Essential ThrombocythemiaPhase 3NCT06456346
Bomedemstat vs Hydroxyurea for Essential Thrombocythemia (MK-3543-007)
A Phase 3 study testing Bomedemstat and Hydroxyurea in people with Essential Thrombocythemia, run by Merck Sharp & Dohme LLC at 171 sites in 23 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of bomedemstat compared with hydroxyurea in cytoreductive therapy naïve essential thrombocythemia (ET) participants for whom cytoreductive therapy is indicated. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Essential Thrombocythemia
- What is being tested?
- Bomedemstat and Hydroxyurea
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 300 participants
- Where
- 171 sitesin 23 countries
- Study dates
- 16 Jul 2024to 24 Mar 2028
- 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
- Diagnosis of Essential Thrombocythemia (ET) based on World Health Organization Criteria for myeloproliferative neoplasms, and an indication for cytoreductive therapy regardless of age or risk status
- Has a centrally assessed bone marrow fibrosis score of Grade 0 or Grade 1, as per a modified version of the European Consensus Criteria for Grading Myelofibrosis
- Has received no prior cytoreductive treatment for their ET
- Human Immunodeficiency Virus (HIV)-infected participants have well controlled HIV on antiretroviral therapy
- Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B Virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load
- Participants with history of Hepatitis C Virus (HCV) infection are eligible if HCV viral load is undetectable
Who cannot join
- History of any illness/impairment of gastrointestinal function that might interfere with drug absorption
- History of a malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 2 years
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
- Has an active infection requiring systemic therapy
- Has had a major surgery <4 weeks prior to first dose of study intervention or has not recovered from side effects of major surgery >4 weeks prior to first dose
Trial locations and contacts
171 sites in 23 countries.
171 sites in 23 countries
China24 sites
Peking University Third Hospital-Hematology ( Site 0659)
Beijing, Beijing Municipality, 100191
Chinese Academy of medical science, Peking Union Medical College Hospital(Dongdan) ( Site 0675)
Beijing, Beijing Municipality, 100730
The First Afflilated Hospital of Bengbu Medical College ( Site 0651)
Bengbu, Anhui, 233004
The First Hospital of Jilin University-Hematology ( Site 0672)
Changchun, Jilin, 130021
West China Hospital, Sichuan University ( Site 0661)
Chengdu, Sichuan, 610041
Chongqing University Cancer Hospital ( Site 0666)
Chongqing, Chongqing Municipality, 400030
Sun Yat-sen Memorial Hospital, Sun Yat-sen University-hematology department ( Site 0668)
Guangzhou, Guangdong, 510120
Southern Medical University Nanfang Hospital-Department of Hematopathology ( Site 0655)
Guangzhou, Guangdong, 510515
The first Affiliated Hospital, Zhejiang University School of Medicine ( Site 0646)
Hangzhou, Zhejiang, 310000
Anhui Provincial Hospital ( Site 0657)
Hefei, Anhui, 230001
Jinan Central Hospital ( Site 0667)
Jinan, Shandong, 250013
The First affiliated hospital of Nanchang University (Xianghu campus) ( Site 0645)
Nanchang, Jiangxi, 330209
The Second Affiliated Hospital of Fujian Medical University ( Site 0671)
Quanzhou, Fujian, 362000
Zhongshan Hospital,Fudan University-Hematology ( Site 0674)
Shanghai, Shanghai Municipality, 200032
Huashan Hospital, Fudan University ( Site 0669)
Shanghai, Shanghai Municipality, 200040
The Second Afilliated Hospital of Hebei Medical University ( Site 0650)
Shijiazhuang, Hebei, 050000
The First Hospital of Hebei Medical University ( Site 0649)
Shijiazhuang, Hebei, 050031
The First Affiliated Hospital of Soochow University ( Site 0676)
Suzhou, Jiangsu, 215006
Institute of hematology&blood disease hospital-Hematology ( Site 0641)
Tianjin, Tianjin Municipality, 301636
Union Hospital Tongji Medical College Huazhong University of Science and Technology ( Site 0642)
Wuhan, Hubei, 430022
Shaanxi provincial people's hospital ( Site 0652)
Xi'an, Shaanxi, 710068
The First Affiliated hospital of Xiamen University ( Site 0658)
Xiamen, Fujian, 361003
Zhejiang University School of Medicine-The Fourth Affiliated Hospital ( Site 0662)
Yiwu, Zhejiang, 322000
Henan Cancer Hospital-hematology department ( Site 0644)
Zhengzhou, Henan, 450008
United States22 sites
Texas Oncology - West Texas ( Site 8003)
Amarillo, Texas, 79124
University of Michigan ( Site 0003)
Ann Arbor, Michigan, 48109
Levine Cancer Institute ( Site 0009)
Charlotte, North Carolina, 28204
University of Virginia ( Site 0020)
Charlottesville, Virginia, 22908
The Ohio State University Wexner Medical Center ( Site 0028)
Columbus, Ohio, 43210
Texas Oncology - DFW ( Site 8006)
Dallas, Texas, 75246
Duke University Health System (DUHS) ( Site 0012)
Durham, North Carolina, 27710
Oncology Associates of Oregon, P.C.(Willamette Valley Cancer Institute) (WVCI) ( Site 8005)
Eugene, Oregon, 97401
Parkview Research Center at Parkview Regional Medical Center ( Site 0006)
Fort Wayne, Indiana, 46845
Palo Verde Cancer Specialists ( Site 0052)
Glendale, Arizona, 85304
Los Angeles Cancer Network ( Site 0025)
Glendale, California, 91206
Exempla Lutheran Medical Center ( Site 0014)
Golden, Colorado, 80401
University of Texas MD Anderson Cancer Center ( Site 0026)
Houston, Texas, 77030
Optum Care Cancer Center ( Site 0053)
Las Vegas, Nevada, 89102
TriStar Bone Marrow ( Site 7000)
Nashville, Tennessee, 37203
Yale University School of Medicine ( Site 0051)
New Haven, Connecticut, 06510
Stanford Cancer Center ( Site 0024)
Palo Alto, California, 94304
Oregon Health & Science University ( Site 0018)
Portland, Oregon, 97239
VCU Health Adult Outpatient Pavillion ( Site 0008)
Richmond, Virginia, 23219
University of Texas Health Science Center at San Antonio ( Site 0021)
San Antonio, Texas, 78229
Texas Oncology - Gulf Coast ( Site 8008)
Webster, Texas, 77598
Wake Forest Baptist Health-Internal Medicine, Section on Hematology & Oncology ( Site 0013)
Winston-Salem, North Carolina, 27157
Japan16 sites
Juntendo University Hospital ( Site 0611)
Bunkyo-ku, Tokyo, 113-8431
University of Yamanashi Hospital ( Site 0606)
Chūō, Yamanashi, 409-3898
Kyushu University Hospital ( Site 0605)
Fukuoka, 812-8582
Fukushima Medical University Hospital ( Site 0616)
Fukushima, 960-1295
Kansai Medical University Hospital ( Site 0607)
Hirakata, Osaka, 573-1191
Kanazawa University Hospital ( Site 0614)
Kanazawa, Ishikawa-ken, 920-8641
Kobe City Medical Center General Hospital ( Site 0603)
Kobe, Hyōgo, 650-0047
University of Miyazaki Hospital ( Site 0609)
Miyazaki, 889-1692
Okayama University Hospital ( Site 0604)
Okayama, 700-8558
Kindai University Hospital ( Site 0600)
Sakai, Osaka, 590-0197
Hokkaido University Hospital ( Site 0601)
