BICR(Up to 175 days)
- Symptom response rate (SRR) based on total symptom score (TSS) measured by Myelofibrosis Symptom Assessment Form (MFSAF)(Up to 175 days)
- Additional measures based on TSS measured by MFSAF(Up to 175 days)
