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- Ensaio Clínico NCT07802405
Evaluating Safety ,Tolerability, Pharmacokinetic,Efficacy of WJ01024 or WJ01024 Combined With Ruxolitinib in Patients With Myelofibrosis
A Phase I Clinical Study Evaluating the Safety and Tolerability, Pharmacokinetic Characteristics and Preliminary Efficacy of Oral Administration of WJ01024 as a Monotherapy and in Combination With Ruxolitinib in Patients With Myelofibrosis
This is a Phase I clinical study to evaluate the safety and tolerability, pharmacokinetic characteristics and preliminary efficacy of oral WJ01024 administered as monotherapy and in combination with ruxolitinib in patients with myelofibrosis(MF). The study will be conducted in two phases: Phase IA and Phase IB.
Phase IA is a dose-escalation and dose-expansion study of WJ01024 monotherapy in patients with MF after failure of JAK inhibitor (JAKi) therapy (relapsed/refractory/intolerant). Phase IB is a dose-escalation and dose-expansion study of WJ01024 in combination with ruxolitinib in JAKi-naïve patients with intermediate- or high-risk MF.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
Tipo de estudo
Inscrição (Estimado)
Estágio
- Fase 1
Contactos e Locais
Contato de estudo
- Nome: Shuai Guo
- Número de telefone: 15902401702
- E-mail: sguo@wigenbio.com
Locais de estudo
-
-
Henan
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Zhengzhou, Henan, China, 450000
- Recrutamento
- Henan Cancer Hospital
-
Contato:
- Zhou Hu, PhD.
- Número de telefone: 13939068863
- E-mail: papertigerhu@163.com
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Investigador principal:
- Zhou Hu, Ph.D.
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-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Filho
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Descrição
Inclusion Criteria:
- The subjects voluntarily participated in this study after obtaining full informed consent and signed the informed consent form.
- Age ≥18 years old, gender not limited;
- Patients diagnosed with primary myelofibrosis (PMF) according to the 2016 World Health Organization (WHO) criteria, or patients diagnosed with post-essential thrombocythemia MF (PET-MF) or post-polycythemia vera MF (PPV-MF) according to International Working Group for Myeloproliferative Neoplasms Research and Treatment (IWG-MRT) criteria;
- Patients evaluated as intermediate-1, intermediate-2, or high-risk according to the International Prognostic System (DIPSS) scoring system;;
- Expected life expectancy is ≥ 24 weeks;
- Eastern Cooperative Oncology Group (ECOG) score of 0-2 ;
- No planned for stem cell transplantation in the near future.
- Splenomegaly: Palpation of the spleen margin reaches or exceeds at least 5cm below the costal margin (the distance from the costal margin to the farthest point of the spleen protrusion), or spleen volume ≥450cm ³ by CT or MRI.
Adequate hematological and organ function within 7 days before the first administration of the study drug (no RBC transfusion, growth factors, colony-stimulating factors, platelet-generating factors ,or platelet transfusion within 14 days before the testing) :
- Absolute neutrophil count (ANC) ≥1.5×109/L;
- Platelet count ≥75×109/L(Phase IA); Platelet count ≥100×109/L(Phase IB); Hemoglobin ≥ 8.0g /dL; Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3.0× upper limit of normal (ULN); Total bilirubin ≤1.5×ULN; Creatinine ≤1.5×ULN.
- For women of childbearing age, within 7 days before the first administration, if the serum pregnancy test is confirmed to be negative and they agree to use effective contraceptive measures during the study drug period and within 90 days after the last administration. For male subjects whose sexual partners are women of childbearing age, they must agree to take effective contraceptive measures during the use of the study drug and within 90 days after the last administration.
Exclusion Criteria:
- Peripheral blood blasts >5% or Bone marrow blasts >10%.
- Previous treatment with XPO1 inhibitors.
- Unable to cooperate with or unable to perform MRI or CT scans as deemed necessary by sponsor and investigator
- Treatment with strong CYP3A inhibitors or inducers within 14 days prior to initial administration"
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: WJ01024 tablet
|
5-20mg BID (dosage per investigator judgement)
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
DLT
Prazo: 12 months
|
Incidence of DLT
|
12 months
|
|
AE
Prazo: 4 years
|
incidence and severity of adverse events(AEs) and serious adverse events(SAEs),as well as abnormal changes in clinical significance laboratory tests and other examinations
|
4 years
|
|
MTD
Prazo: 12 months
|
Evaluate the Maximum tolerated dose
|
12 months
|
|
RP2D
Prazo: 12 months
|
Evaluate the recommended dose for phase II
|
12 months
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Pharmacokinetic (PK) Parameter
Prazo: 1.5 years
|
The blood concentration of WJ01024
|
1.5 years
|
|
SVR35
Prazo: 4 years
|
Percentage of subjects with spleen volume reduction of ≥35% (SVR35)
|
4 years
|
|
Score in MPN-SAF-TSS
Prazo: 4 years
|
Percentage reduction in Total Symptom Score(TSS) and proportion of subjects achieving ≥50% reduction (TSS50) assessed by Myeloproliferative Neoplasm Symptom Assessment Form Total Symptom Score (MPN-SAF TSS)
|
4 years
|
|
incidence and severity of adverse events and serious adverse events
Prazo: 4 years
|
incidence and severity of adverse events nd serious adverse events,as well as abnormal changes in clinical significance laboratory tests and other examinations
|
4 years
|
|
ORR:CR + PR + clinical improvement
Prazo: 4 years
|
Overall response rate (ORR, CR + PR + clinical improvement) as determined by the investigator according to IWG-MRT criteria
|
4 years
|
|
LFS
Prazo: 4 years
|
Leukemia-free survival (LFS) as assessed by the investigator
|
4 years
|
|
PFS
Prazo: 4 years
|
Progression free survival (PFS) as assessed by the investigator
|
4 years
|
|
OS
Prazo: 4 years
|
OS
|
4 years
|
|
LDH
Prazo: 4 years
|
Evaluation of changes in serum LDH levels
|
4 years
|
Colaboradores e Investigadores
Patrocinador
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Outros números de identificação do estudo
- JS110-002-I(T)
Plano para dados de participantes individuais (IPD)
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