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Primary Myelofibrosis (PMF)Phase 2NCT02515630

Momelotinib in Transfusion-Dependent Adults With Primary Myelofibrosis (PMF) or Post-polycythemia Vera or Post-essential Thrombocythemia Myelofibrosis (Post-PV/ET MF)

A Phase 2 study testing MMB in people with Primary Myelofibrosis (PMF) and Post-polycythemia Vera (Post-PV) Myelofibrosis, run by Sierra Oncology LLC - a GSK company at 13 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will evaluate the transfusion independence response rate in transfusion-dependent adults with myelofibrosis after treatment with momelotinib (MMB). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
MMB
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
13 sitesin 2 countries
Study dates
29 Jan 2016to 15 Aug 2017
Phase
Phase 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of PMF or Post PV/ET-MF
  • Requires myelofibrosis therapy, in the opinion of the investigator
  • High risk OR intermediate-2 risk defined by dynamic international prognostic scoring system (DIPSS) OR intermediate-1 risk defined by DIPSS and associated with symptomatic splenomegaly and/or hepatomegaly
  • Transfusion dependent at baseline, defined as ≥ 4 U red blood cell (RBC) transfusion in the 8 weeks prior to first dose of MMB
  • Acceptable organ function as evidenced by the following:
  • Platelet Count ≥ 50 x 10^9/L
Show all 13Show fewer
  • Aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) ≤ 3 x upper limit of normal (ULN) or AST or ALT ≤ 5 x ULN if liver is involved by disease process as judged by the investigator
  • Serum creatinine ≤ 2.0 mg/dL or calculated creatinine clearance of ≥ 60 mL/min
  • Direct bilirubin ≤ 2.0 x ULN
  • Life expectancy of > 24 weeks
  • Males and females of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception
  • Lactating females must agree to discontinue nursing before MMB administration
  • Able to understand and willing to sign the informed consent form

Who cannot join

  • Prior splenectomy
  • Splenic irradiation within 3 months prior to the first dose of MMB
  • Prior treatment with MMB
  • Known positive status of human immunodeficiency virus (HIV)
  • Chronic active or acute viral hepatitis A, B, or C infection (testing required for hepatitis B and C), or hepatitis B or C carrier
  • Use of strong cytochrome P450 3A4 (CYP3A4) inducer within 2 weeks prior to the first dose of MMB
Show all 12Show fewer
  • Uncontrolled intercurrent illness per protocol
  • Treatment with a Janus kinase (JAK) inhibitor within 21 days of the planned first dose of MMB
  • Presence of peripheral neuropathy ≥ Common Terminology Criteria for Adverse Events (CTCAE) Grade 2
  • Unwilling or unable to undergo a MRI per requirements in the study protocol
  • Unwilling to consent to genomics sampling
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

13 sites in 2 countries.

13 sites in 2 countries

United States12 sites
  • Study site

    Ann Arbor, Michigan

  • Study site

    Baltimore, Maryland

  • Study site

    Cleveland, Ohio

  • Study site

    Durham, North Carolina

  • Study site

    Houston, Texas

  • Study site

    Jacksonville, Florida

  • Study site

    Los Angeles, California

  • Study site

    New York, New York

  • Study site

    Orange, California

  • Study site

    Phoenix, Arizona

  • Study site

    St Louis, Missouri

  • Study site

    The Bronx, New York

Other trials in United States

Canada1 site
  • Study site

    Toronto, Ontario

Other trials in Canada

About this study

Official title: A Phase 2, Open-label, Translational Biology Study of Momelotinib in Transfusion-Dependent Subjects With Primary Myelofibrosis (PMF) or Post-polycythemia Vera or Post-essential Thrombocythemia Myelofibrosis (Post-PV/ET MF)

This study will evaluate the transfusion independence response rate in transfusion-dependent adults with myelofibrosis after treatment with momelotinib (MMB).

Being tested
MMB
Medical subject headings
Primary Myelofibrosis

What participants receive

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

  • MMBDrug

    Also called GS-0387, CYT387

    Momelotinib (MMB) tablet administered orally once daily

Study groups in NCT02515630
Study groupRoleWhat they receive
MomelotinibExperimentalMMB for 24 weeks (± 7 days)
Receives: Drug: MMB

What is being measured

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

  1. Transfusion Independence Response by Week 24

    The percentage of subjects who became transfusion independent for ≥ 12 weeks at any time on study. A subject was considered transfusion independent on study if no RBC transfusion occurred in any 12-week period during the 24-week treatment period.

    Measured: From baseline to Week 24

Secondary outcomes (24)
  1. Transfusion Response Rate by Week 24

    The percentage of subjects who became transfusion independent for ≥ 8 weeks, defined as no RBC transfusions for at least an 8-week period at any time on study.

    Measured: From baseline to Week 24

  2. Splenic Response Rate at Week 24

    The percentage of subjects who achieved a ≥ 35% reduction in spleen volume from baseline as measured by MRI at Week 24.

    Measured: Measured at Week 24

  3. Response Rate in Total Symptom Score (TSS) at Week 24

    The percentage of subjects achieving a ≥ 50% reduction from baseline in TSS at Week 24, as measured by the modified Myeloproliferative Neoplasm Symptom Assessment Form Total Symptom Score (MPNSAF TSS) diary. Total symptom score was assessed using the modified MPN-SAF TSS Version 2, an 8-item questionnaire developed to assess symptom burden and quality of life in patients with MPN. The modified MPN-SAF TSS contained 8 questions, 7 of which were summed to generate the score (the included questions related to tiredness, early satiety, abdominal discomfort, night sweats, itching, bone pain, and pain under the ribs on the left side). Each question is scored on a scale of 0-10, where higher numbers indicate more severe symptoms. For this study, the TSS scale ranges from 0 to 70. The questionnaire was completed daily on an electronic diary device.

