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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-002597-27 | EudraCT Number |
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There are 5 parts to this study for which the primary objectives are to evaluate safety, tolerability, and pharmacokinetics (PK) of navitoclax when administered alone (Part 1) or when administered in combination with ruxolitinib (Part 2). In Part 2, participants must have been receiving a stable dose of ruxolitinib therapy for at least 12 weeks prior to study enrollment. In Part 3, all eligible participants will receive navitoclax, with the primary objective being to evaluate potential navitoclax effect on QTc prolongation. In Part 4, effect of navitoclax is evaluated on the PK, safety, and tolerability of a single dose of celecoxib. In Part 5, all eligible participants will receive ruxolitinib twice daily and navitoclax once daily for drug-drug interaction (DDI) assessment, followed by continued administration of navitoclax in combination with ruxolitinib.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Navitoclax Monotherapy | Experimental | Participants will receive various doses of navitoclax once daily (QD). |
|
| Part 2: Navitoclax + Ruxolitinib Combination Therapy | Experimental | Participants will receive various doses of navitoclax once daily (QD) in combination with ruxolitinib twice daily (BID). |
|
| Part 3: Navitoclax Monotherapy | Experimental | Participants will receive navitoclax once daily (QD). |
|
| Part 4: Navitoclax + Celecoxib | Experimental | Participants will receive navitoclax once daily (QD) starting on Day 3. Participants will also receive celecoxib single dose on Day 1 and Day 7. |
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| Part 5: Navitoclax + Ruxolitinib Combination Therapy | Experimental | Participants will receive ruxolitinib BID and navitoclax QD for drug-drug interaction (DDI) assessment, followed by continued administration of navitoclax in combination with ruxolitinib. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Navitoclax | Drug | Tablet; Oral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with Dose Limiting Toxicities (DLT) (Part 1 and Part 2) | Dose limiting toxicities for dose escalation purposes will be determined on events that occur during the first 28-day cycle of navitoclax. | Up to 28 days after the navitoclax initiation |
| Maximum Observed Plasma Concentration (Cmax) of Navitoclax (Part 2 and 5) | Maximum Observed Plasma Concentration (Cmax) of Navitoclax. | Up to approximately 1 day |
| Maximum Observed Plasma Concentration (Cmax) of Celecoxib (Part 4) | Maximum Observed Plasma Concentration (Cmax) of Celecoxib. | Up to approximately 1 day |
| Time to Cmax (peak time, Tmax) of Navitoclax (Part 2 and 5) | Tmax defined as time to maximum observed plasma concentration of Navitoclax. | Up to approximately 1 day |
| Time to Cmax (peak time, Tmax) of Celecoxib (Part 4) | Tmax defined as time to maximum observed plasma concentration of Celecoxib. | Up to approximately 1 day |
| Area Under the Plasma Concentration-time Curve from time 0 to the time of the last measurable concentration (AUCt) of Navitoclax | Area under the plasma concentration-time curve from time zero to the last measurable concentration of Navitoclax. | Up to approximately 2 days |
| Area Under the Plasma Concentration-time Curve from time 0 to the time of the last measurable concentration (AUCt) of Celecoxib (Part 4) |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Response Rate | ORR according to the International Working Group-Myeloproliferative Neoplasms Research and Treatment/European Leukemia Net (IWG-MRT/ELN) criteria for participants with myelofibrosis, essential thrombocythemia, and polycythemia vera, and according to IWG criteria for participants with CMML. | Up to approximately 96 weeks |
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Inclusion Criteria:
Parts 1 and 2:
Navitoclax Monotherapy (Part 1 Only - Japanese Participants):
Navitoclax + ruxolitinib Combination Therapy (Part 2 Only - Japanese and Taiwanese Participants):
Must have adequate bone marrow, kidney, liver and hematology blood values as detailed in the study protocol.
Part 1 only: Cytoreduction for participants with ET and PV therapy within 14 days prior to the first dose of navitoclax will be allowed pending additional discussion with study doctor. Ruxolitinib for MF participants will not be allowed within 7 days prior to the first dose of study drug and during navitoclax administration.
Eastern Cooperative Oncology Group (ECOG) performance status <= 1.
