A Randomized, Double-blind, Placebo-controlled Study of the JAK Inhibitor INCB018424 Tablets Administered Orally to Subjects With Primary Myelofibrosis, Post-Polycythemia Vera Myelofibrosis or Post-Essential Thrombocythemia Myelofibrosis
Patients with spleen growth of greater than 25% based on an increase in spleen volume from
Baseline were eligible for early unblinding, and for patients on placebo, crossover to
ruxolitinib prior to the primary study endpoint being reached. If this spleen growth
occurred before Week 24, it must have been accompanied by specific worsening of symptoms,
based on worsening early satiety accompanied by weight loss or worsening pain requiring
daily narcotic use. After Week 24, asymptomatic spleen growth alone was sufficient for early
unblinding and potential crossover. Patients found to have been randomized to ruxolitinib
after early unblinding prior to Week 24 were discontinued.
When half of the patients remaining in the study completed the Week 36 visit and all
patients enrolled completed Week 24 or discontinued, the database was frozen and the primary
analysis was conducted. Once this was complete, all patients were unblinded and patients who
had been randomized to placebo were given the opportunity to crossover to ruxolitinib
treatment, provided hematology laboratory parameters were adequate; Patients receiving
benefit could continue treatment until the later of marketing approval or when the last
randomized patient remaining in the study had completed Week 144 (36 months).
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
Number of Participants Achieving ≥ 35% Reduction in Spleen Volume From Baseline to Week 24
Spleen volume was assessed by magnetic resonance imaging (MRI) or by computed tomograpy (CT) scans if MRI was not suitable, and analyzed by a blinded central laboratory reader. Patients who withdrew, crossed over to ruxolitinib prior to the visit, or had a missing value at the visit were considered non-responders.
Baseline and Week 24
No
Srdan Verstovsek, MD, PhD
Study Director
M.D. Anderson Cancer Center
United States: Food and Drug Administration
INCB 18424-351
NCT00952289
August 2009
June 2015
Name | Location |
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Hinsdale, Illinois 60521 | |
New Britain, Connecticut 06052 | |
Bettendorf, Iowa 52722 | |
Alexandria, Minnesota 56308 | |
Albany, Georgia 31701 | |
Great Falls, Montana 59405 | |
Birmingham, Alabama 35294 | |
Phoenix, Arizona 85012 | |
Fountain Valley, California 92708 | |
Miami, Florida 33176 | |
Columbia, Missouri 65203 | |
Albany, New York 12208 | |
Cleveland, Ohio 44195 | |
Philadelphia, Pennsylvania 19104 | |
Nashville, Tennessee 37203-1632 | |
Austin, Texas 78705 | |
Seattle, Washington 98195 | |
Flint, Michigan 48532 | |
Louisville, Kentucky 40207 | |
Hackensack, New Jersey 07601 | |
Albuquerque, New Mexico 87131-5636 | |
Metairie, Louisiana 70006 | |
Denver, Colorado | |
Baltimore, Maryland 21287 | |
Charlotte, North Carolina | |
Eugene, Oregon | |
South Burlington, Vermont | |
Milwaukee, Wisconsin | |
Indianapolis, Indiana | |
Charleston, South Carolina | |
Honolulu, Hawaii 96813 | |
Washington, District of Columbia | |
Jackson, Mississippi | |
Bismarck, North Dakota 58501 | |
Salt Lake City, Utah 84112 | |
Coeur D'alene, Idaho 83814 |