Estudio de DISC-0974 en participantes con mielofibrosis y anemia
Un estudio abierto de fase 1b/2a para evaluar la seguridad, la tolerabilidad, la farmacocinética y la farmacodinámica de DISC-0974 en participantes con mielofibrosis y anemia
This phase 1b/2a open-label study will evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and clinical activity of DISC-0974 as well as categorize the effects on hematologic response in participants with myelofibrosis or myelodysplastic syndrome and anemia.
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Tipo de estudio
Tipo de estudio
Inscripción (Estimado)
Inscripción
Fase
Fase
- Fase 2
- Fase 1
Contactos y Ubicaciones
Estudio Contacto
Estudio Contacto
- Nombre: Disc Medicine Clinical Trials
- Número de teléfono: (617) 674 9274
- Correo electrónico: clinicaltrials@discmedicine.com
Ubicaciones de estudio
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Nedlands, Australia, 6009
- Reclutamiento
- Linear Clinical Research
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Contacto:
- Vanessa Pang
- Correo electrónico: vpang@linear.org.au
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Contacto:
- Carla Bertone
- Correo electrónico: cbertone@linear.org.au
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Investigador principal:
- Xuan Tan, MD
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Saint Albans, Australia, 3021
- Reclutamiento
- Western Health
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Contacto:
- Maria Hadfield
- Número de teléfono: 61383959168
- Correo electrónico: maria.hafield@wh.org.au
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Contacto:
- Angela Baugh
- Número de teléfono: 61383959168
- Correo electrónico: angela.baugh@wh.org.au
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Investigador principal:
- William Renwick, MBBS
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Sydney, Australia, 2010
- Reclutamiento
- St. Vincent's Hospital
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Contacto:
- Joshua Neish
- Número de teléfono: 61403987403
- Correo electrónico: joshua.neish@svha.org.au
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Contacto:
- Alyssa Pantalone
- Correo electrónico: alyssa.pantalone@svha.org.au
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Investigador principal:
- Samuel Milliken, MRCP, FRCPath
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West Perth, Australia, 6005
- Reclutamiento
- Perth Blood Institute
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Contacto:
- Jarod Horobin
- Número de teléfono: 61892005300
- Correo electrónico: jarod@pbi.org.au
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Investigador principal:
- Ross Baker, MBBS, BMedSc, FRACP, FACP
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Arizona
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Gilbert, Arizona, Estados Unidos, 85234
- Reclutamiento
- Banner MD Anderson
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Contacto:
- Stephanie Kimmel
- Número de teléfono: 4802565463
- Correo electrónico: stephanie.kimmel@bannerhealth.org
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Investigador principal:
- Mark Faber, DO
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California
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Duarte, California, Estados Unidos, 91010
- Reclutamiento
- City of Hope - Duarte
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Contacto:
- Samantha Humpal
- Correo electrónico: shumpal@coh.org
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Contacto:
- Shama Hussain
- Correo electrónico: shhussain@coh.org
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Investigador principal:
- Idoroenyi Amanam, MD
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Irvine, California, Estados Unidos, 92618
- Reclutamiento
- City of Hope - Lennar
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Investigador principal:
- Idoroenyi Amanam, MD
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Contacto:
- Grace Bae
- Correo electrónico: gbae@coh.org
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Contacto:
- Dina Hassan
- Correo electrónico: dhassan@coh.org
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Los Angeles, California, Estados Unidos, 90095
- Reclutamiento
- UCLA
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Investigador principal:
- Wanxing Chai-Ho, MD
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Contacto:
- Bruce Habtemariam
- Número de teléfono: 3107940242
- Correo electrónico: bhabtemariam@mednet.ucla.edu
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Contacto:
- Marisa Koda
- Número de teléfono: 3107940242
- Correo electrónico: mkoda@mednet.ucla.edu
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San Francisco, California, Estados Unidos, 94143
- Reclutamiento
- University of California, San Francisco
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Investigador principal:
- Jerry Lee, MD, MS
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Contacto:
- Raisa Syed
- Correo electrónico: raisa.syed@ucsf.edu
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Contacto:
- Eli Vasen
- Correo electrónico: eli.vasen@ucsf.edu
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Colorado
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Aurora, Colorado, Estados Unidos, 80045
- Reclutamiento
- University of Colorado Anschutz Medical Campus
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Contacto:
- Jasmine Cousins
- Número de teléfono: 3037244741
- Correo electrónico: jasmine.cousins@cuanschutz.edu
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Investigador principal:
- Brandon McMahon, MD
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Florida
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Jacksonville, Florida, Estados Unidos, 32224
- Reclutamiento
- Mayo Clinic Jacksonville
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Investigador principal:
- James Foran, MD
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Contacto:
- Latesha Jones
- Número de teléfono: 904 953 4564
- Correo electrónico: jones.latesha@mayo.edu
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Miami, Florida, Estados Unidos, 33136
- Reclutamiento
- Sylvester Cancer Center - U Miami
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Contacto:
- Jennifer Posada
- Correo electrónico: jxp2320@med.miami.edu
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Contacto:
- Israel Zagales
- Correo electrónico: israelz@med.miami.edu
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Investigador principal:
- Sangeetha Venugopal, MD, MS
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Tampa, Florida, Estados Unidos, 33612
- Reclutamiento
- Moffitt Cancer Center
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Investigador principal:
- Andrew Kuykendall, MD
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Contacto:
- Paul Ciero
- Correo electrónico: paul.ciero@moffitt.org
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Georgia
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Atlanta, Georgia, Estados Unidos, 30322
- Reclutamiento
- Emory Winship Cancer Institute
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Investigador principal:
- Anthony Hunter, MD
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Contacto:
- Karin Chappelle
- Correo electrónico: karin.chappelle@emory.edu
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Contacto:
- Danielle Oliver
- Correo electrónico: danielle.oliver@emory.edu
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Illinois
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Rolling Meadows, Illinois, Estados Unidos, 60008
- Reclutamiento
- Northwest Oncology
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Investigador principal:
- Bruce Bank, MD
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Contacto:
- Nowsheen Azeemuddin
- Correo electrónico: nowsheena@northwestoncology.com
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Iowa
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Iowa City, Iowa, Estados Unidos, 52242
- Reclutamiento
- University of Iowa
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Contacto:
- Erin Jacobsen
- Número de teléfono: 319-467-5829
- Correo electrónico: erin-frimml@uiowa.edu
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Investigador principal:
- Meredith Schaffner, DO
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Michigan
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Ann Arbor, Michigan, Estados Unidos, 48109
- Reclutamiento
- University of Michigan
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Contacto:
- Linda Kemp
- Número de teléfono: 734-232-4312
- Correo electrónico: lfarhat@med.umich.edu
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Investigador principal:
- Moshe Talpaz, MD
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Minnesota
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Rochester, Minnesota, Estados Unidos, 55905
- Reclutamiento
- Mayo Clinic Rochester
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Investigador principal:
- Naseema Gangat, MBBS
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Contacto:
- Chandra Hutchens
- Correo electrónico: hutchens.chandra@mayo.edu
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Missouri
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St Louis, Missouri, Estados Unidos, 63110
- Reclutamiento
- Washington University St.Louis
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Contacto:
- Nicole Gaudin
- Correo electrónico: nrgaudin@wustl.edu
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Investigador principal:
- Amy Zhou, MD
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New Jersey
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East Brunswick, New Jersey, Estados Unidos, 08816
- Reclutamiento
- START New Jersey
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Investigador principal:
- Bruno Fang, MD
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Contacto:
- Nimisha Pant
- Correo electrónico: Nimisha.Pant@startresearch.com
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New York
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New York, New York, Estados Unidos, 10029
- Reclutamiento
- Icahn School of Medicine at Mount Sinai
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Investigador principal:
- John Mascarenhas, MD
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Contacto:
- MPD Research Team at Mount Sinai
- Número de teléfono: 212-241-3417
- Correo electrónico: ResearchMPD@mssm.edu
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Contacto:
- Gabriela Bello
- Correo electrónico: gabriela.bello@mssm.edu
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New York, New York, Estados Unidos, 10021
- Reclutamiento
- Memorial Sloan Kettering Cancer Center
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Investigador principal:
- Prioty Islam, MD, MSc
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Contacto:
- Samantha Mcfadden
- Número de teléfono: 612-360-1081
- Correo electrónico: macfads@mskcc.org
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Contacto:
- Naa-Akomaah Yeboah
- Número de teléfono: 612-360-1081
- Correo electrónico: yeboahn1@mskcc.org
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New York, New York, Estados Unidos, 10467
- Reclutamiento
- Montefiore
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Investigador principal:
- Swati Goel, MD
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Contacto:
- Joty Rashid
- Número de teléfono: 7189206310
- Correo electrónico: jorashid@montefiore.org
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Contacto:
- Olivia Orellano
- Número de teléfono: 718-920-6310
- Correo electrónico: oorellano@montefiore.org
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North Carolina
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Winston-Salem, North Carolina, Estados Unidos, 27157
- Reclutamiento
- Atrium Health Wake Forest Baptist
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Contacto:
- Libyadda Mosley
- Correo electrónico: limosley@wakehealth.edu
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Investigador principal:
- Anne Wofford, MD
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Ohio
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Canton, Ohio, Estados Unidos, 44718
- Terminado
- Gabrail Cancer Center Research
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Cleveland, Ohio, Estados Unidos, 44195
- Reclutamiento
- Cleveland Clinic
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Investigador principal:
- Aaron Gerds, MD
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Contacto:
