진성적혈구증가증 환자의 보메뎀스타트
진성적혈구증가증(PV) 환자에서 보메뎀스타트의 안전성, 효능, 약동학 및 약력학을 평가하기 위한 2상 다기관 오픈 라벨 연구
이것은 진성적혈구증가증 환자를 대상으로 경구 투여되는 LSD1 억제제인 보메뎀스타트(IMG-7289)의 2상 오픈 라벨 연구입니다.
이 연구는 다음을 조사합니다.
- 보메뎀스타트의 안전성과 내약성
- 보메뎀스타트의 약력학적 효과
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
이것은 진성적혈구증가증 환자에게 1일 1회 경구 투여되는 보메뎀스타트의 안전성, 효능, 약동학 및 약력학을 평가하는 2상 다기관 오픈 라벨 연구입니다.
환자는 36주 동안 투약을 받게 되며 이후 추가 치료를 받을 수 있습니다.
임상 징후와 증상을 자주 모니터링하고 안전성 연구실에서 두 가지 부작용에 대해 연구 기간 내내 환자를 면밀히 추적할 것입니다. 효능 및 약력학적 효과는 말초 혈액의 빈번한 혈액학적 평가에 의해 면밀히 모니터링될 것이다. 투여하는 동안 표준 기관 지침에 따라 필요한 경우 수혈 또는 정맥 절개를 시행할 수 있습니다.
안전성을 보장하기 위해 Safety Advisory Board는 안전성 매개변수 및 약력학 지표를 주기적으로 검토합니다.
연구 유형
연구 유형
등록 (실제)
등록
단계
단계
- 2 단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Toll Free Number
- 전화번호: 1-888-577-8839
- 이메일: Trialsites@merck.com
연구 장소
-
-
Florida
-
Plantation, Florida, 미국, 33322
- BRCR Global ( Site 0120)
-
-
Illinois
-
Skokie, Illinois, 미국, 60076-1264
- Hematology Oncology of the North Shore ( Site 0104)
-
-
Michigan
-
Ann Arbor, Michigan, 미국, 48109
- University of Michigan Comprehensive Cancer Center ( Site 0008)
-
-
Nevada
-
Las Vegas, Nevada, 미국, 89128
- Comprehensive Cancer Centers of Nevada - Peak ( Site 0118)
-
-
North Carolina
-
Durham, North Carolina, 미국, 27705
- Duke University Medical Center ( Site 0016)
-
-
Ohio
-
Columbus, Ohio, 미국, 43203
- Ohio State University Comprehensive Cancer Center ( Site 0103)
-
-
Oregon
-
Portland, Oregon, 미국, 97239-4503
- OHSU Knight Cardiovascular Institute Cardiology Clinic - South Waterfront ( Site 0102)
-
-
Utah
-
Salt Lake City, Utah, 미국, 84112
- Huntsman Cancer Hospital at the University of Utah ( Site 0119)
-
-
-
-
England
-
Gloucester, England, 영국, GL1 3NN
- Gloucestershire Royal Hospital ( Site 0205)
-
-
Great Britain
-
Lincoln, Great Britain, 영국, LN2 5QY
- United Lincolnshire Hospitals NHS Trust ( Site 0204)
-
London, Great Britain, 영국, W12 0HS
- Imperial College London ( Site 0025)
-
-
Lincolnshire
-
Boston, Lincolnshire, 영국, PE21 9QS
- Boston Pilgrim Hospital ( Site 0207)
-
-
London, City of
-
London, London, City of, 영국, SE1 9RT
- Guys and St Thomas NHS Foundation Trust - Guys Hospital ( Site 0020)
-
-
Wales
-
Newport, Wales, 영국, NP9 2UB
- Royal Gwent Hospital ( Site 0201)
-
-
-
-
Queensland
-
Sunshine Coast, Queensland, 호주, 4556
- Sunshine Coast Hematology and Oncology Clinic (Site 0506)
-
-
Victoria
-
Clayton, Victoria, 호주, 3168
- Monash Medical Centre ( Site 0006)
-
-
Western Australia
-
Perth, Western Australia, 호주, 6000
- Royal Perth Hospital ( Site 0504)
-
-
참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
설명
포함 기준:
- 골수증식성 신생물에 대한 세계보건기구(WHO) 진단 기준에 따른 진성적혈구증가증의 진단
- 0등급 또는 1등급의 골수 섬유증 점수
- 헤마토크리트를 낮추기 위한 적어도 하나의 표준 세포감소 요법에 실패한 환자
- 혈소판 수 ≥250 x 10ˆ9/L
- 절대호중구수(ANC) ≥1.5 x 10ˆ9/L
- 기대 수명 >36주.
