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Brief Title: To Evaluate the Efficacy and Safety of Parsaclisib and Ruxolitinib in Participants With Myelofibrosis (LIMBER-313)
Official Title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of the Combination of PI3Kδ Inhibitor Parsaclisib and Ruxolitinib in Participants With Myelofibrosis
Study ID: NCT04551066
Brief Summary: The purpose of the study is to compare the efficacy of parsaclisib when combined with ruxolitinb versus placebo combined with ruxolitinib in participants with myelofibrosis.
Detailed Description: This is a Phase 3, randomized, double-blind study of the combination of the PI3Kδ inhibitor parsaclisib or matching placebo and the JAK1/2 inhibitor ruxolitinib in participants with PMF or secondary MF (PPV-MF or PET-MF) with DIPSS risk category of intermediate or high. Prospective participants must have not received prior MF therapy with a JAK inhibitor or a PI3K inhibitor. After participants have been determined to be eligible for the study and completed the baseline symptom diary assessment for 7 days, they will be randomized to 1 of 2 treatment groups, with stratification for platelet count (≥ 100 × 10\^9/L vs 50 to \< 100 × 10\^9/L inclusive) and DIPSS risk category (high vs intermediate-2 vs intermediate-1). Once all enrolled participants completed the week 24 assessments the study will be unblinded and and participants randomized to placebo will have the opportunity to cross over to begin receiving parsaclisib, together with continued ruxolitinib, as long as hematology parameters are adequate.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Alaska Oncology and Hematology, Anchorage, Alaska, United States
Mayo Clinic Rochester, Phoenix, Arizona, United States
Sutter Health Alta Bates Summit Medical Center Absmc Alta Bates Summit Comprehensive Cancer Center, Berkeley, California, United States
CCARE, Fresno, California, United States
California Research Institute (Cri), Los Angeles, California, United States
UCLA School of Medicine, Los Angeles, California, United States
Scripps Clinic, San Diego, California, United States
Coastal Integrated Cancer Care-Cicc, San Luis Obispo, California, United States
Stamford Hospital-Medical Oncology Hematology, Stamford, Connecticut, United States
Georgetown University, Washington, District of Columbia, United States
Emory University, Atlanta, Georgia, United States
University of Kansas Hospital Authority, Westwood, Kansas, United States
University of Kentucky-Markey Cancer Center, Lexington, Kentucky, United States
Tulane University, New Orleans, Louisiana, United States
Johns Hopkins University, Baltimore, Maryland, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Midamerica Cancer Care, Kansas City, Missouri, United States
New Jersey Hematology Oncology Associates Llc, Brick, New Jersey, United States
Morristown Medical Center-Atlantic Health System, Morristown, New Jersey, United States
Montefiore Medical Center, Bronx, New York, United States
Roswell Park Cancer Institute, Buffalo, New York, United States
Westchester Medical Center Advanced Oncology and Infusion Center, Hawthorne, New York, United States
Mount Sinai School of Medicine, New York, New York, United States
Memorial Sloan Kettering Cancer Center, New York, New York, United States
Duke Cancer Center, Durham, North Carolina, United States
Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, United States
Ohio State University, Columbus, Ohio, United States
Kaiser Permanente-Northwest, Portland, Oregon, United States
Oregon Health & Science University, Portland, Oregon, United States
Avera Cancer Institute, Sioux Falls, South Dakota, United States
Texas Oncology-Baylor Sammons Cancer Center, Dallas, Texas, United States
Kelsey Seybold Clinic, Houston, Texas, United States
Houston Methodist Hospital, Houston, Texas, United States
Renovatio Clinical, Spring, Texas, United States
Providence Regional Medical Center Everett, Everett, Washington, United States
Seattle Cancer Care Alliance, Seattle, Washington, United States
Ordensklinikum Linz Gmbh Elisabethinen, Linz, , Austria
Universitaetsklinikum St. Poelten, Saint P�LTEN, , Austria
