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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


Description

The purpose of this study is to evaluate the efficacy and safety of bomedemstat compared with hydroxyurea in cytoreductive therapy naïve essential thrombocythemia (ET) participants for whom cytoreductive therapy is indicated. Its primary objective is to compare bomedemstat to hydroxyurea with respect to durable clinicohematologic response (DCHR). The primary hypothesis is that bomedemstat is superior to hydroxyurea with respect to DCHR.

Trial Eligibility

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 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 Info

Organization

Merck Sharp & Dohme LLC


Primary Outcome

Durable Clinicohematologic Response (DCHR) Rate


Outcome Timeframe Up to Week 52

NCTID NCT06456346

Phases PHASE3

Primary Purpose TREATMENT

Start Date 2024-07-16

Completion Date 2027-04-15

Enrollment Target 300

Interventions

DRUG Bomedemstat

DRUG Hydroxyurea

DRUG Bomedemstat placebo

DRUG Hydroxyurea placebo

Locations Recruiting

Parkview Research Center at Parkview Regional Medical Center ( Site 0006)

United States, Indiana, Fort Wayne


Duke University Health System (DUHS) ( Site 0012)

United States, North Carolina, Durham


Hospital Italiano de Buenos Aires ( Site 0102)

Argentina, Caba, ABB


C.I.C.E. 9 de Julio ( Site 0104)

Argentina, Tucuman, San Miguel de Tucumán


Clínica de Nefrología, Urología y Enfermedades Cardiovasculares ( Site 0105)

Argentina, Santa Fe


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