Phase III Study of SAR302503 in Intermediate-2 and High Risk Patients With Myelofibrosis (JAKARTA)
A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled, 3-Arm Study of SAR302503 in Patients With Intermediate-2 or High-Risk Primary Myelofibrosis, Post-Polycythemia Vera Myelofibrosis, or Post-Essential Thrombocythemia Myelofibrosis With Splenomegaly
Primary Objective:
- To evaluate the efficacy of daily oral doses of 400 mg or 500 mg of SAR302503 (Investigational Medicinal Product, IMP) compared to placebo in the reduction of spleen volume as determined by magnetic resonance imaging (MRI) (or computed tomography scan in patients with contraindications for MRI).
Secondary Objectives:
- To evaluate the effect on Myelofibrosis (MF)-associated symptoms (key MF symptoms) as measured by the modified Myelofibrosis Symptom Assessment Form (MFSAF) diary.
- To evaluate the Overall Survival of patients treated with either 400 mg/day or 500 mg/day of IMP as compared to placebo.
- To evaluate the Progression Free Survival of patients treated with either 400 mg/day or 500 mg/day of IMP as compared to placebo.
- To evaluate the durability of splenic response.
- To evaluate the safety of IMP.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The expected duration of a patient's treatment in this study is approximately 8 months, based on a maximum 28-day screening period, followed by a ≥6-month (6-cycle) treatment period, and an End Of Treatment (EOT) visit, which should be performed at least 30 days following the last administration of IMP or placebo.
Patients who continue to benefit clinically will be allowed to remain on IMP or placebo beyond the 6-month treatment period until the occurrence of disease progression or unacceptable toxicity.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Box Hill, Australia, 3128
- Investigational Site Number 036001
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Herston, Australia, 4029
- Investigational Site Number 036005
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Randwick, Australia, 2031
- Investigational Site Number 036003
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Tweed Heads, Australia, 2485
- Investigational Site Number 036004
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Wodonga, Australia, 3690
- Investigational Site Number 036002
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Vienna, Austria, 1090
- Investigational Site Number 040001
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Antwerp, Belgium, 2060
- Investigational Site Number 056003
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Leuven, Belgium, 3000
- Investigational Site Number 056001
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Jaú, Brazil, 17210-120
- Investigational Site Number 076002
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Porto Alegre, Brazil, 90110-270
- Investigational Site Number 076004
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Rio de Janeiro, Brazil, 20230-130
- Investigational Site Number 076001
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Montreal, Canada, H1T 2M4
- Investigational Site Number 124001
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Montreal, Canada, H2W 1S6
- Investigational Site Number 124003
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Saint John, Canada, E2L 4L2
- Investigational Site Number 124002
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Marseille, France, 13273
- Investigational Site Number 250006
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Nantes, France, 44093
- Investigational Site Number 250005
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Nîmes, France, 30029
- Investigational Site Number 250004
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Pierre-Bénite, France, 69495
- Investigational Site Number 250002
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Poitiers, France, 86000
- Investigational Site Number 250007
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Toulouse, France, 31000
- Investigational Site Number 250003
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Villejuif, France, 94805
- Investigational Site Number 250001
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Aachen, Germany, 52074
- Investigational Site Number 276006
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Bonn, Germany, 53127
- Investigational Site Number 276007
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Dresden, Germany, 01307
- Investigational Site Number 276008
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Mannheim, Germany, 68167
- Investigational Site Number 276001
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Budapest, Hungary, 1097
- Investigational Site Number 348002
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Debrecen, Hungary, 4032
- Investigational Site Number 348001
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Győr, Hungary, 9023
- Investigational Site Number 348007
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Kecskemét, Hungary, 6000
- Investigational Site Number 348006
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Miskolc, Hungary, 3529
- Investigational Site Number 348003
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Dublin, Ireland, DUBLIN 8
- Investigational Site Number 372002
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Galway, Ireland
- Investigational Site Number 372001
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Haifa, Israel, 31048
- Investigational Site Number 376003
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Tel Litwinsky, Israel, 52621
- Investigational Site Number 376002
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Bergamo, Italy, 24127
- Investigational Site Number 380002
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Bologna, Italy, 40138
- Investigational Site Number 380007
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Florence, Italy, 50134
- Investigational Site Number 380004
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Pavia, Italy, 27100
- Investigational Site Number 380001
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Pavia, Italy, 27100
- Investigational Site Number 380006
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Varese, Italy, 21100
- Investigational Site Number 380003
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Kaunas, Lithuania, LT-50009
- Investigational Site Number 440001
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Klaipėda, Lithuania, LT-92288
- Investigational Site Number 440002
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Querétaro, Mexico, 76000
- Investigational Site Number 484001
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Brzozów, Poland, 36-200
- Investigational Site Number 616005
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Gdansk, Poland, 80-952
- Investigational Site Number 616002
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Lodz, Poland, 93-510
- Investigational Site Number 616006
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Warsaw, Poland, 02-106
- Investigational Site Number 616010
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Wroclaw, Poland, 50-367
