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| ID | Type | Description | Link |
|---|---|---|---|
| I3X-MC-JHTB | Other Identifier | Eli Lilly and Company |
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The primary purpose of this study is to measure the response rate in participants with the myeloproliferative neoplasms (MPNs), polycythemia vera (PV), essential thrombocythemia (ET), or myelofibrosis (MF) when treated with LY2784544, including those who have demonstrated an intolerance to, failure of primary response to, or have demonstrated disease progression while on ruxolitinib.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 120 mg LY2784544 | Experimental | 120 milligram (mg) administered orally once daily for 6 cycles (168 days) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 120 mg LY2784544 | Drug | Administered orally |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants with an Objective Response (Objective Response Rate) | Baseline until Disease Progression (PD) or Participant Stops Study (Estimated up to 24 Months) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants with a Molecular Response (Molecular Response Rate) | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) | |
| Percentage of Participants with Hematological Improvement (Hematological Improvement Rate) | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
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Inclusion Criteria:
Have a diagnosis of polycythemia vera (PV), essential thrombocythemia (ET), or myelofibrosis (MF) as defined by the World Health Organization (WHO) diagnostic criteria for myeloproliferative neoplasms (Swerdlow et al. 2008) and meet the following additional subtype specific criteria:
All PV, ET, and MF participants must meet the following criteria:
o Have a quantifiable level of janus kinase 2 with a valine to phenylalanine substitution at amino acid 617 (JAK2 V617F) mutation. This inclusion criterion will not apply to the subset of participants in Cohorts 10 and 11 that must be negative for the JAK2 V617F mutation
Are ≥ 18 years of age
Have given written informed consent prior to any study-specific procedures
Have adequate organ function, including: Hepatic: Direct bilirubin ≤1.5 times upper limits of normal (ULN), alanine transaminase (ALT), and aspartate transaminase (AST) ≤2.5 times ULN; Renal: Serum creatinine ≤1.5 times ULN; Bone Marrow Reserve: Absolute neutrophil count (ANC) ≥1000/microliter (mcL), platelets ≥50,000/mcL for participants with ET or PV and ≥25,000/mcL for participants with MF
Have a performance status of 0, 1, or 2 on the Eastern Cooperative Oncology Group (ECOG) scale
Have discontinued all previous approved therapies for Myeloproliferative Neoplasms (MPNs), including any chemotherapy, immunomodulating therapy (for example, thalidomide, interferon-alpha), immunosuppressive therapy (for example, corticosteroids >10 mg/day prednisone or equivalent), radiotherapy, and erythropoietin, thrombopoietin, or granulocyte colony stimulating factor for at least 14 days and recovered from the acute effects of therapy. Hydroxyurea used to control blood cell counts is permitted at study entry if the subject has been maintained on a stable dose for at least 4 weeks. Low-dose acetylsalicylic acid (aspirin) is permitted as well
Are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures
Males and females with reproductive potential must agree to use medically approved contraceptive precautions during the study and for 3 months following the last dose of study drug
Females with child-bearing potential must have had a negative urine pregnancy test ≤ 7 days before the first dose of study drug and must also not be breastfeeding
Are able to swallow capsules
For participants who have undergone recent major surgery, at least 28 days must have elapsed between surgery and study participation and the participant must have achieved, in the opinion of the treating physician, at least a good recovery from the surgical procedure
Enrollment into Cohort 12 is limited to MF, PV, or ET participants, regardless of mutational status, who, in addition to all other criteria, have demonstrated intolerance to ruxolitinib, failure of primary response to ruxolitinib, or have demonstrated disease progression while on ruxolitinib
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Call 1-877-CTLilly (1-877-285-4559) or 1-317-615-4559 Mon- Fri 9 AM - 5 PM Eastern time (UTC/GMT -5 hours, EST) | Eli Lilly and Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Highlands Oncology Group - Duplicate 2 | Rogers | Arkansas | 72758 | United States | ||
| Providence St. Joseph's Medical Center |
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| Change in Spleen Size | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
| Change in Bone Marrow Fibrosis Grade | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