- 연구 약물 시작 전 2주 동안(인터페론의 경우 4주) 이전의 세포감소 요법을 중단했어야 합니다.
제외 기준:
- Eastern Cooperative Oncology Group(ECOG) 수행 상태 3 이상
- 이전 요법에서 해결되지 않은 치료 관련 독성(≤ 등급 1로 해결되지 않은 경우).
- 통제되지 않은 활성 감염.
- 금지 약물의 현재 사용
- 알려진 HIV 감염 또는 활동성 B형 간염 또는 C형 간염 바이러스 감염
- 알려진 출혈 장애를 포함하여 출혈 위험 증가의 증거
- 프로토콜에 따른 기타 혈액학/생화학 요구 사항
- 임신 또는 수유 중인 여성
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: 보메뎀스타트
참가자는 36주 동안 매일 보메뎀스타트를 투여받게 되며 임상적 이점이 있는 경우 52주차까지 추가 치료를 받을 자격이 있을 수 있습니다.
|
경구 캡슐
다른 이름들:
|
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Number of Participants With Adverse Events (AEs)
기간: Up to approximately 52 weeks
|
An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
The number of participants with one or more AEs are reported.
|
Up to approximately 52 weeks
|
|
Number of Participants Who Discontinued Study Intervention Due to AEs
기간: Up to approximately 52 weeks
|
An AE was defined as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
The number of participants who discontinued study intervention due to an AE are reported.
|
Up to approximately 52 weeks
|
|
Percentage of Participants With Sustained 12-week Reduction of Hematocrit (Hct) to <45% Without Concomitant Phlebotomy by Week 36
기간: Up to approximately 36 weeks
|
Hematocrit (Hct) was analyzed by taking blood samples from participants at designated time points during the study.
Participants were considered responders if they achieved a sustained reduction of Hct to <45% for 12 weeks (84 calendar days) by Week 36 AND there was no concomitant phlebotomy performed during the sustained reduction.
Baseline data was defined as the data most recently collected prior to the first dose.
A Clopper-Pearson (exact binomial) two-sided 95% confidence interval for the percentage of responders was presented.
The percentage of participants who achieved a sustained 12-week reduction of Hct to <45% without concomitant phlebotomy at Week 36 are reported.
|
Up to approximately 36 weeks
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Duration of Reduction of Hematocrit (Hct) to <45% Without Phlebotomy
기간: Up to approximately 22 months
|
Total response duration was defined as the summation of all Hct <45% response durations, where an individual response duration starts at the timepoint where the Hct <45% and ends at the first subsequent occurrence of phlebotomy or Hct >=45%.
Hct was analyzed by taking blood samples from participants at designated time points during the study.
Duration of reduction of Hct to <45% without phlebotomy was presented.
|
Up to approximately 22 months
|
|
Percentage of Participants With Platelet Count ≤ 450 x 10^9/L by Week 36
기간: Up to approximately 36 weeks
|
Platelet count was analyzed by taking blood samples from participants at designated time points during the study.
Participants who enter the study with platelet counts ≤450 X 10^9/L must achieve an additional on-study platelet count ≤450 X 10^9/L to be considered responders.
A Clopper-Pearson (exact binomial) two-sided 95% confidence interval for the percentage of responders is presented.
Baseline data was defined as the data most recently collected prior to the first dose.
The percentage of participants who have a platelet count ≤450 X 10^9/L by week 36 are reported.
|
Up to approximately 36 weeks
|
|
Duration of Platelet Count ≤ 450 x 10^9/L
기간: Up to approximately 22 months
|
Total response duration was defined as the summation of all platelet ≤450 x 10^9/L response durations, where an individual response duration starts at the timepoint where platelet count ≤450 x 10^9/L and ends at the first subsequent occurrence of platelet >450 x 10^9/L.
Platelet counts were analyzed by taking blood samples from participants at designated time points during the study.