- Investigational Site Number 616003
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Coimbra, Portugal, 3000-075
- Investigational Site Number 620005
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Lisbon, Portugal, 1169-050
- Investigational Site Number 620004
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Lisbon, Portugal, 1649-035
- Investigational Site Number 620001
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Porto, Portugal, 4200-072
- Investigational Site Number 620003
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Brasov, Romania
- Investigational Site Number 642003
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Bucharest, Romania, 022328
- Investigational Site Number 642004
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Bucharest, Romania, 030171
- Investigational Site Number 642002
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Bucharest, Romania
- Investigational Site Number 642006
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Timișoara, Romania
- Investigational Site Number 642001
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Moscow, Russia, 125167
- Investigational Site Number 643009
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Moscow, Russia, 125284
- Investigational Site Number 643001
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Nizhny Novgorod, Russia, 603126
- Investigational Site Number 643010
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Petrozavodsk, Russia, 185019
- Investigational Site Number 643008
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Saint Petersburg, Russia, 191024
- Investigational Site Number 643005
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Saint Petersburg, Russia, 197341
- Investigational Site Number 643004
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Volgograd, Russia, 400138
- Investigational Site Number 643007
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Singapore, Singapore, 119228
- Investigational Site Number 702002
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Singapore, Singapore, 169608
- Investigational Site Number 702001
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Johannesburg, South Africa, 2013
- Investigational Site Number 710003
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Parktown, South Africa, 2193
- Investigational Site Number 710002
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Bundang-Gu, South Korea, 463-707
- Investigational Site Number 410002
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Seoul, South Korea, 110-744
- Investigational Site Number 410004
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Seoul, South Korea, 120-752
- Investigational Site Number 410003
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Seoul, South Korea, 135-710
- Investigational Site Number 410001
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Seoul, South Korea, 137-701
- Investigational Site Number 410005
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Seoul, South Korea, 138-878
- Investigational Site Number 410006
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Seoul, South Korea
- Investigational Site Number 410007
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Barcelona, Spain, 08036
- Investigational Site Number 724001
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Madrid, Spain, 28046
- Investigational Site Number 724002
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Stockholm, Sweden, 14186
- Investigational Site Number 752001
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Uddevalla, Sweden, 451 80
- Investigational Site Number 752002
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Changhua, Taiwan, 500
- Investigational Site Number 158002
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Kaohsiung City, Taiwan, 833
- Investigational Site Number 158003
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Taipei, Taiwan, 112
- Investigational Site Number 158001
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Belfast, United Kingdom, BT9 7AB
- Investigational Site Number 826006
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Birmingham, United Kingdom, B9 5SS
- Investigational Site Number 826003
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Glasgow, United Kingdom, G12 0YN
- Investigational Site Number 826002
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Leeds, United Kingdom, LS9 7TF
- Investigational Site Number 826004
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London, United Kingdom, SE1 9RT
- Investigational Site Number 826001
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London, United Kingdom, W12 0HS
- Investigational Site Number 826005
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Manchester, United Kingdom, M20 4BX
- Investigational Site Number 826007
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Newcastle upon Tyne, United Kingdom, NE7 7DN
- Investigational Site Number 826008
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Oxford, United Kingdom, OX3 7LJ
- Investigational Site Number 826009
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Southampton, United Kingdom, SO16 6YD
- Investigational Site Number 826010
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Arizona
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Scottsdale, Arizona, United States, 85259-5499
- Investigational Site Number 840014
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California
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La Jolla, California, United States, 92093
- Investigational Site Number 840001
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La Jolla, California, United States, 92093
- Investigational Site Number 840012
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Los Angeles, California, United States, 90033
- Investigational Site Number 840006
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Louisiana
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Baton Rouge, Louisiana, United States, 70808
- Investigational Site Number 840013
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Minnesota
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Rochester, Minnesota, United States, 55905
- Investigational Site Number 840008
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New Jersey
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Newark, New Jersey, United States, 07112
- Investigational Site Number 840009
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Ohio
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Canton, Ohio, United States, 44718
- Investigational Site Number 840002
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Texas
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Houston, Texas, United States, 77030
- Investigational Site Number 840004
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria:
- Diagnosis of Primary Myelofibrosis (MF) or Post-Polycythemia Vera MF or Post-Essential Thrombocythemia MF, according to the 2008 World Health Organization and International Working Group of Myelofibrosis Research and Treatment (IWG-MRT) criteria.
- MF classified as high-risk or intermediate-risk level 2, as defined by modified IWG-MRT criteria (IPSS) (according to Cervantes F. et. al.; at screening).
- Enlarged spleen, palpable at least 5 cm below costal margin.
- At least 18 years of age.
- Eastern Cooperative Oncology Group performance status of 0, 1, or 2 at study entry.
- The following laboratory values within 14 days prior to the initiation of IMP or placebo:
- Absolute Neutrophil Count (ANC) ≥1.0 x 10exp9/L
- Platelet count ≥50 x 10exp9/L
- Serum creatinine ≤1.5 x Upper Limit of Normal (ULN)
- Serum amylase and lipase ≤1.5 x ULN
Exclusion criteria:
- Splenectomy.
- Any chemotherapy (eg, hydroxyurea), immunomodulatory drug therapy (eg, thalidomide, interferon-alpha), Anagrelide, immunosuppressive therapy, corticosteroids >10 mg/day prednisone or equivalent, or growth factor treatment (eg, erythropoietin), or hormones (eg, androgens, danazol) within 14 days prior to initiation of IMP or placebo; darbepoetin use within 28 days prior to initiation of IMP or placebo. Patients who have had exposure to hydroxyurea (eg, hydrea) in the past may be enrolled into the study as long as it has not been administered within 14 days prior to initiation of IMP or placebo.
- Major surgery within 28 days or radiation within 6 months prior to initiation of IMP or placebo.
- Prior treatment with a Janus Kinase 2 (JAK2) inhibitor.
- Known active (acute or chronic) Hepatitis A, B, or C; and hepatitis B and C carriers
- AST or ALT ≥2.5 x ULN
- Total Bilirubin:
- Exclude if ≥3.0 x ULN
- Patients with total bilirubin between 1.5-3.0 x ULN must be excluded if the direct bilirubin fraction is ≥25% of the total
- Prior history of chronic liver disease (eg, chronic alcoholic liver disease, autoimmune hepatitis, sclerosing cholangitis, primary biliary cirrhosis, hemachromatosis, non-alcoholic steatohepatitis [NASH])
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: Placebo comparator
once daily X 28 days, orally, empty stomach, approximately same time each day
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Pharmaceutical form:capsule Route of administration: oral |
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Experimental: SAR302503 400 mg
once daily X 28 days, orally, empty stomach, approximately same time each day
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Pharmaceutical form:capsule Route of administration: oral |
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Experimental: SAR302503 500 mg
once daily X 28 days, orally, empty stomach, approximately same time each day
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Pharmaceutical form:capsule Route of administration: oral |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Response Rate (RR): Percentage of Participants Who Had a >=35% Reduction From Baseline in Volume of Spleen Size at The End Cycle 6
Time Frame: Baseline, Week 24
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Spleen volume was determined by magnetic resonance imaging (MRI) (or computed tomography scan in participants with contraindications for MRI) at baseline and at the end of cycle 6 with a confirmatory scan approximately 4 weeks after the end of Cycle 6.
The MRI or CT imaging results reviewed in a blinded manner by an Independent Review Committee (IRC).
Analysis was performed on intent-to-treat (ITT) population defined as all randomized participants who signed informed consent form (ICF).
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Baseline, Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Symptom Response Rate (SRR): Percentage of Participants With >=50% Reduction From Baseline in the Total Symptom Score at End of Cycle 6
Time Frame: Baseline, Week 24
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Total symptom score is the averaged value of the daily scores for each of 6 key Myelofibrosis (MF) associated Symptom items (night sweats, pruritus, abdominal discomfort, early satiety [filling up quickly when you eat], pain under ribs on left side, and bone or muscle pain), each item measured on a scale from 0 (absent) to 10 (worst imaginable).
A higher score indicates worse symptoms.
Analysis was performed on ITT population.
Number of participants analysed= participants with available data at end of cycle 6.
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Baseline, Week 24
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Percentage of Participants Who Had >=25% Reduction From Baseline in Volume of Spleen Size at End of Cycle 6
Time Frame: Baseline, Week 24
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Spleen volume was determined by magnetic resonance imaging (MRI) (or computed tomography scan in subjects with contraindications for MRI) at baseline and at the end of cycle 6 with a confirmatory scan approximately 4 weeks after the end of Cycle 6. Analysis was performed on ITT population.
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Baseline, Week 24
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Sciences & Operations, Sanofi
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- EFC12153
- 2011-001897-25 (EudraCT Number)
- U1111-1121-7170 (Other Identifier: UTN)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.