- Sharon Sanders
- Número de teléfono: 216 448-4478
- Correo electrónico: sanders2@ccf.org
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Contacto:
- Sunny Dickerson
- Correo electrónico: dickers3@ccf.org
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Columbus, Ohio, Estados Unidos, 43201
- Reclutamiento
- The Ohio State University
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Investigador principal:
- Shivani Handa, MD
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Contacto:
- Tyler Srail
- Número de teléfono: 6143660233
- Correo electrónico: tyler.srail@osumc.edu
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Contacto:
- Kristen Browning
- Número de teléfono: 6143660233
- Correo electrónico: kristen.browning@osumc.edu
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Maumee, Ohio, Estados Unidos, 43537
- Reclutamiento
- Taylor Cancer Research Center
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Investigador principal:
- John Nemunaitis, MD
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Contacto:
- Nadine Nemunaitis
- Número de teléfono: 567-402-4501
- Correo electrónico: NNEMUNAITIS@TCRCPT.ORG
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Contacto:
- Jennifer Martinez
- Correo electrónico: JMARTINEZ@TCRCPT.ORG
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Oregon
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Portland, Oregon, Estados Unidos, 97239
- Reclutamiento
- Oregon Health and Science University
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Contacto:
- Keshara Bandara
- Correo electrónico: bandara@ohsu.edu
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Investigador principal:
- Ronan Swords, MD, PhD
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Pennsylvania
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Gettysburg, Pennsylvania, Estados Unidos, 17325
- Retirado
- Sargon Research - Pennsylvania Cancer Specialists and Research Center
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Philadelphia, Pennsylvania, Estados Unidos, 19104
- Reclutamiento
- University of Pennsylvania
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Investigador principal:
- Elizabeth Hexner, MD
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Contacto:
- Thomas Greenwood
- Número de teléfono: 267-854-6712
- Correo electrónico: thomas.greenwood@pennmedicine.upenn.edu
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Texas
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Houston, Texas, Estados Unidos, 77030
- Reclutamiento
- MD Anderson
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Investigador principal:
- Prithviraj Bose, MD
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Contacto:
- Kurt Schreoder
- Número de teléfono: 346 725 5139
- Correo electrónico: kdschroe@mdanderson.org
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Temple, Texas, Estados Unidos, 76508
- Reclutamiento
- Baylor Scott & White
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Contacto:
- Lorie Fares
- Número de teléfono: 254-724-1291
- Correo electrónico: lorie.fares@bswhealth.org
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Contacto:
- Mary Watson
- Número de teléfono: 254-724-1291
- Correo electrónico: maryfrances.watson@bswhealth.org
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Investigador principal:
- Shane Ahlers, MD
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Washington
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Seattle, Washington, Estados Unidos, 98109
- Reclutamiento
- University of Washington
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Investigador principal:
- Anna Halpern, MD
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Contacto:
- Cassidy McCarthy
- Número de teléfono: 206 602 1172
- Correo electrónico: cmcca140@fredhutch.org
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Wisconsin
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Milwaukee, Wisconsin, Estados Unidos, 53226
- Reclutamiento
- Medical College of Wisconsin
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Investigador principal:
- Laura Michaelis, MD
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Contacto:
- Kristin Komnick
- Número de teléfono: 414-805-5276
- Correo electrónico: kkomnick@mcw.edu
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria for Participants with MF and Anemia:
Participants are eligible for the study if all of the following criteria apply:
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Age 18 years or older at the time of signing the informed consent form (ICF).
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For Phase 1b: Dynamic International Prognostic Scoring System (DIPSS) score of 3 to 4 (intermediate 2 risk) or ≥5 (high-risk) primary MF, post PV MF, and/or post ET MF, as confirmed in the most recent local bone marrow biopsy report, according to World Health Organization (WHO) 2016 criteria.
For Phase 2: In addition to the criteria above, DIPSS score of ≥2 (intermediate 1 risk) may also be included.
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Washout of at least 28 days prior to Screening of the following treatments:
- Androgens
- EPO
- Cladribine
- Immunomodulators (lenalidomide, thalidomide)
- Luspatercept/sotatercept
- Systemic corticosteroids are permitted for non-hematological conditions if stable or decreasing dose for ≥28 days prior to Screening and receiving an equivalent to ≤10 mg prednisone for the 28 days immediately prior to Screening.
Screening can begin before the 28 day washout is completed, but the washout period must be completed prior to collection of Screening blood samples.
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Anemia:
For Phase 1b: Hgb <10 g/dL on ≥3 assessments over 84 days prior to Screening, without RBC transfusion, or Hgb <10 g/dL and receiving RBC transfusions periodically but not meeting criteria for TD participant as defined for the TD cohort. The baseline Hgb value for these participants is the lowest Hgb level during the 84 days prior to Screening, or RBC transfusion dependence, defined as an RBC transfusion frequency of ≥6 units PRBC over the 84 days immediately prior to Screening. There must not be any consecutive 42-day period without an RBC transfusion in the 84-day period, and the last transfusion must be within 28 days prior to Screening.
