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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04485260
Registration number
NCT04485260
Ethics application status
Date submitted
21/07/2020
Date registered
24/07/2020
Date last updated
9/05/2022
Titles & IDs
Public title
An Open-Label, Multicenter, Phase 1b/2 Study of the Safety and Efficacy of KRT-232 Combined With Ruxolitinib in Patients With Primary Myelofibrosis (PMF), Post-Polycythemia Vera MF (Post-PV-MF), Or Post-Essential Thrombocythemia MF (Post ET-MF) Who Have a Suboptimal Response to Ruxolitinib
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Scientific title
An Open-Label, Multicenter, Phase 1b/2 Study of the Safety and Efficacy of KRT-232 Combined With Ruxolitinib in Patients With Primary Myelofibrosis (PMF), Post-Polycythemia Vera MF (Post-PV-MF), Or Post-Essential Thrombocythemia MF (Post ET-MF) Who Have a Suboptimal Response to Ruxolitinib
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Secondary ID [1]
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KRT-232-109
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Myelofibrosis
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Condition category
Condition code
Blood
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Haematological diseases
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Blood
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Other blood disorders
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Musculoskeletal
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Other muscular and skeletal disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Cancer
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Leukaemia - Chronic leukaemia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - KRT-232
Treatment: Drugs - Ruxolitinib
Experimental: Part A, Arm 1, Cohort 1 - KRT-232 by mouth once daily for Days 1-7, off treatment for Days 8-28 (28 day cycle)
Treatment: Drugs: KRT-232
administered by mouth
Treatment: Drugs: Ruxolitinib
administered by mouth
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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For Phase 1: To determine the KRT-232 RP2D in combination with ruxolitinib
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Assessment method [1]
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Dose limiting toxicities will be used to establish the MTD of KRT-232 in combination with ruxolitinib. Subsequently, RP2D will be based on safety and efficacy data of the combination.
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Timepoint [1]
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15 months
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Primary outcome [2]
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For Phase 2:To determine the spleen volume reduction (SVR) at Week 24
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Assessment method [2]
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The proportion of subjects achieving SVR of = 35% at Week 24 by MRI/CT scan
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Timepoint [2]
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6 months after last patient enrolled
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Secondary outcome [1]
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To determine spleen response
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Assessment method [1]
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The proportion of subjects achieving =35% SVR at any time point from Baseline while on study, as assessed by MRI (or by CT scan for applicable subjects)
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Timepoint [1]
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43 months
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Secondary outcome [2]
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To determine the change in Total Symptom Score (TSS) based Myelofibrosis Symptom Assessment Form version 4.0 (MFSAF v4.0)
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Assessment method [2]
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The percentage change in TSS as measured by the MFSAF v4.0 at any time point from Baseline while on study
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Timepoint [2]
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43 months
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Eligibility
Key inclusion criteria
* Confirmed diagnosis of PMF, post-PV MF, or post-ET MF, as assessed by treating physician according to the World Health Organization (WHO)
* Treatment with ruxolitinib for =18 weeks prior to study entry, and on a stable dose of ruxolitinib in the 8 weeks prior to study entry
* Spleen =5 cm palpable below the LLCM or =450 cm3 by MRI or CT
* Patients must have at least 2 symptoms with a score of at least 1 on the MFSAF v4.0
* ECOG performance status of 0 to 2
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Minimum age
18
Years
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Maximum age
99
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients who are positive for TP53 mutations
* Documented disease progression or clinical deterioration any time while on ruxolitinib treatment
* Patients who have had a documented spleen response to ruxolitinib.
* Prior splenectomy
* Prior MDM2 inhibitor therapy or p53-directed therapy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/01/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/10/2024
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Actual
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Sample size
Target
36
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment outside Australia
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United States of America
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California
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United States of America
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Maryland
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United States of America
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Michigan
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United States of America
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New York
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United States of America
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Ohio
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United States of America
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Pennsylvania
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United States of America
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Texas
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United States of America
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Washington
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Bulgaria
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Pleven
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Bulgaria
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Sofia
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France
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Cedex 9
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France
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Angers
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France
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Le Mans
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France
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Marseille
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France
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Montpellier
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France
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Paris
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France
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Tours
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Germany
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Aachen
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Germany
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Halle
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Germany
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Jena
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Germany
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Mainz
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Germany
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Mutlangen
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Israel
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Zerifin
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Italy
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Bologna
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Italy
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Catania
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Italy
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Firenze
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Italy
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Meldola
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Italy
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Varese
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Poland
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Kraków
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Poland
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Opole
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Spain
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Barcelona
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Spain
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Las Palmas De Gran Canaria
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Spain
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Málaga
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Spain
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Salamanca
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Spain
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Zaragoza
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Kartos Therapeutics, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a phase 1b/2 study of KRT-232 combined with ruxolitinib in subjects with MF who have a suboptimal response after at least 18 weeks of treatment with ruxolitinib. The primary objective of the study is to determine a recommended phase 2 dose (RP2D) of KRT 232 in combination with ruxolitinib.
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Trial website
https://clinicaltrials.gov/study/NCT04485260
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Phone
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Fax
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Email
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Contact person for public queries
Name
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John Mei
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Address
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Phone
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650-542-0136
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04485260
Download to PDF