Hanusch-Krankenhaus Der Wiener Gebietskrankenkasse, Wien, , Austria
Hanusch-Krankenhaus Wiener Gebietskrankenkasse, Wien, , Austria
A.Z. St.-Jan A.V., Brugge, , Belgium
Cliniques Universitaires Ucl Saint-Luc, Brussels, , Belgium
Grand Hospital de Charleroi, Charleroi, , Belgium
Jessa Ziekenhuis, Hasselt, , Belgium
AZ DELTA, Roeselare, , Belgium
Affiliated Hospital of Hebei University, Baoding, , China
Peking University People'S Hospital (Pkuph) - Institute of Hematology, Beijing SHI, , China
Peking University Third Hospital, Beijing, , China
The First Hospital of Jilin University, Changchun, , China
Xiangya Hospital Central South University, Changsha, , China
Fujian Medical University Union Hospital, Fuzhou, , China
Guangdong Provincial of People Hospital, Guangzhou, , China
Nanfang Hospital, Guangzhou, , China
The First Affiliated Hospital of Zhejiang University, Hangzhou, , China
Harbin Institute of Hematology and Oncology, Harbin, , China
Anhui Provincial Hospital, Hefei, , China
The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, , China
Jinan Central Hospital, Jinan, , China
The First Hospital of Lanzhou University, Lanzhou, , China
Lanzhou University Second Hospital, Lanzhou, , China
Jiangxi Provincial of People Hospital, Nanchang, , China
The First Affiliated Hospital of Nanchang University, Nanchang, , China
Jiangsu Province Hospital, Nanjing, , China
Zhongshan Hospital Fudan University, Shanghai, , China
Shenzhen University Hospital, Shenzhen, , China
The Second Hospital of Hebei Medical University, Shijiazhuang, , China
Tianjin Medical University General Hospital, Tianjin, , China
The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, , China
Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, , China
Yantai Yuhuangding Hospital, Yantai, , China
Henan Provincial Peoples Hospital, Zhengzhou, , China
Aalborg University Hospital, Aalborg, , Denmark
Odense University Hospital, Odense, , Denmark
Helsinki University Central Hospital, Helsinki, , Finland
Centre Hospitalier Universitaire Grenoble Alpes (Chu Grenoble Alpes) - Hopital Albert Michallon, La Tronche, , France
Centre Hospitalier de Versailles - Hopital Andre Mignot, LE Chesnay-rocquencourt, , France
Chu Limoges - Hopital Dupuytren, Limoges, , France
Centre Hospitalier Universitaire de Nantes (Chu de Nantes) - Hotel-Dieu, Nantes, , France
Chu Nimes, Nimes, , France
Ap-Hp Groupe Hospitalier Saint-Louis Lariboisiere Fernand-Widal Site Saint Louis (Paris), Paris, , France
Hospices Civils de Lyon Centre Hospitalier Lyon Sud, Pierre-benite, , France
Hospital de La Miletrie, Poitiers, , France
Chu de Rennes - Hospital Pontchaillou, Rennes, , France
Centre Hospitalier de Roubaix, Roubaix, , France
Universitatsklinikum Halle (Saale), Halle (saale), , Germany
Klinikum Kassel Gmbh, Kassel, , Germany
Universitatsklinikum Magdeburg A.O.R., Magdeburg, , Germany
Universitaetsmedizin Rostock, Rostock, , Germany
Shamir Medical Center Formerly Assaf Harofeh Medical Center, Beer Yaaqov, , Israel
Rambam Health Care Campus, Haifa, , Israel
Hadassah Hebrew University Medical Center Ein Karem Hadassah, Jerusalem, , Israel
Davidoff Cancer Center Rabin Medical Center, Petah-tikva, , Israel
Kaplan Medical Center, Rehovot, , Israel
Tel Aviv Sourasky Medical Center, Tel Aviv-yafo, , Israel
Assuta Ramat Hahayal, Tel Aviv, , Israel
Lstituto Di Ematologia Lorenzo Ea.Seragnoli Universita Degli Studi Di Bologna - Policlinico S. Or, Bologna, , Italy
Azienda Policlinico Vittorio Emanuele, Catania, , Italy
Universita Degli Studi Di Genova - Facolta Di Medicina E Chirurgia, Genova, , Italy
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori, Meldola, , Italy
Fondazione Irccs Ca Granda Ospedale Maggiore, Milano, , Italy
Istituto Di Ricovero E Cura A Carattere Scientifico (Irccs) Ospedale San Raffaele, Milan, , Italy
Universita Di Napoli Federico Ii, Napoli, , Italy
Azienda Ospedaliera Ospedali Riuniti Villa Sofia - Cervello, Palermo, , Italy
Aormn Hospital Hematology and Bmt Center, Pesaro, , Italy
Grande Ospedale Metropolitano Bianchi-Melacrino-Morelli, Reggio Calabria, , Italy
Universita Di Roma Tor Vergata, Roma, , Italy
Universita Di Roma, Roma, , Italy
Policlinico Universitario Agostino Gemelli Universita Cattolica Del Sacro Cuore, Roma, , Italy
Policlinico Universitario Agostino Gemelli Universita Cattolica Del Sacro Cuore, Rome, , Italy
Aou San Giovanni Di Dio E Ruggi D'Aragona, Salerno, , Italy
Azienda Ospedaliera San Giuseppe Moscati, Taranto, , Italy
Azienda Sanitaria Universitaria Friuli Centrale Asu Fc, Udine, , Italy
A.O. Universitaria Ospedale Di Circolo E Fondazione Macchi, Varese, , Italy
Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma), Verona, , Italy
Chiba Cancer Center, Chiba, , Japan
University of Yamanashi Hospital, Chuo, , Japan
Kyushu University Hospital, Fukuoka, , Japan
Japanese Red Cross Society Himeji Hospital, Himeji-shi, , Japan
Kansai Medical University Hospital, Hirakata, , Japan
Tokai University Hospital, Isehara, , Japan
Kagoshima University Hospital, Kagoshima-shi, , Japan
Hospital of the University of Occupation and Environmental Health, Kitakyushu-shi, , Japan
Kobe City Medical Center General Hospital, Kobe-shi, , Japan
Kumamoto Shinto General Hospital, Kumamoto-shi, , Japan
University of Miyazaki Hospital, Miyazaki, , Japan
Japanese Red Cross Nagoya Daini Hospital, Nagoya-shi, , Japan
Ogaki Municipal Hospital, Ogaki, , Japan
Osaka Metropolitan University Hospital, Osaka, , Japan
Dokkyo Medical University Saitama Medical Center, Saitama, , Japan
Hokuyukai Sapporo Hokuyu Hospital, Sapporo, , Japan
Tohoku University Hospital, Sendai, , Japan
Juntendo University Hospital, Tokyo, , Japan
Nippon Medical School Hospital, Tokyo, , Japan
Mie University Hospital, TSU, , Japan
Yokohama Municipal Citizens Hospital, Yokohama-shi, , Japan
Seoul National University Hospital, Seoul, , Korea, Republic of
Samsung Medical Center, Seoul, , Korea, Republic of
THE CATHOLIC UNIVERSITY OF KOREA SEOUL ST. MARY�S HOSPITAL, Seoul, , Korea, Republic of
Wonju Severance Christian Hospital, Wonju, , Korea, Republic of
Haukeland University Hospital, Bergen, , Norway
Akershus University Hospital, L�RENSKOG, , Norway
Uniwersyteckie Centrum Kliniczne, Gdansk, , Poland
Samodzielny Publiczny Szpital Kliniczny Im. Andrzeja Mielckiego, Katowice, , Poland
Pratia Hematologia Katowice, Katowice, , Poland
Sp Zoz Szpital Uniwersytecki, Krakow, , Poland
Samodzielny Publiczny Szpital Kliniczny Nr 1, Lublin, , Poland
Institute of Hematology and Transfusion Medicine, Warszawa, , Poland
Hospital General Unviersitario de Alicante, Alicante, , Spain
Ico Hospital Germans Trias I Pujol, Badalona, , Spain
Hospital Del Mar, Barcelona, , Spain
Hospital General Universitario Vall D Hebron, Barcelona, , Spain
Ico-Hospital Duran I Reynals, Barcelona, , Spain
Institut Catala Doncologia Ico - Hospital Duran I Reynals Location, Barcelona, , Spain
Ico Hospital Germans Trias I Pujol, Barcelona, , Spain
Hospital de Basurto, Bilbao, , Spain
Hospital Universitario Virgen de La Arrixaca, El Palmar, , Spain
Hospital Universitario Virgen de Las Nieves, Granada, , Spain
Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, , Spain
Fundacian Jimnez Diaz, Madrid, , Spain
Hospital Universitario 12 de Octubre, Madrid, , Spain
Hospital General Universitario Morales Meseguer, Murcia, , Spain
Hospital Clinico Universitario de Salamanca, Salamanca, , Spain
Hospital Universitari I Politecnic La Fe, Valencia, , Spain
Hospital Universitario Doctor Peset, Valencia, , Spain
Baskent University Adana Hospital, Adana, , Turkey
Gazi University Hospital Gazi University Faculty of Medicine, Ankara, , Turkey
Istanbul Medipol Universitesi Ibagcilar Medipol Mega Universitesi Hastanesi, Istanbul, , Turkey
Baskent University Istanbul Hospital, Istanbul, , Turkey
Ege University Hospital, Izmir, , Turkey
Dokuz Eylul University, Izmir, , Turkey
Ondokuz Mayis University Medicine Faculty, Samsun, , Turkey
United Lincolnshire Hospitals, Boston, , United Kingdom
Gloucestershire Royal Hospital, Gloucester, , United Kingdom
Barts Health Nhs Trust - St Bartholomews Hospital, London, , United Kingdom
University College London Hospitals Nhs Foundation Trust, London, , United Kingdom
Sheffield Teaching Hospitals Nhs Foundation Trust - Weston Park Hospital, Sheffield, , United Kingdom
University Hospital of North Midlands Nhs Trust, Stoke-on-trent, , United Kingdom
Name: Albert Assad, M.D
Affiliation: Incyte Corporation
Role: STUDY_DIRECTOR