For Phase 2:
TD high transfusion burden cohort: RBC transfusion dependence, defined as an RBC transfusion requirement of 3 to 12 PRBC units over the 84 days immediately prior to Screening TD low transfusion burden cohort: RBC transfusion dependence, defined as an RBC transfusion requirement of 1 to 2 PRBC units over the 84 days immediately prior to Screening nTD Cohort: Non-transfusion dependence, baseline Hgb <10 g/dL as defined on ≥3 assessments over 84 days prior to Screening, without RBC transfusion
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Stable dosing of MF-directed therapy:
- Hydroxyurea, or, if taking any other treatment for MF, stable for at least 28 days prior to Screening.
- Interferon alpha stable dosing for at least 12 weeks prior to Screening.
- JAK inhibitors require 12 weeks of stable dosing prior to Screening. For the TD high, TD low, and nTD cohorts, JAK inhibitors allowed include momelotinib, pacritinib, fedratinib, and ruxolitinib.
- If the participant discontinues JAK inhibitor (including momelotinib/pacritinib/ruxolitinib/fedratinib) and/or hydroxyurea prior to Screening, a 60-day washout period is required.
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Eastern Cooperative Oncology Group (ECOG) performance score ≤2.
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Infusion of hematopoietic stem cell transplant not anticipated within 8 months after Screening.
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TSAT <75% (local lab acceptable) at or within 2 weeks of Screening.
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Liver iron concentration by MRI <7 mg/g dry weight within 3 months of eligibility confirmation by central review. Required for TD high participants only.
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Serum ferritin ≥50 µg/L at Screening.
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Platelet count ≥25,000/µL and <1,000,000/µL; neutrophils ≥1,000/µL; and total white blood cell (WBC) count <50,000/µL at Screening.
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Estimated glomerular filtration rate (eGFR) ≥30 mL/min/1.73 m2 by the Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) formula.
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Aspartate aminotransferase (AST) and ALT <3.0x upper limit of normal (ULN) at Screening.
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Direct bilirubin <2x ULN at Screening. Higher levels are acceptable if these can be attributed by the Investigator to ineffective erythropoiesis or Gilbert's syndrome, with approval from Sponsor.
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If male with female sexual partner(s) of childbearing potential, agrees to use 1 of the following highly effective methods of contraception during the study and for at least 8 weeks after the last study drug dose:
- Stable hormonal contraceptive (≥3 months; female partner)
- Intrauterine device in place for at least 3 months (female partner)
- Surgically sterile hysterectomy, bilateral oophorectomy, or bilateral tubal ligation (female partner)
- Confirmed successful vasectomy
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If female, then EITHER postmenopausal (defined as 12 months of spontaneous amenorrhea, 6 months of spontaneous amenorrhea with serum follicle-stimulating hormone (FSH) levels >40 mIU/ml, or 6 weeks postsurgical bilateral oophorectomy with or without hysterectomy), surgically sterile, OR agreeable to use 1 of the following highly effective contraception methods (listed below) on Day 1 (or earlier) and for at least 8 weeks after the last dose of study drug:
- Stable hormonal contraceptive (≥3 months)
- Intrauterine device in place for at least 3 months
- Tubal ligation or single male partner with vasectomy
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Negative urine pregnancy test (females of childbearing potential) at Screening (Days 28 to 2).
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Able to understand the study aims, procedures, and requirements, and provide written informed consent.
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Able to comply with all study procedures.
Inclusion Criteria for Exploratory Cohort of Participants with MDS and Anemia:
Participants are eligible for the MDS exploratory cohort if all of the following criteria apply:
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Age 18 years or older at the time of signing the ICF.
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Molecular International Prognostic Scoring System (IPSS-M) classification of very low, low, or intermediate (ie, lower risk) MDS-ringed sideroblasts (RS) negative, MDS/MPN with ringed sideroblasts and thrombocytosis (RS-T), Chronic Myelomonocytic Leukemia (CMML), Atypical Chronic Myeloid Leukemia (aCML), or Myelodysplastic/Myeloproliferative Neoplasms, Unclassifiable (MDS/MPN-U) as confirmed in the most recent local bone marrow biopsy report according to WHO criteria.
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Washout of at least 28 days is required for prior anemia/neutropenia-directed therapies, including:
- Androgens
- EPO-stimulating agents
- Luspatercept
- Sotatercept (ACE-011)
- Imetelstat
- Granulocyte colony-stimulating factor (G CSF) OR granulocyte-macrophage CSF (GM CSF).
- Systemic corticosteroids (except for participants on a stable or decreasing dose for ≥28 days prior to randomization for non-hematological conditions and receiving an equivalent to ≤10 mg prednisone for the 28 days immediately prior to Screening) Screening can begin before the 28-day washout is completed, but the washout period must be completed prior to collection of Screening blood samples.
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Anemia:
- Baseline Hgb of <10 g/dL on ≥3 assessments over 84 days prior to Screening, without RBC transfusion, or Hgb <10 g/dL and receiving RBC transfusions periodically during the 84 days prior to Screening
- Medical history of ≤24 units of PRBC for MDS and anemia
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ECOG performance score ≤2
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Infusion of hematopoietic stem cell transplant not anticipated within 8 months after Screening
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TSAT <75% (local lab acceptable) at or within 2 weeks of Screening
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Liver iron concentration by MRI <7 mg/g dry weight within 3 months of eligibility confirmation by central review
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Serum ferritin ≥50 μg/L at Screening
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Platelet count ≥25,000/μL and <1,000,000/μL, and total WBC count <50,000/μL at Screening or otherwise approved by Sponsor.
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eGFR ≥30 mL/min/1.73 m2 by the CKD-EPI formula
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AST and ALT <3x ULN at Screening
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Direct bilirubin <2x ULN at Screening. Higher levels are acceptable if these can be attributed by the Investigator to ineffective erythropoiesis.
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If male with female sexual partner(s) of childbearing potential, agrees to use 1 of the following highly effective methods of contraception during the study and for at least 8 weeks after the last study drug dose:
- Stable hormonal contraceptive (≥3 months; female partner)
- Intrauterine device in place for at least 3 months (female partner)
- Surgically sterile hysterectomy, bilateral oophorectomy, or bilateral tubal ligation (female partner)
- Confirmed successful vasectomy
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If female, then EITHER postmenopausal (defined as 12 months of spontaneous amenorrhea, 6 months of spontaneous amenorrhea with serum FSH levels >40 mIU/ml, or 6 weeks postsurgical bilateral oophorectomy with or without hysterectomy), surgically sterile, OR agreeable to use 1 of the following highly effective contraception methods (listed below) on Day 1 (or earlier) and for at least 8 weeks after the last dose of study drug:
- Stable hormonal contraceptive (≥3 months)
- Intrauterine device in place for at least 3 months
- Tubal ligation or single male partner with vasectomy
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Negative urine pregnancy test (females of childbearing potential) at Screening (Days 28 to 2).
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Able to understand the study aims, procedures, and requirements, and provide written informed consent.
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Able to comply with all study procedures.
Exclusion Criteria for Participants with MF and Anemia:
Participants are excluded from the study if any of the following criteria apply:
Medical History, Participants with MF and Anemia
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Hereditary hemochromatosis
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Hemoglobinopathy or intrinsic RBC defect associated with anemia
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Total splenectomy
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Hematopoietic cell transplant within the past 2 years, or graft vs host disease requiring immunosuppression
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Current anemia from iron deficiency, vitamin B12 or folate deficiency, infection, or bleeding
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Active immune-mediated hemolytic anemia
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Symptomatic bleeding, unrelated to surgery, in a critical area or organ and/or bleeding causing a decrease in Hgb of ≥2 g/dL or leading to transfusion of ≥2 units of RBCs in the 6 months prior to Screening
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Major surgery within 8 weeks prior to Screening or incomplete recovery from any previous surgery
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Malignancy within the past 3 years, other than primary MF, post ET, or post PV MF. The following history or concurrent conditions are allowed:
- basal or squamous cell carcinoma of the skin
- carcinoma in situ of the cervix or the breast
- histologic finding of prostate cancer (T1a or T1b using the tumor, nodes, metastasis [TNM] clinical staging system) A history of completed treatment (medical or surgical) of stage 1-2 cancers may be permitted with prior Sponsor agreement
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Stroke, deep vein thrombosis, or pulmonary or arterial embolism within 3 months prior to Screening
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Known allergic reaction to any study drug excipient
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A history of anti-drug antibody formation
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Inadequately controlled heart disease (New York Heart Association Classification 3 or 4) and/or known to have left ventricular ejection fraction <35%
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Hepatitis B or C, or human immunodeficiency virus (HIV) with detectable viral load
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Uncontrolled fungal, bacterial, or viral infection (ongoing signs/symptoms related to the infection, without improvement despite appropriate treatment)
Treatment History, Participants with MF and Anemia
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Iron chelation therapy in the 28 days prior to Screening
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Change in anticoagulant therapy regimen within 8 weeks prior to Screening
Laboratory Exclusions, Participants with MF and Anemia
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Peripheral blood myeloblasts ≥10% of WBC differential at most recent evaluation prior to Screening
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Positive direct antiglobulin test in conjunction with a reactive RBC eluate at Screening
Miscellaneous, Participants with MF and Anemia
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Pregnant or lactating
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Condition or concomitant medication that would confound the ability to interpret study data
