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NCT01369498

Efficacy and Safety of Simtuzumab in Adults With Primary, Post Polycythemia Vera or Post Essential Thrombocythemia Myelofibrosis

Completed Phase 2 Results posted Last updated 1 July 2020
What this trial tests

Phase 2 trial testing Simtuzumab in Myelofibrosis in 54 participants. Completed in 24 September 2014.

Timeline
30 June 2011
Primary endpoint
5 June 2014
24 September 2014

Quick facts

Lead sponsorGilead Sciences
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment54
Start date30 June 2011
Primary completion5 June 2014
Estimated completion24 September 2014
Sites7 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Gilead Sciences — full company profile →

Who can join

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 Score Primary · 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.

GroupValue95% CI
Stage 1: SIM 200 mg00.0 – 23.8
Stage 1: SIM 700 mg16.73.0 – 43.8
Stage 2: SIM 200 mg+Ruxolitinib6.70.3 – 27.9
Stage 2: SIM 700 mg+Ruxolitinib13.32.4 – 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
GroupValue95% CI
Stage 1: SIM 200 mg00.0 – 25.9
Stage 1: SIM 700 mg00.0 – 25.9
Stage 2: SIM 200 mg+Ruxolitinib00.0 – 28.3
Stage 2: SIM 700 mg+Ruxolitinib00.0 – 25.9
Week 24
GroupValue95% CI
Stage 1: SIM 200 mg00.0 – 25.9
Stage 1: SIM 700 mg00.0 – 25.9
Stage 2: SIM 200 mg+Ruxolitinib00.0 – 28.3
Stage 2: SIM 700 mg+Ruxolitinib00.0 – 25.9
Any Time Post-Baseline
GroupValue95% CI
Stage 1: SIM 200 mg00.0 – 25.9
Stage 1: SIM 700 mg00.0 – 25.9
Stage 2: SIM 200 mg+Ruxolitinib11.10.6 – 42.9
Stage 2: SIM 700 mg+Ruxolitinib00.0 – 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
GroupValue95% CI
Stage 1: SIM 200 mg100
Stage 1: SIM 700 mg100
Stage 2: SIM 200 mg+Ruxolitinib100
Stage 2: SIM 700 mg+Ruxolitinib100
Change From Baseline in Myelofibrosis Symptoms Assessment Score Secondary · 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
GroupValue95% CI
Stage 1: SIM 200 mg2.5± 1.75
Stage 1: SIM 700 mg3.7± 1.86
Stage 2: SIM 200 mg+Ruxolitinib3.2± 2.06
Stage 2: SIM 700 mg+Ruxolitinib2.2± 1.34
Best Change from Baseline
GroupValue95% 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
GroupValue95% 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+Ruxolitinib0.2± 1.00
Change from Baseline at Cycle 1 - Day 85
GroupValue95% CI
Stage 1: SIM 200 mg-0.3± 1.59
Stage 1: SIM 700 mg-0.9± 1.67
Stage 2: SIM 200 mg+Ruxolitinib0.5± 1.36
Stage 2: SIM 700 mg+Ruxolitinib0.4± 0.74
Change from Baseline at Cycle 2 - Day 43
GroupValue95% 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+Ruxolitinib0.4± 1.43
Change from Baseline at Cycle 2 - Day 85
GroupValue95% CI
Stage 1: SIM 200 mg0.3± 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+Ruxolitinib0.7± 1.61
Change from Baseline at Cycle 3 - Day 43
GroupValue95% CI
Stage 1: SIM 200 mg1.1± 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
GroupValue95% CI
Stage 1: SIM 200 mg0.1± 1.10
Stage 1: SIM 700 mg0.6± 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 Formation Secondary · 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
GroupValue95% CI
Stage 1: SIM 200 mg75.0
Stage 1: SIM 700 mg63.6
Stage 2: SIM 200 mg+Ruxolitinib73.3
Stage 2: SIM 700 mg+Ruxolitinib78.6
Baseline : Screened Positive
GroupValue95% CI
Stage 1: SIM 200 mg25.0
Stage 1: SIM 700 mg36.4
Stage 2: SIM 200 mg+Ruxolitinib26.7
Stage 2: SIM 700 mg+Ruxolitinib21.4
Cycle 1 - Day 85 : Screened Negative
GroupValue95% CI
Stage 1: SIM 200 mg100.0
Stage 1: SIM 700 mg90.0
Stage 2: SIM 200 mg+Ruxolitinib57.1
Stage 2: SIM 700 mg+Ruxolitinib92.3
Cycle 1 - Day 85 : Screened Positive
GroupValue95% CI
Stage 1: SIM 200 mg0
Stage 1: SIM 700 mg10.0
Stage 2: SIM 200 mg+Ruxolitinib42.9
Stage 2: SIM 700 mg+Ruxolitinib7.7
Cycle 2 - Day 85 : Screened Negative
GroupValue95% CI
Stage 1: SIM 200 mg100.0
Stage 1: SIM 700 mg85.7
Stage 2: SIM 200 mg+Ruxolitinib69.2
Stage 2: SIM 700 mg+Ruxolitinib90.9
Cycle 2 - Day 85 : Screened Positive
GroupValue95% CI
Stage 1: SIM 200 mg0
Stage 1: SIM 700 mg14.3
Stage 2: SIM 200 mg+Ruxolitinib30.8
Stage 2: SIM 700 mg+Ruxolitinib9.1
Cycle 3 - Day 85 : Screened Negative
GroupValue95% CI
Stage 1: SIM 200 mg100.0
Stage 1: SIM 700 mg100.0
Stage 2: SIM 200 mg+Ruxolitinib100.0
Stage 2: SIM 700 mg+Ruxolitinib75.0
Cycle 3 - Day 85 : Screened Positive
GroupValue95% CI
Stage 1: SIM 200 mg0
Stage 1: SIM 700 mg0
Stage 2: SIM 200 mg+Ruxolitinib0
Stage 2: SIM 700 mg+Ruxolitinib25.0

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)

ReactionSystemStage 1: SIM 200 mgStage 1: SIM 700 mgStage 2: SIM 200 mg+Ruxoli…Stage 2: SIM 700 mg+Ruxoli…
Febrile neutropeniaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
Disease progressionGeneral disorders
PyrexiaGeneral disorders
Bile duct stoneHepatobiliary disorders
CholecystitisHepatobiliary disorders
Abdominal infectionInfections and infestations
CellulitisInfections and infestations
GastroenteritisInfections and infestations
Lung infectionInfections and infestations
Periorbital infectionInfections and infestations
PneumoniaInfections and infestations
Respiratory tract infectionInfections and infestations
SepsisInfections and infestations
Septic shockInfections and infestations
UrosepsisInfections and infestations
Infusion related reactionInjury, poisoning and procedural complications
Troponin increasedInvestigations
DehydrationMetabolism and nutrition disorders
HyperkalaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
HaemarthrosisMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Other adverse events (266 terms — click to expand)

ReactionSystemStage 1: SIM 200 mgStage 1: SIM 700 mgStage 2: SIM 200 mg+Ruxoli…Stage 2: SIM 700 mg+Ruxoli…
FatigueGeneral disorders
DiarrhoeaGastrointestinal disorders
DizzinessNervous system disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
Oedema peripheralGeneral disorders
Oral herpesInfections and infestations
SinusitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
EpistaxisRespiratory, thoracic and mediastinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
DyspepsiaGastrointestinal disorders
AstheniaGeneral disorders
ChillsGeneral disorders
PyrexiaGeneral disorders
Urinary tract infectionInfections and infestations
ContusionInjury, poisoning and procedural complications
ArthralgiaMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
FallInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
HypomagnesaemiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
ParaesthesiaNervous system disorders
NocturiaRenal and urinary disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Night sweatsSkin and subcutaneous tissue disorders
Febrile neutropeniaBlood and lymphatic system disorders
Faecal incontinenceGastrointestinal disorders
StomatitisGastrointestinal disorders
Chest painGeneral disorders
Early satietyGeneral disorders

Most-reported serious reactions: Febrile neutropenia, Diarrhoea, Disease progression, Pyrexia, Bile duct stone, Cholecystitis, Abdominal infection, Cellulitis.

Data from ClinicalTrials.gov NCT01369498 adverse events section.

Sponsor's own description

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):

  1. Targeting extracellular matrix stiffness and mechanotransducers to improve cancer therapy.
    Jiang Y, Zhang H, Wang J, Liu Y, et al · · 2022 · cited 342× · PMID 35331296 · DOI 10.1186/s13045-022-01252-0
  2. Bone marrow fibrosis in myelofibrosis: pathogenesis, prognosis and targeted strategies.
    Zahr AA, Salama ME, Carreau N, Tremblay D, et al · · 2016 · cited 129× · PMID 27252511 · DOI 10.3324/haematol.2015.141283
  3. Megakaryocyte pathology and bone marrow fibrosis: the lysyl oxidase connection.
    Papadantonakis N, Matsuura S, Ravid K. · · 2012 · cited 62× · PMID 22767499 · DOI 10.1182/blood-2012-02-402594
  4. Extracellular matrix dynamics in tumor immunoregulation: from tumor microenvironment to immunotherapy.
    Hu Q, Zhu Y, Mei J, Liu Y, et al · · 2025 · cited 54× · PMID 40537775 · DOI 10.1186/s13045-025-01717-y
  5. Ruxolitinib in combination with lenalidomide as therapy for patients with myelofibrosis.
    Daver N, Cortes J, Newberry K, Jabbour E, et al · · 2015 · cited 47× · PMID 26088933 · DOI 10.3324/haematol.2015.126821
  6. Targeting extracellular matrix stiffness for cancer therapy.
    Feng X, Cao F, Wu X, Xie W, et al · · 2024 · cited 29× · PMID 39697341 · DOI 10.3389/fimmu.2024.1467602
  7. Inflammatory Microenvironment and Specific T Cells in Myeloproliferative Neoplasms: Immunopathogenesis and Novel Immunotherapies.
    Nasillo V, Riva G, Paolini A, Forghieri F, et al · · 2021 · cited 28× · PMID 33672997 · DOI 10.3390/ijms22041906
  8. Guidelines for the management of myeloproliferative neoplasms.
    Choi CW, Bang SM, Jang S, Jung CW, et al · · 2015 · cited 18× · PMID 26552452 · DOI 10.3904/kjim.2015.30.6.771

Verify or expand the search:

Other trials of Simtuzumab

Trials testing the same drug.

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Currently open trials in the same condition.

Other Gilead Sciences trials

Trials by the same sponsor.

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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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing