Brief Summary
This open-label study is to determine the long-term safety and tolerability of momelotinib in previously enrolled study participants with primary myelofibrosis (PMF), post-polycythemia vera myelofibrosis (post-PV MF), post-essential thrombocythemia myelofibrosis (post-ET MF), polycythemia vera (PV), or essential thrombocythemia (ET), who have tolerated and achieved stable disease or better with momelotinib treatment while enrolled in a previous clinical trial.
Brief Title
Long-term Safety and Efficacy of Momelotinib in Subjects With Primary Myelofibrosis, Post-polycythemia Vera Myelofibrosis, Post-essential Thrombocythemia Myelofibrosis, Polycythemia Vera or Essential Thrombocythemia
Categories
Completion Date
Completion Date Type
Actual
Conditions
Primary Myelofibrosis
Post-Polycythemia Vera Myelofibrosis
Post-Essential Thrombocythemia Myelofibrosis
Polycythemia Vera
Essential Thrombocythemia
Eligibility Criteria
Key Inclusion Criteria:
* Currently enrolled in study CCL09101E, or YM387-II-02, or successfully completed 24 weeks of study GS-US-352-1672
* Able to comprehend and willing to sign informed consent form
Key Exclusion Criteria:
* Known hypersensitivity to momelotinib, its metabolites, or formulation excipients
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
* Currently enrolled in study CCL09101E, or YM387-II-02, or successfully completed 24 weeks of study GS-US-352-1672
* Able to comprehend and willing to sign informed consent form
Key Exclusion Criteria:
* Known hypersensitivity to momelotinib, its metabolites, or formulation excipients
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Inclusion Criteria
Inclusion Criteria:
* Currently enrolled in study CCL09101E, or YM387-II-02, or successfully completed 24 weeks of study GS-US-352-1672
* Able to comprehend and willing to sign informed consent form
Inclusion/
* Currently enrolled in study CCL09101E, or YM387-II-02, or successfully completed 24 weeks of study GS-US-352-1672
* Able to comprehend and willing to sign informed consent form
Inclusion/
Gender
All
Gender Based
false
Keywords
Primary Myelofibrosis
Post Polycythemia Vera Myelofibrosis
Post Essential Thrombocythemia Myelofibrosis
Polycythemia Vera
Essential Thrombocythemia
blood disorders
Healthy Volunteers
No
Last Update Post Date
Last Update Post Date Type
Actual
Last Update Submit Date
Minimum Age
18 Years
NCT Id
NCT02124746
Org Class
Industry
Org Full Name
Sierra Oncology LLC - a GSK company
Org Study Id
GS-US-352-1154
Overall Status
Completed
Phases
Phase 2
Primary Completion Date
Primary Completion Date Type
Actual
Official Title
Open-label Study to Assess the Long-term Safety and Efficacy of Momelotinib in Subjects With Primary Myelofibrosis, Post-polycythemia Vera Myelofibrosis, Post Essential Thrombocythemia Myelofibrosis, Polycythemia Vera or Essential Thrombocythemia
Primary Outcomes
Outcome Description
Long-term safety and tolerability profile of momelotinib based on safety data (adverse events and selected hematology and chemistry laboratory parameters) collected after the first dose of momelotinib in the parent study.
Outcome Measure
Long Term Safety and Tolerability as Measured by the Incidence and Severity of Adverse Events and Clinical Laboratory Abnormalities
Outcome Time Frame
From the first dose of momelotinib in the parent study to 30 days following permanent discontinuation of momelotinib in Study GS-US-352-1154.
Secondary Ids
Secondary Id
2013-004476-36
Secondary Outcomes
Outcome Description
The number of subjects achieving a spleen response, defined as a reduction of 50% or more in palpable splenomegaly of a spleen that was at least 10 cm below the LCM at baseline, or a spleen that was palpable at \> 5 cm and \< 10 cm below the LCM at baseline becoming not palpable for at least 56 days, using baseline of the parent study as the reference.
Outcome Time Frame
From baseline in the parent study until the last spleen assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.
Outcome Measure
Splenic Response Rate
Outcome Description
The interval from the first onset of splenic response (in the parent study or Study GS-US-352-1154) to the earliest date of loss of splenic response. Loss of response was defined as the reduction of splenomegaly by \< 50% among responders (with splenomegaly ≥ 10 cm below the LCM at baseline) that lasts ≥ 56 days, or the recurrence of \> 0 cm splenomegaly among responders (with splenomegaly \> 5 and \< 10 cm at baseline) that lasts ≥ 56 days.
Duration of splenic response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.
Duration of splenic response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.
Outcome Time Frame
From baseline in the parent study until the last spleen assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.
Outcome Measure
Duration of Splenic Response
Outcome Description
The number of transfusion dependent subjects at entry to a parent study who became transfusion-independent for ≥ 12 weeks at any time from the first dose of momelotinib in the parent study until the end of Study GS-US-352-1154.
Outcome Time Frame
From baseline in the parent study until the last assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.
Outcome Measure
Transfusion Independence Response Rate
Outcome Description
The interval from the first onset date of transfusion independence (in the parent study or Study GS-US-352-1154) to the earliest date of loss of response for participants who are transfusion dependent at baseline in the parent study. Loss of TI response was defined as receiving an RBC transfusion after achieving a TI response.
Duration of transfusion independence response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.
Duration of transfusion independence response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.
Outcome Time Frame
From baseline in the parent study until the last assessment date in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.
Outcome Measure
Duration of Transfusion Independence Response
Outcome Description
The number of subjects achieving an anemia response, defined as:
* Achieving transfusion independence for ≥ 12 weeks, for subjects who were transfusion-dependent at baseline in the parent study, or
* Having ≥ 2 g/dL increase in Hgb from baseline for ≥ 12 weeks, for subjects with Hgb \< 10 g/dL at baseline in the parent study who were not transfusion-dependent (Cohort 1) or who were transfusion-independent (Cohort 2).
* Achieving transfusion independence for ≥ 12 weeks, for subjects who were transfusion-dependent at baseline in the parent study, or
* Having ≥ 2 g/dL increase in Hgb from baseline for ≥ 12 weeks, for subjects with Hgb \< 10 g/dL at baseline in the parent study who were not transfusion-dependent (Cohort 1) or who were transfusion-independent (Cohort 2).
Outcome Time Frame
From baseline in the parent study until the last assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.
Outcome Measure
Anemia Response Rate
Outcome Description
The interval from the first onset of anemia response (in the parent study or Study GS-US-352-1154) to the earliest date of loss of anemia response. Loss of anemia response was defined as having any RBC transfusion after achieving an anemia response.
Duration of anemia response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.
Duration of anemia response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.
Outcome Time Frame
From baseline in the parent study until the last assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.
Outcome Measure
Duration of Anemia Response
Outcome Description
The average number of RBC units per subject month during the parent study and/or Study GS-US-352-1154.
Outcome Time Frame
From the first dose of momelotinib in the parent study until the last dose of momelotinib in Study GS-US-352-1154.
Outcome Measure
Rate of RBC Transfusion
Outcome Description
The interval from the first dose of momelotinib in the parent study until death from any cause.
Overall survival was analyzed using the Kaplan-Meier method. Data from subjects who were lost to follow-up or remained alive until the end of the study were censored at the date of last contact or last response assessment.
Overall survival was analyzed using the Kaplan-Meier method. Data from subjects who were lost to follow-up or remained alive until the end of the study were censored at the date of last contact or last response assessment.
Outcome Time Frame
From baseline in the parent study until the date of last contact or last response assessment, up to 30 days following permanent discontinuation of momelotinib.
Outcome Measure
Overall Survival
Outcome Description
The interval from the first dose of momelotinib in the parent study until the first documentation of definitive progressive disease as defined in 2006 IWG-MRT or death due to any cause.
Subjects who were free of progression were censored at the last assessment date.
Subjects who were free of progression were censored at the last assessment date.
Outcome Time Frame
From baseline in the parent study until the last response assessment, up to 30 days following permanent discontinuation of momelotinib.
Outcome Measure
Progression-Free Survival
Outcome Description
The interval from the first dose of momelotinib in the parent study until the first documented leukemic transformation or death from any cause. Leukemic transformation was documented in the adverse event electronic case report form.
Leukemia-free survival was analyzed using the Kaplan-Meier method. Subjects who were free of leukemia transformation were censored at the last assessment date.
Leukemia-free survival was analyzed using the Kaplan-Meier method. Subjects who were free of leukemia transformation were censored at the last assessment date.
Outcome Time Frame
From baseline in the parent study until the date of the last assessment, up to 30 days following permanent discontinuation of momelotinib.
Outcome Measure
Leukemia-Free Survival
Start Date
Start Date Type
Actual
Status Verified Date
First Post Date
First Post Date Type
Estimated
First Submit Date
First Submit QC Date
Std Ages
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
999
Minimum Age Number (converted to Years and rounded down)
18
Investigators
Investigator Type
Principal Investigator
Investigator Name
Mark Chaitowitz
Investigator Email
machaito@montefiore.org
Investigator Phone
Categories Mesh Debug
Blood Disorders --- HEMATOLOGIC DISEASES
Blood & Bone Marrow Cancers --- HEMATOLOGIC DISEASES
Blood & Bone Marrow Cancers --- MYELOPROLIFERATIVE DISORDERS
Blood & Bone Marrow Cancers --- BONE MARROW DISEASES
Blood & Bone Marrow Cancers --- HEMATOLOGIC NEOPLASMS
Cancer --- NEOPLASMS BY SITE
Cancer --- NEOPLASMS
Blood Disorders --- BLOOD COAGULATION DISORDERS
Blood Disorders --- BLOOD PLATELET DISORDERS
Blood & Bone Marrow Cancers --- HEMORRHAGIC DISORDERS
MeSH Terms
PRIMARY MYELOFIBROSIS
POLYCYTHEMIA VERA
THROMBOCYTHEMIA, ESSENTIAL
HEMATOLOGIC DISEASES
MYELOPROLIFERATIVE DISORDERS
BONE MARROW DISEASES
HEMIC AND LYMPHATIC DISEASES
BONE MARROW NEOPLASMS
HEMATOLOGIC NEOPLASMS
NEOPLASMS BY SITE
NEOPLASMS
BLOOD COAGULATION DISORDERS
THROMBOCYTOSIS
BLOOD PLATELET DISORDERS
HEMORRHAGIC DISORDERS
N-(CYANOMETHYL)-4-(2-((4-(4-MORPHOLINYL)PHENYL)AMINO)-4-PYRIMIDINYL)BENZAMIDE