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Other medical or psychiatric condition or laboratory finding not specifically noted above that, in the judgment of the Investigator or Sponsor, would put the participant at unacceptable risk or otherwise preclude the participant from participating in the study
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Participation in any other clinical protocol or investigational study that involves administration of experimental therapy and/or therapeutic devices within 30 days prior to Screening
Exclusion Criteria for Exploratory Cohort of Participants with MDS and Anemia:
Participants are excluded from the MDS exploratory cohort if any of the following criteria apply:
Medical History, Participants with MDS and Anemia
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Secondary MDS, ie, MDS that is known to have arisen as the result of chemical injury or treatment with chemotherapy and/or radiation from other diseases
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Peripheral blasts ≥5%
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Current treatment with hypomethylating agent or other acute myeloid leukemia (AML)-like combination chemotherapy or planned use within 6 months after Screening
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Prior treatment with >3 anemia-directed therapies (unless otherwise approved by Sponsor) including:
- Luspatercept
- Sotatercept (ACE-011)
- EPO-stimulating agent
- Imetelstat
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Hereditary hemochromatosis
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Hemoglobinopathy or intrinsic RBC defect associated with anemia
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Total splenectomy
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Hematopoietic cell transplant within the past 10 years
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Current anemia from iron deficiency, vitamin B12 or folate deficiency, infection, or bleeding
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Active immune-mediated hemolytic anemia
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Symptomatic bleeding, unrelated to surgery, in a critical area or organ and/or bleeding causing a decrease in Hgb of ≥2 g/dL or leading to transfusion of ≥2 units of RBCs in the 6 months prior to Screening
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Major surgery within 8 weeks prior to Screening or incomplete recovery from any previous surgery
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Malignancy within the past 3 years, other than MDS or MDS/MPN without excess blasts. The following history or concurrent conditions are allowed:
- Basal or squamous cell carcinoma of the skin
- Carcinoma in situ of the cervix or the breast
- Histologic finding of prostate cancer (T1a or T1b using the TNM clinical staging system) A history of completed treatment (medical or surgical) of stage 1-2 cancers may be permitted with prior Sponsor agreement
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Stroke, deep vein thrombosis, or pulmonary or arterial embolism within 6 months prior to Screening
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Known allergic reaction to any study drug excipient
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A history of antidrug antibody formation
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Inadequately controlled heart disease (New York Heart Association Classification 3 or 4) and/or known to have left ventricular ejection fraction <35%
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Active hepatitis B or C, or HIV with detectable viral load
-
Uncontrolled fungal, bacterial, or viral infection (ongoing signs/symptoms related to the infection, without improvement despite appropriate treatment)
Treatment History, Participants with MDS and Anemia
-
Iron chelation therapy in the 28 days prior to Screening
-
Change in anticoagulant therapy regimen within 8 weeks prior to Screening
Laboratory Exclusions, Participants with MDS and Anemia
-
Positive direct antiglobulin test in conjunction with a reactive RBC eluate at Screening
Miscellaneous, Participants with MDS and Anemia
-
Pregnant or lactating
-
Condition or concomitant medication that would confound the ability to interpret study data
-
Other medical or psychiatric condition or laboratory finding not specifically noted above that, in the judgment of the Investigator or Sponsor, would put the participant at unacceptable risk or otherwise preclude the participant from participating in the study
-
Participation in any other clinical protocol or investigational study that involves administration of experimental therapy and/or therapeutic devices within 30 days prior to Screening
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación Secuencial
- Enmascaramiento: Ninguno (etiqueta abierta)
Número de brazos
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
|---|---|
|
Experimental: Phase 1b: Dose Escalation
In the Phase 1b (dose-escalation) portion of the study, DISC-0974 will be administered subcutaneously every 4 weeks. |
DISC-0974 is administered subcutaneously. |
|
Experimental: Phase 2: Expansion
In the Phase 2 (expansion) portion of the study, DISC-0974 will be administered subcutaneously every 4 weeks. |
DISC-0974 is administered subcutaneously. |
¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Safety and Tolerability of DISC-0974 (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by treatment-emergent adverse events |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by vital signs through blood pressure (mmHg), heart rate (bpm), respiration rate (breaths/min), and temperature (°C) |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by physical examinations |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by electrocardiogram (ECG) parameters: heart rate, PR interval, QRS duration, QRS axis, QT interval, and QTcF interval) |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 assessed through blood testing (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
The blood testing will include a hematology panel, blood chemistry panel, serology/virology panel, biomarker assessments, PK assessments, and Anti-Drug Antibodies |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 assessed through urine testing (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
The urine testing will include a urinalysis |
From Day 1 to the end of treatment on Day 169
|
|
Transfusion-dependent (TD) high cohort: transfusion independence (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Defined as the absence of packed red blood cell (PRBC) transfusions over any rolling 12-week interval during the treatment period with a minimum hemoglobin (Hgb) of 7 g/dL. Participants meeting this criterion will be considered to have a major response to treatment. |
From Day 1 to the end of treatment on Day 169
|
|
TD low cohort: transfusion independence (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Defined as the absence of PRBC transfusions over any rolling 16-week interval during the treatment period with a minimum Hgb of 7 g/dL. Participants meeting this criterion will be considered to have a major response to treatment. |
From Day 1 to the end of treatment on Day 169
|
|
Non-transfusion-dependent (nTD) cohort: anemia response (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Defined as the composite of the absence of transfusions over any rolling 12-week period and a concomitant mean Hgb increase of ≥1.5 g/dL over baseline. Participants meeting this criterion will be considered to have a major response to treatment. |
From Day 1 to the end of treatment on Day 169
|
Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
TD high and TD low participants will be evaluated for absence of PRBC transfusions for any rolling 12-week interval during the treatment period (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
TD high participants will be evaluated for absence of PRBC transfusions with minimum Hgb of 7 g/dL during any rolling 12-week interval during the treatment period (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
TD low participants will be evaluated for absence of PRBC transfusions with minimum Hgb of 7 g/dL during any rolling 16-week interval during the treatment period (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
nTD participants will be evaluated for ≥1.5 g/dL increase from baseline Hgb levels during the treatment period (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
nTD participants will be evaluated for the composite of the absence of transfusions over any rolling 12-week period and a concomitant mean Hgb increase of ≥1.5 g/dL over baseline (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Incidence of clinically abnormal vital signs following repeated DISC-0974 SC doses in participants with myelodysplastic syndrome (MDS) or MDS/myeloproliferative neoplasm (MPN) without excess blasts and anemia (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Incidence of clinically abnormal physical exam following repeated DISC-0974 SC doses in participants with myelodysplastic syndrome (MDS) or MDS/myeloproliferative neoplasm (MPN) without excess blasts and anemia (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Incidence of clinically abnormal electrocardiograms (ECGs) following repeated DISC-0974 SC doses in participants with myelodysplastic syndrome (MDS) or MDS/myeloproliferative neoplasm (MPN) without excess blasts and anemia (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Incidence of abnormal laboratory test results following repeated DISC-0974 SC doses in participants with myelodysplastic syndrome (MDS) or MDS/myeloproliferative neoplasm (MPN) without excess blasts and anemia (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
PD markers of mechanism engagement, including exploratory cohorts assessed through serum iron levels (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
PD markers of mechanism engagement, including exploratory cohorts assessed through TSAT levels (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
PD markers of mechanism engagement, including exploratory cohorts assessed through Ferritin levels (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
PD markers of mechanism engagement, including exploratory cohorts assessed through Transferrin levels (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
PD markers of mechanism engagement, including exploratory cohorts assessed through Serum-hepcidin-25 levels (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Hematologic Parameters assessed through Reticulocyte count (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Hematologic Parameters assessed through Hemoglobin levels (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Hematologic Parameters assessed through Reticulocyte Hemoglobin (CHr) (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Hematologic Parameters assessed through Red Blood Cell Count (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Rate of RBC transfusions per participant month during the treatment period for each cohort (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
The number of units of RBC transfusions per participant month during the treatment period for each cohort (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
nTD participants will be evaluated for longest duration of mean Hgb increase of ≥1.5 g/dL from baseline during the treatment period (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Mean change in Hgb over 12-week treatment periods will be evaluated for all cohorts (nTD, TD low, and TD high) (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Maximum duration of RBC-transfusion-independent response for TD participants (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Proportion of participants that require dose escalation in each cohort (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Proportion of participants that improve Functional Assessment of Cancer Therapy-Anemia (FACT-An) subscale by at least 3 points in each cohort during the treatment period (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Mean hemoglobin increase of ≥1.5 g/dL over any rolling 12-week interval and an increase in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue of 3 points by the end of study (EOS) for nTD participants (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
TD high cohort will be evaluated for absence of packed red blood cell (PRBC) transfusions a terminal 12-week interval during the treatment period with a minimum hemoglobin (Hgb) of 7 g/dL (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
TD low cohort: will be evaluated for the absence of PRBC transfusions a terminal 16-week interval during the treatment period with a minimum Hgb of 7 g/dL (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
From Day 1 to the end of treatment on Day 169
|
|
|
Anemia response defined per IWG-MRT 2006 criteria (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Response in nTD participants is defined as ≥2.0 g/dL increase from baseline in Hgb levels. Response in TD participants requires absence of PRBC transfusions during any rolling 12-week period during the treatment period, capped by an Hgb level of ≥8.5 g/dL. |
From Day 1 to the end of treatment on Day 169
|
|
Incidence of TEAEs following repeated DISC-0974 SC doses in participants with myelodysplastic syndrome (MDS) or MDS/myeloproliferative neoplasm (MPN) without excess blasts (collectively referred to as MDS) and anemia (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Proportion of participants with treatment-emergent adverse events |
From Day 1 to the end of treatment on Day 169
|
|
Pharmacokinetic data of DISC-0974 following repeated SC doses in participants with myelodysplastic syndrome (MDS) or MDS/myeloproliferative neoplasm (MPN) without excess blasts and anemia (Phase 1b only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Pharmacokinetic parameters include DISC-0974 pre-dose concentrations at different visits |
From Day 1 to the end of treatment on Day 169
|
|
Proportion of participants achieving a mean Hgb increase ≥1 g/dL or ≥2 g/dL from baseline over any rolling 12-week period in absence of PRBC transfusions in each cohort (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Participants who are nTD and achieve a mean Hgb increase ≥1 g/dL from baseline over any rolling 12-week period in the absence of transfusion will be considered to have a minor response to treatment. |
From Day 1 to the end of treatment on Day 169
|
|
Transfusion-dependent cohorts will be evaluated for proportion of participants who reduce their transfusion requirement by ≥50%, as compared to baseline, over any rolling 12-week period during treatment. (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Participants who are TD and achieve a reduction in transfusion requirement ≥50% as compared to baseline over any rolling 12-week period during treatment will be considered to have a minor response to treatment. |
From Day 1 to the end of treatment on Day 169
|
|
Non-transfusion-dependent (nTD) cohort will be evaluated for anemia response (Phase 1b and 2)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Defined as the composite of the absence of transfusions over any rolling 12-week period and a concomitant mean Hgb increase of ≥1.5 g/dL over baseline |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by treatment-emergent adverse events |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by vital signs through blood pressure (mmHg), heart rate (bpm), respiration rate (breaths/min), and temperature (°C) |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by physical examinations |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by electrocardiogram (ECG) parameters: heart rate, PR interval, QRS duration, QRS axis, QT interval, and QTcF interval) |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 assessed through blood testing (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
The blood testing will include a hematology panel, blood chemistry panel, serology/virology panel, biomarker assessments, PK assessments, and Anti-Drug Antibodies |
From Day 1 to the end of treatment on Day 169
|
|
Safety and Tolerability of DISC-0974 assessed through urine testing (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
The urine testing will include a urinalysis |
From Day 1 to the end of treatment on Day 169
|
|
Safety and tolerability of DISC-0974 following repeated SC doses in participants with MF receiving concomitant momelotinib or pacritinib therapy (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by treatment-emergent adverse events |
From Day 1 to the end of treatment on Day 169
|
|
Safety and tolerability of DISC-0974 following repeated SC doses in participants with MF receiving concomitant momelotinib or pacritinib therapy (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by vital signs through blood pressure (mmHg), heart rate (bpm), respiration rate (breaths/min), and temperature (°C) |
From Day 1 to the end of treatment on Day 169
|
|
Safety and tolerability of DISC-0974 following repeated SC doses in participants with MF receiving concomitant momelotinib or pacritinib therapy (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by physical examinations |
From Day 1 to the end of treatment on Day 169
|
|
Safety and tolerability of DISC-0974 following repeated SC doses in participants with MF receiving concomitant momelotinib or pacritinib therapy (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Assessed by electrocardiogram (ECG) parameters: heart rate, PR interval, QRS duration, QRS axis, QT interval, and QTcF interval) |
From Day 1 to the end of treatment on Day 169
|
|
Safety and tolerability of DISC-0974 following repeated SC doses in participants with MF receiving concomitant momelotinib or pacritinib therapy assessed through blood testing (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
The blood testing will include a hematology panel, blood chemistry panel, serology/virology panel, biomarker assessments, PK assessments, and Anti-Drug Antibodies |
From Day 1 to the end of treatment on Day 169
|
|
Safety and tolerability of DISC-0974 following repeated SC doses in participants with MF receiving concomitant momelotinib or pacritinib therapy assessed through urine testing (Phase 2 only)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
The urine testing will include a urinalysis |
From Day 1 to the end of treatment on Day 169
|
Otras medidas de resultado
Otras medidas de resultado
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Cmax (Phase 1b, 2, and Exploratory Cohorts)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Maximum drug concentration (observed). Will be determined from blood PK sampling if appropriate data are available |
From Day 1 to the end of treatment on Day 169
|
|
Tmax (Phase 1b, 2, and Exploratory Cohorts)
Periodo de tiempo: From Day 1 to the end of treatment on Day 169
|
Observed time of the maximum drug concentration. Will be determined from blood PK sampling if appropriate data are available |
From Day 1 to the end of treatment on Day 169
|
|
AUC (Phase 1b, 2, and Exploratory Cohorts)
Periodo de tiempo: From Day 0 to 29 days after the first dose
|
Area under the drug concentration-time curve calculated using linear trapezoidal summation from time zero to 29 days following the first dose. Will be determined from blood PK sampling if appropriate data are available. |
From Day 0 to 29 days after the first dose
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Investigadores
Investigadores
- Director de estudio: Will Savage, MD PhD, Disc Medicine
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
Finalización primaria (Estimado)
Finalización primaria
Finalización del estudio (Estimado)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
Otros números de identificación del estudio
- DISC-0974-102
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .