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Brief Title: To Evaluate Efficacy and Safety of Parsaclisib and Ruxolitinib in Participants With Myelofibrosis Who Have Suboptimal Response to Ruxolitinib (LIMBER-304)
Official Title: A Randomized, Double-Blind, Placebo-Controlled Study of the PI3Kδ Inhibitor Parsaclisib Plus Ruxolitinib in Participants With Myelofibrosis Who Have Suboptimal Response to Ruxolitinib
Study ID: NCT04551053
Brief Summary: The purpose of the study is to compare the efficacy and safety of parsaclisib when combined with ruxolitinb versus placebo combined with ruxolitinib in participants with myelofibrosis who have suboptimal response while receiving ruxolitinib monotherapy.
Detailed Description: Prospective participants must be on stable doses of ruxolitinib ranging from 5 mg BID to 25 mg BID and will have been on that dose for at least the last 8 weeks prior to Day 1. At least 3 months duration of prior ruxolitinib is required. Participants must meet Protocol-defined criteria for suboptimal response to ruxolitinib monotherapy. 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 a participant has completed the week 24 assessments, the participant's treatment assignment will then be unblinded and if found to be placebo, the participant will have the opportunity to crossover 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
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
Emad Ibrahim Md Inc, Redlands, 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
Augusta University - Medical College of Georgia, Augusta, Georgia, United States
Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana, United States
University of Kansas Hospital Authority, Westwood, Kansas, United States
Tulane University, New Orleans, Louisiana, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Beth Israel Deaconess Medical Center, 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
Westchester Medical Center Advanced Oncology, 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
Advent Health Hendersonville Park Ridge Hospital Hendersonville, Clyde, North Carolina, United States
Duke Cancer Center, Durham, North Carolina, United States
Cleveland Clinic, Cleveland, Ohio, United States
Oregon Health & Science University, Columbus, Ohio, United States
Oregon Health & Science University, Portland, Oregon, United States
Hillman Cancer Center, Pittsburgh, Pennsylvania, United States
Baptist Cancer Center, Memphis, Tennessee, United States
Texas Oncology - Medical City Dallas, Dallas, Texas, United States
Texas Oncology - Baylor Sammons Cancer Center, Dallas, Texas, United States
University of Texas Southwestern Medical Center, Dallas, Texas, United States
Renovatio Clinical, Houston, Texas, United States
Kelsey Seybold Clinic, Houston, Texas, United States
Providence Regional Medical Center Everett, Everett, Washington, United States
Hanusch-Krankenhaus Wiener Gebietskrankenkasse, Wien, , Austria
A.Z. St.-Jan A.V., Brugge, , Belgium
Jessa Ziekenhuis, Hasselt, , Belgium
AZ Delta, Roeselare, , Belgium
Chu Ucl Namur University Hospital Mont-Godinne, Yvoir, , Belgium
Peking University People'S Hospital (Pkuph) - Institute of Hematology, Beijing SHI, , China
Xuanwu Hospital Capital Medical University, Beijing, , China
Peking University Third Hospital, Beijing, , China
Peking University Third Hospital, Beijing, , China
The First Hospital of Jilin University, Changchun, , China
The First Peoples Hospital of Changzhou, Changzhou, , China
Fujian Medical University Union Hospital, Fuzhou, , China
Nanfang Hospital, Guangzhou, , China
The First Affiliated Hospital of Zhejiang University, Hangzhou, , China
Harbin Institute of Hematology and Oncology, Harbin, , China
University of Science and Technology of China-First Affiliated Hospital (Anhui Provincial Hospital), Hefei, , China
The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, , China
Jinan Central Hospital, Jinan, , China
The Second Affiliated Hospital of Kunming Medical University, Kunming, , 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
The Affiliated Hospital of Qingdao University, Qingdao, , China
The First Hospital of China Medical University, Shenyang, , China
Shenzhen University Hospital, Shenzhen, , China
Tianjin Medical University General Hospital, Tianjin, , China
Institute of Hematology and Hospital of Blood Diseases, Chinese Academy of Medical Sciences and Pek, Tianjin, , China
Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, , China
Tongji Hospital Huazhong University of Science and Technology, Wuhan, , China
The Second Affiliated Hospital of Xi an Jiaotong University, Xi'an, , China
Yantai Yuhuangding Hospital, Yantai, , China
Henan Provincial Peoples Hospital, Zhengzhou, , China
Henan Cancer Hostipal, Zhengzhou, , China
Helsinki University Central Hospital, Helsinki, , Finland
Centre Hospitalier Universitaire Grenoble Alpes (Chu Grenoble Alpes) - Hopital Albert Michallon, La Tronche, , France
