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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT06456346




Registration number
NCT06456346
Ethics application status
Date submitted
7/06/2024
Date registered
13/06/2024

Titles & IDs
Public title
Bomedemstat vs Hydroxyurea for Essential Thrombocythemia (MK-3543-007)
Scientific title
A Phase 3, Randomized, Double-blind, Active-Comparator-Controlled Clinical Study to Evaluate the Efficacy and Safety of Bomedemstat (MK-3543) Versus Hydroxyurea in Cytoreductive Therapy Naïve Essential Thrombocythemia Participants
Secondary ID [1] 0 0
2023-505232-36
Secondary ID [2] 0 0
3543-007
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Essential Thrombocythemia 0 0
Condition category
Condition code
Blood 0 0 0 0
Haematological diseases
Blood 0 0 0 0
Other blood disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Bomedemstat
Treatment: Drugs - Hydroxyurea
Treatment: Drugs - Bomedemstat placebo
Treatment: Drugs - Hydroxyurea placebo

Experimental: Bomedemstat - Participants will receive active bomedemstat and hydroxyurea placebo daily for up to approximately 52 weeks. Dosage will be adjusted either up or down within specified time parameters for each participant to the dose that provides sufficient exposure to safely inhibit thrombopoiesis to decrease platelet counts to the target range. Participants who complete treatment at Week 52 will be eligible to continue treatment in the extended treatment phase. Unblinding will occur and placebo discontinued once all participants have completed at least 52 weeks of therapy or otherwise discontinued.

Active comparator: Hydroxyurea - Participants will receive active hydroxyurea and bomedemstat placebo daily for up to 52 weeks. Dosage will be adjusted either up or down within specified time parameters for each participant to the dose that provides sufficient exposure to safely inhibit thrombopoiesis to decrease platelet counts to the target range. Participants who complete treatment at Week 52 will be eligible to continue treatment in the extended treatment phase. Unblinding will occur and placebo discontinued once all participants have completed at least 52 weeks of therapy or otherwise discontinued.


Treatment: Drugs: Bomedemstat
Oral capsule

Treatment: Drugs: Hydroxyurea
Oral capsule

Treatment: Drugs: Bomedemstat placebo
Oral capsule placebo

Treatment: Drugs: Hydroxyurea placebo
Oral capsule placebo
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Durable Clinicohematologic Response (DCHR) Rate
Timepoint [1] 0 0
Up to Week 52
Secondary outcome [1] 0 0
Change From Baseline in Myelofibrosis Symptom Assessment Form version 4.0 (MFSAF v4.0) Individual Fatigue Symptom Item Score
Timepoint [1] 0 0
Baseline and pre-specified timepoints up to Week 52
Secondary outcome [2] 0 0
Change From Baseline in Patient-reported Outcomes Measurement Information System (PROMIS) Fatigue SF-7a Total Fatigue Score
Timepoint [2] 0 0
Baseline and pre-specified timepoints up to Week 52
Secondary outcome [3] 0 0
Change From Baseline in MFSAF v4.0 Total Symptom Score
Timepoint [3] 0 0
Baseline and Week 52
Secondary outcome [4] 0 0
Duration of Hematologic Remission (DOHR)
Timepoint [4] 0 0
Up to Week 52
Secondary outcome [5] 0 0
Number of Participants Who Experience Thrombotic Events
Timepoint [5] 0 0
Up to approximately 52 weeks
Secondary outcome [6] 0 0
Number of Participants Who Experience Major Hemorrhagic Events
Timepoint [6] 0 0
Up to approximately 52 weeks
Secondary outcome [7] 0 0
Disease Progression Rate
Timepoint [7] 0 0
Up to Week 52
Secondary outcome [8] 0 0
Number of Participants Who Experience One or More Adverse Events (AEs)
Timepoint [8] 0 0
Up to approximately 52 weeks
Secondary outcome [9] 0 0
Number of Participants Who Discontinue Study Intervention Due to an AE
Timepoint [9] 0 0
Up to approximately 52 weeks

Eligibility
Key inclusion criteria
* Diagnosis of Essential Thrombocythemia (ET) based on World Health Organization Criteria for myeloproliferative neoplasms, and an indication for cytoreductive therapy regardless of age or risk status
* Has a centrally assessed bone marrow fibrosis score of Grade 0 or Grade 1, as per a modified version of the European Consensus Criteria for Grading Myelofibrosis
* Has received no prior cytoreductive treatment for their ET
* Human Immunodeficiency Virus (HIV)-infected participants have well controlled HIV on antiretroviral therapy
* Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B Virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV viral load
* Participants with history of Hepatitis C Virus (HCV) infection are eligible if HCV viral load is undetectable
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* History of any illness/impairment of gastrointestinal function that might interfere with drug absorption
* History of a malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 2 years
* HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
* Has an active infection requiring systemic therapy
* Has had a major surgery <4 weeks prior to first dose of study intervention or has not recovered from side effects of major surgery >4 weeks prior to first dose

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s


The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
16/07/2024
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
15/04/2029
Actual
Sample size
Target
300
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC,WA
Recruitment hospital [1] 0 0
Westmead Hospital-The Crown Princess Mary Cancer Care Centre ( Site 0201) - Westmead
Recruitment hospital [2] 0 0
Royal Adelaide Hospital-Haematology Clinical Trials Unit ( Site 0203) - Adelaide
Recruitment hospital [3] 0 0
Monash Health-Haematology Research ( Site 0202) - Clayton
Recruitment hospital [4] 0 0
Austin Health-Cancer Clinical Trials Centre ( Site 0206) - Heidelberg
Recruitment hospital [5] 0 0
Royal Perth Hospital-Haematology ( Site 0204) - Perth
Recruitment postcode(s) [1] 0 0
2145 - Westmead
Recruitment postcode(s) [2] 0 0
5000 - Adelaide
Recruitment postcode(s) [3] 0 0
3168 - Clayton
Recruitment postcode(s) [4] 0 0
3084 - Heidelberg
Recruitment postcode(s) [5] 0 0
6000 - Perth
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Indiana
Country [2] 0 0
United States of America
State/province [2] 0 0
North Carolina
Country [3] 0 0
United States of America
State/province [3] 0 0
Virginia
Country [4] 0 0
Argentina
State/province [4] 0 0
Buenos Aires
Country [5] 0 0
Argentina
State/province [5] 0 0
Caba
Country [6] 0 0
Argentina
State/province [6] 0 0
Tucuman
Country [7] 0 0
Argentina
State/province [7] 0 0
Santa Fe
Country [8] 0 0
Austria
State/province [8] 0 0
Oberosterreich
Country [9] 0 0
Chile
State/province [9] 0 0
Biobio
Country [10] 0 0
Chile
State/province [10] 0 0
Coquimbo
Country [11] 0 0
Chile
State/province [11] 0 0
Region M. De Santiago
Country [12] 0 0
Colombia
State/province [12] 0 0
Antioquia
Country [13] 0 0
Colombia
State/province [13] 0 0
Cordoba
Country [14] 0 0
Colombia
State/province [14] 0 0
Distrito Capital De Bogota
Country [15] 0 0
Denmark
State/province [15] 0 0
Hovedstaden
Country [16] 0 0
Denmark
State/province [16] 0 0
Midtjylland
Country [17] 0 0
Denmark
State/province [17] 0 0
Syddanmark
Country [18] 0 0
France
State/province [18] 0 0
Alpes-Maritimes
Country [19] 0 0
France
State/province [19] 0 0
Aquitaine
Country [20] 0 0
France
State/province [20] 0 0
Bouches-du-Rhone
Country [21] 0 0
France
State/province [21] 0 0
Haute-Garonne
Country [22] 0 0
France
State/province [22] 0 0
Indre-et-Loire
Country [23] 0 0
France
State/province [23] 0 0
Loire-Atlantique
Country [24] 0 0
France
State/province [24] 0 0
Paris
Country [25] 0 0
Germany
State/province [25] 0 0
Bayern
Country [26] 0 0
Germany
State/province [26] 0 0
Nordrhein-Westfalen
Country [27] 0 0
Germany
State/province [27] 0 0
Sachsen-Anhalt
Country [28] 0 0
Germany
State/province [28] 0 0
Thuringen
Country [29] 0 0
Hong Kong
State/province [29] 0 0
Hksar
Country [30] 0 0
Hungary
State/province [30] 0 0
Gyor-Moson-Sopron
Country [31] 0 0
Hungary
State/province [31] 0 0
Somogy
Country [32] 0 0
Hungary
State/province [32] 0 0
Szabolcs-Szatmar-Bereg
Country [33] 0 0
Hungary
State/province [33] 0 0
Debrecen
Country [34] 0 0
Israel
State/province [34] 0 0
Haifa
Country [35] 0 0
Israel
State/province [35] 0 0
Jerusalem
Country [36] 0 0
Israel
State/province [36] 0 0
Petah Tikva
Country [37] 0 0
Israel
State/province [37] 0 0
Ramat Gan
Country [38] 0 0
Israel
State/province [38] 0 0
Tel Aviv
Country [39] 0 0
Israel
State/province [39] 0 0
Zerifin
Country [40] 0 0
Italy
State/province [40] 0 0
Lombardia
Country [41] 0 0
Italy
State/province [41] 0 0
Toscana
Country [42] 0 0
Italy
State/province [42] 0 0
Alessandria
Country [43] 0 0
Italy
State/province [43] 0 0
Bologna
Country [44] 0 0
Italy
State/province [44] 0 0
Pavia
Country [45] 0 0
Italy
State/province [45] 0 0
Roma
Country [46] 0 0
Italy
State/province [46] 0 0
Varese
Country [47] 0 0
Japan
State/province [47] 0 0
Aichi
Country [48] 0 0
Japan
State/province [48] 0 0
Ehime
Country [49] 0 0
Japan
State/province [49] 0 0
Hokkaido
Country [50] 0 0
Japan
State/province [50] 0 0
Hyogo
Country [51] 0 0
Japan
State/province [51] 0 0
Ishikawa
Country [52] 0 0
Japan
State/province [52] 0 0
Mie
Country [53] 0 0
Japan
State/province [53] 0 0
Miyagi
Country [54] 0 0
Japan
State/province [54] 0 0
Osaka
Country [55] 0 0
Japan
State/province [55] 0 0
Tokyo
Country [56] 0 0
Japan
State/province [56] 0 0
Yamanashi
Country [57] 0 0
Japan
State/province [57] 0 0
Fukuoka
Country [58] 0 0
Japan
State/province [58] 0 0
Fukushima
Country [59] 0 0
Japan
State/province [59] 0 0
Miyazaki
Country [60] 0 0
Japan
State/province [60] 0 0
Okayama
Country [61] 0 0
Mexico
State/province [61] 0 0
Chihuahua
Country [62] 0 0
Mexico
State/province [62] 0 0
Distrito Federal
Country [63] 0 0
Mexico
State/province [63] 0 0
Oaxaca
Country [64] 0 0
Poland
State/province [64] 0 0
Slaskie
Country [65] 0 0
Poland
State/province [65] 0 0
Swietokrzyskie
Country [66] 0 0
Spain
State/province [66] 0 0
Barcelona
Country [67] 0 0
Spain
State/province [67] 0 0
Cantabria
Country [68] 0 0
Spain
State/province [68] 0 0
Cataluna
Country [69] 0 0
Spain
State/province [69] 0 0
Madrid, Comunidad De
Country [70] 0 0
Spain
State/province [70] 0 0
Malaga
Country [71] 0 0
Spain
State/province [71] 0 0
Madrid
Country [72] 0 0
Spain
State/province [72] 0 0
Salamanca
Country [73] 0 0
Sweden
State/province [73] 0 0
Orebro Lan
Country [74] 0 0
Sweden
State/province [74] 0 0
Skane Lan
Country [75] 0 0
Sweden
State/province [75] 0 0
Stockholms Lan
Country [76] 0 0
Sweden
State/province [76] 0 0
Uppsala Lan
Country [77] 0 0
Sweden
State/province [77] 0 0
Vastra Gotalands Lan
Country [78] 0 0
Taiwan
State/province [78] 0 0
Chiayi
Country [79] 0 0
Taiwan
State/province [79] 0 0
Tainan
Country [80] 0 0
Taiwan
State/province [80] 0 0
Taipei
Country [81] 0 0
Taiwan
State/province [81] 0 0
Taoyuan

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Merck Sharp & Dohme LLC
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Medical Director
Address 0 0
Merck Sharp & Dohme LLC
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Toll Free Number
Address 0 0
Country 0 0
Phone 0 0
1-888-577-8839
Fax 0 0
Email 0 0
[email protected]
Contact person for scientific queries

Data sharing statement


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.


Results not provided in https://clinicaltrials.gov/study/NCT06456346