| Change in Number of Thrombotic or Hemorrhagic Events | 3 Months prior to Study Drug (historic) until PD or Participant Stops Study (Estimated up to 24 Months) |
| Change in Number of Phlebotomies and Transfusions | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
| Duration of Response | Confirmed Response to PD or Death from Any Cause (Estimated up to 24 Months) |
| Time to Best Response | Baseline to Confirmed Response (Estimated up to 6 Months) |
| Change in Myeloproliferative Neoplasm Symptom Assessment Form (MPN-SAF) | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
| Time to Treatment Failure | Baseline to PD, Death from Any Cause or Participant Stops Study (Estimated up to 24 Months) |
| Time to Disease Progression | Baseline to Measured PD (Estimated up to 24 Months) |
| Progression Free Survival (PFS) | Baseline to PD or Death from Any Cause (Estimated up to 24 Months) |
| Change in Activities of Daily Living (ADL)/ Instrumental Activities of Daily Living (IADL) | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
| Change in EuroQol - 5 dimensions (EQ-5D) Index Score | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
| Change in International Prognosis Scoring System Scales (IPSS) | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
| Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY2784544 | Predose up to Day 84 |
| PK: Time of Maximal Concentration (Tmax) of LY2784544 | Predose up to Day 84 |
| Change in Liver Size | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
| Change in 6-item Physician Symptom Assessment | Baseline until PD or Participant Stops Study (Estimated up to 24 Months) |
| Burbank |
| California |
| 91505 |
| United States |
| Norwalk Hospital | Norwalk | Connecticut | 06856 | United States |
| Lakeland Regional Cancer Center | Lakeland | Florida | 33805 | United States |
| Palm Beach Cancer Institue | West Palm Beach | Florida | 33401 | United States |
| Ingalls Memorial Hospital | Harvey | Illinois | 60426 | United States |
| Indiana Blood & Marrow Transplantation (IBMT) | Indianapolis | Indiana | 46237 | United States |
| Cancer Center of Kansas | Wichita | Kansas | 67214 | United States |
| Greenebaum Comprehensive Cancer Center | Baltimore | Maryland | 21201 | United States |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| Washington University Medical Center | St Louis | Missouri | 63110 | United States |
| Nebraska Methodist Hospital | Omaha | Nebraska | 68114 | United States |
| Weill Cornell Medical College | New York | New York | 10021 | United States |
| Albert Einstein College of Medicine | The Bronx | New York | 10461 | United States |
| Cleveland Clinic Foundation | Cleveland | Ohio | 44195 | United States |
| Mid Ohio Oncology Hematology | Columbus | Ohio | 43219 | United States |
| Baptist Cancer Center | Memphis | Tennessee | 38120 | United States |
| Sarah Cannon Cancer Center | Nashville | Tennessee | 37203 | United States |
| Tennessee Oncology PLLC | Nashville | Tennessee | 37203 | United States |
| Joe Arrington Cancer Center | Lubbock | Texas | 79410 | United States |
| Swedish Medical Center | Seattle | Washington | 98104 | United States |
| Dean Medical Center | Madison | Wisconsin | 53717 | United States |
| Medical College of Wisconsin | Milwaukee | Wisconsin | 53226 | United States |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Garran | Australian Capital Territory | 2605 | Australia |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Wodonga | Victoria | 3690 | Australia |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Perth | Western Australia | 6009 | Australia |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Vienna | 1090 | Austria |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Montreal | Quebec | H1T 2M4 | Canada |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Paris | 75010 | France |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Jena | 07747 | Germany |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Mannheim | 68167 | Germany |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Minden | 32429 | Germany |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Bologna | 40138 | Italy |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Florence | 50134 | Italy |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Barcelona | 08036 | Spain |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Madrid | 28046 | Spain |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Stockholm | SE-118 83 | Sweden |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Uddevalla | 45180 | Sweden |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | Uppsala | 75185 | Sweden |
| ID | Term |
|---|---|
| D019337 | Hematologic Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| C581039 | LY2784544 |
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