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临床试验/JPRN-jRCT2031210007
JPRN-jRCT2031210007进行中(未招募)1 期

[M20-247] A Phase 1b Study of ABBV-744 Alone or in Combination with Ruxolitinib or Navitoclax in Subjects with Myelofibrosis

Okubo Sumiko0 个研究点目标入组 130 人开始时间: 2021年4月2日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
130

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 18age old 至 ot applicable(—)
性别
All

入选标准

  • Laboratory values indicative of adequate bone marrow, renal, and hepatic function meeting protocol criteria.
  • - Completion of the Myelofibrosis System Assessment Form (MFSAF) on at least 4 out of the 7 days prior to Day 1 with at least 2 symptoms with a score >=3 or a total score of >=10.
  • - Documented diagnosis of intermediate or high-risk primary myelofibrosis (PMF), post-polycythemia vera MF (PPV-MF) or post-essential thrombocytopenia MF (PET-MF) as defined by the World Health Organization(WHO).
  • - Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • - Intermediate - 2, or High-Risk disease as defined by the Dynamic International Prognostic Scoring System (For Segment A only, Intermediate - 1 with palpable splenomegaly >=5 centimeters [cm] below costal margin are also eligible).
  • - Splenomegaly defined as spleen palpation measurement >= 5 cm below costal margin or spleen volume >= 450 cubic cms as assessed by Magnetic Resonance Imaging (MRI) or Computed Tomography (CT) scan (for Segments A and c, baseline spleen assessment must be obtained > 7 days after discontinuation of most recent Myelofibrosis (MF) therapy. If possible, this assessment should occur within 10 days of Cycle 1 Day 1).
  • Segment-Specific Prior Therapy Criteria:
  • - Segment A:
  • --Prior exposure to one or more Janus Kinase inhibitors (JAKi), the most recent of which was discontinued > 28 days prior to Cycle 1, Day 1, and are intolerant, resistant, refractory or lost response to the JAKi.
  • - Segment B:
  • --Currently receiving ruxolitinib AND
  • --Willingness to reduce dose (if on a higher dose); and on a stable dose for 14 days or longer prior to Cycle 1 Day 1;
  • --At least one of the following criteria (a, b, or c):
  • a) >= 24 weeks duration of current ruxolitinib course, with evidence of disease that is resistant, refractory, or has lost response to ruxolitinib monotherapy;
  • b) < 24 weeks duration of current ruxolitinib course with documented resistance, refractories, or loss of response, as defined by any of the following:
  • ---Appearance of new splenomegaly that is palpable to at least 5 cm below the left costal margin (LCM), in
  • participants with no evidence of splenomegaly prior to the initiation of ruxolitinib.
  • --- >=100% increase in the palpable distance below the LCM, in participants with measurable spleen distance 5 -10 cm prior to the initiation of ruxolitinib.
  • --- >=50% increase in the palpable distance below the LCM, in participants with measurable spleen > 10 cm prior to the initiation of ruxolitinib.
  • ---A spleen volume increase >= 25% (as assessed by MRI or CT) in participants with a spleen volume assessment available prior to the initiation of ruxolitinib.
  • c) Prior treatment with ruxolitinib for >= 28 days complicated by any of the following:
  • ---Development of red blood cell transfusion requirement (at least 2 units/month for 2 months).
  • ---Grade >= 3 adverse events of neutropenia and/or anemia while on ruxolitinib treatment, with improvement or resolution upon dose reduction.
  • - Segment C:
  • --Prior exposure to one or more JAKi (the most recent of which was discontinued > 28 days prior to Cycle 1 Day 1), and are intolerant, resistant, refractory or lost response to the JAKi.

排除标准

  • Segment-Specific Prior Therapy Criteria:
  • - Segment A:
  • --Prior exposure to one or more Bromodomain and Extra-Terminal (BET) inhibitors.
  • - Segment B:
  • --Prior exposure to one or more BET inhibitors.
  • - Segment C:
  • --Prior exposure to one or more BET inhibitors and/or any B-Cell Lymphoma 2 (BCL-2) and/or BCL- XL inhibitor, including navitoclax.
  • - Segment D:
  • --Prior exposure to JAKi and/or any BET inhibitor.

研究者

发起方
Okubo Sumiko

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