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Brief Title: COntrolled MyeloFibrosis Study With ORal JAK Inhibitor Treatment: The COMFORT-I Trial
Official Title: A Randomized, Double-blind, Placebo-controlled Study of the JAK Inhibitor INCB018424 Tablets Administered Orally to Subjects With Primary Myelofibrosis, Post-Polycythemia Vera Myelofibrosis or Post-Essential Thrombocythemia Myelofibrosis
Study ID: NCT00952289
Brief Summary: This was a randomized, double-blind study comparing the efficacy and safety of ruxolitinib (INCB018424) tablets to matching placebo tablets in patients diagnosed with Myelofibrosis (either Primary Myelofibrosis (PMF) or Post-Polycythemia Vera Myelofibrosis (PPV-MF) or Post-Essential Thrombocythemia Myelofibrosis (PET-MF).
Detailed Description: Patients with spleen growth of greater than 25% based on an increase in spleen volume from Baseline were eligible for early unblinding, and for patients on placebo, cross over to ruxolitinib prior to the primary study endpoint being reached. If this spleen growth occurred before Week 24, it must have been accompanied by specific worsening of symptoms, based on worsening early satiety accompanied by weight loss or worsening pain requiring daily narcotic use. After Week 24, asymptomatic spleen growth alone was sufficient for early unblinding and potential cross over. Patients found to have been randomized to ruxolitinib after early unblinding prior to Week 24 were discontinued. When half of the patients remaining in the study completed the Week 36 visit and all patients enrolled completed Week 24 or discontinued, the database was frozen and the primary analysis was conducted. Once this was complete, all patients were unblinded and patients who had been randomized to placebo were given the opportunity to cross over to ruxolitinib treatment, provided hematology laboratory parameters were adequate; Patients receiving benefit could continue treatment until the later of marketing approval or when the last randomized patient remaining in the study had completed Week 144 (36 months).
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
, Birmingham, Alabama, United States
, Scottsdale, Arizona, United States
, Baldwin Park, California, United States
, Bellflower, California, United States
, Beverly Hills, California, United States
, Corona, California, United States
, Fullerton, California, United States
, Highland, California, United States
, La Jolla, California, United States
, Los Angeles, California, United States
, Orange, California, United States
, Palo Alto, California, United States
, Panorama City, California, United States
, Rancho Cucamonga, California, United States
, Riverside, California, United States
, Sacramento, California, United States
, San Diego, California, United States
, West Covina, California, United States
, Aurora, Colorado, United States
, Denver, Colorado, United States
, Fort Collins, Colorado, United States
, Norwalk, Connecticut, United States
, Washington, District of Columbia, United States
, Boynton Beach, Florida, United States
, Gainesville, Florida, United States
, Jacksonville, Florida, United States
, West Palm Beach, Florida, United States
, Winter Park, Florida, United States
, Atlanta, Georgia, United States
, Augusta, Georgia, United States
, Honolulu, Hawaii, United States
, Boise, Idaho, United States
, Meridian, Idaho, United States
, Twin Falls, Idaho, United States
, Chicago, Illinois, United States
, Beech Grove, Indiana, United States
, Indianapolis, Indiana, United States
, Ames, Iowa, United States
, Iowa City, Iowa, United States
, Sioux City, Iowa, United States
, Waterloo, Iowa, United States
, Louisville, Kentucky, United States
, Alexandria, Louisiana, United States
, New Orleans, Louisiana, United States
, Baltimore, Maryland, United States
, Ann Arbor, Michigan, United States
, Detroit, Michigan, United States
, Novi, Michigan, United States
, Southfield, Michigan, United States
, Minneapolis, Minnesota, United States
, Rochester, Minnesota, United States
, Saint Louis Park, Minnesota, United States
, New Albany, Mississippi, United States
, Saint Louis, Missouri, United States
, Billings, Montana, United States
, Denville, New Jersey, United States
, Hackensack, New Jersey, United States
, Morristown, New Jersey, United States
, Somerville, New Jersey, United States
, Albuquerque, New Mexico, United States
, East Setauket, New York, United States
, New York, New York, United States
, Valhalla, New York, United States
, Durham, North Carolina, United States
, Hickory, North Carolina, United States
, Winston-Salem, North Carolina, United States
, Bismarck, North Dakota, United States
, Akron, Ohio, United States
, Canton, Ohio, United States
, Cleveland, Ohio, United States
, Dayton, Ohio, United States
, Dover, Ohio, United States
, Portland, Oregon, United States
, Philadelphia, Pennsylvania, United States
, Pittsburgh, Pennsylvania, United States
, Charleston, South Carolina, United States
, Germantown, Tennessee, United States
, Memphis, Tennessee, United States
, Nashville, Tennessee, United States
, Dallas, Texas, United States
, Houston, Texas, United States
, New Braunfels, Texas, United States
, San Antonio, Texas, United States
, Salt Lake City, Utah, United States
, Burlington, Vermont, United States
, Everett, Washington, United States
, Seattle, Washington, United States
, Milwaukee, Wisconsin, United States
, Darlinghurst, New South Wales, Australia
, Kogarah, New South Wales, Australia
, Randwick, New South Wales, Australia
, St Leonards, New South Wales, Australia
, Brisbane, Queensland, Australia
, Douglas, Queensland, Australia
, Herston, Queensland, Australia
, Milton, Queensland, Australia
, Woolloongabba, Queensland, Australia
, Bedford Park, South Australia, Australia
, Box Hill, Victoria, Australia
, Clayton, Victoria, Australia
, Frankston, Victoria, Australia
, Ringwood East, Victoria, Australia
, Fremantle, Western Australia, Australia
, Perth, Western Australia, Australia
, Vancouver, British Columbia, Canada
, St. John's, Newfoundland and Labrador, Canada
, Halifax, Nova Scotia, Canada
, London, Ontario, Canada
, Ottawa, Ontario, Canada
, Toronto, Ontario, Canada
, Levis, Quebec, Canada
, Montreal, Quebec, Canada
Name: Srdan Verstovsek, MD, PhD
Affiliation: M.D. Anderson Cancer Center
Role: STUDY_DIRECTOR