    Measured: Measured at Week 24

  4. Change in Markers of Iron Metabolism and Anemia - Change From Baseline in Hepcidin Daily Change

    Hepcidin daily change (in nM) was calculated as the predose value subtracted from the 6 hours postdose value at each study visit. Daily hepcidin change at the baseline visit was the difference between 2 values obtained 6 hours apart. No momelotinib was administered on that day.

    Measured: At baseline, Day 1, Weeks 2, 4, 8, 12, 16, 20 and 24

  5. Change in Markers of Iron Metabolism and Anemia - Trough Hepcidin

    Median hepcidin at trough was assessed predose at each study visit.

    Measured: At baseline, Day 1, Weeks 2, 4, 8, 12, 16, 20 and 24

  6. Change in Markers of Iron Metabolism and Anemia - Serum Iron

    Percent change from baseline in serum iron, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  7. Change in Markers of Iron Metabolism and Anemia - Hemoglobin

    Percent change from baseline in hemoglobin, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  8. Change in Markers of Iron Metabolism and Anemia - Total Iron Binding Capacity

    Percent change from baseline in total iron binding capacity, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  9. Change in Markers of Iron Metabolism and Anemia - Reticulocytes

    Percent change from baseline in reticulocytes, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  10. Change in Markers of Iron Metabolism and Anemia - Reticulocytes/Erythrocytes%

    Percent change from baseline in reticulocytes/erythrocytes%, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  11. Change in Markers of Iron Metabolism and Anemia - Erythropoietin

    Percent change in erythropoietin at Weeks 8 and 20. The baseline erythropoietin value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 8 and 20

  12. Change in Markers of Iron Metabolism and Anemia - Erythrocytes

    Percent change from baseline in erythrocytes, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  13. Change in Markers of Iron Metabolism and Anemia - Hematocrit

    Percent change from baseline in hematocrit, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  14. Change in Markers of Iron Metabolism and Anemia - Ferritin

    Percent change from baseline in ferritin, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  15. Change in Markers of Iron Metabolism and Anemia - Soluble Transferrin Receptor

    Percent change from baseline in soluble transferrin receptor, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  16. Change in Markers of Iron Metabolism and Anemia - Transferrin Saturation

    Percent change from baseline in transferrin saturation, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  17. Change in Markers of Iron Metabolism and Anemia - Unsaturated Iron Binding Capacity

    Percent change from baseline in unsaturated iron binding capacity, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  18. Change in Markers of Iron Metabolism and Anemia - Platelets

    Percent change from baseline in platelets, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  19. Change in Markers of Iron Metabolism and Anemia - Leukocytes

    Percent change from baseline in leukocytes, where the baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 4, 8, 12, 16, 20 and 24

  20. Change in Markers of Iron Metabolism and Anemia - Blasts

    Change from baseline in % blasts at Weeks 2 and 4. The baseline % blasts value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2 and 4

  21. Change in Liver Iron Content

    Percent change from baseline in liver iron content assessed by MRI. The baseline value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: Measured at Week 24

  22. Change in Pharmacodynamics Biomarker - pSTAT3

    Percent change in %pSTAT stimulated CD3+/4+ T cell at Day 1 (postdose), Week 4 and Week 24. The baseline value is defined as the last predose value from the baseline period prior to or on the date of first dose of momelotinib administration (Day 1 predose).

    Measured: On Day 1 and at Weeks 4 and 24

  23. Change in Pharmacodynamics Biomarker - pSTAT3/tSTAT3 Ratio

    Percent change in %pSTAT/%tSTAT Stimulated CD3+/4+ T cell ratio at Day 1 (postdose), Week 4 and Week 24. The baseline value is defined as the last predose value from the baseline period prior to or on the date of first dose of momelotinib administration (Day 1 predose).

    Measured: On Day 1 and at Weeks 4 and 24

  24. Change in Inflammatory Markers - C-Reactive Protein (CRP)

    Percent change in C-reactive protein at Weeks 2, 12 and 24. The baseline C-reactive protein value is defined as the last value from the baseline period prior to or on the date of first dose of momelotinib administration (Baseline visit).

    Measured: At Weeks 2, 12 and 24

Timeline

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

  1. First posted5 Aug 2015 (estimated)
  2. Study start29 Jan 2016
  3. Primary completion18 Jul 2017
  4. Study completion15 Aug 2017

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02515630
Sponsor's protocol ID
GS-US-352-1672
Status last verified
Jun 2023
First submitted
3 Aug 2015
Last updated
18 Jun 2023
Data monitoring committee
No

Publications

  • Harrison CN, Mesa R, Talpaz M, Gupta V, Gerds AT, Perkins A, Goh YT, Fox ML, McLornan D, Palmer J, Foltz L, Vannucchi A, Koschmieder S, Passamonti F, Lee SE, Ellis C, Strouse B, Gonzalez Carreras FJ, Oh ST. Longitudinal Assessment of Transfusion Intensity in Patients With JAK Inhibitor-Naive or -Experienced Myelofibrosis Treated With Momelotinib. Clin Lymphoma Myeloma Leuk. 2025 Mar;25(3):199-211. doi: 10.1016/j.clml.2024.10.001. Epub 2024 Oct 16.

    PubMed 39516087

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MMB in people with Primary Myelofibrosis (PMF) and Post-polycythemia Vera (Post-PV) Myelofibrosis, run by Sierra Oncology LLC - a GSK company at 13 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 13 inclusion and 12 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 18 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States, Canada. 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 phase mean?

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 20 Jan 2021). 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?

Transfusion Independence Response by Week 24 (time frame: From baseline to Week 24). 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 NCT02515630, which also lists 1 linked publication.

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 18 Jun 2023.

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