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Long-term Safety and Efficacy of Momelotinib in Subjects With Primary Myelofibrosis, Post-polycythemia Vera Myelofibrosis, Post-essential Thrombocythemia Myelofibrosis, Polycythemia Vera or Essential Thrombocythemia

Open-label Study to Assess the Long-term Safety and Efficacy of Momelotinib in Subjects With Primary Myelofibrosis, Post-polycythemia Vera Myelofibrosis, Post Essential Thrombocythemia Myelofibrosis, Polycythemia Vera or Essential Thrombocythemia

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02124746
Enrollment
87
Registered
2014-04-28
Start date
2014-04-30
Completion date
2018-12-06
Last updated
2023-06-18

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

Conditions

Primary Myelofibrosis, Post-Polycythemia Vera Myelofibrosis, Post-Essential Thrombocythemia Myelofibrosis, Polycythemia Vera, Essential Thrombocythemia

Keywords

Primary Myelofibrosis, Post Polycythemia Vera Myelofibrosis, Post Essential Thrombocythemia Myelofibrosis, Polycythemia Vera, Essential Thrombocythemia, blood disorders

Brief summary

This open-label study is to determine the long-term safety and tolerability of momelotinib in previously enrolled study participants with primary myelofibrosis (PMF), post-polycythemia vera myelofibrosis (post-PV MF), post-essential thrombocythemia myelofibrosis (post-ET MF), polycythemia vera (PV), or essential thrombocythemia (ET), who have tolerated and achieved stable disease or better with momelotinib treatment while enrolled in a previous clinical trial.

Interventions

Momelotinib tablets administered orally once daily

Sponsors

Sierra Oncology LLC - a GSK company
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Currently enrolled in study CCL09101E, or YM387-II-02, or successfully completed 24 weeks of study GS-US-352-1672 * Able to comprehend and willing to sign informed consent form Key

Exclusion criteria

* Known hypersensitivity to momelotinib, its metabolites, or formulation excipients Note: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Long Term Safety and Tolerability as Measured by the Incidence and Severity of Adverse Events and Clinical Laboratory AbnormalitiesFrom the first dose of momelotinib in the parent study to 30 days following permanent discontinuation of momelotinib in Study GS-US-352-1154.Long-term safety and tolerability profile of momelotinib based on safety data (adverse events and selected hematology and chemistry laboratory parameters) collected after the first dose of momelotinib in the parent study.

Secondary

MeasureTime frameDescription
Duration of Splenic ResponseFrom baseline in the parent study until the last spleen assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.The interval from the first onset of splenic response (in the parent study or Study GS-US-352-1154) to the earliest date of loss of splenic response. Loss of response was defined as the reduction of splenomegaly by \< 50% among responders (with splenomegaly ≥ 10 cm below the LCM at baseline) that lasts ≥ 56 days, or the recurrence of \> 0 cm splenomegaly among responders (with splenomegaly \> 5 and \< 10 cm at baseline) that lasts ≥ 56 days. Duration of splenic response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.
Transfusion Independence Response RateFrom baseline in the parent study until the last assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.The number of transfusion dependent subjects at entry to a parent study who became transfusion-independent for ≥ 12 weeks at any time from the first dose of momelotinib in the parent study until the end of Study GS-US-352-1154.
Duration of Transfusion Independence ResponseFrom baseline in the parent study until the last assessment date in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.The interval from the first onset date of transfusion independence (in the parent study or Study GS-US-352-1154) to the earliest date of loss of response for participants who are transfusion dependent at baseline in the parent study. Loss of TI response was defined as receiving an RBC transfusion after achieving a TI response. Duration of transfusion independence response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.
Anemia Response RateFrom baseline in the parent study until the last assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.The number of subjects achieving an anemia response, defined as: * Achieving transfusion independence for ≥ 12 weeks, for subjects who were transfusion-dependent at baseline in the parent study, or * Having ≥ 2 g/dL increase in Hgb from baseline for ≥ 12 weeks, for subjects with Hgb \< 10 g/dL at baseline in the parent study who were not transfusion-dependent (Cohort 1) or who were transfusion-independent (Cohort 2).
Splenic Response RateFrom baseline in the parent study until the last spleen assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.The number of subjects achieving a spleen response, defined as a reduction of 50% or more in palpable splenomegaly of a spleen that was at least 10 cm below the LCM at baseline, or a spleen that was palpable at \> 5 cm and \< 10 cm below the LCM at baseline becoming not palpable for at least 56 days, using baseline of the parent study as the reference.
Rate of RBC TransfusionFrom the first dose of momelotinib in the parent study until the last dose of momelotinib in Study GS-US-352-1154.The average number of RBC units per subject month during the parent study and/or Study GS-US-352-1154.
Overall SurvivalFrom baseline in the parent study until the date of last contact or last response assessment, up to 30 days following permanent discontinuation of momelotinib.The interval from the first dose of momelotinib in the parent study until death from any cause. Overall survival was analyzed using the Kaplan-Meier method. Data from subjects who were lost to follow-up or remained alive until the end of the study were censored at the date of last contact or last response assessment.
Progression-Free SurvivalFrom baseline in the parent study until the last response assessment, up to 30 days following permanent discontinuation of momelotinib.The interval from the first dose of momelotinib in the parent study until the first documentation of definitive progressive disease as defined in 2006 IWG-MRT or death due to any cause. Subjects who were free of progression were censored at the last assessment date.
Leukemia-Free SurvivalFrom baseline in the parent study until the date of the last assessment, up to 30 days following permanent discontinuation of momelotinib.The interval from the first dose of momelotinib in the parent study until the first documented leukemic transformation or death from any cause. Leukemic transformation was documented in the adverse event electronic case report form. Leukemia-free survival was analyzed using the Kaplan-Meier method. Subjects who were free of leukemia transformation were censored at the last assessment date.
Duration of Anemia ResponseFrom baseline in the parent study until the last assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.The interval from the first onset of anemia response (in the parent study or Study GS-US-352-1154) to the earliest date of loss of anemia response. Loss of anemia response was defined as having any RBC transfusion after achieving an anemia response. Duration of anemia response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.

