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New treatment option for Myelofibrosis; Anemia
Official title Study of DISC-0974 (RALLY-MF) in Participants With Myelofibrosis or Myelodysplastic Syndrome and Anemia
ClinicalTrials.gov ID: NCT05320198
What this study is testing
What is DISC-0974?
DISC-0974 is an investigational medicine, given as an injection under the skin, being studied as a potential treatment for myelofibrosis; anemia.
Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.
- What it's testing
- This phase 1b/2a open-label study will evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and clinical activity of DISC-0974 as well as categorize the effects on hematologic response in participants with myelofibrosis or myelodysplastic syndrome and anemia.
- Phase 2: a mid-size study of how well it works
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 18 and older
You may be able to join if
- for Participants with MF and Anemia: Participants are eligible for the study if all of the following criteria apply:
- Age 18 years or older at the time of signing the informed consent form (ICF).
- For Phase 1b: Dynamic International Prognostic Scoring System (DIPSS) score of 3 to 4 (intermediate 2 risk) or ≥5 (high-risk) primary MF, post PV MF...
- Washout of at least 28 days prior to Screening of the following treatments:
- Androgens
You likely can't join if
- for Participants with MF and Anemia: Participants are excluded from the study if any of the following criteria apply: Medical History, Participants...
- Hereditary hemochromatosis
- Hemoglobinopathy or intrinsic RBC defect associated with anemia
- Total splenectomy
- Hematopoietic cell transplant within the past 2 years, or graft vs host disease requiring immunosuppression
- Current anemia from iron deficiency, vitamin B12 or folate deficiency, infection, or bleeding
See the full eligibility criteria
Who can join
- for Participants with MF and Anemia: Participants are eligible for the study if all of the following criteria apply:
- Age 18 years or older at the time of signing the informed consent form (ICF).
- For Phase 1b: Dynamic International Prognostic Scoring System (DIPSS) score of 3 to 4 (intermediate 2 risk) or ≥5 (high-risk) primary MF, post PV MF, and/or post ET MF, as confirmed in the most recent local bone marrow...
- Washout of at least 28 days prior to Screening of the following treatments:
- Androgens
- Cladribine
- Immunomodulators (lenalidomide, thalidomide)
- Luspatercept/sotatercept
- Systemic corticosteroids are permitted for non-hematological conditions if stable or decreasing dose for ≥28 days prior to Screening and receiving an equivalent to ≤10 mg prednisone for the 28 days immediately prior to...
- Anemia: For Phase 1b: Hgb \<10 g/dL on ≥3 assessments over 84 days prior to Screening, without RBC transfusion, or Hgb \<10 g/dL and receiving RBC transfusions periodically but not meeting criteria for TD participant as...
- Stable dosing of MF-directed therapy:
- Hydroxyurea, or, if taking any other treatment for MF, stable for at least 28 days prior to Screening.
- Interferon alpha stable dosing for at least 12 weeks prior to Screening.
- JAK inhibitors require 12 weeks of stable dosing prior to Screening. For the TD high, TD low, and nTD cohorts, JAK inhibitors allowed include momelotinib, pacritinib, fedratinib, and ruxolitinib.
- If the participant discontinues JAK inhibitor (including momelotinib/pacritinib/ruxolitinib/fedratinib) and/or hydroxyurea prior to Screening, a 60-day washout period is required.
- Eastern Cooperative Oncology Group (ECOG) performance score ≤2.
- Infusion of hematopoietic stem cell transplant not anticipated within 8 months after Screening.
- TSAT \<75% (local lab acceptable) at or within 2 weeks of Screening.
- Liver iron concentration by MRI \<7 mg/g dry weight within 3 months of eligibility confirmation by central review. Required for TD high participants only.
- Serum ferritin ≥50 µg/L at Screening.
- Platelet count ≥25,000/µL and \<1,000,000/µL; neutrophils ≥1,000/µL; and total white blood cell (WBC) count \<50,000/µL at Screening.
- Estimated glomerular filtration rate (eGFR) ≥30 mL/min/1.73 m2 by the Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) formula.
- Aspartate aminotransferase (AST) and ALT \<3.0x upper limit of normal (ULN) at Screening.
- Direct bilirubin \<2x ULN at Screening. Higher levels are acceptable if these can be attributed by the Investigator to ineffective erythropoiesis or Gilbert's syndrome, with approval from Sponsor.
- If male with female sexual partner(s) of childbearing potential, agrees to use 1 of the following highly effective methods of contraception during the study and for at least 8 weeks after the last study drug dose:
- Stable hormonal contraceptive (≥3 months; female partner)
- Intrauterine device in place for at least 3 months (female partner)
- Surgically sterile hysterectomy, bilateral oophorectomy, or bilateral tubal ligation (female partner)
- Confirmed successful vasectomy
- If female, then EITHER postmenopausal (defined as 12 months of spontaneous amenorrhea, 6 months of spontaneous amenorrhea with serum follicle-stimulating hormone (FSH) levels \>40 mIU/ml, or 6 weeks postsurgical...
