AzTrials
AzTrials

VEXAS SyndomePhase 2NCT07098936

Momelotinib in VEXAS Syndrome

A Phase 2 study testing Momelotinib treatment in people with VEXAS Syndome and Myelo Dysplastic Syndrome, run by Groupe Francophone des Myelodysplasies at 11 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Multicenter, phase II trial with safety run-in to evaluate the efficacy and safety of momelotinib in patients with VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory and Somatic) syndrome with or without associated myelodysplastic syndrome (MDS). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
VEXAS Syndome, Myelo Dysplastic Syndrome
What is being tested?
Momelotinib treatment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
57 participants
Where
11 sitesFrance
Study dates
25 Nov 2025to Nov 2028
Phase
Phase 2
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

  • ECOG (Eastern Cooperative Oncology Group) performance status 0-2 at the time of screening
  • Age ≥ 18 years
  • Written informed consent
  • Diagnosis of VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory and Somatic) syndrome with UBA1 (Ubiquitin Like Modifier Activating Enzyme 1) mutation and clinically symptomatic disease requiring immunosuppressive treatment and at least 10mg/d of glucocorticoids
  • Patients with uncontrolled symptoms related to VEXAS with prior treatment line(s) (including steroids)
  • Patients refractory/dependent to steroids
Show all 18Show fewer
  • Single concomitant steroids therapy (e.g., prednisone or equivalent) at the time of inclusion is allowed
  • For patients treated with other immunosuppressive/immunomodulatory therapy than glucocorticoids, a wash out period of 28 days is required prior momelotinib onset
  • Erythropoietin/luspatercept used as a growth factor treatment is not allowed 28 days prior enrollment
  • Adequate liver function (serum transaminases ≤ 3 x ULN (Upper Limits of Normal), Bilirubin ≤ 1.5 x ULN (isolated bilirubin > 1.5 x ULN is acceptable if bilirubin fractionated and direct bilirubin < 35%)
  • Adequate renal function (creatinine clearance with MDRD (Modification of Diet in Renal Disease) formula > 30 ml/min)
  • Women of child-bearing potential (i.e., women who are pre-menopausal or not surgically sterile) must:
  • Have a negative serum or urine pregnancy test within 24 hours prior to beginning treatment on this study. Lactating patients are excluded.
  • Agree to use, and to be able to comply with, effective contraception without interruption, 4 weeks before starting study drug throughout the entire duration study drug therapy (including doses interruptions) and for 12 weeks after the end of the study drug therapy.
  • Agree to learn about the procedures for preservation of egg before starting treatment.
  • Male patients must:
  • Agree the need for the use of a condom if engaged in sexual activity with a woman of childbearing potential during the entire period of treatment, even if disruption of treatment and during 12 weeks after end of treatment.
  • Agree to learn about the procedures for preservation of sperm before starting treatment.

Who cannot join

  • Patients with MDS (Myelodysplastic syndrome) scheduled for allogeneic stem cell transplant or high risk MDS according to IWG (International Working Group) 2023
  • Patients who are or have been already treated with Janus Kinase (JAK) inhibitors for VEXAS syndrome or another indication
  • Patients who are unable to receive a starting daily dose of momelotinib of at least 100 mg
  • Subjects with any other active malignancies are not eligible, except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer from which subject has been disease-free for at least 3 years
  • Uncontrolled congestive heart failure (New York Heart Association Classification 3 or 4), angina, myocardial infarction, cerebrovascular accident, coronary/peripheral artery bypass graft surgery, transient ischemic attack, or pulmonary embolism within 12 weeks prior to initiation of momelotinib
  • Known infection with acute and chronic active Human Immunodeficiency Virus, Hepatitis B Virus, Hepatitis C Virus
Show all 12Show fewer
  • Any medical or psychiatric condition not allowing the informed consent of the subject
  • Presence of clinically meaningful active bacterial, fungal, parasitic or viral infection which requires therapy
  • Previous history of Progressive Multifocal Leuko-encephalopathy
  • Active gastrointestinal conditions that may affect absorption
  • No affiliation to a health insurance system
  • Known hypersensitivity to the study investigational medicinal product, the metabolites, or formulation excipients

Trial locations and contacts

11 sites in 1 country. Contact the study team or a site near you to ask about taking part.

11 sites in 1 country

France11 sites, 11 recruiting
  • CHU d'Angers - Service des Maladies du sang

    Angers, 49933

    Sylvain THEPOT, MD, +33 2 41 35 44 66, Sylvain.Thepot@chu-angers.fr

    Sylvain THEPOT, MD

    Recruiting
  • CHU Estaing - Service d'Hématologie Clinique

    Clermont-Ferrand, 63000

    Benoît DE RENZIS, MD, +33 4 73 75 00 65, bderenzis@chu-clermontferrand.fr

    bderenzis@chu-clermontferrand.fr

    Not yet recruiting
  • Hôpital Claude Huriez - Service de Médecine Interne

    Lille, 59037

    Emmanuel LEDOULT, MD, +33 3 20 44 50 48, emmanuel.ledoult2@chru-lille.fr

    Emmanuel LEDOULT, MD

    Not yet recruiting
  • CHU Nantes - Hôtel Dieu - Service d'Hématologie Clinique

    Nantes, 44093

    Alice GARNIER, MD, +33 2 40 08 32 71, alice.garnier@chu-nantes.fr

    Alice GARNIER, MD

    Not yet recruiting
  • Hôpital Saint Louis - Service hématologie séniors

    Paris, 75010

    Lin-Pierre ZHAO, MD, +33 1 71 20 70 29, linpierre.zhao@aphp.fr

    Lin-Pierre ZHAO, MD

    Not yet recruiting
  • Hôpital Saint-Antoine - Service de Médecine Interne

    Paris, 75012

    Arsène MEKINIAN, MD, +33 1 49 28 21 04, arsene.mekinian@aphp.fr

    Arsène MEKINIAN, MD

    Not yet recruiting
  • CHU de Haut-Lévèque - Centre F. Magendie - Service des Maladies du sang

    Pessac, 33604

    Sophie DIMICOLI-SALAZAR, MD, +33 5 57 65 65 11, sophie.dimicoli-salazar@chu-bordeaux.fr

    Sophie DIMICOLI-SALAZAR, MD

    Not yet recruiting
  • CH Lyon sud - Service d'Hématologie Clinique

    Pierre-Bénite, 69495

    Maël HEIBLIG, MD, +33 4 72 11 74 01, mael.heiblig@chu-lyon.fr

    Maël HEIBLIG, MD

    Recruiting
  • Hôpital Pontchaillou Service d'hématologie clinique et service de médecine interne

    Rennes, 35033

    Stanislas NIMUBONA, MD, +33 2 99 28 95 21, stanislas.nimubona@chu-rennes.fr

    Stanislas NIMUBONA, MD

    Not yet recruiting
  • IUCT Oncopole Département d'hématologie / Unité de médecine interne

    Toulouse, 31059

    Thibault COMONT, MD, +33 5 31 15 62 66, Comont.Thibault@iuct-oncopole.fr

    Thibault COMONT, MD

    Not yet recruiting
  • CHU de Tours - Hôpital Bretonneau - Service de Médecine Interne

    Tours, 37044

    Alexandra AUDEMARD, MD/PHD, +33 2 47 47 37 15, alexandra.audemardverger@univ-tours.fr

    Alexandra AUDEMARD, MD/PHD

    Not yet recruiting

Other trials in France

About this study

Official title: A Single-arm Phase II With safety-run-in Multicenter Study of Momelotinib in Patients With VEXAS Syndrome With or Without Associated Myelodysplastic Syndrome

Multicenter, phase II trial with safety run-in to evaluate the efficacy and safety of momelotinib in patients with VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory and Somatic) syndrome with or without associated myelodysplastic syndrome (MDS).

