18 and older, any sex, with Myelofibrosis. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Rate of Clinical Response as Defined by the Percentage of Participants With Reduction at Week 24 From Baseline in the Bone Marrow Fibrosis ScorePrimary· Baseline; Week 24
Overall response for the study drug is defined by the reduction in bone marrow fibrosis score which is on a scale of 0-3 where 0 indicates the scattered linear reticulin with no fiber intersections representing normal marrow and 3 indicates dense increase in reticulin fibrosis with fiber intersections, often with osteosclerosis. Reduction from baseline of score indicates improvement in clinical condition.
Group
Value
95% CI
Stage 1: SIM 200 mg
0
0.0 – 23.8
Stage 1: SIM 700 mg
16.7
3.0 – 43.8
Stage 2: SIM 200 mg+Ruxolitinib
6.7
0.3 – 27.9
Stage 2: SIM 700 mg+Ruxolitinib
13.3
2.4 – 36.3
Rate of Clinical Response as Defined by the Percentage of Participants With Improvement in Hemoglobin, Platelet, or Absolute Neutrophil Count (ANC)Secondary· Baseline; Weeks 12, 24 and any time post baseline (enrollment up to 94 weeks)
Overall response for the study drug was defined by the rate of clinical improvement in hemoglobin, platelet or ANC. Clinical improvement in hemoglobin was defined as a ≥ 2 g/dL increase from baseline in hemoglobin level and transfusion independent (absence of red blood cell (RBC) transfusions in prior 8 weeks and applicable only for participants with baseline hemoglobin level of \< 10 g/dL); clinical improvement in platelets was defined as a ≥ 100% increase from baseline in platelet count and an absolute platelet count of ≥ 50 x 10\^9/L (applicable only for participants with baseline platelet
Week 12
Group
Value
95% CI
Stage 1: SIM 200 mg
0
0.0 – 25.9
Stage 1: SIM 700 mg
0
0.0 – 25.9
Stage 2: SIM 200 mg+Ruxolitinib
0
0.0 – 28.3
Stage 2: SIM 700 mg+Ruxolitinib
0
0.0 – 25.9
Week 24
Group
Value
95% CI
Stage 1: SIM 200 mg
0
0.0 – 25.9
Stage 1: SIM 700 mg
0
0.0 – 25.9
Stage 2: SIM 200 mg+Ruxolitinib
0
0.0 – 28.3
Stage 2: SIM 700 mg+Ruxolitinib
0
0.0 – 25.9
Any Time Post-Baseline
Group
Value
95% CI
Stage 1: SIM 200 mg
0
0.0 – 25.9
Stage 1: SIM 700 mg
0
0.0 – 25.9
Stage 2: SIM 200 mg+Ruxolitinib
11.1
0.6 – 42.9
Stage 2: SIM 700 mg+Ruxolitinib
0
0.0 – 25.9
Percentage of Participants With Adverse Events (AEs)Secondary· First dose date up to the last dose date (maximum: 94 weeks) plus 28 days
Group
Value
95% CI
Stage 1: SIM 200 mg
100
Stage 1: SIM 700 mg
100
Stage 2: SIM 200 mg+Ruxolitinib
100
Stage 2: SIM 700 mg+Ruxolitinib
100
Change From Baseline in Myelofibrosis Symptoms Assessment ScoreSecondary· Baseline; Days 43 and 85 of Cycles 1-7 (cycle=12 weeks)
Myelofibrosis symptom assessment was performed using myeloproliferative neoplasm symptoms assessment form (MPN-SAF) which is a 27-item questionnaire to address symptom burden and quality of life. The form consists of 27 questions which are scored on a scale of 0-10 by participants based on how symptoms are affecting them, where 0 indicates less symptoms while 10 indicated more severe symptoms and greater inactivity. The MPN-SAF score was calculated at each visit for each participant as an average of the scales for each question and all answered questions. If the number of questions not answere
Baseline
Group
Value
95% CI
Stage 1: SIM 200 mg
2.5
± 1.75
Stage 1: SIM 700 mg
3.7
± 1.86
Stage 2: SIM 200 mg+Ruxolitinib
3.2
± 2.06
Stage 2: SIM 700 mg+Ruxolitinib
2.2
± 1.34
Best Change from Baseline
Group
Value
95% CI
Stage 1: SIM 200 mg
-0.9
± 1.11
Stage 1: SIM 700 mg
-1.3
± 1.60
Stage 2: SIM 200 mg+Ruxolitinib
-1.1
± 1.25
Stage 2: SIM 700 mg+Ruxolitinib
-0.6
± 0.98
Change from Baseline at Cycle 1 - Day 43
Group
Value
95% CI
Stage 1: SIM 200 mg
-0.2
± 0.58
Stage 1: SIM 700 mg
-1.0
± 1.66
Stage 2: SIM 200 mg+Ruxolitinib
-0.2
± 0.81
Stage 2: SIM 700 mg+Ruxolitinib
0.2
± 1.00
Change from Baseline at Cycle 1 - Day 85
Group
Value
95% CI
Stage 1: SIM 200 mg
-0.3
± 1.59
Stage 1: SIM 700 mg
-0.9
± 1.67
Stage 2: SIM 200 mg+Ruxolitinib
0.5
± 1.36
Stage 2: SIM 700 mg+Ruxolitinib
0.4
± 0.74
Change from Baseline at Cycle 2 - Day 43
Group
Value
95% CI
Stage 1: SIM 200 mg
-0.3
± 0.99
Stage 1: SIM 700 mg
-1.0
± 1.26
Stage 2: SIM 200 mg+Ruxolitinib
-0.7
± 1.30
Stage 2: SIM 700 mg+Ruxolitinib
0.4
± 1.43
Change from Baseline at Cycle 2 - Day 85
Group
Value
95% CI
Stage 1: SIM 200 mg
0.3
± 0.89
Stage 1: SIM 700 mg
-0.8
± 1.44
Stage 2: SIM 200 mg+Ruxolitinib
-0.5
± 1.42
Stage 2: SIM 700 mg+Ruxolitinib
0.7
± 1.61
Change from Baseline at Cycle 3 - Day 43
Group
Value
95% CI
Stage 1: SIM 200 mg
1.1
± 2.81
Stage 1: SIM 700 mg
-1.2
± 2.33
Stage 2: SIM 200 mg+Ruxolitinib
-0.5
± 1.16
Stage 2: SIM 700 mg+Ruxolitinib
-0.3
± 0.58
Change from Baseline at Cycle 3 - Day 85
Group
Value
95% CI
Stage 1: SIM 200 mg
0.1
± 1.10
Stage 1: SIM 700 mg
0.6
± 1.55
Stage 2: SIM 200 mg+Ruxolitinib
-0.5
± 1.22
Stage 2: SIM 700 mg+Ruxolitinib
-0.8
± 0.39
Percentage of Participants With Anti-Simtuzumab Antibody FormationSecondary· Baseline; Day 85 of Cycles 1 to 5 (cycle=12 weeks)
Blood samples were collected for the presence of anti-SIM antibodies which was determined using a validated electro-chemiluminescent (ECL) assay screening test.
Baseline : Screened Negative
Group
Value
95% CI
Stage 1: SIM 200 mg
75.0
Stage 1: SIM 700 mg
63.6
Stage 2: SIM 200 mg+Ruxolitinib
73.3
Stage 2: SIM 700 mg+Ruxolitinib
78.6
Baseline : Screened Positive
Group
Value
95% CI
Stage 1: SIM 200 mg
25.0
Stage 1: SIM 700 mg
36.4
Stage 2: SIM 200 mg+Ruxolitinib
26.7
Stage 2: SIM 700 mg+Ruxolitinib
21.4
Cycle 1 - Day 85 : Screened Negative
Group
Value
95% CI
Stage 1: SIM 200 mg
100.0
Stage 1: SIM 700 mg
90.0
Stage 2: SIM 200 mg+Ruxolitinib
57.1
Stage 2: SIM 700 mg+Ruxolitinib
92.3
Cycle 1 - Day 85 : Screened Positive
Group
Value
95% CI
Stage 1: SIM 200 mg
0
Stage 1: SIM 700 mg
10.0
Stage 2: SIM 200 mg+Ruxolitinib
42.9
Stage 2: SIM 700 mg+Ruxolitinib
7.7
Cycle 2 - Day 85 : Screened Negative
Group
Value
95% CI
Stage 1: SIM 200 mg
100.0
Stage 1: SIM 700 mg
85.7
Stage 2: SIM 200 mg+Ruxolitinib
69.2
Stage 2: SIM 700 mg+Ruxolitinib
90.9
Cycle 2 - Day 85 : Screened Positive
Group
Value
95% CI
Stage 1: SIM 200 mg
0
Stage 1: SIM 700 mg
14.3
Stage 2: SIM 200 mg+Ruxolitinib
30.8
Stage 2: SIM 700 mg+Ruxolitinib
9.1
Cycle 3 - Day 85 : Screened Negative
Group
Value
95% CI
Stage 1: SIM 200 mg
100.0
Stage 1: SIM 700 mg
100.0
Stage 2: SIM 200 mg+Ruxolitinib
100.0
Stage 2: SIM 700 mg+Ruxolitinib
75.0
Cycle 3 - Day 85 : Screened Positive
Group
Value
95% CI
Stage 1: SIM 200 mg
0
Stage 1: SIM 700 mg
0
Stage 2: SIM 200 mg+Ruxolitinib
0
Stage 2: SIM 700 mg+Ruxolitinib
25.0
Adverse events — posted to ClinicalTrials.gov
Time frame: First dose date up to the last dose date (maximum: 94 weeks) plus 28 days.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Stage 1: SIM 200 mg
Serious: 8/12 (67%)
Deaths: 0/12
Stage 1: SIM 700 mg
Serious: 1/12 (8%)
Deaths: 1/12
Stage 2: SIM 200 mg+Ruxolitinib
Serious: 5/15 (33%)
Deaths: 1/15
Stage 2: SIM 700 mg+Ruxolitinib
Serious: 4/15 (27%)
Deaths: 0/15
Serious adverse events (36 terms)
Reaction
System
Stage 1: SIM 200 mg
Stage 1: SIM 700 mg
Stage 2: SIM 200 mg+Ruxoli…
Stage 2: SIM 700 mg+Ruxoli…
Febrile neutropenia
Blood and lymphatic system disorders
—
—
—
—
Diarrhoea
Gastrointestinal disorders
—
—
—
—
Disease progression
General disorders
—
—
—
—
Pyrexia
General disorders
—
—
—
—
Bile duct stone
Hepatobiliary disorders
—
—
—
—
Cholecystitis
Hepatobiliary disorders
—
—
—
—
Abdominal infection
Infections and infestations
—
—
—
—
Cellulitis
Infections and infestations
—
—
—
—
Gastroenteritis