Chu de Limoges, Limoges Cedex, , France
CHU Limoges - Hopital Duputren, Limoges Cedex, , 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
Hospital Saint Antoine, Paris, , France
Hospices Civils de Lyon Centre Hospitalier Lyon Sud, Pierre-Benite, , France
Institut Universitaire Du Cancer de Toulouse Oncopole, Toulouse, , France
Chu Vandoeuvre-Les-Nancy Hopital Brabois, Vandoeuvre-les-nancy, , France
Universitatsklinikum Bonn Aoer, Bonn, , Germany
Universitaetsmedizin Greifswald, Greifswald, , Germany
Universitatsklinikum Halle (Saale), Halle (saale), , Germany
Universitaetsmedizin Rostock, Rostock, , Germany
Semmelweis Egyetem, Budapest, , Hungary
Markhot Ferenc Korhaz, Eger, , Hungary
Petz Aladar County Teaching Hospital, Gyor, , Hungary
Samson Assuta Ashdod University Hospital, Ashdod, , Israel
Rambam Health Care Campus, Haifa, , Israel
Hadassah Hebrew University Medical Center Ein Karem Hadassah, Jerusalem, , Israel
Kaplan Medical Center, Rehovot, , Israel
Tel Aviv Sourasky Medical Center, Tel Aviv, , Israel
Assuta Ramat Hahayal, Tel Aviv, , Israel
Azienda Ospedaliera San Giuseppe Moscati, Avellino, , Italy
Aou Policlinico Consorziale Di Bari, Bari, , Italy
Lstituto Di Ematologia Lorenzo Ea.Seragnoli Universita Degli Studi Di Bologna - Policlinico S. Or, Bologna, , Italy
Azienda Ospedaliera Di Rilievo Nazionale E Di Alta Specializzazione Garibaldi, Catania, , Italy
University of Florence, Florence, , Italy
Irccs Azienda Ospedaliera Universitaria San Martino, Genova, , Italy
Fondazione Irccs Ca Granda Ospedale Maggiore, Milano, , Italy
Universita Di Napoli Federico Ii, Napoli, , Italy
Azienda Ospedaliero Universitaria Maggiore Della Carita Di Novara, Novara, , Italy
Azienda Ospedaliera Ospedali Riuniti Villa Sofia - Cervello, Palermo, , Italy
Ospedale S.Maria Della Misericordia, Perugia, , Italy
Ospedale S.Maria Della Misericordia, Perugia, , Italy
Presidio Ospedaliero Pescara, Pescara, , Italy
Azienda Ospedaliero Universitaria Pisana, Pisa, , Italy
Grande Ospedale Metropolitano Bianchi-Melacrino-Morelli, Reggio Calabria, , Italy
Univ. Di Roma Facolta Di Armacia E Medicina, Roma, , Italy
Policlinico Universitario Agostino Gemelli Universita Cattolica Del Sacro Cuore, Roma, , Italy
Ospedale Sant. Eugenio, Roma, , Italy
Policlinico Universitario Agostino Gemelli Universita Cattolica Del Sacro Cuore, Rome, , Italy
Azienda Ospedaliera Universitaria Senese Policlinico Santa Maria Alle Scotte, Siena, , 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
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
Juntendo University Hospital, Izunokuni, , Japan
Kagoshima University Hospital, Kagoshima, , 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
Juntendo University Hospital, Tokyo, , Japan
Nippon Medical School Hospital, Tokyo, , Japan
University of Yamanashi Hospital, Yamanashi, , Japan
Pusan National University Yangsan Hospital, Busan, , Korea, Republic of
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
Haukeland University Hospital, Bergen, , Norway
Akershus University Hospital, Lorenskog, , Norway
Pratia Hematologia Katowice, Katowice, , Poland
Pratia Hematologia Katowice, Katowice, , Poland
Samodzielny Publiczny Zoz Szpital Uniwersytecki W Krakowie, Krakow, , Poland
Samodzielny Publiczny Szpital Kliniczny Nr 1, Lublin, , Poland
Institute of Hematology and Transfusion Medicine, Warszawa, , Poland
Spitalul Clinic Coltea - Clinica Hematologie, Bucharest,, , Romania
Spitalul Clinic Judetean de Urgenta Targu Mures, Targu, , Romania
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
Institut Catala Doncologia Ico - Hospital Duran I Reynals Location, Barcelona, , Spain
Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, , Spain
Hospital Universitario 12 de Octubre, Madrid, , Spain
Fundacion Jimenez Diaz University Hospital, Madrid, , Spain
Hospital General Universitario Morales Meseguer, Murcia, , Spain
Hospital Universitario Virgen de La Arrixaca, Murcia, , Spain
Hospital Clinico Universitario de Salamanca, Salamanca, , Spain
Hospital Universitario Virgen Del Rocio, Sevilla, , Spain
Hospital Universitari I Politecnic La Fe, Valencia, , Spain
Hospital Universitario Doctor Peset, Valencia, , Spain
Hospital Universitario Miguel Servet, Zaragoza, , Spain
Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, , Taiwan
China Medical University Hospital, Taichung, , Taiwan
National Cheng Kung University (Ncku) Hospital, Tainan, , Taiwan
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
Ondokuz Mayis University Medicine Faculty, Samsun, , Turkey
Grampian Health Board, Aberdeen, , United Kingdom
United Lincolnshire Hospitals, Boston, , United Kingdom
Gloucestershire Royal Hospital, Gloucester, , United Kingdom
University College London Hospitals Nhs Foundation Trust, London, , United Kingdom
James Cook University Hospital, Middlesbrough, , United Kingdom
Name: Albert Assad, M.D.
Affiliation: Incyte Corporation
Role: STUDY_DIRECTOR