Study of TL-895 Combined With Ruxolitinib in JAKi Treatment-Naïve MF Subjects and Subjects With MF Who Have a Suboptimal Response to Ruxolitinib

NCT ID: NCT05280509

Last Updated: 2023-02-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-09

Study Completion Date

2027-04-30

Brief Summary

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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.

Detailed Description

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Conditions

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Myelofibrosis Primary Myelofibrosis Post-PV MF Post-ET Myelofibrosis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Phase 1b - Dose Escalation Design Phase 2 - Dose Expansion
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1b - Dose Level 1

150 mg of TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle combined with the subject's pre-study stable dose of ruxolitinib.

Group Type EXPERIMENTAL

TL-895

Intervention Type DRUG

TL-895 is an experimental tyrosine kinase inhibitor anticancer drug taken by mouth.

Ruxolitinib

Intervention Type DRUG

Ruxolitinib is an FDA-approved janus kinase inhibitor anticancer drug taken by mouth.

Phase 1b - Dose Level 2

300 mg of TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle combined with the subject's pre-study stable dose of ruxolitinib.

Group Type EXPERIMENTAL

TL-895

Intervention Type DRUG

TL-895 is an experimental tyrosine kinase inhibitor anticancer drug taken by mouth.

Ruxolitinib

Intervention Type DRUG

Ruxolitinib is an FDA-approved janus kinase inhibitor anticancer drug taken by mouth.

Phase 1b - Dose Level 3

450 mg of TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle combined with the subject's pre-study stable dose of ruxolitinib.

Group Type EXPERIMENTAL

TL-895

Intervention Type DRUG

TL-895 is an experimental tyrosine kinase inhibitor anticancer drug taken by mouth.

Ruxolitinib

Intervention Type DRUG

Ruxolitinib is an FDA-approved janus kinase inhibitor anticancer drug taken by mouth.

Phase 2 - Cohort 1 JAKi treatment-naïve MF

The RP2D of TL-895 as determined in Phase 1b will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle.

The dose of ruxolitinib will be based on the subject's baseline platelet count.

Group Type EXPERIMENTAL

TL-895

Intervention Type DRUG

TL-895 is an experimental tyrosine kinase inhibitor anticancer drug taken by mouth.

Ruxolitinib

Intervention Type DRUG

Ruxolitinib is an FDA-approved janus kinase inhibitor anticancer drug taken by mouth.

Phase 2 - Cohort 2 suboptimal response to Ruxolitinib

The RP2D of TL-895 as determined in Phase 1b will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle.

The dose schedule will be the stable ruxolitinib dose schedule as the subject is currently taking prior to entry into the study.

Group Type EXPERIMENTAL

TL-895

Intervention Type DRUG

TL-895 is an experimental tyrosine kinase inhibitor anticancer drug taken by mouth.

Ruxolitinib

Intervention Type DRUG

Ruxolitinib is an FDA-approved janus kinase inhibitor anticancer drug taken by mouth.

Interventions

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TL-895

TL-895 is an experimental tyrosine kinase inhibitor anticancer drug taken by mouth.

Intervention Type DRUG

Ruxolitinib

Ruxolitinib is an FDA-approved janus kinase inhibitor anticancer drug taken by mouth.

Intervention Type DRUG

Other Intervention Names

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Jakafi Jakavi

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Telios Pharma, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

Gabrail Cancer Center

Canton, Ohio, United States

Site Status RECRUITING

University of Cincinnati (UC)

Cincinnati, Ohio, United States

Site Status RECRUITING

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

CHU Angers

Angers, , France

Site Status RECRUITING

AP-HM - Hôpital de la Timone

Marseille, , France

Site Status RECRUITING

CHU de Nice - Hopital L'Archet II

Nice, , France

Site Status RECRUITING

Hôpital Saint Louis - AP-HP

Paris, , France

Site Status RECRUITING

Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status RECRUITING

Marien Hospital Duesseldorf

Düsseldorf, , Germany

Site Status RECRUITING

Klinik fur Innere Medizin IV - Hamatologie/Onkologie, Universitatsklinikum Hall

Halle, , Germany

Site Status RECRUITING

IRCCS Azienda Ospedaliero-Universitaria di Bologna - Policlinico di Sant'Orsola

Bologna, , Italy

Site Status RECRUITING

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano

Milan, , Italy

Site Status RECRUITING

Azienda Ospedaliera di Perugia-Ospedale S. Maria della Misericordia

Perugia, , Italy

Site Status RECRUITING

Pratia Onkologia Katowice

Katowice, , Poland

Site Status RECRUITING

Hospital Universitari Arnau de Vilanova

Lleida, , Spain

Site Status RECRUITING

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Virgen de la Victoria

Málaga, , Spain

Site Status RECRUITING

Hospital Quironsalud de Zaragoza

Zaragoza, , Spain

Site Status RECRUITING

Countries

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United States France Germany Italy Poland Spain

Central Contacts

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John Mei

Role: CONTACT

650-542-0136

Nikki Stuart

Role: CONTACT

Other Identifiers

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TL-895-209

Identifier Type: -

Identifier Source: org_study_id

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