Skip to content

Phase II Study of Fedratinib and Nivolumab Combination in Patients with Myelofibrosis and Resistance or Suboptimal Response to JAK-inhibitor Treatment - The FRACTION Trial

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-513953-64-00
Acronym
FRACTION_2021
Enrollment
30
Registered
2024-10-24
Start date
2022-06-23
Completion date
2026-01-15
Last updated
2025-05-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Primary and secondary Myelofibrosis

Brief summary

Best response rate within 12 treatment cycles according to the IWG-MRT criteria (including complete remission, CR, partial remission, PR, clinical improvement, CI, stable disease, SD) 1, and red cell transfusion (RCT) independency according to Gale et al.

Detailed description

Overall safety profile of Fedratinib and Nivolumab combination characterized by type, frequency, severity (graded using the National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE]), timing and relatedness of adverse events (AEs) and laboratory abnormalities observed during treatment, as well as cumulative incidence of leukemic transformation., clinical benefit,, progression-free survival, duration of response, overall survival, reduction of disease burden, Quality of life assessed by the Myeloproliferative Neoplasm Symptom Assessment Form (MPN-SAF, MPN10; Appendix VI), change in ECOG performance status (Appendix IV) from study entry to each visit where the variable is measured., Adherence assessed by 8-item Adherence questionnaire., Investigation of immune-cell expansion and immune-cell responses to checkpoint-inhibitor therapy at baseline (before first IMP dosing), after 6 months study treatment, and after 12 months study treatment (or at EOT)., Assessment of disease burden measured as allelic burden of the respective driver mutations (JAK2, CALR, MPL) at baseline (before first IMP dosing), after 6 months study treatment and after 12 months study treatment (or at EOT)., Assessment of clonal diversity and evolution by NGS-sequencing of a defined 32 gene panel at baseline (before first IMP dosing), after 6 months study treatment and after 12 months study treatment (or at EOT)., Assessment of bone marrow fibrosis by central histology (Professor Dombrowski, University Medicine Greifswald) at baseline before first IMP dosing (screening period) and after 12 months study treatment (or at EOT).

Interventions

DRUGOPDIVO 10 mg/mL concentrate for solution for infusion.

Sponsors

Frankfurter Institut Fuer Klinische Krebsforschung IKF GmbH
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Best response rate within 12 treatment cycles according to the IWG-MRT criteria (including complete remission, CR, partial remission, PR, clinical improvement, CI, stable disease, SD) 1, and red cell transfusion (RCT) independency according to Gale et al.

Secondary

MeasureTime frame
Overall safety profile of Fedratinib and Nivolumab combination characterized by type, frequency, severity (graded using the National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE]), timing and relatedness of adverse events (AEs) and laboratory abnormalities observed during treatment, as well as cumulative incidence of leukemic transformation., clinical benefit,, progression-free survival, duration of response, overall survival, reduction of disease burden, Quality of life assessed by the Myeloproliferative Neoplasm Symptom Assessment Form (MPN-SAF, MPN10; Appendix VI), change in ECOG performance status (Appendix IV) from study entry to each visit where the variable is measured., Adherence assessed by 8-item Adherence questionnaire., Investigation of immune-cell expansion and immune-cell responses to checkpoint-inhibitor therapy at baseline (before first IMP dosing), after 6 months study treatment, and after 12 months study treatment (or at EOT)., Assessment

Countries

Germany

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026