- Stable hormonal contraceptive (≥3 months)
- Intrauterine device in place for at least 3 months
- Tubal ligation or single male partner with vasectomy
- Negative urine pregnancy test (females of childbearing potential) at Screening (Days 28 to 2).
- Able to understand the study aims, procedures, and requirements, and provide written informed consent.
- Able to comply with all study procedures. for Exploratory Cohort of Participants with MDS and Anemia: Participants are eligible for the MDS exploratory cohort if all of the following criteria apply:
- Age 18 years or older at the time of signing the ICF.
- Molecular International Prognostic Scoring System (IPSS-M) classification of very low, low, or intermediate (ie, lower risk) MDS-ringed sideroblasts (RS) negative, MDS/MPN with ringed sideroblasts and thrombocytosis...
- Washout of at least 28 days is required for prior anemia/neutropenia-directed therapies, including:
- Androgens
- EPO-stimulating agents
- Luspatercept
- Sotatercept (ACE-011)
- Imetelstat
- Granulocyte colony-stimulating factor (G CSF) OR granulocyte-macrophage CSF (GM CSF).
- Systemic corticosteroids (except for participants on a stable or decreasing dose for ≥28 days prior to randomization for non-hematological conditions and receiving an equivalent to ≤10 mg prednisone for the 28 days...
- Anemia:
- Baseline Hgb of \<10 g/dL on ≥3 assessments over 84 days prior to Screening, without RBC transfusion, or Hgb \<10 g/dL and receiving RBC transfusions periodically during the 84 days prior to Screening
- Medical history of ≤24 units of PRBC for MDS and anemia
- ECOG performance score ≤2
- Infusion of hematopoietic stem cell transplant not anticipated within 8 months after Screening
- TSAT \<75% (local lab acceptable) at or within 2 weeks of Screening
- Liver iron concentration by MRI \<7 mg/g dry weight within 3 months of eligibility confirmation by central review
- Serum ferritin ≥50 μg/L at Screening
- Platelet count ≥25,000/μL and \<1,000,000/μL, and total WBC count \<50,000/μL at Screening or otherwise approved by Sponsor.
- eGFR ≥30 mL/min/1.73 m2 by the CKD-EPI formula
- AST and ALT \<3x ULN at Screening
- Direct bilirubin \<2x ULN at Screening. Higher levels are acceptable if these can be attributed by the Investigator to ineffective erythropoiesis.
- If male with female sexual partner(s) of childbearing potential, agrees to use 1 of the following highly effective methods of contraception during the study and for at least 8 weeks after the last study drug dose:
- Stable hormonal contraceptive (≥3 months; female partner)
- Intrauterine device in place for at least 3 months (female partner)
- Surgically sterile hysterectomy, bilateral oophorectomy, or bilateral tubal ligation (female partner)
- Confirmed successful vasectomy
- If female, then EITHER postmenopausal (defined as 12 months of spontaneous amenorrhea, 6 months of spontaneous amenorrhea with serum FSH levels \>40 mIU/ml, or 6 weeks postsurgical bilateral oophorectomy with or without...
- Stable hormonal contraceptive (≥3 months)
- Intrauterine device in place for at least 3 months
- Tubal ligation or single male partner with vasectomy
- Negative urine pregnancy test (females of childbearing potential) at Screening (Days 28 to 2).
- Able to understand the study aims, procedures, and requirements, and provide written informed consent.
- Able to comply with all study procedures.
What rules you out
- for Participants with MF and Anemia: Participants are excluded from the study if any of the following criteria apply: Medical History, Participants with MF and Anemia
- Hereditary hemochromatosis
- Hemoglobinopathy or intrinsic RBC defect associated with anemia
- Total splenectomy
- Hematopoietic cell transplant within the past 2 years, or graft vs host disease requiring immunosuppression
- Current anemia from iron deficiency, vitamin B12 or folate deficiency, infection, or bleeding
- Active immune-mediated hemolytic anemia
- Symptomatic bleeding, unrelated to surgery, in a critical area or organ and/or bleeding causing a decrease in Hgb of ≥2 g/dL or leading to transfusion of ≥2 units of RBCs in the 6 months prior to Screening
- Major surgery within 8 weeks prior to Screening or incomplete recovery from any previous surgery
- Malignancy within the past 3 years, other than primary MF, post ET, or post PV MF. The following history or concurrent conditions are allowed:
- basal or squamous cell carcinoma of the skin
- carcinoma in situ of the cervix or the breast
- histologic finding of prostate cancer (T1a or T1b using the tumor, nodes, metastasis [TNM] clinical staging system) A history of completed treatment (medical or surgical) of stage 1-2 cancers may be permitted with prior...
- Stroke, deep vein thrombosis, or pulmonary or arterial embolism within 3 months prior to Screening
- Known allergic reaction to any study drug excipient
- A history of anti-drug antibody formation
- Inadequately controlled heart disease (New York Heart Association Classification 3 or 4) and/or known to have left ventricular ejection fraction \<35%
- Hepatitis B or C, or human immunodeficiency virus (HIV) with detectable viral load
- Uncontrolled fungal, bacterial, or viral infection (ongoing signs/symptoms related to the infection, without improvement despite appropriate treatment) Treatment History, Participants with MF and Anemia
- Iron chelation therapy in the 28 days prior to Screening
- Change in anticoagulant therapy regimen within 8 weeks prior to Screening Laboratory Exclusions, Participants with MF and Anemia
- Peripheral blood myeloblasts ≥10% of WBC differential at most recent evaluation prior to Screening
- Positive direct antiglobulin test in conjunction with a reactive RBC eluate at Screening Miscellaneous, Participants with MF and Anemia
- Pregnant or lactating
- Condition or concomitant medication that would confound the ability to interpret study data
- Other medical or psychiatric condition or laboratory finding not specifically noted above that, in the judgment of the Investigator or Sponsor, would put the participant at unacceptable risk or otherwise preclude the...
- Participation in any other clinical protocol or investigational study that involves administration of experimental therapy and/or therapeutic devices within 30 days prior to Screening Exclusion Criteria for Exploratory...
- Secondary MDS, ie, MDS that is known to have arisen as the result of chemical injury or treatment with chemotherapy and/or radiation from other diseases
- Peripheral blasts ≥5%
- Current treatment with hypomethylating agent or other acute myeloid leukemia (AML)-like combination chemotherapy or planned use within 6 months after Screening
- Prior treatment with \>3 anemia-directed therapies (unless otherwise approved by Sponsor) including:
- Luspatercept
- Sotatercept (ACE-011)
- EPO-stimulating agent
- Imetelstat
- Hereditary hemochromatosis
- Hemoglobinopathy or intrinsic RBC defect associated with anemia
- Total splenectomy
- Hematopoietic cell transplant within the past 10 years
- Current anemia from iron deficiency, vitamin B12 or folate deficiency, infection, or bleeding
- Active immune-mediated hemolytic anemia
- Symptomatic bleeding, unrelated to surgery, in a critical area or organ and/or bleeding causing a decrease in Hgb of ≥2 g/dL or leading to transfusion of ≥2 units of RBCs in the 6 months prior to Screening
- Major surgery within 8 weeks prior to Screening or incomplete recovery from any previous surgery
- Malignancy within the past 3 years, other than MDS or MDS/MPN without excess blasts. The following history or concurrent conditions are allowed:
- Basal or squamous cell carcinoma of the skin
- Carcinoma in situ of the cervix or the breast
- Histologic finding of prostate cancer (T1a or T1b using the TNM clinical staging system) A history of completed treatment (medical or surgical) of stage 1-2 cancers may be permitted with prior Sponsor agreement
- Stroke, deep vein thrombosis, or pulmonary or arterial embolism within 6 months prior to Screening
- Known allergic reaction to any study drug excipient
- A history of antidrug antibody formation
- Inadequately controlled heart disease (New York Heart Association Classification 3 or 4) and/or known to have left ventricular ejection fraction \<35%
- Active hepatitis B or C, or HIV with detectable viral load
- Uncontrolled fungal, bacterial, or viral infection (ongoing signs/symptoms related to the infection, without improvement despite appropriate treatment) Treatment History, Participants with MDS and Anemia
- Iron chelation therapy in the 28 days prior to Screening
- Change in anticoagulant therapy regimen within 8 weeks prior to Screening Laboratory Exclusions, Participants with MDS and Anemia
- Positive direct antiglobulin test in conjunction with a reactive RBC eluate at Screening Miscellaneous, Participants with MDS and Anemia
- Pregnant or lactating
- Condition or concomitant medication that would confound the ability to interpret study data
- Other medical or psychiatric condition or laboratory finding not specifically noted above that, in the judgment of the Investigator or Sponsor, would put the participant at unacceptable risk or otherwise preclude the...
- Participation in any other clinical protocol or investigational study that involves administration of experimental therapy and/or therapeutic devices within 30 days prior to Screening
The study team makes the final eligibility decision.
Where it's taking place
- Gilbert, Arizona, United States
- Duarte, California, United States
- Irvine, California, United States
- San Francisco, California, United States
- Aurora, Colorado, United States
- Jacksonville, Florida, United States
- Miami, Florida, United States
- Tampa, Florida, United States
- Atlanta, Georgia, United States
- Ann Arbor, Michigan, United States
- Rochester, Minnesota, United States
- St Louis, Missouri, United States
- New York, New York, United States
- Winston-Salem, North Carolina, United States
- Canton, Ohio, United States
- Cleveland, Ohio, United States
- Columbus, Ohio, United States
- Portland, Oregon, United States
- Gettysburg, Pennsylvania, United States
- Philadelphia, Pennsylvania, United States
+ 6 more site(s).
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Gilbert, Arizona, United States; Duarte, California, United States; Irvine, California, United States; San Francisco, California, United States; Aurora, Colorado, United States; Jacksonville, Florida, United States and 20 more location(s). Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.