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CancerPhase 1/2NCT01236352

Multiple Ascending Dose of BMS-911543

A Phase 1/2 study testing BMS-911543 in people with Cancer, run by Bristol-Myers Squibb at 5 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this first in human study is to determine if BMS-911543 is safe and tolerable in subjects with symptomatic intermediate-1, intermediate-2 or high risk myelofibrosis to permit clinical testing at the Maximum Tolerated Dose or at a Clinically Active Dose, and to determine if BMS-911543 will demonstrate… Read more about this study

Who is it for?
Any age
Conditions the study is for
Cancer
What is being tested?
BMS-911543
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
98 participants
Where
5 sitesin 2 countries
Study dates
7 Apr 2011to 19 Nov 2015
Phase
Phase 1/2
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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Men and Women at least 18 years old
  • A diagnosis of symptomatic, primary or secondary Myelofibrosis (MF) [World Health Organization (WHO) 2008 criteria] with intermediate-1, intermediate-2 or high risk disease as assessed using the Dynamic International Prognostic Scoring System international prognostic scoring system
  • Last therapeutic or diagnostic treatment at least 28 days prior
  • Any toxicity from prior therapies must have resolved to Grade ≤1
  • Adequate Liver and Kidney Function
  • Serum amylase and lipase within normal institutional range
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  • Platelet count ≥50,000 cell mm³
  • Absolute neutrophil count (ANC) ≥1,000 cells/mm3
  • Hemoglobin ≥8.0 g/dL

Who cannot join

  • Primary central nervous system tumors
  • Subjects with currently active malignancy (other than MF) or with a prior history of malignancy with the exception of: (i) adequately treated basal cell carcinoma of the skin, (ii) curatively treated in situ carcinoma of the cervix, (iii) other malignancy that has undergone potentially curative therapy with no evidence of disease recurrence ≥3 years
  • Any condition requiring chronic use of moderate/high dose steroids except inhalation or oral steroids for mild pulmonary disease
  • Splenic irradiation ≤3 months prior to treatment with study drug
  • Positive blood screen for hepatitis C antibody, hepatitis B surface antigen or Human Immunodeficiency Virus-1 (HIV-1), or HIV-2 antibodies
  • Abnormalities in serum electrolytes
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  • Significant cardiovascular disease
  • Current or recent gastrointestinal disease
  • Previous history of pancreatitis and/or significant risk factors for pancreatitis as judged by the treating physician
  • Evidence of uncontrolled active infection or active graft vs. host disease
  • Inability to tolerate oral medication

Trial locations and contacts

5 sites in 2 countries.

5 sites in 2 countries

United States3 sites
  • The University Of Texas Md Anderson Cancer Center

    Houston, Texas, 77030

  • The Mount Sinai School Of Medicine

    New York, New York, 10029

  • Mayo Clinic

    Rochester, Minnesota, 55905

Other trials in United States

Australia2 sites
  • Local Institution

    East Melbourne, Victoria, 3002

  • Local Institution

    Melbourne, Victoria, 3050

Other trials in Australia

About this study

Official title: A Phase 1/2 Multiple Ascending Dose Study to Evaluate the Safety, Efficacy, Pharmacokinetics and Pharmacodynamics of BMS-911543 in Subjects With Myelofibrosis

The purpose of this first in human study is to determine if BMS-911543 is safe and tolerable in subjects with symptomatic intermediate-1, intermediate-2 or high risk myelofibrosis to permit clinical testing at the Maximum Tolerated Dose or at a Clinically Active Dose, and to determine if BMS-911543 will demonstrate efficacy in symptomatic myelofibrosis.

Conditions
Cancer
Being tested
BMS-911543
Keywords
Advanced Cancer, Various, NOS
Medical subject headings
Neoplasms, Pyloric Stenosis, Hypertrophic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BMS-911543Drug

    Also called JAK2 Inhibitor

Study groups in NCT01236352
Study groupRoleWhat they receive
Phase 1 (Cohort 1): BMS-911543 (5 mg)ExperimentalBMS-911543 5 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 1 (Cohort 2): BMS-911543 (10 mg)ExperimentalBMS-911543 10 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 1 (Cohort 3): BMS-911543 (20 mg)ExperimentalBMS-911543 20 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 1 (Cohort 4): BMS-911543 (40 mg)ExperimentalBMS-911543 40 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 1 (Cohort 5): BMS-911543 (80 mg)ExperimentalBMS-911543 80 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 1 (Cohort 6): BMS-911543 (120 mg)ExperimentalBMS-911543 120 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 1 (Cohort 7): BMS-911543 (160 mg)ExperimentalBMS-911543 160 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 1 (Cohort 8): BMS-911543 (200 mg)ExperimentalBMS-911543 200 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 1 (Cohort 9): BMS-911543 (240 mg)ExperimentalBMS-911543 240 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 1 (Cohort 10): BMS-911543 (320 mg)ExperimentalBMS-911543 320 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 2 (Cohort 11): BMS-911543 (120 mg)ExperimentalBMS-911543 120 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543
Phase 2 (Cohort 12): BMS-911543 (200 mg)ExperimentalBMS-911543 200 mg capsule by mouth twice daily for 12 months or greater depending on response
Receives: Drug: BMS-911543

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Adverse Events

    Safety assessments were based on a medical review of adverse event reports and the results of vital sign measurements, ECGs, physical examinations, and clinical laboratory tests and were evaluated for all treated participants using National Cancer Institute Common Terminology Criteria for Adverse Events v4.0 (NCI CTCAE v.4.0).