Sapporo, Hokkaido, 060-8648
National Hospital Organization Sendai Medical Center ( Site 0617)
Sendai, Miyagi, 983-8520
Nippon Medical School Hospital ( Site 0608)
Tokyo, 113-8603
Ehime University Hospital ( Site 0612)
Tōon, Ehime, 791-0295
Fujita Health University Hospital ( Site 0613)
Toyoake, Aichi-ken, 470-1192
Mie University Hospital ( Site 0615)
Tsu, Mie-ken, 514-8507
France10 sites
HENRI MONDOR HOSPITAL ( Site 0348)
Créteil, Val-de-Marne, 94010
Centre Hospitalier Universitaire de Limoges - Hôpital Dupuytren ( Site 0344)
Limoges, Haute-Vienne, 87042
Hôpital de la Conception ( Site 0351)
Marseille, Bouches-du-Rhone, 13005
Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu ( Site 0347)
Nantes, Pays de la Loire Region, 44093
Centre Hospitalier Universitaire de Nice - Hôpital l'Archet-Hematology ( Site 0349)
Nice, Alpes-Maritimes, 06202
Hopital Saint-Louis ( Site 0341)
Paris, 75010
CHU Bordeaux Haut-Leveque-service de mèdecine interne et maladies infectieuses ( Site 0346)
Pessac, Aquitaine, 33600
centre hospitalier lyon sud ( Site 0343)
Pierre-Bénite, Rhone, 69310
Institut Universitaire du Cancer Toulouse - Oncopole - CHU de TOULOUSE ( Site 0352)
Toulouse, Haute-Garonne, 31059
Centre Hospitalier Régional Universitaire de Tours - Hôpital-Hématologie et Thérapie Cellulaire ( Site 0342)
Tours, Indre-et-Loire, 37000
Spain10 sites
Hospital Germans Trias i Pujol-Instituto Catalán de Oncología de Badalona ( Site 0490)
Badalona, Barcelona, 08916
HOSPITAL CLÍNIC DE BARCELONA ( Site 0481)
Barcelona, Catalonia, 08036
Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 0489)
Barcelona, 08035
Institut Català d'Oncologia - L'Hospitalet ( Site 0482)
L'Hospitalet de Llobregat, Barcelona, 08908
Clinica Universidad de Navarra-Hematology Department ( Site 0485)
Madrid, Madrid, Comunidad de, 28027
Hospital Universitario Ramón y Cajal-Hematology ( Site 0484)
Madrid, Madrid, Comunidad de, 28034
Hospital Universitario 12 de Octubre ( Site 0494)
Madrid, 28041
Hospital Costa del Sol-Hematology Service ( Site 0493)
Marbella, Malaga, 29603
Hospital Universitario de Salamanca - Complejo Asistencial Universitario de Salamanca-Hematology ( Site 0488)
Salamanca, 37007
Hospital Universitario Marqués de Valdecilla-Haematology ( Site 0486)
Santander, Cantabria, 39008
Turkey (Türkiye)10 sites
Dr. Abdurrahman Yurtaslan Ankara Onkoloji Egitim ve Arastırma Hastanesi-Hemotology ( Site 0510)
Ankara, 06200
Hacettepe Universite Hastaneleri-Department of Hematology ( Site 0505)
Ankara, 06230
Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 0502)
Ankara, 06800
Ankara UTF Cebeci Arastırma ve Uygulama Hastanesi ( Site 0511)
Ankara, 6620
Antalya Egitim ve Arastırma Hastanesi ( Site 0508)
Antalya, 07100
Ege Universitesi Hastanesi ( Site 0503)
Bornova, İzmir, 35100
Trakya University Medical Faculty Hospital-Hematology ( Site 0501)
Edirne, 22030
Medipol Mega Universite Hastanesi ( Site 0504)
Istanbul, 34214
Kocaeli Üniversitesi-Hematology ( Site 0506)
Kocaeli, 41380
Ondokuz Mayıs Universitesi-hematology ( Site 0507)
Samsun, 55139
Israel9 sites
Soroka Medical Center ( Site 0427)
Beersheba, 8410101
Rambam Health Care Campus ( Site 0429)
Haifa, 3109601
Carmel Hospital ( Site 0426)
Haifa, 3436212
Hadassah Medical Center ( Site 0424)
Jerusalem, 9112001
Galilee Medical Center ( Site 0431)
Nahariya, 2201202
Rabin Medical Center ( Site 0425)
Petah Tikva, 4941492
Sheba Medical Center ( Site 0428)
Ramat Gan, 5265601
