Thrombocythemia, EssentialPhase 3NCT06351631
A Study to Evaluate Safety and Efficacy of Bomedemstat (MK-3543-017)
A Phase 3 study testing Bomedemstat in people with Thrombocythemia, Essential and Primary Myelofibrosis, run by Merck Sharp & Dohme LLC at 21 sites in 6 countries.
Trial summary
The primary purpose of the study is to transition participants into an extension study to collect long-term safety and efficacy data. The study will include participants who are safely tolerating bomedemstat, receiving clinical benefit from its use in estimation of the investigator, and have shown the following… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Thrombocythemia, Essential, Primary Myelofibrosis, Myelofibrosis
- 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
- 400 participants
- Where
- 21 sitesin 6 countries
- Study dates
- 23 May 2024to 4 Dec 2034
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Is from a bomedemstat study sponsored by Imago BioSciences, Inc. (a subsidiary of Merck \& Co., Inc.) or MSD, and established by the Sponsor as MK-3543-017 ready
- Has received at least 6 months of treatment with bomedemstat in the IMG-7289-202/MK-3543-005 study, while safely tolerating bomedemstat, and receiving clinical benefit from its use in the estimation of the investigator
- ET and PV participants from established feeder studies other than IMG-7289- 202/MK-3543-005 must have achieved confirmed hematologic remission, must be safely tolerating bomedemstat, and must be receiving clinical benefit from its use in the estimation of the investigator
- Is not currently on a dose hold
- Participant must be able to swallow oral medication and follow instructions for at-home dosing of bomedemstat
Who cannot join
- Has received prohibited concomitant medications
- Ongoing or planned participation in another investigational study
- Has noncompliance in prior bomedemstat study receiving <90% of assigned doses excluding suspensions or holds as assigned by the investigator
Trial locations and contacts
21 sites in 6 countries. Contact the study team or a site near you to ask about taking part.
21 sites in 6 countries
Australia6 sites, 6 recruiting
- Recruiting
Royal Adelaide Hospital-Haematology Clinical Trials Unit ( Site 1000)
Adelaide, South Australia, 5000
Study Coordinator, +61870740000
- Recruiting
Sunshine Coast Hematology and Oncology Clinic ( Site 1006)
Buderim, Queensland, 4556
Study Coordinator, +61754790000
- Recruiting
Royal Prince Alfred Hospital ( Site 1003)
Camperdown, New South Wales, 2050
Study Coordinator, +61295155720
- Recruiting
Monash Health ( Site 1004)
Clayton, Victoria, 3168
Study Coordinator, +61395956111
- Recruiting
Gold Coast University Hospital-Cancer and Blood Disorders Clinical Trial Team ( Site 1002)
Southport, Queensland, 4215
Study Coordinator, +61756872712
- Recruiting
Royal North Shore Hospital ( Site 1001)
St Leonards, New South Wales, 2065
Study Coordinator, +61299264383
United States4 sites, 4 recruiting
- Recruiting
University of Michigan ( Site 6000)
Ann Arbor, Michigan, 48109
Study Coordinator, 734-763-4695
- Recruiting
The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive C ( Site 6007)
Columbus, Ohio, 43210
Study Coordinator, 888-577-8839
- Recruiting
DUHS Duke Blood Cancer Center ( Site 6005)
Durham, North Carolina, 27705
Study Coordinator, 919-668-1608
- Recruiting
UPMC Hillman Cancer Center ( Site 6004)
Pittsburgh, Pennsylvania, 15232
Study Coordinator, 412-864-6627
Italy4 sites, 4 recruiting
- Recruiting
Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo ( Site 2703)
Alessandria, 15121
Study Coordinator, +39 0131 206440
- Recruiting
IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant'Orsola ( Site 2702)
Bologna, 40138
Study Coordinator, +390512143044
- Recruiting
Azienda Ospedaliera Universitaria Careggi ( Site 2700)
Florence, Tuscany, 50134
Study Coordinator, +39 0131 206440
- Recruiting
Ospedale di Circolo e Fondazione Macchi Varese ( Site 2701)
Varese, 21100
Study Coordinator, +390332393906
United Kingdom4 sites, 4 recruiting
- Recruiting
Boston Pilgrim Hospital ( Site 3403)
Boston, Lincolnshire, PE21 9QS
Study Coordinator, 01205 446311
- Recruiting
Imperial College Healthcare NHS Trust - Hammersmith Hospital ( Site 3402)
London, Hammersmith and Fulham, W12 0HS
Study Coordinator, +442083834340
- Recruiting
University College London Hospital ( Site 3400)
London, London, City of, NW1 2PG
Study Coordinator, +442034472528
- Recruiting
Guy's & St Thomas' NHS Foundation Trust ( Site 3401)
London, London, City of, SE1 9RT
Study Coordinator, +442071884259
New Zealand2 sites
- Active, not recruiting
North Shore Hospital-Department of Haematology ( Site 1401)
Auckland, 0622
- Active, not recruiting
Aotearoa Clinical Trials ( Site 1400)
Auckland, 2025
Hong Kong1 site
- Active, not recruiting
Queen Mary Hospital ( Site 1601)
Hksar
About this study
Official title: A Multicenter, Open-Label, Extension Study Evaluating the Safety and Efficacy of Bomedemstat for the Treatment of Participants Enrolled in a Prior Bomedemstat Clinical Study
The primary purpose of the study is to transition participants into an extension study to collect long-term safety and efficacy data. The study will include participants who are safely tolerating bomedemstat, receiving clinical benefit from its use in estimation of the investigator, and have shown the following criteria:
- Participants from the IMG-7289-202/MK-3543-005 (NCT05223920) study must have received at least 6 months of treatment with bomedemstat;
- Essential thrombocythemia (ET) and polycythemia vera (PV) participants from studies other than IMG-7289-202/MK-3543-005 must have achieved confirmed hematologic remission.
No hypothesis testing will be conducted in this study.
- Conditions
- Thrombocythemia, Essential, Primary Myelofibrosis, Myelofibrosis, Post-polycythemia Vera Myelofibrosis, Post-essential Thrombocythemia Myelofibrosis, Polycythemia Vera
- Being tested
- Bomedemstat
- Medical subject headings
- Thrombocythemia, Essential, Primary Myelofibrosis, 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
10, 15, 20, and 50 mg oral capsules
| Study group | Role | What they receive |
|---|---|---|
| Bomedemstat | Experimental | Participants will receive oral capsules of bomedemstat once daily for up to 10 years, with the starting dose as the same dose that the participant was on at the time of transition from the feeder study. Receives: Drug: Bomedemstat |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of participants with one or more adverse events (AEs)
An AE is any undesirable physical, psychological or behavioral effect experienced by a patient during participation in an investigational study, in conjunction with the use of the drug or biologic, whether or not product-related. This includes any untoward signs or symptoms experienced by the patient from the time of first dose with bomedemstat under this protocol until completion of the study. The percentage of participants with AEs will be presented.
Measured: Up to ~10 years
Percentage of participants who discontinued study treatment due to an AE
An AE is any undesirable physical, psychological or behavioral effect experienced by a patient during participation in an investigational study, in conjunction with the use of the drug or biologic, whether or not product-related. This includes any untoward signs or symptoms experienced by the patient from the time of first dose with bomedemstat under this protocol until completion of the study. The percentage of participants who discontinued study treatment due to an AE will be presented.
Measured: Up to ~10 years
Secondary outcomes (6)
For participants with ET or PV: Duration of clinicohematologic response
For participants who showed durable clinicohematologic response (DCHR) in their feeder studies, duration of clinicohematologic response is defined as the time from the first documented evidence of confirmed reduction of platelet and white blood cell (WBC) count until confirmed increase of platelet and WBC counts to above acceptable threshold, thrombotic or major hemorrhagic events or disease progression to myelofibrosis (MF), myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML). The duration of clinicohematologic response will be reported.
Measured: Up to ~10 years
For participants with ET or PV: Duration of hematologic remission
For participants who showed confirmed hematologic remission in their feeder studies, duration of hematologic remission is defined as the time from the first documented evidence of confirmed reduction of platelet and WBC count until confirmed increase of platelet and WBC counts to above acceptable threshold. The duration of hematologic remission will be reported.
Measured: Up to ~10 years
For participants with ET or PV: Percentage of participants with transformation to MF or MDS/AML
Disease Progression is defined as the transformation to post-ET myelofibrosis (ET participants only), post-PV myelofibrosis (PV participants only), spleen volume increase ≥25% (MF participants only), myelodysplastic syndrome, or acute myeloid leukemia as assessed by the investigator. The percentage of participants with transformation to MF or MDS/AML will be reported.
Measured: Up to ~10 years
For participants with MF: Percentage of participants with worsening of splenomegaly or transformation to MDS/AML
Spleen volume will be assessed by magnetic resonance imaging (MRI) (or computed tomography [CT] where applicable) at pre-specified timepoints. The percentage of participants with worsening of splenomegaly or transformation to MDS/AML will be reported.
Measured: Up to ~10 years
For participants with MF, ET, or PV: Percentage 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 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. The percentage of participants with thrombotic events will be presented.
Measured: Up to ~10 years
For participants with MF, ET, or PV: Percentage of participants with major hemorrhagic events
Hemorrhagic events are 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. The percentage of participants with major hemorrhagic events will be presented.
Measured: Up to ~10 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2024
- Study start23 May 2024
- Primary completion4 Dec 2034 (estimated)
- Study completion4 Dec 2034 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Thrombocythemia, EssentialStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 400 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp and Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06351631
- Sponsor's protocol ID
- 3543-017
- Other IDs
- 2023-506996-89-00, U1111-1294-8621, MK-3543-017, 2023
- Status last verified
- Apr 2026
- First submitted
- 2 Apr 2024
- Last updated
- 2 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 2 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open-Label, Extension Study Evaluating the Safety and Efficacy of Bomedemstat for the Treatment of Participants Enrolled in a Prior Bomedemstat Clinical Study
- ClinicalTrials.gov ID
- NCT06351631
- Acronym / sponsor ID
- 3543-017
- Conditions
- Thrombocythemia, Essential, Primary Myelofibrosis, Myelofibrosis, Post-polycythemia Vera Myelofibrosis, Post-essential Thrombocythemia Myelofibrosis, Polycythemia Vera
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 400 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 23 May 2024 (actual)
- Primary completion
- 4 Dec 2034 (estimated)
- Study completion
- 4 Dec 2034 (estimated)
- First posted
- 8 Apr 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary purpose of the study is to transition participants into an extension study to collect long-term safety and efficacy data. The study will include participants who are safely tolerating bomedemstat, receiving clinical benefit from its use in estimation of the investigator, and have shown the following criteria:
- Participants from the IMG-7289-202/MK-3543-005 (NCT05223920) study must have received at least 6 months of treatment with bomedemstat;
- Essential thrombocythemia (ET) and polycythemia vera (PV) participants from studies other than IMG-7289-202/MK-3543-005 must have achieved confirmed hematologic remission.
No hypothesis testing will be conducted in this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Bomedemstat | Experimental | Drug: BomedemstatParticipants will receive oral capsules of bomedemstat once daily for up to 10 years, with the starting dose as the same dose that the participant was on at the time of transition from the feeder study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Is from a bomedemstat study sponsored by Imago BioSciences, Inc. (a subsidiary of Merck \& Co., Inc.) or MSD, and established by the Sponsor as MK-3543-017 ready
- Has received at least 6 months of treatment with bomedemstat in the IMG-7289-202/MK-3543-005 study, while safely tolerating bomedemstat, and receiving clinical benefit from its use in the estimation of the investigator
- ET and PV participants from established feeder studies other than IMG-7289- 202/MK-3543-005 must have achieved confirmed hematologic remission, must be safely tolerating bomedemstat, and must be receiving clinical benefit from its use in the estimation of the investigator
- Is not currently on a dose hold
- Participant must be able to swallow oral medication and follow instructions for at-home dosing of bomedemstat
Key exclusion criteria (3 listed)
- Has received prohibited concomitant medications
- Ongoing or planned participation in another investigational study
- Has noncompliance in prior bomedemstat study receiving <90% of assigned doses excluding suspensions or holds as assigned by the investigator
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 |
|---|---|---|
| BomedemstatAlso: MK-3543, IMG-728910, 15, 20, and 50 mg oral capsules | Drug | Bomedemstat |
Primary outcome
Percentage of participants with one or more adverse events (AEs)
Time frame: Up to ~10 years
An AE is any undesirable physical, psychological or behavioral effect experienced by a patient during participation in an investigational study, in conjunction with the use of the drug or biologic, whether or not product-related. This includes any untoward signs or symptoms experienced by the patient from the time of first dose with bomedemstat under this protocol until completion of the study. The percentage of participants with AEs will be presented.
Percentage of participants who discontinued study treatment due to an AE
Time frame: Up to ~10 years
An AE is any undesirable physical, psychological or behavioral effect experienced by a patient during participation in an investigational study, in conjunction with the use of the drug or biologic, whether or not product-related. This includes any untoward signs or symptoms experienced by the patient from the time of first dose with bomedemstat under this protocol until completion of the study. The percentage of participants who discontinued study treatment due to an AE will be presented.
6 secondary outcomes
For participants with ET or PV: Duration of clinicohematologic response
Time frame: Up to ~10 years
For participants with ET or PV: Duration of hematologic remission
Time frame: Up to ~10 years
For participants with ET or PV: Percentage of participants with transformation to MF or MDS/AML
Time frame: Up to ~10 years
For participants with MF: Percentage of participants with worsening of splenomegaly or transformation to MDS/AML
Time frame: Up to ~10 years
For participants with MF, ET, or PV: Percentage of participants with thrombotic events
Time frame: Up to ~10 years
For participants with MF, ET, or PV: Percentage of participants with major hemorrhagic events
Time frame: Up to ~10 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Apr 2026.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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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.
Medical Director study director
Merck Sharp and Dohme LLC
21 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bomedemstat in people with Thrombocythemia, Essential and Primary Myelofibrosis, run by Merck Sharp & Dohme LLC at 21 sites in 6 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 3 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: looking for participants now, as of the sponsor's last update on 2 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 21 sites in Australia, United States, Italy, United Kingdom, New Zealand and 1 more country. 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 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Toll Free Number (1-888-577-8839, Trialsites@msd.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of participants with one or more adverse events (AEs) (time frame: Up to ~10 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 2 Apr 2026.