Study of Navtemadlin add-on to Ruxolitinib in JAK Inhibitor-Naïve Patients With Myelofibrosis Who Have a Suboptimal Response to Ruxolitinib
Eligible age
18+ yrs
Accepts
All genders
Locations
28 states
Healthy volunteers
No
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About this study
This clinical trial is evaluating whether addition of navtemadlin to ruxolitinib treatment will provide more clinical benefit than ruxolitinib alone for patients with Myelofibrosis who have a suboptimal response to ruxolitinib treatment alone. Subjects will start by receiving ruxolitinib alone in the run-in period. Those who demostrate a suboptimal response from ruxolitinib alone will then be randomized 2:1 to receive navtemadlin or navtemadlin placebo as add-on treatment to their ongoing ruxolitinib. Randomized means that subjects will be assigned to a group by chance, like a flip of a coin. The study is blinded, meaning the subjects, doctors, central endpoint assessors and sponsor will not know which add on treatment (navtemadlin or navtemadlin placebo) the subject is receiving.
Sponsor: Kartos Therapeutics, Inc.
You may qualify if…
- ✓ Confirmed diagnosis of PMF, post-PV MF, or post-ET MF, as assessed by the treating physician according to the World Health Organization (WHO) criteria
- ✓ High, Intermediate-1, Intermediate-2 risk category International Prognosis System Score (IPSS)
- ✓ Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
- ✓ JAK-inhibitor treatment naive
- ✓ PMF, post-PV MF, or post-ET MF that is TP53WT as assessed by central testing
- ✓ ECOG performance status of 0 to 2
- ✓ Treatment with a stable dose of ruxolitinib
- ✓ Suboptimal response to run-in ruxolitinib treatment
You may not qualify if…
- ✕ Prior Splenectomy
- ✕ Splenic irradiation within 3 months prior to the first dose
- ✕ Prior BCL-XL, BET, MDM2, PI3K, PIM, or XPO1 inhibitors therapy or p53-directed therapy
- ✕ Eligible for Bone Marrow Transplant
- ✕ Peripheral blood or bone marrow blast count ≥ 10 percent
- ✕ Elevated white blood cell count that doubles (or more) during ruxolitinib treatment and exceeds 50 × 10\^9/L
- ✕ Peripheral blood or bone marrow blast count ≥ 10 percent
Where it's recruiting
Source: ClinicalTrials.gov · NCT06479135 · last updated 2025-09-25