Sourasky Medical Center ( Site 0422)
Tel Aviv, 6423906
Yitzhak Shamir Medical Center. ( Site 0421)
Ẕerifin, 7033001
United Kingdom9 sites
Glan Clwyd Hospital ( Site 0528)
Bodelwyddan, Denbighshire, LL18 5UJ
Boston Pilgrim Hospital ( Site 0525)
Boston, Lincolnshire, PE21 9QS
Gloucestershire Royal Hospital ( Site 0521)
Gloucester, Gloucestershire, Gl1 3NN
Lincoln County Hospital ( Site 0535)
Lincoln, Great Britain, LN2 5QY
University College London Hospital ( Site 0527)
London, London, City of, NW1 2PG
Guy's & St Thomas' NHS Foundation Trust ( Site 0523)
London, London, City of, SE1 9RT
Hammersmith Hospital ( Site 0533)
London, London, City of, W12 OHS
Freeman Hospital ( Site 0532)
Newcastle upon Tyne, NE7 7DN
Royal Gwent Hospital ( Site 0524)
Newport, NP20 2EF
Germany8 sites
Universitätsklinikum Aachen ( Site 0367)
Aachen, North Rhine-Westphalia, 52074
Charité Universitaetsmedizin Berlin - Campus Mitte ( Site 0369)
Berlin, 13353
Universitaetsklinikum Essen ( Site 0366)
Essen, North Rhine-Westphalia, 45147
Universitätsklinikum Halle ( Site 0361)
Halle, Saxony-Anhalt, 06120
Medizinische Hochschule Hannover ( Site 0371)
Hanover, Lower Saxony, 30625
Universitätsklinikum Jena-Klinik für Innere Medizin II, Abt. Hämatologie und Internistische Onkolog ( Site 0364)
Jena, Thuringia, 07747
VK&K Studien GbR ( Site 0370)
Landshut, Bavaria, 84036
Universitätsmedizin Johannes Gutenberg Universität Mainz-3. Medizinische Klinik und Poliklinik ( Site 0365)
Mainz, Rhineland-Palatinate, 55131
Italy7 sites
Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo ( Site 0443)
Alessandria, 15121
IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant'Orsola ( Site 0446)
Bologna, 40138
Azienda Ospedaliera Universitaria Careggi ( Site 0441)
Florence, Tuscany, 50134
Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico ( Site 0447)
Milan, 20122
Fondazione IRCCS Policlinico San Matteo-Oncology ( Site 0444)
Pavia, 27100
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 0445)
Roma, 00168
Ospedale di Circolo e Fondazione Macchi Varese ( Site 0442)
Varese, 21100
Chile6 sites
Biocenter ( Site 0149)
Concepción, Biobio, 4070196
IC La Serena Research ( Site 0150)
La Serena, Coquimbo Region, 1720430
FALP-UIDO ( Site 0148)
Santiago, Region M. de Santiago, 7500921
Clínica Inmunocel ( Site 0147)
Santiago, Region M. de Santiago, 7580206
Clínica Alemana de Santiago ( Site 0143)
Santiago, Region M. de Santiago, 7650568
Bradfordhill-Clinical Area ( Site 0142)
Santiago, Region M. de Santiago, 8420383
Australia5 sites
Royal Adelaide Hospital-Haematology Clinical Trials Unit ( Site 0203)
Adelaide, South Australia, 5000
Monash Health-Haematology Research ( Site 0202)
Clayton, Victoria, 3168
Austin Health-Cancer Clinical Trials Centre ( Site 0206)
Heidelberg, Victoria, 3084
Royal Perth Hospital-Haematology ( Site 0204)
Perth, Western Australia, 6000
Westmead Hospital ( Site 0201)
Westmead, New South Wales, 2115
Hungary5 sites
Debreceni Egyetem Klinikai Kozpont-Belgyógyászati Klinika (Haematologia) ( Site 0402)
Debrecen, 4032
Petz Aladar Egyetemi Oktato Korhaz-Hematológia ( Site 0405)
Győr, Győr-Moson-Sopron, 9024
Somogy Vármegyei Kaposi Mór Oktató Kórház-Haematológiai osztály ( Site 0406)
Kaposvár, Somogy County, 7400
Szabolcs-Szatmár-Bereg Megyei Kórházak és Egyetemi Oktatókór-Haematológia osztály ( Site 0404)
Nyíregyháza, Szabolcs-Szatmár-Bereg, 4400
Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ-Belgyógyászati Klinika ( Site 0407)
Szeged, Csongrád megye, 6725
Sweden5 sites
Sahlgrenska Universitetssjukhuset-Department of hematology and coagulation ( Site 0543)
Gothenburg, Västra Götaland County, 413 45
Karolinska Universitetssjukhuset Huddinge ( Site 0541)
Huddinge, Stockholm County, 141 86
Skånes Universitetssjukhus Lund-Department of Hematology ( Site 0544)
Lund, Skåne County, 22185
Universitetssjukhuset Örebro ( Site 0542)
Örebro, Örebro County, 701 85
Akademiska sjukhuset ( Site 0545)
Uppsala, Uppsala County, 751 85
Argentina4 sites
Hospital Italiano de Buenos Aires ( Site 0102)
ABB, Buenos Aires F.D., C1199ABB
Hospital Universitario Austral ( Site 0101)
Pilar, Buenos Aires, B1629AHJ
C.I.C.E. 9 de Julio ( Site 0104)
San Miguel de Tucumán, Tucumán Province, T4000IKO
Clínica de Nefrología, Urología y Enfermedades Cardiovasculares ( Site 0105)
Santa Fe, 3000
Denmark4 sites
Aarhus Universitetshospital, Skejby-Blodsygdomme ( Site 0324)
Aarhus, Central Jutland, 8200
Rigshospitalet-Hematology - CTU ( Site 0321)
Copenhagen, Capital Region, 2100
Odense Universitetshospital-Department of Hematology ( Site 0325)
Odense C, Region Syddanmark, 5000
Roskilde Sygehus-Department of Hematology ( Site 0323)
Roskilde, Region Sjælland, 4000
Taiwan4 sites
Chang Gung Memorial Hospital- Chiayi ( Site 0242)
Chiayi City, Chiayi, 613
National Cheng Kung University Hospital-Clinical Trial Center ( Site 0245)
Tainan, 704
National Taiwan University Hospital ( Site 0241)
Taipei, 10002
Chang Gung Medical Foundation-Linkou Branch ( Site 0243)
Taoyuan, 33305
Colombia3 sites
Los Cobos Medical Center ( Site 0165)
Bogotá, Bogota D.C., 110121
Fundacion Colombiana de Cancerología Clinica Vida ( Site 0164)
Medellín, Antioquia, 050030
IMAT S.A.S ( Site 0162)
Montería, Departamento de Córdoba, 230002
Mexico3 sites
Medivest Centro de Investigación Integral ( Site 0183)
Chihuahua City, Chihuahua, 31203
Higiea Oncologia ( Site 0184)
Mexico City, Mexico City, 11819
Centro de Investigacion Clinica de Oaxaca ( Site 0181)
Oaxaca City, Oaxaca, 68020
Poland3 sites
Pratia Onkologia Katowice ( Site 0461)
Katowice, Silesian Voivodeship, 40-519
Swietokrzyskie Centrum Onkologii, Samodzielny Publiczny Zakl-Klinika Hematologii i Transplantacji S ( Site 0466)
Kielce, Świętokrzyskie Voivodeship, 25-734
Samodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie-Oddział Hematoonkologii, Transplantacji Szp ( Site 0463)
Lublin, Lublin Voivodeship, 20-081
Canada2 sites
Arthur J.E. Child Comprehensive Cancer Centre ( Site 0038)
Calgary, Alberta, T2N 5G2
Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre ( Site 0037)
Greenfield Park, Quebec, J4V 2H1
Austria1 site
Ordensklinikum Linz GmbH Elisabethinen ( Site 0562)
Linz, Upper Austria, 4020
About this study
Official title: A Phase 3, Randomized, Double-blind, Active-Comparator-Controlled Clinical Study to Evaluate the Efficacy and Safety of Bomedemstat (MK-3543) Versus Hydroxyurea in Cytoreductive Therapy Naïve Essential Thrombocythemia Participants
The purpose of this study is to evaluate the efficacy and safety of bomedemstat compared with hydroxyurea in cytoreductive therapy naïve essential thrombocythemia (ET) participants for whom cytoreductive therapy is indicated. Its primary objective is to compare bomedemstat to hydroxyurea with respect to durable clinicohematologic response (DCHR). The primary hypothesis is that bomedemstat is superior to hydroxyurea with respect to DCHR.
