Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT06343805

A Phase 1 Study of AJ1-11095 in Patients With Primary Myelofibrosis (PMF), Post-Polycythemia Vera Myelofibrosis (PPV-MF), or Post-Essential Thrombocythemia Myelofibrosis (PET-MF) Who Have Been Failed by a Type I JAK2 Inhibitor (JAK2i)

Led by Ajax Therapeutics, Inc. · Updated on 2026-05-12

76

Participants Needed

21

Research Sites

120 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

AJX-101 is a first-in-human (FIH), phase 1, non-randomized, multi-center, open-label clinical trial designed to investigate the safety, tolerability, pharmacokinetics (PK), clinical activity and changes in biomarkers of an orally administered type II JAK2 inhibitor, AJ1-11095, in subjects with primary or secondary myelofibrosis previously treated with at least one type I JAK2 inhibitor.

CONDITIONS

Official Title

A Phase 1 Study of AJ1-11095 in Patients With Primary Myelofibrosis (PMF), Post-Polycythemia Vera Myelofibrosis (PPV-MF), or Post-Essential Thrombocythemia Myelofibrosis (PET-MF) Who Have Been Failed by a Type I JAK2 Inhibitor (JAK2i)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 18 years of age or older
  • Diagnosed with primary myelofibrosis (PMF), post-polycythemia vera myelofibrosis (post-PV MF), or post-essential thrombocythemia myelofibrosis (post-ET MF)
  • DIPSS Intermediate-2 or High-risk myelofibrosis with 10% or less blasts, regardless of JAK2 mutation status
  • Estimated spleen volume 450 cm3 or greater
  • MFSAF v.4.0 Total Symptom Score of 10 or higher, or at least 2 of 7 MFSAF-assessed symptoms with scores of 3 or more
  • ECOG performance status of 0, 1, 2, or 3
  • Prior therapy with at least one type I JAK2 inhibitor and either failed to achieve a response or relapsed after response
  • Absolute neutrophil count (ANC) of 1.0 x 10^9/L or higher
  • Platelet count of 75 x 10^9/L or higher
  • Estimated glomerular filtration rate (eGFR) of 45 mL/min/1.73m2 or higher
  • Serum total bilirubin 2.0 times the upper limit of normal (ULN) or less
  • AST and ALT levels 3.0 times the ULN or less
  • QTcF (corrected QT interval) 480 milliseconds or less
Not Eligible

You will not qualify if you...

  • Prior splenectomy
  • Splenic irradiation within 3 months before first dose of study drug
  • Ongoing use of systemic corticosteroids at doses greater than 10 mg/day prednisone equivalent
  • Uncontrolled illnesses such as acute infections
  • Chronic active or acute hepatitis B or C infection
  • Chemotherapy within 4 weeks before first dose of study drug (Hydrea allowed until 5 days before starting protocol therapy)
  • Use of type I JAK2 inhibitor within 5 days or 5 half-lives before dosing, whichever is longer
  • Use of erythropoiesis stimulating agents unless stable for more than 8 weeks
  • Peripheral neuropathy grade 2 or higher (NCI CTCAE v5.0)
  • Unable or unwilling to undergo CT or MRI for spleen imaging
  • Pregnant or breastfeeding
  • Need for medications that are strong CYP3A4 inhibitors as concomitant therapy

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 21 locations

1

Stanford Cancer Institute

Palo Alto, California, United States, 94304

Actively Recruiting

2

Moffitt Cancer Cancer Center

Tampa, Florida, United States, 33612

Actively Recruiting

3

University of Kansas Medical Center

Kansas City, Kansas, United States, 66160

Actively Recruiting

4

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

5

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02115

Actively Recruiting

6

University of Michigan

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

7

Washington University School of Medicine

St Louis, Missouri, United States, 63110

Actively Recruiting

8

David H. Koch Center for Cancer Care at Memorial Sloan Kettering

New York, New York, United States, 10021

Actively Recruiting

9

Icahn School of Medicine at Mount Sinai

New York, New York, United States, 10029

Actively Recruiting

10

Levine Cancer Institute

Charlotte, North Carolina, United States, 28204

Actively Recruiting

11

University of Cincinnati

Cincinnati, Ohio, United States, 45221

Actively Recruiting

12

The Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States, 43210

Actively Recruiting

13

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

14

AP-HP Hopital Saint-Louis

Paris, France

Actively Recruiting

15

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

Bologna, Italy, Italy

Not Yet Recruiting

16

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

Milan, Italy, Italy

Not Yet Recruiting

17

Hospital General Universitario Gregorio Maranon

Madrid, Spain, Spain

Actively Recruiting

18

Hospital Clinic Barcelona

Barcelona, Spain

Actively Recruiting

19

Hospital Universitario Ramon y Cajal

Madrid, Spain

Actively Recruiting

20

Guy's Hospital

London, UK, United Kingdom

Not Yet Recruiting

21

Genesis Cancer Care UK Limited - Oxford

Oxford, UK, United Kingdom

Not Yet Recruiting

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Research Team

D

David Steensma, M.D.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

7

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A Phase 1 Study of AJ1-11095 in Patients With Primary Myelofibrosis (PMF), Post-Polycythemia Vera Myelofibrosis (PPV-MF), or Post-Essential Thrombocythemia Myelofibrosis (PET-MF) Who Have Been Failed by a Type I JAK2 Inhibitor (JAK2i) | DecenTrialz