The study will consist of two consecutive steps, a dose-finding safety run-in and a single-arm prospective phase II.

Read more

During safety run-in phase, three fixed dose levels will be tested according to a 3+3 design, using cohorts of size 3 in order to establish the maximum tolerated dose.

After this safety run-in phase, patients included in phase II will be treated with momelotinib at the maximum tolerated dose preliminary fixed.

Patients included in the phase II will receive momelotinib continuously until disease progression or loss of response, at physician's discretion.

All patients included in the study will receive glucocorticoids (prednisone/prednisolone equivalent) at baseline (at least > 10mg/day).

Response assessment regarding VEXAS related symptoms will be evaluated after 4, 12, 24 and 48 weeks. Response assessment regarding MDS features will be evaluated at 12 and 24 weeks.

Read the detailed description

During safety run-in phase, the three fixed dose levels tested are :

  • Dose level (DL) -1: 150 mg once daily (QD)
  • DL1: 200 mg QD
  • DL2: 300 mg QD. Between 6 and 18 patients will be enrolled during the safety run-in phase. Up to 39 patients could be included in the phase II study and will be treated with momelotinib at the maximum tolerated dose preliminary fixed during the safety run-in phase.

Baseline steroids daily dose required for VEXAS inflammatory manifestations will be defined during screening period (28 days period) for each patient. It is defined as the minimal daily dose of steroids used in the last 14 days prior momelotinib onset (according to physician disposition) that allow disease control. In case of related VEXAS inflammatory manifestation during screening period with a first fixed dose, an increased dose of steroids should be evaluated during at least an extra 14 days prior momelotinib onset. This baseline dose defined during screening period will be used for response criteria during follow-up.

Momelotinib treatment will be discontinued after 24 weeks at optimal dosing regimen (up to 300 mg/day), in case of absence of response.

Treatment might also be discontinued during follow-up in case of loss of response/hematological progression or non-tolerable adverse event.

Being tested
Momelotinib treatment
Keywords
VEXAS syndrome, Momelotinib, Myelodysplastic syndrome
Medical subject headings
VEXAS syndrome, Myelodysplastic Syndromes

What participants receive

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

  • Momelotinib treatmentDrug

    Patients included will receive momelotinib continuously until disease progression or loss of response, at physician's discretion.

Study groups in NCT07098936
Study groupRoleWhat they receive
Momelotinib treatmentExperimentalPatients will receive momelotinib.
Receives: Drug: Momelotinib treatment

What is being measured

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

  1. Determination of the maximum tolerated dose of momelotinib

    The maximum tolerated dose (MTD) is defined by a target dose-limiting toxicities (DLT) rate of 30%, assessed during the observation window by a 3+3 design.

    The 3+3 design will enroll a first cohort of 3 patients at the starting dose of 200 mg/d:

    • If 0 of the 3 patients at the dose of 200 mg/d experienced a DLT during the first 4-week cycle of momelotinib, the dose will escalate to 300 mg/d for the next cohort.
    • If 1 of the 3 patients at the dose of 200 mg/d has a DLT, a cohort of three additional patients will be treated at the same dose of 200 mg/d.
    • If > 1 patient of the 3 patients at the dose of 200 mg/d have a DLT, the dose will de-escalate to 150 mg/d for the next cohort.

    The same process will be repeated until reaching the MTD. In total, between 6 and 18 patients will be enrolled during this safety run-in phase.

    Measured: First 4-week cycle of momelotinib treatment

  2. Clinical efficacy

    Determination of overall clinical response rate at 24 weeks after momelotinib initiation on VEXAS related symptoms (including complete (CR) or partial response (PR)) :

    • CR includes complete disappearance of symptoms related to systemic inflammation according to treating physician and daily dose of steroids ≤ 10 mg/d (equivalent prednisolone).
    • PR includes complete disappearance of symptoms related to systemic inflammation according to treating physician and reduction of at least 50% of daily dose steroids compared to baseline and/or daily dose of steroids > 10 mg/d.

    Measured: During the 24 first weeks of momelotinib treatment

Secondary outcomes (11)
  1. Pharmacokinetic

    Concentrations of momelotinib and its major metabolite M21 will be determined in plasma samples using the currently approved bioanalytical methodology by Frontage Laboratories Inc.

    Pharmacokinetic sampling will be only performed for patients in safety run-in phase.

    Samples should be obtained at cycle 1 Day 8 and cycle 13 Day 8, at times following : Pre-dose then at 0.5 h, 1 h, 1.5 h, 2 h, 3 h, 4 h, 6 h, 8h and at 24 h post Day 8 dose.

    Measured: At cycle 1 Day 8-9 and cycle 13 Day 8-9

  2. Incidence of Treatment-Emergent Adverse Events

    Collection of Adverse events (AE), serious AE (SAE) and toxicities as measured by NCI CTCAE (National Cancer Institute Common Terminology Criteria for Adverse Events) v5.0

    Measured: From enrollment to the end of treatment at 48 weeks

  3. Response

    Determination of overall clinical response rates (including Complete Response or Partial Response) and biological response rates (complete or partial)

    Measured: After 4, 12, 24 and 48 weeks of momelotinib treatment

  4. Hematological response

    Erythroid hematological improvement will be assessed by the investigators according to IWG 2018 criteria through collection of transfusion records and hematology parameters.

    Measured: After 16 weeks of momelotinib treatment

  5. Steroids dose reduction

    Steroids dose reduction compared to baseline and/or steroids withdrawal rates

    Measured: After 24 weeks of momelotinib treatment

  6. Overall survival

    Overall survival assessment

    Measured: From enrollment to the end of treatment at 12 months

  7. Myelodysplastic syndrome (MDS) evolution

    Changes in the underlying MDS from baseline, at 12 and 24 weeks, including MDS progression based on hematological, cytogenetic and molecular analysis

    Measured: From baseline at 12 and 24 weeks of momelotinib treatment

  8. Duration of response

    Duration of response on VEXAS symptoms defined as the time from the date of initial documentation of a clinical response (Complete Response or Partial Response) to the date of first documented evidence of relapse or death

    Measured: From enrollment to the end of treatment at 48 weeks

  9. Best clinical response

    Determination of time to the first and best clinical response

    Measured: From enrollment to the end of treatment at 48 weeks

  10. RBC independency

    Duration of Red Blood Count (RBC) independency in patients with RBC dependency at time of inclusion, according to IWG 2018 criteria

    Measured: From enrollment to the end of treatment at 48 weeks

  11. UBA1 VAF

    Evolution of UBA1 (Ubiquitin Like Modifier Activating Enzyme 1) VAF (Variant Allelic Frequency) from baseline to W4, W12 and W24 after momelotinib treatment

    Measured: From enrollment to the end of treatment at 24 weeks

Timeline

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

  1. First posted1 Aug 2025
  2. Study start25 Nov 2025
  3. Primary completionJun 2028 (estimated)
  4. Study completionNov 2028 (estimated)

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
Model description
a single-arm phase II with safety run-in study
Masking
None (open label)
Enrolment
57 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07098936
Sponsor's protocol ID
GFM-VEXAS-MMB
Status last verified
Dec 2025
First submitted
18 Jul 2025
Last updated
10 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Momelotinib treatment in people with VEXAS Syndome and Myelo Dysplastic Syndrome, run by Groupe Francophone des Myelodysplasies at 11 sites in France.

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 18 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: looking for participants now, as of the sponsor's last update on 10 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 11 sites in France. 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?

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 Maël HEIBLIG, MD (+33 4 72 11 74 01, mael.heiblig@chu-lyon.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Determination of the maximum tolerated dose of momelotinib (time frame: First 4-week cycle of momelotinib treatment). 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 10 Aug 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in