Countries

Australia, Canada, France, Germany, United States

Participant flow

Recruitment details

Benefiting subjects enrolled in 1 of 3 prior momelotinib (MMB) studies (parent studies) for the treatment of MF were included for continued dosing of MMB. Cohort 3 (PV/ET; n=13) was closed and subjects were discontinued due to limited efficacy of MMB in the treatment of PV/ET observed in the parent study. Cohort 3 was excluded from all analyses.

Participants by arm

ArmCount
Cohort 1 (CCL09101/ CCL09101E/ GS-US-352-1154)
Subjects with PMF, post-PV MF or post-ET MF previously enrolled in parent study CCL09101/ CCL09101E.
30
Cohort 2 (YM387-II-02/GS-US-352-1154)
Subjects with PMF, post-PV MF or post-ET MF previously enrolled in parent study YM387-II-02.
22
Cohort 4 (GS-US-352-1672/GS-US-352-1154)
Subjects with PMF, post-PV MF or post-ET MF previously enrolled in parent study GS-US-352-1672.
22
Total74

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event212
Overall StudyDeath213
Overall StudyDisease Progression364
Overall StudyLack of Efficacy322
Overall StudyNon-Compliance with Study Drug010
Overall StudyPhysician Decision645
Overall StudyStudy Terminated by Sponsor006
Overall StudyWithdrawal by Subject330

Baseline characteristics

CharacteristicCohort 2 (YM387-II-02/GS-US-352-1154)TotalCohort 4 (GS-US-352-1672/GS-US-352-1154)Cohort 1 (CCL09101/ CCL09101E/ GS-US-352-1154)
Age, Continuous64.0 years66.5 years68.0 years66.0 years
Race/Ethnicity, Customized
Asian
0 Participants2 Participants0 Participants2 Participants
Race/Ethnicity, Customized
Black or African American
2 Participants4 Participants2 Participants0 Participants
Race/Ethnicity, Customized
Hispanic or Latino
0 Participants1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Other
0 Participants3 Participants2 Participants1 Participants
Race/Ethnicity, Customized
White
20 Participants64 Participants18 Participants26 Participants
Sex: Female, Male
Female
10 Participants36 Participants9 Participants17 Participants
Sex: Female, Male
Male
12 Participants38 Participants13 Participants13 Participants
Transfusion Dependent (at baseline in parent study)
Missing
3 Participants3 Participants0 Participants0 Participants
Transfusion Dependent (at baseline in parent study)
No
12 Participants35 Participants0 Participants23 Participants
Transfusion Dependent (at baseline in parent study)
Yes
7 Participants36 Participants22 Participants7 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
8 / 74
other
Total, other adverse events
73 / 74
serious
Total, serious adverse events
49 / 74

Outcome results

Primary

Long Term Safety and Tolerability as Measured by the Incidence and Severity of Adverse Events and Clinical Laboratory Abnormalities

Long-term safety and tolerability profile of momelotinib based on safety data (adverse events and selected hematology and chemistry laboratory parameters) collected after the first dose of momelotinib in the parent study.

Time frame: From the first dose of momelotinib in the parent study to 30 days following permanent discontinuation of momelotinib in Study GS-US-352-1154.