    Measured: From the date of participant's written consent until 30 days post discontinuation of dosing or participation in the study if the last scheduled visit occured at a later time, assessed up to 4.5 years

  2. Number of Participants With Best Overall Response

    Participants were clinically assessed for IWG-(International Working Group consensus criteria for treatment response in myelofibrosis with myeloid metaplasia) defined response at each returning on-treatment visit and the first post-treatment visit. IWG-MRT criteria for best overall response are ordered high to low: CR>PR>CI>SD>PD>R where CR = Complete Remission, PR= Partial Remission, CI = Clinical Improvement, SD = Stable Disease, PD = Progressive Disease and R = Relapse. Best overall response is the best response of the subject during the treatment period or at the first post-treatment visit.

    Measured: Day 1, at each returning on-treatment visit and the first post-treatment visit

Secondary outcomes (12)
  1. Changes in (Janus Kinase) JAK/Signal Transducers and Activators of Transcription (STATs) Pathway Activities, Circulating CD34+ Cells and Plasma Cytokine Levels

    JAK/STAT pathway activity will be evaluated by: 1) pSTATs levels using immunoassay; 2) expression levels of several JAK/STATs pathway genes. Whole blood will be collected at specific time-points. Due to portfolio/business decisions by the sponsor, the compound is no longer being developed and the study was terminated. Analysis was not completed because the study was terminated. This decision was not based on any safety concerns associated with BMS-911543.

    Measured: Up to 6 months

  2. Maximum Observed Plasma Concentration (Cmax) of BMS-911543 and it's Metabolite BMS-926796 (Met4)

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: Cmax Maximum observed plasma concentration

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  3. Trough Observed (Pre-dose) Plasma Concentration (Cmin) of BMS-911543 and it's Metabolite Met4

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: Cmin (Trough observed (pre-dose) plasma concentration)

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  4. Time of Maximum Observed Plasma Concentration (Tmax) of BMS-911543 and it's Metabolite Met4

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: Tmax = Time of maximum observed plasma concentration (Tmax) of BMS-911543 and it's metabolite Met4

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  5. Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinite Time (for Single Dose Period Only) (AUC(INF)) of BMS-911543 and it's Metabolite Met4

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: AUC(INF) = Area under the plasma concentration-time curve from time zero extrapolated to infinite time (for single dose period only) (AUC(INF)) of BMS-911543 and it's metabolite Met4

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  6. Area Under the Plasma Concentration-time Curve From Time Zero to the Time of Last Quantifiable Plasma Concentration (for Single Dose Period Only) (AUC(0-T)) of BMS-911543 and it's Metabolite Met4

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: AUC (0-T) = Area under the plasma concentration-time curve from time zero to the time of last quantifiable plasma concentration (for single dose period only) of BMS-911543 and it's metabolite Met4

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  7. Area Under the Concentration-time Curve in One Dosing Interval (AUC(TAU)) of BMS-911543 and it's Metabolite Met4

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: AUC (TAU) = Area under the concentration-time curve in one dosing interval of BMS-911543 and it's metabolite Met4

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  8. The Terminal-phase Elimination Half-life in Plasma (T-HALF) of BMS-911543 and it's Metabolite Met4

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: T-HALF = The terminal-phase elimination half-life in plasma of BMS-911543 and it's metabolite Met4

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  9. Apparent Total Clearance (for Parent Compound Only) (CLT/F) of BMS-911543 and it's Metabolite Met4

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: CLT/F = Apparent total clearance (for parent compound only) of BMS-911543 and it's metabolite Met4

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  10. Apparent Volume of Distribution After First Dosing Based on the Terminal Phase (for Parent Compound Only) (Vz/F) of BMS-911543 and it's Metabolite Met4

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: Vz/F = Apparent volume of distribution after first dosing based on the terminal phase (for parent compound only) of BMS-911543 and it's metabolite Met4

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  11. Accumulation Index (AI): Ratio of AUC(TAU) on Day 15 to AUC(TAU) After the First Dose of BMS-911543 and it's Metabolite Met4

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: Accumulation index (AI) = ratio of AUC(TAU) on Day 15 to AUC(TAU) after the first dose of BMS-911543 and it's metabolite Met4

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

  12. Ratio of BMS-926796 AUC(INF) to BMS-911543 AUC(INF) After 1st Dose and BMS-926796 AUC(TAU) to BMS-911543 AUC(TAU) on Day 15 (AUC Ratio)

    Pharmacokinetic parameters of BMS-911543 and BMS-926796 (Met4) metabolite, will be derived from plasma concentration versus time. The pharmacokinetic parameters to be assessed include: AUC Ratio = Ratio of BMS-926796 AUC(INF) to BMS-911543 AUC(INF) after 1st dose and BMS-926796 AUC(TAU) to BMS-911543 AUC(TAU) on Day 15

    Measured: Day -1, Day 1, Day 8, Day 15, Day 21 and Day 28 or off-study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Nov 2010 (estimated)
  2. Study start7 Apr 2011
  3. Primary completion19 Nov 2015
  4. Study completion19 Nov 2015

Why it stopped: Due to portfolio/business decisions by the sponsor

Resources

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
98 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01236352
Sponsor's protocol ID
CA215-001
Status last verified
Jul 2019
First submitted
5 Nov 2010
Last updated
31 Jul 2019
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing BMS-911543 in people with Cancer, run by Bristol-Myers Squibb at 5 sites in 2 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 9 inclusion and 11 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: stopped early, as of the sponsor's last update on 31 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 5 sites in United States, Australia. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 21 May 2019). 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?

Number of Participants With Adverse Events (time frame: From the date of participant's written consent until 30 days post discontinuation of dosing or participation in the study if the last scheduled visit occured at a later time, assessed up to 4.5 years). 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?
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 31 Jul 2019.

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