Infections and infestations
—
—
—
—
Lung infection
Infections and infestations
—
—
—
—
Periorbital infection
Infections and infestations
—
—
—
—
Pneumonia
Infections and infestations
—
—
—
—
Respiratory tract infection
Infections and infestations
—
—
—
—
Sepsis
Infections and infestations
—
—
—
—
Septic shock
Infections and infestations
—
—
—
—
Urosepsis
Infections and infestations
—
—
—
—
Infusion related reaction
Injury, poisoning and procedural complications
—
—
—
—
Troponin increased
Investigations
—
—
—
—
Dehydration
Metabolism and nutrition disorders
—
—
—
—
Hyperkalaemia
Metabolism and nutrition disorders
—
—
—
—
Hyponatraemia
Metabolism and nutrition disorders
—
—
—
—
Back pain
Musculoskeletal and connective tissue disorders
—
—
—
—
Haemarthrosis
Musculoskeletal and connective tissue disorders
—
—
—
—
Neck pain
Musculoskeletal and connective tissue disorders
—
—
—
—
Osteoarthritis
Musculoskeletal and connective tissue disorders
—
—
—
—
Other adverse events (266 terms — click to expand)
This study is to evaluate the efficacy and safety of simtuzumab (GS-6624) on bone marrow fibrosis either alone or in combination with ruxolitinib in participants with primary myelofibrosis (PMF) and post polycythemia vera or post essential thrombocythemia myelofibrosis (ET/PV MF).
The study is designed as a two-stage trial. In the stage 1, participants will be randomized into two cohorts to receive either 200 or 700 mg of study drug. In the stage 2, participants on ruxolitinib will be randomized to receive either 200 or 700 mg of study drug.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
NCT01672853 — Simtuzumab (GS-6624) in the Prevention of Progression of Liver Fibrosis in Adults With Primary Sclerosing Cholangitis (P
· Phase 2
· completed
NCT01769196 — Study to Assess the Efficacy and Safety of Simtuzumab (GS-6624) in Adults With Idiopathic Pulmonary Fibrosis (IPF)
· Phase 2
· terminated
NCT01759511 — Long-Term Safety Study of GS-6624 in Adults With Idiopathic Pulmonary Fibrosis (IPF)
· Phase 2
· terminated
NCT01707472 — Study of Simtuzumab in HIV and/or Hepatitis C- Infected Adults With Liver Fibrosis
· Phase 2
· completed
Other recruiting trials for Myelofibrosis
Currently open trials in the same condition.
NCT07020533 — A Vaccine (CMV-MVA Triplex Vaccine) for the Enhancement of CMV-Specific Immunity and the Prevention of CMV Viremia in Pa
· Phase 1
· recruiting
NCT06781099 — Feasibility Trial of Extracorporeal Iron Purification in Patients With Myelodysplastic Syndrome or Myelofibrosis
· NA
· recruiting
NCT07362225 — MPN PROGRESSion Registry: Observational Study Tracking Symptoms, Treatments, and Disease Progression in People With Myel
· recruiting
NCT07342712 — Clinical Trail to Evaluate the Effect of Long-term Treatment With Gecacitinib on Myelofibrosis and Gene Mutation Levels
· active not recruiting
NCT06533813 — Clinical Epidemiology in Contemporary Patients With Myelofibrosis.
· recruiting
Other Gilead Sciences trials
Trials by the same sponsor.
NCT07115368 — Study of GS-1219 in Participants With HIV-1
· Phase 1
· terminated
NCT06784973 — Study of Obeldesivir to Treat Children With Respiratory Syncytial Virus (RSV) Infection
· Phase 2
· terminated
NCT06683482 — A Qualitative Study on Advanced Breast Cancer Patients and Their Caregivers in Spain
· completed
NCT06613685 — Study of Oral Weekly GS-1720 and GS-4182 Compared With Biktarvy in People With HIV-1 Who Have Not Been Treated
· Phase 2, PHASE3
· terminated
NCT06585150 — Study of Obeldesivir to Treat Nonhospitalized Adults With Acute Respiratory Syncytial Virus (RSV) Infection
· Phase 2
· terminated
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Gilead Sciences
Last refreshed: 1 July 2020
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01369498.