- Conditions
- Essential Thrombocythemia
- Being tested
- Bomedemstat, Hydroxyurea, Bomedemstat placebo, Hydroxyurea placebo
- Keywords
- essential thrombocythemia, ET, bomedemstat, IMG-7289
- Medical subject headings
- Thrombocythemia, Essential
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, bomedemstat tosylate
Oral capsule
HydroxyureaDrug
Oral capsule
Bomedemstat placeboDrug
Oral capsule placebo
Hydroxyurea placeboDrug
Oral capsule placebo
| Study group | Role | What they receive |
|---|---|---|
| Bomedemstat | Experimental | Participants will receive active bomedemstat and hydroxyurea placebo daily for up to approximately 52 weeks. Dosage will be adjusted either up or down within specified time parameters for each participant to the dose that provides sufficient exposure to safely inhibit thrombopoiesis to decrease platelet counts to the target range. Participants who complete treatment at Week 52 will be eligible to continue treatment in the extended treatment phase. Unblinding will occur and placebo discontinued once all participants have completed at least 52 weeks of therapy or otherwise discontinued. Receives: Drug: Bomedemstat; Drug: Hydroxyurea placebo |
| Hydroxyurea | Active comparator | Participants will receive active hydroxyurea and bomedemstat placebo daily for up to 52 weeks. Dosage will be adjusted either up or down within specified time parameters for each participant to the dose that provides sufficient exposure to safely inhibit thrombopoiesis to decrease platelet counts to the target range. Participants who complete treatment at Week 52 will be eligible to continue treatment in the extended treatment phase. Unblinding will occur and placebo discontinued once all participants have completed at least 52 weeks of therapy or otherwise discontinued. Receives: Drug: Hydroxyurea; Drug: Bomedemstat placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Durable Clinicohematologic Response (DCHR) Rate
DCHR rate is the percentage of participants with DCHR, defined as a confirmed reduction of platelet count to ≤400 × 10^9/L, absence of white blood cell (WBC) count elevation to >10 × 10^9/L locally assessed to be due to ET, starting by Week 24 and maintained for at least 24 weeks, and the absence of any thrombotic or major hemorrhagic events or disease progression to myelofibrosis (MF), myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) by Week 52.
Measured: Up to approximately 52 weeks
Secondary outcomes (12)
Clinicohematologic Response (CHR) Rate
CHR rate is the percentage of participants with CHR, defined as a confirmed reduction of platelet count to ≤400 × 10^9/L, absence of white blood cell (WBC) count elevation to >10 × 10^9/L locally assessed to be due to ET, starting by Week 12 and maintained for at least 12 weeks, and the absence of any thrombotic or major hemorrhagic events or disease progression to myelofibrosis (MF), myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) by Week 52.
Measured: Up to approximately 52 weeks
Hematologic Response (HR) Rate
HR rate is the percentage of participants with HR, HR is defined as the time from the first confirmed hematologic response to first documented evidence of confirmed platelet increase or confirmed WBC increase after latest confirmed hematologic response date.
Measured: Up to approximately 52 weeks
Change From Baseline in Patient-reported Outcomes Measurement Information System (PROMIS) Fatigue SF-7a Total Fatigue Score
The PROMIS F SF-7a is a 7-item participant-reported assessment that measures both the experience of fatigue and the interference of fatigue on daily activities over the past week. Response options are on a 5-point Likert scale, ranging from 1 = never to 5 = always. The total score is used in the analysis and is obtained by summing keyed scores of all items. Scores can range from 7 to 35, with higher scores indicating greater fatigue.
Measured: Baseline and pre-specified timepoints up to Week 52
Change From Baseline in MFSAF v4.0 Total Symptom Score
The MFSAF v4.0 is a 7-item participant-reported myelofibrosis symptom assessment which asks respondents to report symptom severity at its worst for each of the 7 items on a 0 (Absent) to 10 (Worst Imaginable) numeric rating scale. The change from baseline in MFSAF total score for all symptoms will be presented.
Measured: Baseline and pre-specified timepoints up to Week 52
Duration of Durable Clinicohematologic Response (DODCHR)
For participants who demonstrate DCHR, DODCHR 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, locally assessed to be due to ET after latest confirmed hematologic response date or thrombotic or major hemorrhagic events or disease progression to MF, MDS or AML.
Measured: Up to approximately 52 weeks
Duration of Clinicohematologic Response (DOCHR)
For participants who demonstrate CHR, duration of clinicohematologic response 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, locally assessed to be due to ET after latest confirmed hematologic response date or thrombotic or major hemorrhagic events or disease progression to MF, MDS or AML.
Measured: Up to approximately 52 weeks
Duration of Hematologic Response (DOHR)
For participants who show confirmed hematologic response, DOHR is defined as the time from the first confirmed hematologic response to first documented evidence of confirmed platelet increase or confirmed WBC increase after latest confirmed hematologic response date.
Measured: Up to approximately 52 weeks
Percentage of Participants Who Experience Thrombotic Events
Thrombotic events include but are not limited to new or recurrent acute myocardial infarction, unstable angina, stroke, transient ischemic attack, deep venous thrombosis, pulmonary embolism, thrombotic digital ischemia, or other thrombotic events.
Measured: Up to approximately 52 weeks
Percentage of Participants Who Experience Major Hemorrhagic Events
Major hemorrhagic events include but are not limited to 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 decrease in hemoglobin level of 2 g/dL or more, or leading to transfusion of 2 or more units of whole blood or red cells.
Measured: Up to approximately 52 weeks
Percentage of Participants with Disease Progression to post-essential thrombocythemia myelofibrosis or myelodysplastic syndrome (MDS) /acute myeloid leukemia (AML)
Disease progression rate is the percentage of participants with disease progression, defined as the transformation to post-essential thrombocythemia myelofibrosis, myelodysplastic syndrome, or AML as assessed by the adjudication committee.
Measured: Up to approximately 52 weeks
Number of Participants Who Experience One or More Adverse Events (AEs)
An AE is 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.
Measured: Up to approximately 52 weeks
Number of Participants Who Discontinue Study Intervention Due to an AE
An AE is 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.
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.
- First posted13 Jun 2024
- Study start16 Jul 2024
- Primary completion28 Sep 2027 (estimated)
- Study completion24 Mar 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Essential ThrombocythemiaStudies 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 300 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 & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06456346
- Sponsor's protocol ID
- 3543-007
- Other IDs
- 2023-505232-36-00, MK-3543-007, jRCT2031240181, U1111-1290-8287, 2023
- Status last verified
- Aug 2026
- First submitted
- 7 Jun 2024
- Last updated
- 27 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- 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 27 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-blind, Active-Comparator-Controlled Clinical Study to Evaluate the Efficacy and Safety of Bomedemstat (MK-3543) Versus Hydroxyurea in Cytoreductive Therapy Naïve Essential Thrombocythemia Participants
- ClinicalTrials.gov ID
- NCT06456346
- Acronym / sponsor ID
- 3543-007
- Conditions
- Essential Thrombocythemia
- Keywords
- essential thrombocythemia, ET, bomedemstat, IMG-7289
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 16 Jul 2024 (actual)
- Primary completion
- 28 Sep 2027 (estimated)
- Study completion
- 24 Mar 2028 (estimated)
- First posted
- 13 Jun 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 purpose of this study is to evaluate the efficacy and safety of bomedemstat compared with hydroxyurea in cytoreductive therapy naïve essential thrombocythemia (ET) participants for whom cytoreductive therapy is indicated. Its primary objective is to compare bomedemstat to hydroxyurea with respect to durable clinicohematologic response (DCHR). The primary hypothesis is that bomedemstat is superior to hydroxyurea with respect to DCHR.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Bomedemstat | Experimental | Drug: Bomedemstat, Drug: Hydroxyurea placeboParticipants will receive active bomedemstat and hydroxyurea placebo daily for up to approximately 52 weeks. Dosage will be adjusted either up or down within specified time parameters for each participant to the dose that provides sufficient exposure to safely inhibit thrombopoiesis to decrease platelet counts to the target range. Participants who complete treatment at Week 52 will be eligible to continue treatment in the extended treatment phase. Unblinding will occur and placebo discontinued once all participants have completed at least 52 weeks of therapy or otherwise discontinued. |
| Hydroxyurea | Active comparator | Drug: Hydroxyurea, Drug: Bomedemstat placeboParticipants will receive active hydroxyurea and bomedemstat placebo daily for up to 52 weeks. Dosage will be adjusted either up or down within specified time parameters for each participant to the dose that provides sufficient exposure to safely inhibit thrombopoiesis to decrease platelet counts to the target range. Participants who complete treatment at Week 52 will be eligible to continue treatment in the extended treatment phase. Unblinding will occur and placebo discontinued once all participants have completed at least 52 weeks of therapy or otherwise discontinued. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Diagnosis of Essential Thrombocythemia (ET) based on World Health Organization Criteria for myeloproliferative neoplasms, and an indication for cytoreductive therapy regardless of age or risk status
- Has a centrally assessed bone marrow fibrosis score of Grade 0 or Grade 1, as per a modified version of the European Consensus Criteria for Grading Myelofibrosis
- Has received no prior cytoreductive treatment for their ET
- Human Immunodeficiency Virus (HIV)-infected participants have well controlled HIV on antiretroviral therapy
- Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B Virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load
Key exclusion criteria (5 listed)
- History of any illness/impairment of gastrointestinal function that might interfere with drug absorption
- History of a malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 2 years
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
- Has an active infection requiring systemic therapy
- Has had a major surgery <4 weeks prior to first dose of study intervention or has not recovered from side effects of major surgery >4 weeks prior to first dose
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-7289, bomedemstat tosylateOral capsule | Drug | Bomedemstat |
| HydroxyureaOral capsule | Drug | Hydroxyurea |
| Bomedemstat placeboOral capsule placebo | Drug | Hydroxyurea |
| Hydroxyurea placeboOral capsule placebo | Drug | Bomedemstat |
Primary outcome
Durable Clinicohematologic Response (DCHR) Rate
Time frame: Up to approximately 52 weeks
DCHR rate is the percentage of participants with DCHR, defined as a confirmed reduction of platelet count to ≤400 × 10^9/L, absence of white blood cell (WBC) count elevation to >10 × 10^9/L locally assessed to be due to ET, starting by Week 24 and maintained for at least 24 weeks, and the absence of any thrombotic or major hemorrhagic events or disease progression to myelofibrosis (MF), myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) by Week 52.
12 secondary outcomes
Clinicohematologic Response (CHR) Rate
Time frame: Up to approximately 52 weeks
Hematologic Response (HR) Rate
Time frame: Up to approximately 52 weeks
Change From Baseline in Patient-reported Outcomes Measurement Information System (PROMIS) Fatigue SF-7a Total Fatigue Score
Time frame: Baseline and pre-specified timepoints up to Week 52
Change From Baseline in MFSAF v4.0 Total Symptom Score
Time frame: Baseline and pre-specified timepoints up to Week 52
Duration of Durable Clinicohematologic Response (DODCHR)
Time frame: Up to approximately 52 weeks
Duration of Clinicohematologic Response (DOCHR)
Time frame: Up to approximately 52 weeks
Duration of Hematologic Response (DOHR)
Time frame: Up to approximately 52 weeks
Percentage of Participants Who Experience Thrombotic Events
Time frame: Up to approximately 52 weeks
Percentage of Participants Who Experience Major Hemorrhagic Events
Time frame: Up to approximately 52 weeks
Percentage of Participants with Disease Progression to post-essential thrombocythemia myelofibrosis or myelodysplastic syndrome (MDS) /acute myeloid leukemia (AML)
Time frame: Up to approximately 52 weeks
Number of Participants Who Experience One or More Adverse Events (AEs)
Time frame: Up to approximately 52 weeks
Number of Participants Who Discontinue Study Intervention Due to an AE
Time frame: Up to approximately 52 weeks
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 27 Aug 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. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
171 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bomedemstat and Hydroxyurea in people with Essential Thrombocythemia, run by Merck Sharp & Dohme LLC at 171 sites in 23 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 6 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 27 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 171 sites in China, United States, Japan, France, Spain and 18 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. 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?
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?
Durable Clinicohematologic Response (DCHR) Rate (time frame: Up to approximately 52 weeks). 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 27 Aug 2026.