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Polycythemia VeraPhase 2NCT05558696

A Study of Bomedemstat (IMG-7289/MK-3543) in Participants With Polycythemia Vera (IMG-7289-CTP-203/MK-3543-004)

A Phase 2 study testing Bomedemstat in people with Polycythemia Vera, run by Imago BioSciences, Inc., a subsidiary of Merck & Co., Inc., (Rahway, New Jersey USA) at 17 sites in 3 countries.

Completed

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

Official record
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Trial summary

This study will evaluate the safety, efficacy, pharmacokinetics (PK), and pharmacodynamics of the orally administered lysine-specific demethylase 1 (LSD1) inhibitor bomedemstat, in participants with polycythemia vera (PV). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Polycythemia Vera
What is being tested?
Bomedemstat
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
17 sitesin 3 countries
Study dates
7 Sep 2023to 10 Jul 2025
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

  • Has a diagnosis of Polycythemia Vera per World Health Organization (WHO) diagnostic criteria for myeloproliferative neoplasms
  • Has a bone marrow fibrosis score of Grade 0 or Grade 1
  • Has failed at least one standard cytoreductive therapy to lower hematocrit
  • Has a life expectancy >36 weeks
  • Has discontinued prior cytoreductive therapy for 2 weeks (4 weeks for interferon) prior to study drug initiation

Who cannot join

  • Has an Eastern Cooperative Oncology Group (ECOG) performance status of 3 or greater
  • Has unresolved treatment related toxicities from prior therapies (unless resolved to ≤ Grade 1)
  • Has an uncontrolled active infection
  • Has a known human immunodeficiency virus (HIV) infection or active Hepatitis A, Hepatitis B or Hepatitis C virus infection
  • Has evidence of increased risk of bleeding, including known bleeding disorders
  • Is pregnant or lactating

Trial locations and contacts

17 sites in 3 countries.

17 sites in 3 countries

United States8 sites
  • University of Michigan Comprehensive Cancer Center ( Site 0008)

    Ann Arbor, Michigan, 48109

  • Ohio State University Comprehensive Cancer Center ( Site 0103)

    Columbus, Ohio, 43203

  • Duke University Medical Center ( Site 0016)

    Durham, North Carolina, 27705

  • Comprehensive Cancer Centers of Nevada - Peak ( Site 0118)

    Las Vegas, Nevada, 89128

  • BRCR Global ( Site 0120)

    Plantation, Florida, 33322

  • OHSU Knight Cardiovascular Institute Cardiology Clinic - South Waterfront ( Site 0102)

    Portland, Oregon, 97239-4503

  • Huntsman Cancer Hospital at the University of Utah ( Site 0119)

    Salt Lake City, Utah, 84112

  • Hematology Oncology of the North Shore ( Site 0104)

    Skokie, Illinois, 60076-1264

Other trials in United States

United Kingdom6 sites
  • Boston Pilgrim Hospital ( Site 0207)

    Boston, Lincolnshire, PE21 9QS

  • Gloucestershire Royal Hospital ( Site 0205)

    Gloucester, England, GL1 3NN

  • United Lincolnshire Hospitals NHS Trust ( Site 0204)

    Lincoln, Great Britain, LN2 5QY

  • Imperial College London ( Site 0025)

    London, Great Britain, W12 0HS

  • Guys and St Thomas NHS Foundation Trust - Guys Hospital ( Site 0020)

    London, London, City of, SE1 9RT

  • Royal Gwent Hospital ( Site 0201)

    Newport, Wales, NP9 2UB

Other trials in United Kingdom

Australia3 sites
  • Monash Medical Centre ( Site 0006)

    Clayton, Victoria, 3168

  • Royal Perth Hospital ( Site 0504)

    Perth, Western Australia, 6000

  • Sunshine Coast Hematology and Oncology Clinic (Site 0506)

    Sunshine Coast, Queensland, 4556

Other trials in Australia

About this study

Official title: A Phase 2 Multi-Center, Open Label Study to Assess the Safety, Efficacy, Pharmacokinetics and Pharmacodynamics of Bomedemstat in Patients With Polycythemia Vera (PV)

This study will evaluate the safety, efficacy, pharmacokinetics (PK), and pharmacodynamics of the orally administered lysine-specific demethylase 1 (LSD1) inhibitor bomedemstat, in participants with polycythemia vera (PV). At Week 36 of dosing, participants will be assessed for eligibility to receive additional treatment through Week 52. Participants deriving clinical benefit and safely tolerating bomedemstat will qualify for continued treatment at the Investigator's discretion.

Read the detailed description

With Amendment 3, after all ongoing participants have reached 52 weeks of treatment, eligible participants may transition to a bomedemstat extension study if available. With Amendment 4, all secondary PK and participant reported outcome measures were designated as exploratory.

Per protocol, participants who derived clinical benefit (no progressive disease) and safely tolerated drug may have qualified for enrollment into the bomedemstat extension study (NCT06351631).

Being tested
Bomedemstat
Keywords
polycythemia vera, bomedemstat
Medical subject headings
Polycythemia Vera

What participants receive

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

  • BomedemstatDrug

    Also called MK-3543, IMG-7289

    Oral capsule

Study groups in NCT05558696
Study groupRoleWhat they receive
BomedemstatExperimentalParticipants will receive bomedemstat daily for 36 weeks and may qualify for additional treatment through Week 52 if deriving clinical benefit.
Receives: Drug: Bomedemstat

What is being measured

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

  1. Number of Participants With Adverse Events (AEs)

    An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants with one or more AEs are reported.

    Measured: Up to approximately 52 weeks

  2. Number of Participants Who Discontinued Study Intervention Due to AEs

    An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who discontinued study intervention due to an AE are reported.

    Measured: Up to approximately 52 weeks

  3. Percentage of Participants With Sustained 12-week Reduction of Hematocrit (Hct) to <45% Without Concomitant Phlebotomy by Week 36

    Hematocrit (Hct) was analyzed by taking blood samples from participants at designated time points during the study. Participants were considered responders if they achieved a sustained reduction of Hct to <45% for 12 weeks (84 calendar days) by Week 36 AND there was no concomitant phlebotomy performed during the sustained reduction. Baseline data was defined as the data most recently collected prior to the first dose. A Clopper-Pearson (exact binomial) two-sided 95% confidence interval for the percentage of responders was presented. The percentage of participants who achieved a sustained 12-week reduction of Hct to <45% without concomitant phlebotomy at Week 36 are reported.

    Measured: Up to approximately 36 weeks

Secondary outcomes (9)
  1. Duration of Reduction of Hematocrit (Hct) to <45% Without Phlebotomy

    Total response duration was defined as the summation of all Hct <45% response durations, where an individual response duration starts at the timepoint where the Hct <45% and ends at the first subsequent occurrence of phlebotomy or Hct >=45%. Hct was analyzed by taking blood samples from participants at designated time points during the study. Duration of reduction of Hct to <45% without phlebotomy was presented.

    Measured: Up to approximately 22 months

  2. Percentage of Participants With Platelet Count ≤ 450 x 10^9/L by Week 36

    Platelet count was analyzed by taking blood samples from participants at designated time points during the study. Participants who enter the study with platelet counts ≤450 X 10^9/L must achieve an additional on-study platelet count ≤450 X 10^9/L to be considered responders. A Clopper-Pearson (exact binomial) two-sided 95% confidence interval for the percentage of responders is presented. Baseline data was defined as the data most recently collected prior to the first dose. The percentage of participants who have a platelet count ≤450 X 10^9/L by week 36 are reported.

    Measured: Up to approximately 36 weeks

  3. Duration of Platelet Count ≤ 450 x 10^9/L

    Total response duration was defined as the summation of all platelet ≤450 x 10^9/L response durations, where an individual response duration starts at the timepoint where platelet count ≤450 x 10^9/L and ends at the first subsequent occurrence of platelet >450 x 10^9/L. Platelet counts were analyzed by taking blood samples from participants at designated time points during the study. The duration of platelet count ≤450 X 10^9/L in participants are reported.

    Measured: Up to approximately 22 months

  4. Percentage of Participants With White Blood Cell (WBC) Count <10 x 10^9/L by Week 36

    WBC count was analyzed by taking blood samples from participants at designated time points during the study. Participants who enter the study with WBC counts <10 X 10^9/L must achieve an additional on-study WBC count <10 X 10^9/L to be considered responders. A Clopper-Pearson (exact binomial) two-sided 95% confidence interval for the percentage of responders is presented. Baseline data was defined as the data most recently collected prior to the first dose. The percentage of participants who have a WBC count <10 X 10^9/L week 36 are reported.

    Measured: Up to approximately 36 weeks

  5. Duration of White Blood Cell (WBC) Count <10 x 10^9/L

    Total response duration was defined as the summation of all WBC <10 x 10^9/L response durations, where an individual response duration starts at the timepoint when WBC <10 x 10^9/L and ends at the first subsequent occurrence of WBC ≥ 10 x 10^9/L. WBC count was analyzed by taking blood samples from participants at designated time points during the study. The duration of WBC count <10 X 10^9/L in participants are reported.

    Measured: Up to approximately 22 months

  6. Number of Participants With Thrombotic Events

    Thrombotic events are defined as: new or recurrent acute myocardial infarction; unstable angina; stroke; transient ischemic attack (TIA); deep venous thrombosis (DVT); pulmonary embolism (PE); thrombotic digital ischemia; other thrombotic events such as peripheral limb ischemia or Budd-Chiari syndrome that are assessed to be due to underlying polycythemia vera (PV); other vascular occlusive events such as symptoms of cardiac, abdominal or peripheral limb ischemia supported by objective evidence of vessel disease and/or ischemia. Baseline data was defined as the data most recently collected prior to the first dose. The number of participants with thrombotic events are reported.

    Measured: Up to approximately 22 months

  7. Number of Participants With Major Hemorrhagic Events

    Hemorrhagic events were defined as: Major Bleeding (MB) Events such as fatal bleeding, and/or symptomatic bleeding in a critical area or organ such as intracranial, intraspinal, intraocular, retroperitoneal, intra-articular or pericardial, or intramuscular with compartment syndrome, and/or bleeding causing a fall in hemoglobin level of 2 g/dL or more, or leading to transfusion of 2 or more units of whole blood or red cells; Clinically Relevant Non-Major Bleeding (CRNMB) Events Leading to hospitalization or increased level of care or clinically important, prompting a face-to-face medical evaluation. Baseline data was defined as the data most recently collected prior to the first dose. The number of participants with major hemorrhagic events are reported.

    Measured: Up to approximately 22 months

  8. Number of Participants With an Enlarged Spleen at Baseline Who Had a Reduction in Splenic Volume by 36 Weeks

    Spleen volume was measured by magnetic resonance imaging (MRI) (or computerized tomography [CT] if participant is not a candidate for MRI) of the abdomen according to standard procedures. Baseline data was defined as the data most recently collected prior to the first dose. The number of participants with an enlarged spleen at baseline (volume >450 cm^3) who achieved any reduction in spleen volume by Week 36 are reported.

    Measured: Up to approximately 36 weeks

  9. Number of Participants With Progressive Disease (PD)

    PD was defined as the worsening of Polycythemia Vera (PV) to post-PV myelofibrosis, myelodysplastic syndrome or transformation to acute myeloid leukemia. Baseline data was defined as the data most recently collected prior to the first dose. The number of participants with PD are reported.

    Measured: Up to approximately 52 weeks

Timeline

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

  1. First posted28 Sep 2022
  2. Study start7 Sep 2023
  3. Primary completion24 Mar 2025
  4. Study completion10 Jul 2025

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
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05558696
Sponsor's protocol ID
3543-004
Other IDs
MK-3543-004, IMG-7289-CTP-203, 2022-002262-32
Status last verified
Apr 2026
First submitted
20 Sep 2022
Last updated
7 May 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Bomedemstat in people with Polycythemia Vera, run by Imago BioSciences, Inc., a subsidiary of Merck & Co., Inc., (Rahway, New Jersey USA) at 17 sites in 3 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 5 inclusion and 6 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 7 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in United States, United Kingdom, 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 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 7 May 2026). 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 (AEs) (time frame: Up to approximately 52 weeks). The study lists 3 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 7 May 2026.

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