Population: It was pre-specified that safety outcomes would be analyzed and summarized by starting dose in Study GS-US-352-1154. Therefore data for this outcome measure are presented for the total subjects enrolled to Study GS-US-352-1154 and not by cohort.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
TotalLong Term Safety and Tolerability as Measured by the Incidence and Severity of Adverse Events and Clinical Laboratory AbnormalitiesSubjects with ≥ one AE (any grade)73 Participants
TotalLong Term Safety and Tolerability as Measured by the Incidence and Severity of Adverse Events and Clinical Laboratory AbnormalitiesSubjects with ≥ one Grade 3 or higher AE62 Participants
TotalLong Term Safety and Tolerability as Measured by the Incidence and Severity of Adverse Events and Clinical Laboratory AbnormalitiesSubjects with Grade 3 lab toxicity (highest grade)36 Participants
TotalLong Term Safety and Tolerability as Measured by the Incidence and Severity of Adverse Events and Clinical Laboratory AbnormalitiesSubjects with Grade 4 lab toxicity (highest grade)16 Participants
Secondary

Anemia Response Rate

The number of subjects achieving an anemia response, defined as: * Achieving transfusion independence for ≥ 12 weeks, for subjects who were transfusion-dependent at baseline in the parent study, or * Having ≥ 2 g/dL increase in Hgb from baseline for ≥ 12 weeks, for subjects with Hgb \< 10 g/dL at baseline in the parent study who were not transfusion-dependent (Cohort 1) or who were transfusion-independent (Cohort 2).

Time frame: From baseline in the parent study until the last assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.

Population: Subjects who were anemia response-evaluable at baseline in the parent studies and were enrolled in Study GS-US-352-1154 were evaluable for anemia response.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
TotalAnemia Response Rate13 Participants
Cohort 2 (YM387-II-02/GS-US-352-1154)Anemia Response Rate6 Participants
Cohort 4 (GS-US-352-1672/GS-US-352-1154)Anemia Response Rate16 Participants
TotalAnemia Response Rate35 Participants
Secondary

Duration of Anemia Response

The interval from the first onset of anemia response (in the parent study or Study GS-US-352-1154) to the earliest date of loss of anemia response. Loss of anemia response was defined as having any RBC transfusion after achieving an anemia response. Duration of anemia response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.

Time frame: From baseline in the parent study until the last assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.

Population: Duration of anemia response was assessed for anemia responders who were enrolled in Study GS-US-352-1154.

ArmMeasureValue (MEDIAN)
TotalDuration of Anemia Response995.0 days
Cohort 2 (YM387-II-02/GS-US-352-1154)Duration of Anemia Response120.0 days
Cohort 4 (GS-US-352-1672/GS-US-352-1154)Duration of Anemia Response281.5 days
TotalDuration of Anemia Response358.0 days
Secondary

Duration of Splenic Response

The interval from the first onset of splenic response (in the parent study or Study GS-US-352-1154) to the earliest date of loss of splenic response. Loss of response was defined as the reduction of splenomegaly by \< 50% among responders (with splenomegaly ≥ 10 cm below the LCM at baseline) that lasts ≥ 56 days, or the recurrence of \> 0 cm splenomegaly among responders (with splenomegaly \> 5 and \< 10 cm at baseline) that lasts ≥ 56 days. Duration of splenic response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.

Time frame: From baseline in the parent study until the last spleen assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.

Population: Duration of splenic response was assessed for spleen responders who enrolled in Study GS-US-352-1154 only.

ArmMeasureValue (MEDIAN)
TotalDuration of Splenic Response1704.5 days
Cohort 2 (YM387-II-02/GS-US-352-1154)Duration of Splenic Response736.0 days
Cohort 4 (GS-US-352-1672/GS-US-352-1154)Duration of Splenic Response447.5 days
TotalDuration of Splenic Response990.0 days
Secondary

Duration of Transfusion Independence Response

The interval from the first onset date of transfusion independence (in the parent study or Study GS-US-352-1154) to the earliest date of loss of response for participants who are transfusion dependent at baseline in the parent study. Loss of TI response was defined as receiving an RBC transfusion after achieving a TI response. Duration of transfusion independence response was measured by descriptive statistics. Data from responders who maintained their response was censored at the last assessment date.

Time frame: From baseline in the parent study until the last assessment date in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.

Population: Duration of transfusion independence response was assessed for transfusion independence responders who were enrolled in Study GS-US-352-1154.

ArmMeasureValue (MEDIAN)
TotalDuration of Transfusion Independence Response357.0 days
Cohort 2 (YM387-II-02/GS-US-352-1154)Duration of Transfusion Independence Response114.0 days
Cohort 4 (GS-US-352-1672/GS-US-352-1154)Duration of Transfusion Independence Response281.5 days
TotalDuration of Transfusion Independence Response193.5 days
Secondary

Leukemia-Free Survival

The interval from the first dose of momelotinib in the parent study until the first documented leukemic transformation or death from any cause. Leukemic transformation was documented in the adverse event electronic case report form. Leukemia-free survival was analyzed using the Kaplan-Meier method. Subjects who were free of leukemia transformation were censored at the last assessment date.