Part 3, and Part 4 (Participants in US and Europe):
Part 5 (Participants in US and Europe):
Exclusion Criteria:
Part 1 and 2:
Part 3, and Part 4:
Part 4 Only:
Part 5 Only:
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| Name | Affiliation | Role |
|---|---|---|
| ABBVIE INC. | AbbVie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope /ID# 239769 | Duarte | California | 91010 | United States | ||
| Providence - St. Jude Medical Center /ID# 242558 |
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| Ruxolitinib | Drug | Tablet; Oral |
|
| Celecoxib | Drug | Capsule; Oral |
|
|
Area under the plasma concentration-time curve from time zero to the last measurable concentration of Celecoxib. |
| Up to approximately 2 days |
| Number of Participants with Adverse Events | An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. | From first dose of study drug until 30 days following last dose of study drug (up to approximately 5 years). |
| Change in QT interval corrected for heart rate interval by Fridericia's correction formula (QTcF) (Part 3) | Change in QTcF (Part 3). | From first dose of study drug until 30 days following last dose of study drug. |
| Fullerton |
| California |
| 92835 |
| United States |
| Moores Cancer Center at UC San Diego /ID# 229584 | La Jolla | California | 92093 | United States |
| UCLA /Id# 222784 | Los Angeles | California | 90095-1678 | United States |
| Northwestern University Feinberg School of Medicine /ID# 224203 | Chicago | Illinois | 60611-2927 | United States |
| Norton Cancer Institute - St. Matthews /ID# 239300 | Louisville | Kentucky | 40207 | United States |
| Duplicate_Brigitte Harris Cancer Pavilion /ID# 238686 | Detroit | Michigan | 48202-2610 | United States |
| Nebraska Cancer Specialists - Omaha - Wright Street /ID# 242554 | Omaha | Nebraska | 68130 | United States |
| Duplicate_East Carolina University Brody School of Medicine /ID# 238560 | Greenville | North Carolina | 27834 | United States |
| Gabrail Cancer Center Research /ID# 228924 | Canton | Ohio | 44718 | United States |
| Pennsylvania Cancer Specialists Research Institute - Gettysburg /ID# 242550 | Gettysburg | Pennsylvania | 17325 | United States |
| Virginia Commonwealth University Medical Center Main Hospital /ID# 228169 | Richmond | Virginia | 23219 | United States |
| Cliniques Universitaires UCL Saint-Luc /ID# 225314 | Woluwe-Saint-Lambert | Brussels Capital | 1200 | Belgium |
| UMHAT Sveti Georgi /ID# 240022 | Plovdiv | 4002 | Bulgaria |
| UMHAT Sveti Ivan Rilski /ID# 240077 | Sofia | 1431 | Bulgaria |
| Klinicki bolnicki centar Zagreb /ID# 240140 | Zagreb | City of Zagreb | 10000 | Croatia |
| Centre Antoine Lacassagne - Nice /ID# 242293 | Nice | Alpes-Maritimes | 06189 | France |
| CHU Amiens-Picardie Site Sud /ID# 240792 | Amiens | Somme | 80054 | France |
| AP-HP - Hopital Saint-Louis /ID# 240685 | Paris | 75010 | France |
| IUCT Oncopole /ID# 242353 | Toulouse | 31059 | France |
| Universitaetsklinikum Freiburg /ID# 222791 | Freiburg im Breisgau | Baden-Wurttemberg | 79106 | Germany |
| Klinikum Kassel /ID# 225440 | Kassel | Hesse | 34125 | Germany |
| Universitaetsmedizin Rostock /ID# 225436 | Rostock | Mecklenburg-Vorpommern | 18057 | Germany |
| Charite Universitaetsklinikum Berlin - Campus Virchow /ID# 224835 | Berlin | 13353 | Germany |
| Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Universita Cattolica /ID# 221408 | Rome | Lazio | 00168 | Italy |
| ASST Spedali civili di Brescia /ID# 224962 | Brescia | 25123 | Italy |
| Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRCCS /ID# 224071 | Meldola | 47014 | Italy |
| Shonan Kamakura General Hospital /ID# 224315 | Kamakura-shi | Kanagawa | 247-8533 | Japan |
| Kindai University Hospital /ID# 213241 | Osakasayama-shi | Osaka | 589-8511 | Japan |
| Osaka University Hospital /ID# 213235 | Suita-shi | Osaka | 565-0871 | Japan |
| Juntendo University Hospital /ID# 213255 | Bunkyo-ku | Tokyo | 113-8431 | Japan |
| University of Yamanashi Hospital /ID# 229279 | Chuo-shi | Yamanashi | 409-3821 | Japan |
| University Clinical Center Serbia /ID# 240674 | Belgrade | Beograd | 11000 | Serbia |
| Hospital Duran i Reynals /ID# 224007 | L'Hospitalet de Llobregat | Barcelona | 08907 | Spain |
| Clinica Universidad de Navarra - Pamplona /ID# 224839 | Pamplona | Navarre | 31008 | Spain |
| CLINICA UNIVERSIDAD DE NAVARRA-Madrid /ID# 226041 | Madrid | 28027 | Spain |
| Duplicate_Karolinska University Hospital /ID# 239992 | Stockholm | Stockholm County | 141 86 | Sweden |
| Linkoping University Hospital /ID# 239995 | Linköping | 581 85 | Sweden |
| Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 215631 | Kaohsiung City | 807 | Taiwan |
| China Medical University Hospital /ID# 215634 | Taichung | 40447 | Taiwan |
| Dokuz Eylul University Medical Faculty /ID# 239952 | Izmir | 35340 | Turkey (Türkiye) |
| Gloucestershire Hospitals NHS Foundation Trust /ID# 241189 | Cheltenham | Gloucestershire | GL53 7AN | United Kingdom |
| ID | Term |
|---|---|
| D009196 | Myeloproliferative Disorders |
| D015477 | Leukemia, Myelomonocytic, Chronic |
| D011087 | Polycythemia Vera |
| D013920 | Thrombocythemia, Essential |
| D055728 | Primary Myelofibrosis |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D001855 | Bone Marrow Diseases |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D054437 | Myelodysplastic-Myeloproliferative Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019046 | Bone Marrow Neoplasms |
| D019337 | Hematologic Neoplasms |
| D009371 | Neoplasms by Site |
| D001778 | Blood Coagulation Disorders |
| D013922 | Thrombocytosis |
| D001791 | Blood Platelet Disorders |
| D006474 | Hemorrhagic Disorders |
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| ID | Term |
|---|---|
| C528561 | navitoclax |
| C540383 | ruxolitinib |
| D000068579 | Celecoxib |
| ID | Term |
|---|---|
| D000096926 | Benzenesulfonamides |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D011720 | Pyrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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