Primary MyelofibrosisPhase 3RESUMENCT01178281
Study of Pomalidomide in Persons With Myeloproliferative-Neoplasm-Associated Myelofibrosis and RBC-Transfusion-Dependence
A Phase 3 study testing Pomalidomide 0.5 mg and Pomalidomide in people with Primary Myelofibrosis and MPN-associated Myelofibrosis, run by Celgene at 87 sites in 16 countries.
Trial summary
The objective of this study is to determine whether pomalidomide is safe and effective in reversing red blood cell (RBC)-transfusion-dependence in persons with myeloproliferative neoplasm (MPN)-associated myelofibrosis (global study) and in reversing anemia in Chinese with MPN-associated myelofibrosis and severe… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Primary Myelofibrosis, MPN-associated Myelofibrosis
- What is being tested?
- Pomalidomide 0.5 mg and Pomalidomide
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 267 participants
- Where
- 87 sitesin 16 countries
- Study dates
- 8 Sep 2010to 15 May 2018
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥ 18 years
- Myeloproliferative-neoplasm (MPN)-associated myelofibrosis
- RBC-transfusion-dependence (global study):
- Average RBC-transfusion frequency ≥ 2 units/28 days over at least the 84 days immediately prior to randomization. There must be no interval > 42 days without ≥ 1 RBC-transfusion.
- Only RBC-transfusions given when the hemoglobin ≤ 90 g/L³ are scored in
- determining eligibility.
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- RBC-transfusions due to bleeding are not scored in determining eligibility.
- RBC-transfusions due to chemotherapy-induced anemia are not scored in determining eligibility.
- Severe anemia (China-specific extension):
- ≥ 2 hemoglobin concentrations ≤ 80 g/L for ≥ 84 days immediately before the day of enrollment.
- No RBC-transfusion within 6 months prior to enrollment.
- Hemoglobin ≤ 130 g/L at randomization (global study); ≤ 80 g/L at enrollment in the China-specific extension.
- Bone marrow biopsy within 6 months (global study only).
- Inappropriate to receive blood cell or bone marrow allotransplant, erythropoietin and androgenic steroids
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
- Agree to follow pregnancy precautions as required by the protocol.
- Agree to receive counseling related to teratogenic and other risks of pomalidomide.
- Agree not to donate blood or semen.
Who cannot join
- Prior blood cell or bone marrow allotransplant.
- Use of drugs to treat MPN-associated myelofibrosis ≤ 30 days before starting study drug.
- Treatment with erythropoietin or androgenic steroids ≤ 84 days before starting study drug.
- Anemia due to reasons other than MPN-associated myelofibrosis.
- Pregnant or lactating females.
- More than 10% blasts by bone marrow examination or more than 10% blasts in blood in consecutive measurements spanning at least 8 weeks
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- Prior history of malignancies,other than the disease being studied, unless the subject has been free of the malignancy for ≥ 5 years with the following exceptions:
- Carcinoma in situ of the cervix
- Carcinoma in situ of the breast
- Incidental histologic finding of prostate cancer (T 1a or T 1b using TNM [tumor, nodes, metastasis] clinical staging system)
- Human immunodeficiency virus (HIV) infection, active hepatitis B virus (HBV) or hepatitis C virus (HCV) infections.
- Prior treatment with pomalidomide.
- Allergic reaction or rash after treatment with thalidomide or lenalidomide
- Any of the following laboratory abnormalities:
- Neutrophils < 0.5x10^9 /L
- Platelets < 25 x 10^9 /L
- Estimated glomerular filtration rate (kidney function) < 30 mL/min/1.73 m²
- Aspartate aminotransferase (AST) and alanine transaminase (ALT) > 3.0 x upper limit of normal (ULN)
- Total bilirubin ≥ 4 x ULN;
- Uncontrolled hyperthyroidism or hypothyroidism.
- Deep venous thrombosis (DVT) or pulmonary embolus (PE) < 6 months before starting study drug
- Clinically-important heart disease within the past 6 months
Trial locations and contacts
87 sites in 16 countries.
87 sites in 16 countries
United States17 sites
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, 48109
Mount Sinai School of Medicine Brookdale University Hospital
Brooklyn, New York, 11212
University of Illinois at Chicago
Chicago, Illinois, 60612
Medicine Taussig Cancer Institute
Cleveland, Ohio, 44195
University of Florida Shands Cancer Center
Gainesville, Florida, 32610
MD Anderson Cancer Center
Houston, Texas, 77030
Mayo Clinic
Jacksonville, Florida, 32224
UCLA School of Medicine
Los Angeles, California, 90095
Weill Medical College of Cornell University
New York, New York, 10021
Ruttenberg Treatment Center
New York, New York, 10029
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Mayo Clinic
Rochester, Minnesota, 55905
University of Utah
Salt Lake City, Utah, 84132
Mayo Clinic
Scottsdale, Arizona, 85259
Fred Hutchinson Cancer Center
Seattle, Washington, 98109
Avera Hematology and Transplant
Sioux Falls, South Dakota, 57105
France8 sites
Hopital Albert Michallon
La Tronche, 38043
Hopital Saint Vincent de Paul
Lille, 59020
CHU Dupuytren
Limoges, 87042
Hopital Saint-Louis
Paris, 75475
CHRU - Hopital du Haut Leveque
Pessac, 33604
Hopitaux Universitaires de Strasbourg, CHU Haute-Pierre
Strasbourg, 67098
Hopital Purpan
Toulouse, 31059
Institut Gustave Roussy
Villejuif, 94805
Italy8 sites
Azienda Ospedaliera Universitaria Consorziale Policlinico di Bari
Bari, 70124
Ospedali Riuniti di Bergamo
Bergamo, 24128
Azienda Ospedaliera Universitaria Careggi
Florence, 50134
Azienda Ospedaliera Universitaria Federico II di Napoli
Naples, 80131
Azienda Ospedaliera San Luigi Gonzaga
Orbassano, 10043
IRCCS Fondazione Policlinico San Matteo, Universita di Pavia, Centro per lo Studio della Mielofibrosi
Pavia, 27100
IRCCS Fondazione Policlinico San Matteo, Universita di Pavia, Ematologia
Pavia, 27100
Ospedale di Circolo e Fondazione Macchi Varese
Varese, 21100
United Kingdom7 sites
Belfast City Hospital
Belfast, BT9 7AB
Beatson Oncology Centre
Glasgow, G12 0YN
John Radcliffe Hospital NHS Trust
Headington, OX3 9DU
St. Thomas Hospital
London, SE1 9RT
Hammersmith Hospital
London, W12 ONN
Freeman Hospital
Newcastle upon Tyne, NE7 7DN
Royal Hallamshire Hospital
Sheffield, S10 2JF
China6 sites
Peking University People's Hospital
Beijing, 100044
Peking Union Medical College Hospital
Beijing, 100730
Jiangsu Province Hospital
Jiangsu, 210029
Shanghai Ruijin Hospital
Shanghai, 200025
West China Hospital, Sichuan University
Sichuan, 610041
Blood Disease Hospital Chinese Academy of Medical Sciences
Tianjin, 300041
Japan6 sites
Juntendo University Hospital
Bunkyou-ku, 113-8431
Kyushu University Hospital
Fukuoka, 812-8582
Tokai University Hospital
Isehara, 259-1193
Kyoto University Hospital
Kyoto, 606-8507
Nagasaki University Hospital
Nagasaki, 852-8501
Tokyo Medical University Hospital
Shinjuku, 160-0023
Germany5 sites
Universitatsklinikum Aachen
Aachen, 52074
Medizinische Hochschule Hannover
Hanover, 30625
Universitatsklinikum Leipzig
Leipzig, 04103
Johannes Wesling Klinikum Minden
Minden, 32429
Universitatsklinikum Ulm
Ulm, 89081
Australia4 sites
Frankston Hospital
Frankston, Victoria, 3199
Gosford Hospital
Gosford, New South Wales, 2250
Royal Melbourne Hospital
Parkville, Victoria, 3050
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Canada4 sites
Cross Cancer Institute
Edmonton, Alberta, T6G lz2
Centre Hospitalier de L'Universite de Montreal
Montreal
Princess Margaret Hospital
Toronto, Ontario, M5G 2M9
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9
Russia4 sites
Russian Scientific Haematology Centre
Moscow, 125167
Federal State Institution Russian Scientific-research Institute of Hematology and Transfusiology of Federal Medical-Biological Agency of Russia
Saint Petersburg, 191024
State Pavlov Medical University
Saint Petersburg, 196022