Time frame: From baseline in the parent study until the date of the last assessment, up to 30 days following permanent discontinuation of momelotinib.

ArmMeasureValue (MEDIAN)
TotalLeukemia-Free SurvivalNA months
Cohort 2 (YM387-II-02/GS-US-352-1154)Leukemia-Free SurvivalNA months
Cohort 4 (GS-US-352-1672/GS-US-352-1154)Leukemia-Free SurvivalNA months
TotalLeukemia-Free SurvivalNA months
Secondary

Overall Survival

The interval from the first dose of momelotinib in the parent study until death from any cause. Overall survival was analyzed using the Kaplan-Meier method. Data from subjects who were lost to follow-up or remained alive until the end of the study were censored at the date of last contact or last response assessment.

Time frame: From baseline in the parent study until the date of last contact or last response assessment, up to 30 days following permanent discontinuation of momelotinib.

ArmMeasureValue (MEDIAN)
TotalOverall SurvivalNA months
Cohort 2 (YM387-II-02/GS-US-352-1154)Overall SurvivalNA months
Cohort 4 (GS-US-352-1672/GS-US-352-1154)Overall SurvivalNA months
TotalOverall SurvivalNA months
Secondary

Progression-Free Survival

The interval from the first dose of momelotinib in the parent study until the first documentation of definitive progressive disease as defined in 2006 IWG-MRT or death due to any cause. Subjects who were free of progression were censored at the last assessment date.

Time frame: From baseline in the parent study until the last response assessment, up to 30 days following permanent discontinuation of momelotinib.

ArmMeasureValue (MEDIAN)
TotalProgression-Free SurvivalNA months
Cohort 2 (YM387-II-02/GS-US-352-1154)Progression-Free SurvivalNA months
Cohort 4 (GS-US-352-1672/GS-US-352-1154)Progression-Free SurvivalNA months
TotalProgression-Free SurvivalNA months
Secondary

Rate of RBC Transfusion

The average number of RBC units per subject month during the parent study and/or Study GS-US-352-1154.

Time frame: From the first dose of momelotinib in the parent study until the last dose of momelotinib in Study GS-US-352-1154.

Population: It was pre-specified that safety outcomes would be analyzed and summarized by starting dose in Study GS-US-352-1154. Therefore data for this outcome measure are presented for the total subjects enrolled to Study GS-US-352-1154 and not by cohort.

ArmMeasureGroupValue (MEDIAN)
TotalRate of RBC TransfusionRBC Transfusion Rate in Parent Studies0.08 RBC units per month
TotalRate of RBC TransfusionRBC Transfusion Rate in Study GS-US-352-11540.00 RBC units per month
TotalRate of RBC TransfusionRBC Transfusion Rate Since 1st Dose in ParentStudy0.06 RBC units per month
Secondary

Splenic Response Rate

The number of subjects achieving a spleen response, defined as a reduction of 50% or more in palpable splenomegaly of a spleen that was at least 10 cm below the LCM at baseline, or a spleen that was palpable at \> 5 cm and \< 10 cm below the LCM at baseline becoming not palpable for at least 56 days, using baseline of the parent study as the reference.

Time frame: From baseline in the parent study until the last spleen assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.

Population: Subjects with splenomegaly \>5 cm at baseline in the parent studies who were enrolled in Study GS-US-352-1154 were evaluable for splenic response assessment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
TotalSplenic Response Rate20 Participants
Cohort 2 (YM387-II-02/GS-US-352-1154)Splenic Response Rate19 Participants
Cohort 4 (GS-US-352-1672/GS-US-352-1154)Splenic Response Rate6 Participants
TotalSplenic Response Rate45 Participants
Secondary

Transfusion Independence Response Rate

The number of transfusion dependent subjects at entry to a parent study who became transfusion-independent for ≥ 12 weeks at any time from the first dose of momelotinib in the parent study until the end of Study GS-US-352-1154.

Time frame: From baseline in the parent study until the last assessment in Study GS-US-352-1154, up to 30 days following permanent discontinuation of momelotinib.

Population: Subjects who were transfusion dependent at baseline in the parent studies and were enrolled in Study GS-US-352-1154 were evaluable for transfusion independence response.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
TotalTransfusion Independence Response Rate7 Participants
Cohort 2 (YM387-II-02/GS-US-352-1154)Transfusion Independence Response Rate5 Participants
Cohort 4 (GS-US-352-1672/GS-US-352-1154)Transfusion Independence Response Rate16 Participants
TotalTransfusion Independence Response Rate28 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026