A Phase Ib/II Dose-finding Study to Assess the Safety and Efficacy of LDE225 + INC424 in Patients With MF

Novartis

Status and phase

Completed

Phase 2

Phase 1

Conditions

Polycythemia Vera

Primary Myelofibrosis

Myeloproliferative Disorders

Hemorrhagic Disorders

Bone Marrow Diseases

Blood Platelet Disorders

Thrombocytosis

Blood Coagulation Disorders

Essential Thrombocythemia

Hematologic Diseases

Treatments

Drug: LDE225

Drug: INC424

Study type

Interventional

Funder types

Industry

Identifiers

NCT01787552

CLDE225X2116

2012-004023-20 (EudraCT Number)

Details and patient eligibility

About

The purpose of this phase Ib/II clinical trial was to: a) evaluate the safety of the co-administration of LDE225 and INC424 in myelofibrosis patients and establish a maximum tolerated dose and/or Recommended Phase II dose of the combination and b) to assess the efficacy of the co-administration of LDE225 and INC424 on spleen volume reduction.

Full description

The study is considered to have been completed because the participants completed the study as per study design at the time of trial termination. If participants were already in extension phase until discontinuation criteria were met or alternative setting was available, they were considered as completed. The study was terminated due to one of the compounds being divested.

Enrollment

50 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Diagnosed with PMF per 2008 WHO criteria, post-PV MF or post-ET MF per IWG-MRT criteria.
Ineligible or unwilling to undergo stem cell transplantion.
PLT counts > or = 75X 10^9/L not reached with the aid of transfusions.
ECOG performance status ≤ 2.
Palpable splenomegaly defined as ≥ 5 cm below the left costal margin.
Intermediate risk level 1 (1 prognostic factor which is not age), Intermediate risk level 2, or high risk.
Active symptoms of MF as demonstrated by one symptom score of at least 5 (0 to10 point scale) or two symptom scores of at least 3 (0 to 10 point scale) on the MF Symptom Assessment Form (MFSAF).

Exclusion criteria

Previous therapy with JAK or Smoothened inhibitors.
Patient is currently on medications that interfere with coagulation (including warfarin) or platelet function with the exception of low dose aspirin (up to 100 mg) and LMWH.
Impairment of GI function or GI disease that may significantly alter the absorption of INC424 or LDE225 (e.g., uncontrolled nausea, vomiting, diarrhea; malabsorption syndrome; small bowel resection).
Splenic irradiation within 12 months prior to Screening.
Pregnant or nursing women.
WOCBP not using highly effective methods of contraception
Sexually active males who refuse condom use
Patients who have neuromuscular disorders (e.g. inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis and spinal muscular atrophy) or are on concomitant treatment with drugs that are recognized to cause rhabdomyolysis, such as HMG CoA inhibitors (statins), clofibrate and gemfibrozil. Pravastatin may be used if necessary, with extra caution.