The duration of platelet count ≤450 X 10^9/L in participants are reported.
|
Up to approximately 22 months
|
|
Percentage of Participants With White Blood Cell (WBC) Count <10 x 10^9/L by Week 36
기간: Up to approximately 36 weeks
|
WBC count was analyzed by taking blood samples from participants at designated time points during the study.
Participants who enter the study with WBC counts <10 X 10^9/L must achieve an additional on-study WBC count <10 X 10^9/L to be considered responders.
A Clopper-Pearson (exact binomial) two-sided 95% confidence interval for the percentage of responders is presented.
Baseline data was defined as the data most recently collected prior to the first dose.
The percentage of participants who have a WBC count <10 X 10^9/L week 36 are reported.
|
Up to approximately 36 weeks
|
|
Duration of White Blood Cell (WBC) Count <10 x 10^9/L
기간: Up to approximately 22 months
|
Total response duration was defined as the summation of all WBC <10 x 10^9/L response durations, where an individual response duration starts at the timepoint when WBC <10 x 10^9/L and ends at the first subsequent occurrence of WBC ≥ 10 x 10^9/L.
WBC count was analyzed by taking blood samples from participants at designated time points during the study.
The duration of WBC count <10 X 10^9/L in participants are reported.
|
Up to approximately 22 months
|
|
Number of Participants With Thrombotic Events
기간: Up to approximately 22 months
|
Thrombotic events are defined as: new or recurrent acute myocardial infarction; unstable angina; stroke; transient ischemic attack (TIA); deep venous thrombosis (DVT); pulmonary embolism (PE); thrombotic digital ischemia; other thrombotic events such as peripheral limb ischemia or Budd-Chiari syndrome that are assessed to be due to underlying polycythemia vera (PV); other vascular occlusive events such as symptoms of cardiac, abdominal or peripheral limb ischemia supported by objective evidence of vessel disease and/or ischemia.
Baseline data was defined as the data most recently collected prior to the first dose.
The number of participants with thrombotic events are reported.
|
Up to approximately 22 months
|
|
Number of Participants With Major Hemorrhagic Events
기간: Up to approximately 22 months
|
Hemorrhagic events were defined as: Major Bleeding (MB) Events such as fatal bleeding, and/or symptomatic bleeding in a critical area or organ such as intracranial, intraspinal, intraocular, retroperitoneal, intra-articular or pericardial, or intramuscular with compartment syndrome, and/or bleeding causing a fall in hemoglobin level of 2 g/dL or more, or leading to transfusion of 2 or more units of whole blood or red cells; Clinically Relevant Non-Major Bleeding (CRNMB) Events Leading to hospitalization or increased level of care or clinically important, prompting a face-to-face medical evaluation.
Baseline data was defined as the data most recently collected prior to the first dose.
The number of participants with major hemorrhagic events are reported.
|
Up to approximately 22 months
|
|
Number of Participants With an Enlarged Spleen at Baseline Who Had a Reduction in Splenic Volume by 36 Weeks
기간: Up to approximately 36 weeks
|
Spleen volume was measured by magnetic resonance imaging (MRI) (or computerized tomography [CT] if participant is not a candidate for MRI) of the abdomen according to standard procedures.
Baseline data was defined as the data most recently collected prior to the first dose.
The number of participants with an enlarged spleen at baseline (volume >450 cm^3) who achieved any reduction in spleen volume by Week 36 are reported.
|
Up to approximately 36 weeks
|
|
Number of Participants With Progressive Disease (PD)
기간: Up to approximately 52 weeks
|
PD was defined as the worsening of Polycythemia Vera (PV) to post-PV myelofibrosis, myelodysplastic syndrome or transformation to acute myeloid leukemia.
Baseline data was defined as the data most recently collected prior to the first dose.
The number of participants with PD are reported.
|
Up to approximately 52 weeks
|
공동 작업자 및 조사자
스폰서
스폰서
수사관
수사관
- 연구 책임자: Medical Director, Merck Sharp & Dohme LLC
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (실제)
기본 완료
연구 완료 (실제)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
기타 연구 ID 번호
- 3543-004
- IMG-7289-CTP-203 (기타 식별자: Imagobio ID)
- MK-3543-004 (기타 식별자: MSD)
- 2022-002262-32 (EudraCT 번호)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .