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An Open-Label, Multicenter, Phase 1b/2 Study of the Safety and Efficacy of TL-895 Combined With Ruxolitinib in Janus-associated Kinase Inhibitor (JAKi) Treatment-Naïve Myelofibrosis (MF) Subjects and Subjects With MF Who Have a Suboptimal Response to Ruxolitinib


Description

This study evaluates TL-895, a potent, orally-available and highly selective irreversible tyrosine kinase inhibitor for the treatment of Myelofibrosis. Participants must have MF (PMF, Post PV MF, or Post ET MF) who are JAKi treatment-naïve or those who have a suboptimal response to ruxolitinib.

Trial Eligibility

Inclusion Criteria: Subjects with suboptimal response to ruxolitinib: * Treatment with at a stable dose of ruxolitinib prior to study entry * Subjects ≥ 18 years of age and able to provide informed consent. * Confirmed diagnosis of PMF, post-PV MF, or post-ET MF, as assessed by treating physician according to the World Health Organization (WHO) criteria * High-risk, intermediate-2 risk, or intermediate-1 risk, defined by Dynamic International Prognostic System (DIPSS) * Palpable spleen measuring ≥ 5 cm below the left lower coastal margin (LLCM) or spleen volume of ≥ 450 cm3 by MRI or CT scan assessment * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 * Adequate hematological, hepatic, \& renal function. Exclusion Criteria: Treatment-naive subjects: * Prior treatment with any JAKi Subjects with suboptimal response to ruxolitinib: * Documented disease progression while on ruxolitinib treatment All subjects: * Prior splenectomy or splenic irradiation within 24 weeks prior to first dose of study treatment * Prior treatment with a BTK or BMX inhibitor

Study Info

Organization

Telios Pharma, Inc.


Primary Outcome

Phase 1b - Recommended Phase 2 dose of TL-895 in combination with ruxolitinib


Outcome Timeframe 28 days

NCTID NCT05280509

Phases PHASE1,PHASE2

Primary Purpose TREATMENT

Start Date 2022-06-09

Completion Date 2025-10

Enrollment Target 70

Interventions

DRUG TL-895

DRUG Ruxolitinib

Locations Recruiting

University of Alabama at Birmingham

United States, Alabama, Birmingham


Gabrail Cancer Center

United States, Ohio, Canton


University of Cincinnati (UC)

United States, Ohio, Cincinnati


The University of Texas MD Anderson Cancer Center

United States, Texas, Houston


CHU Angers

France, Angers


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