Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT04176198

A Study of Oral Nuvisertib (TP-3654) in Patients With Myelofibrosis

Led by Sumitomo Pharma America, Inc. · Updated on 2026-05-01

240

Participants Needed

84

Research Sites

541 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study is a Phase 1/2, multicenter, dose-escalation, open-label trial to assess safety, tolerability, pharmacokinetics and pharmacodynamics of nuvisertib (TP-3654) in patients with intermediate or high-risk primary or secondary MF.

CONDITIONS

Official Title

A Study of Oral Nuvisertib (TP-3654) in Patients With Myelofibrosis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed diagnosis of primary myelofibrosis or post-polycythemia vera/post-essential thrombocythemia myelofibrosis with intermediate or high risk
  • Previously treated with JAK inhibitors and intolerant, resistant, refractory, lost response, or ineligible for JAK inhibitor treatment (for Nuvisertib monotherapy arm)
  • On stable ruxolitinib dose (5 to 25 mg twice daily) for at least 8 weeks with suboptimal or lost response (for Nuvisertib plus Ruxolitinib arm)
  • Previously treated with approved JAK inhibitor (except momelotinib) for at least 12 weeks or complicated by transfusion or severe adverse events (for Nuvisertib plus Momelotinib arm)
  • Platelet count at least 25 x 10^9/L or 50 x 10^9/L depending on arm, without growth factor or transfusion support
  • Absolute neutrophil count at least 1 x 10^9/L without growth factor support
  • Peripheral blood blast count less than 5%
  • ECOG performance status 0 or 1
  • Life expectancy of at least 6 months
  • Adequate kidney, liver, and coagulation function
  • Splenomegaly with spleen volume of at least 450 cm3 by MRI or CT scan within 2 weeks before treatment
  • At least 2 measurable symptoms with defined minimum scores on MF-SAF questionnaire
Not Eligible

You will not qualify if you...

  • Received systemic cancer therapy or experimental therapy within 2 weeks or 5 half-lives before treatment start (except hydroxyurea or anagrelide up to 24 hours prior)
  • Major surgery within 4 weeks before treatment or not recovered from surgery
  • Splenic radiation within 6 months before screening or prior splenectomy
  • Prior allogeneic stem cell transplant within last 6 months
  • Eligible for allogeneic bone marrow or stem cell transplant
  • Unresolved Grade 2 or higher non-hematological toxicity from prior treatment
  • Recent symptomatic congestive heart failure, heart attack, or uncontrolled arrhythmia within 6 months
  • Left ventricular ejection fraction below 45%
  • Corrected QT interval longer than 480 milliseconds
  • Current or prior malignancy interfering with study treatment
  • Known chronic liver disease or autoimmune hepatitis
  • Active, uncontrolled infections requiring antimicrobial therapy
  • Chronic active or acute viral hepatitis A, B, or C infection
  • Allergic reaction or sensitivity to study drugs
  • Conditions or surgery impairing drug absorption or causing short bowel syndrome
  • Systemic steroid therapy over 10 mg prednisone or equivalent within 1 week before treatment
  • Significant anemia due to nutritional deficiencies, autoimmune or hereditary causes, or severe gastrointestinal bleeding
  • Pregnant or breastfeeding
  • Currently receiving other investigational agents

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Trial Site Locations

Total: 84 locations

1

University of Alabama

Birmingham, Alabama, United States, 35294

Actively Recruiting

2

The University of Arizona Cancer Center

Tucson, Arizona, United States, 85724

Actively Recruiting

3

City of Hope

Duarte, California, United States, 91010

Actively Recruiting

4

University of Southern California

Los Angeles, California, United States, 90033

Actively Recruiting

5

Hoag Family Cancer Institute

Newport Beach, California, United States, 92663

Actively Recruiting

6

Blood Cancer Center

Denver, Colorado, United States, 80218

Actively Recruiting

7

Yale School of Medicine

New Haven, Connecticut, United States, 06510

Actively Recruiting

8

University of Florida Health Shands Cancer Hospital

Gainesville, Florida, United States, 32608

Completed

9

University of Miami

Miami, Florida, United States, 33136

Actively Recruiting

10

Baptist Health - Miami Cancer Institute

Miami, Florida, United States, 33176

Actively Recruiting

11

Emory University

Atlanta, Georgia, United States, 30322

Actively Recruiting

12

University of Chicago

Chicago, Illinois, United States, 60637

Actively Recruiting

13

University of Maryland

Baltimore, Maryland, United States, 21201

Actively Recruiting

14

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

15

University of Michigan

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

16

University of Minnesota

Minneapolis, Minnesota, United States, 55455

Actively Recruiting

17

Washington University of Medicine

St Louis, Missouri, United States, 63110

Actively Recruiting

18

John Theurer Cancer Center at Hackensack University Medical Center

Hackensack, New Jersey, United States, 07601

Actively Recruiting

19

Roswell Park Comprehensive Cancer Center

Buffalo, New York, United States, 14263

Completed

20

Icahn School of Medicine at Mount Sinai

New York, New York, United States, 10029

Actively Recruiting

21

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

22

Weill Cornell Medical Center

New York, New York, United States, 10065

Actively Recruiting

23

Montefiore Cancer Center

The Bronx, New York, United States, 10461

Actively Recruiting

24

Duke Cancer Institute

Durham, North Carolina, United States, 27710

Actively Recruiting

25

Ohio State University

Columbus, Ohio, United States, 43210

Actively Recruiting

26

Medical University of South Carolina

Charleston, South Carolina, United States, 29425

Actively Recruiting

27

Tri-Star Centennial Medical Center

Nashville, Tennessee, United States, 37203

Actively Recruiting

28

Vanderbilt University

Nashville, Tennessee, United States, 37232

Actively Recruiting

29

MD Anderson Cancer Center

Houston, Texas, United States, 77054

Actively Recruiting

30

Huntsman Cancer Institute

Salt Lake City, Utah, United States, 84112

Actively Recruiting

31

University of Virginia Cancer Center

Charlottesville, Virginia, United States, 22903

Actively Recruiting

32

University of Washington - Fred Hutchinson Cancer Center

Seattle, Washington, United States, 98109

Actively Recruiting

33

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Actively Recruiting

34

Eastern Health Box Hill Hospital

Box Hill, Victoria, Australia

Actively Recruiting

35

Monash University

Clayton, Victoria, Australia

Actively Recruiting

36

Peter McCallum Center

Melbourne, Victoria, Australia

Actively Recruiting

37

Epworth Healthcare

Richmond, Victoria, Australia

Actively Recruiting

38

Icon Cancer Centre (Ashford Cancer Centre Research)

Adelaide, Australia

Actively Recruiting

39

University Hospitals Leuven

Leuven, Vlaams-Brabant, Belgium, 3000

Actively Recruiting

40

ZNA Cadix

Antwerp, Belgium, 2020

Actively Recruiting

41

ZNA Middelheim

Antwerp, Belgium, 2030

Actively Recruiting

42

Universitair Ziekenhuis Gent

Ghent, Belgium, 9000

Actively Recruiting

43

CHU de Liege

Liège, Belgium, 4000

Actively Recruiting

44

University of Calgary

Calgary, Alberta, Canada, T2N 1N4

Actively Recruiting

45

St. Paul's Hospital Hematology/Oncology Research

Vancouver, British Columbia, Canada, V6T 1Z3

Actively Recruiting

46

University of British Columbia

Vancouver, British Columbia, Canada, V6T 1Z3

Actively Recruiting

47

Juravinski Cancer Center

Hamilton, Ontario, Canada, L8V 5C2

Not Yet Recruiting

48

Princess Margaret Cancer Center

Toronto, Ontario, Canada, M5G 2M9

Actively Recruiting

49

Jewish General Hospital

Montreal, Quebec, Canada, H3T 1E2

Actively Recruiting

50

Centre Hospitalier Universitaire D'Amiens

Amiens, France, 80054

Actively Recruiting

51

CHU Angers

Angers, France, 9000

Actively Recruiting

52

Centre Hospitalier Lyon Sud

Lyon, France, 69495

Actively Recruiting

53

Hospitalier Universitaire (CHU) de Nice - Hopital de l'Archet

Nice, France, 06200

Actively Recruiting

54

Institut de cancerologie du Gard

Nîmes, France, 30029

Actively Recruiting

55

Institut de cancerologie du Gard

Nîmes, France

Actively Recruiting

56

Hospital Saint Louis

Paris, France, 75010

Actively Recruiting

57

University Hospital of Poitiers

Poitiers, France, 86021

Actively Recruiting

58

Institut Gustave Roussy

Villejuif, France, 94805

Actively Recruiting

59

Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo

Alessandria, Italy, 15121

Actively Recruiting

60

Istituto Nazionale Tumori, IRCCS Centro di Riferimento Oncologico di Aviano

Aviano, Italy, 33081

Actively Recruiting

61

IRCCS Azienda Ospedaliero -Universitaria Di Bologna - Dipartimento Malattie Oncologiche ed Ematologiche - UO Ematologia

Bologna, Italy, 40138

Actively Recruiting

62

ASST - Spedali Civili di Brescia

Brescia, Italy

Actively Recruiting

63

IRCCS istituto Romagnolo per lo studio dei tumori "Dino Amadori"

Meldola, Italy, 47014

Actively Recruiting

64

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

Milan, Italy, 20122

Actively Recruiting

65

Azienda Ospedaliera Universitaria Citta' Della Salute E della Scienza di Torino

Torino, Italy, 10126

Actively Recruiting

66

Aichi Medical University Hospital

Aichi, Japan

Actively Recruiting

67

Aomori Prefectural Central Hospital

Aomori, Japan

Actively Recruiting

68

National Cancer Center Hospital East

Chiba, Japan

Actively Recruiting

69

Kyushu University Hospital

Fukuoka, Japan

Actively Recruiting

70

Hokkaido University Hospital

Hokkaido, Japan

Actively Recruiting

71

Shonan Kamakura General Hospital

Kamakura, Japan, 247-8533

Actively Recruiting

72

University of Miyazaki Hospital

Miyazaki, Japan

Actively Recruiting

73

Okayama University Hospital

Okayama, Japan

Actively Recruiting

74

The University of Osaka Hospital

Osaka, Japan

Actively Recruiting

75

Saitama Medical Center

Saitama, Japan

Actively Recruiting

76

Tohoku University Hospital

Sendai, Japan

Actively Recruiting

77

Shizuoka Cancer Center

Shizuoka, Japan

Completed

78

Tokyo Medical University Hospital

Tokyo, Japan, 160-0023

Actively Recruiting

79

Juntendo University Hospital

Tokyo, Japan

Actively Recruiting

80

Mie University Hospital

Tsu, Japan

Actively Recruiting

81

Lincoln County Hospital

Lincoln, United Kingdom

Actively Recruiting

82

United Lincolnshire Hospitals NHS Trust - Pilgrim Hospital

Lincoln, United Kingdom

Actively Recruiting

83

University College London Hospital's NHS foundation Trust

London, United Kingdom

Actively Recruiting

84

Oxford University Hospitals NHS Foundation

Oxford, United Kingdom

Actively Recruiting

Loading map...

Research Team

R

Reyna Bishop

CONTACT

J

Jordan Simpson

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here