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This study evaluates either KRT-232 or TL-895 in treatment naïve patients with myelofibrosis (MF)
The study will be conducted in 2 stages. Stage 1 will evaluate safety, tolerability, and efficacy of either KRT-232 (Arm 1) or TL-895 (Arm 2) in treatment naïve patients. Stage 2 will expand enrollment in Arm 1 and/or Arm 2 if expansion criteria is met.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 | Experimental | KRT-232 administered orally as 240 mg once daily on Days 1-7, off treatment on Days 8-28, in 28-day treatment cycles |
|
| Arm 2 | Experimental | TL-895 administered orally as 150 mg twice daily continuously in 28-day cycles |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KRT-232 | Drug | KRT-232, administration by mouth |
| |
| TL-895 |
| Measure | Description | Time Frame |
|---|---|---|
| Spleen Volume Reduction (SVR) | The proportion of subjects achieving ≥35% SVR at Week 24 by MRI/CT (central review) | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Improvement in Total Symptom Score (TSS) | The proportion of subjects who have at least a 50% reduction from Baseline to Week 24 in the total symptom score as measured by the MF-SAF v4.0 | 24 weeks |
| Spleen Response Duration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| John Mei | Contact | 650-542-0136 | jmei@kartosthera.com | |
| Jordan Blevins | Contact | 650-542-0136 | jblevins@kartosthera.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Innovative Clinical Research Institute | Recruiting | Glendale | California | 90603 | United States | |
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| Drug |
TL-895, administration by mouth |
|
Time from initial SVR of ≥35% by MRI/CT (central review) until progression
| 48 months |
| Rate of conversion from RBC transfusion dependent to independent | The proportion of subjects who convert from transfusion dependent to transfusion independent at Week 24 | 24 weeks |
| Overall Survival (OS) | Time from first dose to death from any cause | 48 months |
| Progression free survival (PFS) | Time from randomization to either first occurrence of disease progression or death due to any cause | 48 months |
| Innovative Clinical Research Institute |
| Recruiting |
| Whittier |
| California |
| 90603 |
| United States |
| Gabrail Cancer Center | Recruiting | Canton | Ohio | 44718 | United States |
| MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
| Republican Scientific Practical Center of Radiation Medicine and Human Ecology | Recruiting | Belarus’ | 246040 | Belarus |
| Minsk Scientific and Practice Center of Surgery, Transplantology and Hematology | Recruiting | Minsk | 220045 | Belarus |
| UMHAT Georgi Stranski | Recruiting | Pleven | 5800 | Bulgaria |
| Medical Centre Hipokrat N | Recruiting | Plovdiv | 4000 | Bulgaria |
| UMHAT Sv. Ivan Rilski EAD | Recruiting | Sofia | 1431 | Bulgaria |
| Military Medical Academy | Recruiting | Sofia | 1606 | Bulgaria |
| Specialized Hospital for Active Treatment of Hematologic Diseases | Recruiting | Sofia | 1756 | Bulgaria |
| JSC EVEX Hospitals | Recruiting | Kutaisi | 4600 | Georgia |
| LTD M.Zodelava Hematology Centre | Recruiting | Tbilisi | 112 | Georgia |
| K.Eristavi National Center of Experimental and Clinical Surgery | Recruiting | Tbilisi | 159 | Georgia |
| Centro de Investigacion Medica Aquascalientes (CIMA) | Recruiting | Aguascalientes | 20116 | Mexico |
| Unidad de Investigacion CIMA SC | Recruiting | Chihuahua City | 31200 | Mexico |
| Centro de Investigacion Clinica de Oaxaca (CICLO) | Recruiting | Oaxaca City | 68020 | Mexico |
| Sociedad de Metabolismo Y Corazon - SOMECO | Recruiting | Veracruz | 91900 | Mexico |
| Samodzielny Publiczny Zakład Opieki Zdrowotnej Zespół Szpitali Miejskich | Recruiting | Katowice | 40-519 | Poland |
| Szpital Wojewodzki w Opolu Sp. z o.o., Oddzial Hematologii i Onkologii Hematologicznej | Recruiting | Opole | 45-061 | Poland |
| Wojewodzki Szpital Specjalistyczny im. Janusza Korczaka w Slupsku Sp. z o.o. | Recruiting | Słupsk | 76-200 | Poland |
| Botkin City Clinical Hospital | Recruiting | Moscow | 125284 | Russia |
| Republican Hospital n.a. V.A. Baranov | Recruiting | Petrozavodsk | 185019 | Russia |
| Pavlov First Saint Petersburg State Medical University | Recruiting | Saint Petersburg | 197022 | Russia |
| Almazov National Medical Research Center | Recruiting | Saint Petersburg | 197341 | Russia |
| Almazov National Medical Research Centre | Recruiting | Saint Petersburg | 197341 | Russia |
| Samara State Medical University | Recruiting | Samara | 443099 | Russia |
| Wits Baragwanath Clinical Hematology Department | Recruiting | Soweto | 1519 | South Africa |
| City Hematology Center of Municipal Non-Profit Enterprise City Clinical Hospital #4 of Dnipro City Council | Recruiting | Dnipro | 49102 | Ukraine |
| ID | Term |
|---|---|
| D055728 | Primary Myelofibrosis |
| ID | Term |
|---|---|
| D009196 | Myeloproliferative Disorders |
| D001855 | Bone Marrow Diseases |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| C000723723 | navtemadlin; 2-((3R,5R,6S)-5-(3-chlorophenyl)-6-(4-chlorophenyl)-1-((S)-1-(isopropylsulfonyl)-3-methylbutan-2-yl)-3-methyl-2-oxopiperidin-3-yl)acetic acid |
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