Last reviewed · How we verify

NCT02421354

Nivolumab in Treating Patients With Primary Myelofibrosis, Post-Essential Thrombocythemia Myelofibrosis, or Post-Polycythemia Vera Myelofibrosis

Terminated Phase 2 Results posted Last updated 15 May 2019
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in Hepatomegaly in 8 participants. Terminated before completion.

Timeline
14 May 2015
Primary endpoint
13 April 2018
13 April 2018

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment8
Start date14 May 2015
Primary completion13 April 2018
Estimated completion13 April 2018
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

18 and older, any sex, with Hepatomegaly or Myelofibrosis Transformation in Essential Thrombocythemia. 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.

Objective Response Rate, Defined as Complete Remission + Partial Remission + Clinical Improvement Primary · 14 weeks (after 8 doses of therapy)

Responses will be categorized according to the revised International Working Group-Myeloproliferative Neoplasms Research and Treatment and European LeukmiaNet consensus criteria for myelofibrosis.

GroupValue95% CI
Treatment (Nivolumab)0

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years, 5 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Nivolumab)
Serious: 6/8 (75%)
Deaths: 3/8

Serious adverse events (16 terms)

ReactionSystemTreatment (Nivolumab)
AnemiaBlood and lymphatic system disorders
Gastric HemorrhageGastrointestinal disorders
Abdominal PainGeneral disorders
Acute Kidney InjuryRenal and urinary disorders
Back PainGeneral disorders
Chest PainGeneral disorders
Chronic Kidney DiseaseRenal and urinary disorders
Esophageal Varices HemorrhageGastrointestinal disorders
Facial Nerve DisorderNervous system disorders
FallInjury, poisoning and procedural complications
FeverGeneral disorders
HeadacheGeneral disorders
InfectionInfections and infestations
Pleural EffusionRespiratory, thoracic and mediastinal disorders
Urinary Tract InfectionInfections and infestations
UrticariaSkin and subcutaneous tissue disorders
Other adverse events (46 terms — click to expand)

ReactionSystemTreatment (Nivolumab)
ConstipationGastrointestinal disorders
PainGeneral disorders
InfectionInfections and infestations
HyperbilirubinemiaInvestigations
EdemaGeneral disorders
HypertensionVascular disorders
DiarrheaGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
HemorrhageNervous system disorders
Neutropenic FeverInfections and infestations
Leptomeningeal diseaseBlood and lymphatic system disorders
FeverGeneral disorders
Respiratory FailureRespiratory, thoracic and mediastinal disorders
Acute Kidney InjuryRenal and urinary disorders
Peripheral NeuropathyNervous system disorders
Increased TransaminasesInvestigations
MucositisGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
AnemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
CardiomegalyCardiac disorders
HyperglycemiaMetabolism and nutrition disorders
Abdominal distentionGastrointestinal disorders
Allergic RhinitisRespiratory, thoracic and mediastinal disorders
BruisingGeneral disorders
ChillsGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
DermatitisSkin and subcutaneous tissue disorders
DizzinessNervous system disorders
Elevated Alkaline PhophataseInvestigations
Elevated CreatinineInvestigations
Esophageal VariciesGastrointestinal disorders
HemoptysisRespiratory, thoracic and mediastinal disorders
HemotympanumEar and labyrinth disorders
Hepatobiliary disorderHepatobiliary disorders
HypoalbuminemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
InsomniaPsychiatric disorders
Joint SwellingMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Anemia, Gastric Hemorrhage, Abdominal Pain, Acute Kidney Injury, Back Pain, Chest Pain, Chronic Kidney Disease, Esophageal Varices Hemorrhage.

Data from ClinicalTrials.gov NCT02421354 adverse events section.

Sponsor's own description

This phase II trial studies how well nivolumab works in treating patients with primary myelofibrosis, post-essential thrombocythemia myelofibrosis, or post-polycythemia vera myelofibrosis. Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Management of myelofibrosis after ruxolitinib failure.
    Harrison CN, Schaap N, Mesa RA. · · 2020 · cited 70× · PMID 32198525 · DOI 10.1007/s00277-020-04002-9
  2. Progression of Myeloproliferative Neoplasms (MPN): Diagnostic and Therapeutic Perspectives.
    Baumeister J, Chatain N, Sofias AM, Lammers T, et al · · 2021 · cited 50× · PMID 34944059 · DOI 10.3390/cells10123551
  3. Novel therapeutics in myeloproliferative neoplasms.
    Venugopal S, Mascarenhas J. · · 2020 · cited 32× · PMID 33267911 · DOI 10.1186/s13045-020-00995-y
  4. 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
  5. Management of challenging myelofibrosis after JAK inhibitor failure and/or progression.
    Scherber RM, Mesa RA. · · 2020 · cited 19× · PMID 32593470 · DOI 10.1016/j.blre.2020.100716
  6. PD-1/PD-L1, MDSC Pathways, and Checkpoint Inhibitor Therapy in <i>Ph</i>(-) Myeloproliferative Neoplasm: A Review.
    Wang JC, Sun L. · · 2022 · cited 18× · PMID 35628647 · DOI 10.3390/ijms23105837
  7. Immunotherapy in Myeloproliferative Diseases.
    Braun LM, Zeiser R. · · 2020 · cited 18× · PMID 32604862 · DOI 10.3390/cells9061559
  8. Heat Shock Proteins and PD-1/PD-L1 as Potential Therapeutic Targets in Myeloproliferative Neoplasms.
    De Almeida S, Regimbeau M, Jego G, Garrido C, et al · · 2020 · cited 13× · PMID 32932806 · DOI 10.3390/cancers12092592

Verify or expand the search:

Other trials of Laboratory Biomarker Analysis

Trials testing the same drug.

Other recruiting trials for Hepatomegaly

Currently open trials in the same condition.

Other M.D. Anderson Cancer Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT02421354.

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