Federal State Institution "Federal Centre of Heart, Blood and Endocrinology of Rosmedtechnologies named after V.A. Almazov"
Saint Petersburg, 197341
Spain4 sites
Hospital Clinic I Provincial de Barcelona
Barcelona, 08036
Hospital Universitario Puerta De Hierro Majadahonda
Majadahonda, 28222
Hospital Clinico de Salamanca
Salamanca, 37007
Hospital Clinico de Valencia
Valencia, 46010
Austria3 sites
Medizinische Universitatklinik Graz
Graz, A-8036
Medizinische Universitat Innsbruck
Innsbruck, A-6020
Medizinische Universitat Wien
Vienna, A-1190
Belgium3 sites
Algemeen Ziekenhuis Sint-Jan
Bruges, 8000
Grand Hopital de Charleroi
Charleroi, 6000
Universitaire Ziekenhuis Leuven Gathuisberg
Leuven, 3000
Netherlands3 sites
VU University Medical Center
Amsterdam, 1081 HV
Erasmus Medish Centrum
Rotterdam, 3015 CE
University Medical Center Utrecht
Utrecht, 3584 CX
Poland3 sites
Wojewodzki Szpital Specjalistyczny im. F.Chopina
Rzeszów, 35-055
Samodzielny Publiczny Szpital Kliniczny Nr 1 PAM
Szczecin, 71-242
Centralny Szpital Kliniczny MSWiA
Warsaw, 02-507
Sweden2 sites
Skane University Hospital
Lund, 22185
Karolinska University Hospital Huddinge
Stockholm, 14185
About this study
Official title: A Phase-3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Compare Efficacy and Safety of Pomalidomide in Subjects With Myeloproliferative Neoplasm-Associated Myelofibrosis and Red Blood Cell-Transfusion-Dependence
The objective of this study is to determine whether pomalidomide is safe and effective in reversing red blood cell (RBC)-transfusion-dependence in persons with myeloproliferative neoplasm (MPN)-associated myelofibrosis (global study) and in reversing anemia in Chinese with MPN-associated myelofibrosis and severe anemia not receiving RBC-transfusions (China extension study only)
Read the detailed description
The multicenter global study was conducted in 15 countries including Australia, Austria, Belgium, Canada, China, France, Germany, Italy, Japan, the Netherlands, Russia, Spain, Sweden, the United Kingdom, and the United States. The global study enrolled participants with myeloproliferative neoplasm (MPN)-associated myelofibrosis and RBC-transfusion-dependence. Participants were randomly assigned to receive pomalidomide or placebo in a blinded fashion.
In most countries participating in the global study, RBC-transfusions are typically given for a hemoglobin level <80-90 g/L. In China, RBC-transfusions are rarely given unless the hemoglobin level is <60 g/L. Consequently, few Chinese with MPN-associated myelofibrosis meet RBC-transfusion-dependence criteria of the global study. A China-specific extension was developed to test the ability of pomalidomide to improve severe anemia (defined as a hemoglobin < 80 g/L for ≥ 84 days in persons not receiving RBC-transfusions).
The China-specific extension study consisted of a single-arm, open-label study in adults with MPN-associated myelofibrosis and severe anemia not receiving RBC transfusions with the objective of describing the frequency of anemia response.
The Global (intent-to-treat [ITT] and safety) population in the main study and the China extension (ITT and safety) population are mutually exclusive.
- Being tested
- Pomalidomide 0.5 mg, Placebo, Pomalidomide
- Keywords
- Myelofibrosis, Post-polycythemia vera myelofibrosis, Post-essential thrombocythemia myelofibrosis, RBC-transfusion-dependence, Primary Myelofibrosis
- Medical subject headings
- Primary Myelofibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pomalidomide 0.5 mgDrug
Also called CC-4047; Pomalyst; Imnovid
Pomalidomide 0.5 mg capsule taken by mouth once daily. Immunomodulatory agent with demonstrated efficacy in the treatment of subjects with RBC-transfusion-dependence associated with MNP-associated myelofibrosis.
PlaceboDrug
Placebo Comparator to active drug; Placebo capsule taken by mouth once daily
PomalidomideDrug
Also called CC-4047, Pomalyst, Imnovid
Pomalidomide 0.5 mg capsule taken by mouth once daily.
| Study group | Role | What they receive |
|---|---|---|
| Pomalidomide 0.5 mg | Experimental | Participants received pomalidomide 0.5 mg/day by mouth for at least 168 days unless there were unacceptable side effects or disease progression.
Participants who were RBC-transfusion independent or experienced clinical benefit (defined as a reduction from Baseline of ≥ 50% in RBC-transfusion frequency during the prior 84-day interval) could continue to receive pomalidomide until loss of RBC-transfusion independence response or clinical benefit, or other criteria for treatment discontinuation applied. Receives: Drug: Pomalidomide 0.5 mg |
| Placebo | Placebo comparator | Participants received placebo taken by mouth once daily for at least 168 days unless there were unacceptable side effects or disease progression.
Participants who were RBC-transfusion independent or experienced clinical benefit could continue to receive placebo until loss of RBC- transfusion independence response or clinical benefit, or other criteria for treatment discontinuation applied. Receives: Drug: Placebo |
| China Extension: Pomalidomide 0.5 mg | Experimental | Participants received pomalidomide 0.5 mg/day by mouth for at least 168 days unless there were unacceptable side effects, disease progression, or they received a RBC-transfusion.
Participants who experienced anemia response could continue treatment until the response was lost or other criteria for treatment discontinuation applied. Receives: Drug: Pomalidomide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Achieved RBC-Transfusion Independence
RBC-transfusion independence was defined as the absence of RBC transfusions for any consecutive 84-day interval.
Measured: 168 days
China Extension: Number of Participants Achieving a Hemoglobin Increase of ≥ 15 g/L Compared to Baseline for ≥ 84 Consecutive Days
A response in the China extension study was defined as an increase in hemoglobin ≥ 15 g/L above baseline value (in the absence of RBC transfusion) for ≥ 84 consecutive days.
Measured: From the first dose of study drug until treatment discontinuation; median treatment duration was 24.0 weeks.
Secondary outcomes (8)
Overall Survival
The time from randomization to the death or to the latest date when participants are known to be alive. Overall survival was analyzed using Kaplan-Meier method; participants who were alive or lost to follow-up were censored at the latest date they were known to be alive.
Measured: From first dose of study drug up to end of study; median follow-up time was 19.1 months in the pomalidomide 0.5 mg arm and 17.6 months in the placebo arm.
Duration of RBC-Transfusion Independence
The duration of RBC-transfusion independence is the time from the date at which the first RBC-transfusion independence started to the date of another RBC-transfusion given at least 84 days after the time the transfusion independence started. The duration of the RBC-transfusion independence was analyzed using the Kaplan-Meier method. Data were censored at the end of the treatment phase for participants who had not received another RBC-transfusion after the start of transfusion independence by the end of treatment phase.
Measured: From first dose of study drug up to 28 days after last dose, as of the data cut-off date of 16 Jan 2013; median treatment duration was 23.6 weeks in the pomalidomide arm and 23.9 weeks in the placebo arm.
Time to RBC-Transfusion Independence
Time to response was measured from first dose of study drug to the start of the first response. The start date of the response was defined as one day after the last date of an RBC-transfusion for participants who received a RBC-transfusion after the first dose, and as the date of the first dose of study drug for participants who received no RBC-transfusions during the 84 days after the first dose of study drug.
Measured: 168 days
Number of Participants With Treatment-emergent Adverse Events (TEAE)
A TEAE is an adverse event (AE) that starts on or after the first dose of study drug. The severity of each AE was graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE),Version 4.0 and according to the following scale: Grade 1 = Mild (transient or mild discomfort; no limitation in activity; no medical intervention/therapy required); Grade 2 = Moderate (mild to moderate limitation in activity, some assistance may be needed; minimal medical intervention/therapy required); Grade 3 = Severe (marked limitation in activity, assistance usually required; medical intervention/therapy required, hospitalization possible); Grade 4 = Life-threatening (extreme limitation in activity, significant assistance or medical intervention/therapy required, hospitalization or hospice care probable); Grade 5 = Death Drug-related (related) AEs are those suspected by the Investigator as being related to administration of study drug
Measured: From the first dose of study drug until 28 days after last dose; median treatment duration was 23.7 weeks in the pomalidomide arm, 23.9 weeks in the placebo arm, and 24.0 weeks in the China extension pomalidomide arm.
Healthcare Resource Utilization
Measured: From first dose of study drug up to 28 days after last dose, as of the data cut-off date of 16 Jan 2013; median treatment duration was 23.6 weeks in the pomalidomide arm and 23.9 weeks in the placebo arm.
Change From Baseline in EuroQoL-5D (EQ-5D) Health Index Score
EQ-5D is a standardized, participant-rated questionnaire to assess health-related quality of life. The EQ-5D includes 2 components: the EQ-5D health state profile (descriptive system) and the EQ-5D visual analog scale (VAS). For the health state profile participants rate their perceived health state today on 5 dimensions: mobility, selfcare, usual activities, pain/discomfort, and anxiety/depression on a Likert-type scale from 1 to 3, where 1 = "no problems," 2 = "some problems," and 3 = "extreme problems." The EQ-5D Health Utility Index (HUI) was generated from the five health state domain scores, and ranges from -0.594 (worst) and 1 (best) imaginable health state, with -0.594 representing an "unconscious" health state.
Measured: Baseline and Days 85 and 169
Change From Baseline in EuroQoL-5D (EQ-5D) Visual Analog Scale
EQ-5D is a standardized, participant-rated questionnaire to assess health-related quality of life. The EQ-5D includes 2 components: the EQ-5D health state profile (descriptive system) and the EQ-5D visual analog scale (VAS). On the VAS the participant rates his/her health state on a line from 0 (worst imaginable health) to 100 (best imaginable health).
Measured: Baseline and Days 85 and 169
Change From Baseline in Functional Assessment of Cancer Therapy-Anemia (FACT-An) Total Score
The FACT-An is a 47-item, cancer-specific questionnaire consisting of a core 27-item general questionnaire measuring the four general domains of QoL (physical, social/family, emotional and functional well-being), and an additional 20-item anemia questionnaire (FACT-An Anemia subscale) that measures 13 fatigue-associated items (FACT-F Fatigue subscale) and seven non-fatigue-related items. Each item is scored using a 5-point Likert rating scale (0 = Not at all; 1 = A little bit; 2 = Somewhat; 3 = Quite a bit; and 4 = Very much). FACT-An total score is calculated by adding all the FACT-An subscales together. The total score ranges from 0-188 with higher scores representing better QOL.
Measured: Baseline and Days 85 and 169
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Aug 2010 (estimated)
- Study start8 Sep 2010
- Primary completion1 Jan 2013
- Study completion15 May 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Primary MyelofibrosisStudies of the same condition, open and under way.
- More trials run by CelgeneThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 267 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celgene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Robert Peter P Gale, MD, Ph.D., Study director, Celgene Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01178281
- Sponsor's protocol ID
- CC-4047-MF-002
- Other IDs
- 2010-018965-42
- Acronym
- RESUME
- Status last verified
- Jun 2019
- First submitted
- 15 Jul 2010
- Last updated
- 17 Jul 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Tefferi A, Al-Ali HK, Barosi G, Devos T, Gisslinger H, Jiang Q, Kiladjian JJ, Mesa R, Passamonti F, McMullin MF, Ribrag V, Schiller G, Vannucchi AM, Zhou D, Reiser D, Zhong J, Gale RP. A randomized study of pomalidomide vs placebo in persons with myeloproliferative neoplasm-associated myelofibrosis and RBC-transfusion dependence. Leukemia. 2017 Apr;31(4):896-902. doi: 10.1038/leu.2016.300. Epub 2016 Oct 24.
PubMed 27773929Begna KH, Pardanani A, Mesa R, Litzow MR, Hogan WJ, Hanson CA, Tefferi A. Long-term outcome of pomalidomide therapy in myelofibrosis. Am J Hematol. 2012 Jan;87(1):66-8. doi: 10.1002/ajh.22233. Epub 2011 Nov 12.
PubMed 22081489
Study at a glance
From the registry record, last updated by the sponsor on 17 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase-3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Compare Efficacy and Safety of Pomalidomide in Subjects With Myeloproliferative Neoplasm-Associated Myelofibrosis and Red Blood Cell-Transfusion-Dependence
- ClinicalTrials.gov ID
- NCT01178281
- Acronym / sponsor ID
- RESUME / CC-4047-MF-002
- Keywords
- Myelofibrosis, Post-polycythemia vera myelofibrosis, Post-essential thrombocythemia myelofibrosis, RBC-transfusion-dependence, Primary Myelofibrosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 267 participants (actual)
- Lead sponsor
- CelgeneIndustry (pharma, biotech, devices)
- Study start
- 8 Sep 2010 (actual)
- Primary completion
- 1 Jan 2013 (actual)
- Study completion
- 15 May 2018 (actual)
- First posted
- 10 Aug 2010 (estimated)
- Results
- Posted 14 Mar 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study is to determine whether pomalidomide is safe and effective in reversing red blood cell (RBC)-transfusion-dependence in persons with myeloproliferative neoplasm (MPN)-associated myelofibrosis (global study) and in reversing anemia in Chinese with MPN-associated myelofibrosis and severe anemia not receiving RBC-transfusions (China extension study only)
Detailed description
The multicenter global study was conducted in 15 countries including Australia, Austria, Belgium, Canada, China, France, Germany, Italy, Japan, the Netherlands, Russia, Spain, Sweden, the United Kingdom, and the United States. The global study enrolled participants with myeloproliferative neoplasm (MPN)-associated myelofibrosis and RBC-transfusion-dependence. Participants were randomly assigned to receive pomalidomide or placebo in a blinded fashion.
In most countries participating in the global study, RBC-transfusions are typically given for a hemoglobin level <80-90 g/L. In China, RBC-transfusions are rarely given unless the hemoglobin level is <60 g/L. Consequently, few Chinese with MPN-associated myelofibrosis meet RBC-transfusion-dependence criteria of the global study. A China-specific extension was developed to test the ability of pomalidomide to improve severe anemia (defined as a hemoglobin < 80 g/L for ≥ 84 days in persons not receiving RBC-transfusions).
The China-specific extension study consisted of a single-arm, open-label study in adults with MPN-associated myelofibrosis and severe anemia not receiving RBC transfusions with the objective of describing the frequency of anemia response.
The Global (intent-to-treat [ITT] and safety) population in the main study and the China extension (ITT and safety) population are mutually exclusive.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Pomalidomide 0.5 mg | Experimental | Drug: Pomalidomide 0.5 mgParticipants received pomalidomide 0.5 mg/day by mouth for at least 168 days unless there were unacceptable side effects or disease progression. Participants who were RBC-transfusion independent or experienced clinical benefit (defined as a reduction from Baseline of ≥ 50% in RBC-transfusion frequency during the prior 84-day interval) could continue to receive pomalidomide until loss of RBC-transfusion independence response or clinical benefit, or other criteria for treatment discontinuation applied. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants received placebo taken by mouth once daily for at least 168 days unless there were unacceptable side effects or disease progression. Participants who were RBC-transfusion independent or experienced clinical benefit could continue to receive placebo until loss of RBC- transfusion independence response or clinical benefit, or other criteria for treatment discontinuation applied. |
| China Extension: Pomalidomide 0.5 mg | Experimental | Drug: PomalidomideParticipants received pomalidomide 0.5 mg/day by mouth for at least 168 days unless there were unacceptable side effects, disease progression, or they received a RBC-transfusion. Participants who experienced anemia response could continue treatment until the response was lost or other criteria for treatment discontinuation applied. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- Age ≥ 18 years
- Myeloproliferative-neoplasm (MPN)-associated myelofibrosis
- RBC-transfusion-dependence (global study):
- determining eligibility.
- RBC-transfusions due to bleeding are not scored in determining eligibility.
Key exclusion criteria (22 listed)
- Prior blood cell or bone marrow allotransplant.
- Use of drugs to treat MPN-associated myelofibrosis ≤ 30 days before starting study drug.
- Treatment with erythropoietin or androgenic steroids ≤ 84 days before starting study drug.
- Anemia due to reasons other than MPN-associated myelofibrosis.
- Pregnant or lactating females.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pomalidomide 0.5 mgAlso: CC-4047; Pomalyst; ImnovidPomalidomide 0.5 mg capsule taken by mouth once daily. Immunomodulatory agent with demonstrated efficacy in the treatment of subjects with RBC-transfusion-dependence associated with MNP-associated myelofibrosis. | Drug | Pomalidomide 0.5 mg |
| PlaceboPlacebo Comparator to active drug; Placebo capsule taken by mouth once daily | Drug | Placebo |
| PomalidomideAlso: CC-4047, Pomalyst, ImnovidPomalidomide 0.5 mg capsule taken by mouth once daily. | Drug | China Extension: Pomalidomide 0.5 mg |
Primary outcome
Percentage of Participants Who Achieved RBC-Transfusion Independence
Time frame: 168 days
RBC-transfusion independence was defined as the absence of RBC transfusions for any consecutive 84-day interval.
China Extension: Number of Participants Achieving a Hemoglobin Increase of ≥ 15 g/L Compared to Baseline for ≥ 84 Consecutive Days
Time frame: From the first dose of study drug until treatment discontinuation; median treatment duration was 24.0 weeks.
A response in the China extension study was defined as an increase in hemoglobin ≥ 15 g/L above baseline value (in the absence of RBC transfusion) for ≥ 84 consecutive days.
8 secondary outcomes
Overall Survival
Time frame: From first dose of study drug up to end of study; median follow-up time was 19.1 months in the pomalidomide 0.5 mg arm and 17.6 months in the placebo arm.
Duration of RBC-Transfusion Independence
Time frame: From first dose of study drug up to 28 days after last dose, as of the data cut-off date of 16 Jan 2013; median treatment duration was 23.6 weeks in the pomalidomide arm and 23.9 weeks in the placebo arm.
Time to RBC-Transfusion Independence
Time frame: 168 days
Number of Participants With Treatment-emergent Adverse Events (TEAE)
Time frame: From the first dose of study drug until 28 days after last dose; median treatment duration was 23.7 weeks in the pomalidomide arm, 23.9 weeks in the placebo arm, and 24.0 weeks in the China extension pomalidomide arm.
Healthcare Resource Utilization
Time frame: From first dose of study drug up to 28 days after last dose, as of the data cut-off date of 16 Jan 2013; median treatment duration was 23.6 weeks in the pomalidomide arm and 23.9 weeks in the placebo arm.
Change From Baseline in EuroQoL-5D (EQ-5D) Health Index Score
Time frame: Baseline and Days 85 and 169
Change From Baseline in EuroQoL-5D (EQ-5D) Visual Analog Scale
Time frame: Baseline and Days 85 and 169
Change From Baseline in Functional Assessment of Cancer Therapy-Anemia (FACT-An) Total Score
Time frame: Baseline and Days 85 and 169
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jul 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 27773929Tefferi A, Al-Ali HK, Barosi G, Devos T, Gisslinger H, Jiang Q, Kiladjian JJ, Mesa R, Passamonti F, McMullin MF, Ribrag V, Schiller G, Vannucchi AM, Zhou D, Reiser D, Zhong J, Gale RP. A randomized study of pomalidomide vs placebo in persons with myeloproliferative neoplasm-associated myelofibrosis and RBC-transfusion dependence. Leukemia. 2017 Apr;31(4):896-902. doi: 10.1038/leu.2016.300. Epub 2016 Oct 24.
- Derived from this study: PubMed 22081489Begna KH, Pardanani A, Mesa R, Litzow MR, Hogan WJ, Hanson CA, Tefferi A. Long-term outcome of pomalidomide therapy in myelofibrosis. Am J Hematol. 2012 Jan;87(1):66-8. doi: 10.1002/ajh.22233. Epub 2011 Nov 12.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert Peter P Gale, MD, Ph.D. study director
Celgene Corporation
87 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pomalidomide 0.5 mg and Pomalidomide in people with Primary Myelofibrosis and MPN-associated Myelofibrosis, run by Celgene at 87 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 18 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 87 sites in United States, France, Italy, United Kingdom, China and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 14 Mar 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Who Achieved RBC-Transfusion Independence (time frame: 168 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01178281, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jul 2019.