RecruitingPhase 1NCT06150157

A Study of JNJ-88549968 for the Treatment of Calreticulin (CALR)-Mutated Myeloproliferative Neoplasms

A First-in-Human Study of the Safety, Pharmacokinetics, and Pharmacodynamics of JNJ-88549968, a T-cell Redirecting Bispecific Antibody for CALR-mutated Myeloproliferative Neoplasms


Sponsor

Janssen Research & Development, LLC

Enrollment

220 participants

Start Date

Dec 20, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to characterize safety and to determine the Recommended Phase 2 Dose (RP2D\[s\]) and optimal dosing schedule(s) of JNJ-88549968 in part 1 (Dose Escalation); to characterize the safety of JNJ- 88549968 at RP2D(s) in part 2 (Cohort Expansion). For U.S. sites: the purpose of this study is to characterize the safety and to determine the RP2D(s) and optimal dosing schedule(s) of JNJ-88549968 in Part 1 and part 1b (Dose Escalation), and to characterize the safety of JNJ-88549968 at the RP2D(s) in Part 2 and part 2b (Cohort Expansion), when given as monotherapy in essential thrombocythemia (ET) or myelofibrosis (MF), and with ruxolitinib or momelotinib in MF only.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Be greater than or equal to (>=) 18 years of age (or the legal age of majority in the jurisdiction in which the study is taking place, whichever the greater) at the time of informed consent
  • Positive for a calreticulin (CALR) driver mutation of essential thrombocythemia (ET) or myelofibrosis (MF)
  • Participants with ET and MF with risk characteristics as described in the protocol
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status grade of less than or equal to (<=) 2
  • For US sites: Eligible for ruxolitinib therapy as per drug label for participants naive to a janus kinase (JAK) inhibitor

Exclusion Criteria7

  • Known allergies, hypersensitivity, or intolerance to the excipients of the study treatment
  • Concurrent or recently diagnosed or treated malignancies present at the time of participant screening. Exceptions are squamous and basal cell carcinoma of the skin, carcinoma in situ of the cervix, and any malignancy that is considered cured or has minimal risk of recurrence within 1 year of first dose of study treatment in the opinion of both the investigator and sponsor's medical monitor. Participants cured of another malignant disease with no sign of relapse greater than or equal to (>=) 3 years after treatment ended are allowed to enter the study
  • Prior solid organ transplantation
  • Either of the following regarding hematopoietic stem cell transplantation:
  • Prior treatment with allogenic stem cell transplant less than or equal to (<=) 6 months before the first dose of JNJ-88549968 or
  • Evidence of graft versus host disease (GVHD) that requires immunosuppressant therapy
  • History of clinically significant cardiovascular disease within 6 months prior to the first dose of study treatment

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Interventions

DRUGJNJ-88549968

JNJ-88549968 will be administered.

DRUGRuxolitinib

For US sites: Ruxolitinib will be administered for participants with MF only.

DRUGMomelotinib

For US sites: Momelotinib will be administered for participants with MF only.


Locations(31)

City of Hope

Duarte, California, United States

UCHealth Cancer Care Anschutz Medical Campus University of Colorado Cancer Center

Aurora, Colorado, United States

Moffit Cancer center

Tampa, Florida, United States

University of Michigan

Ann Arbor, Michigan, United States

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Montefiore Medical Center

The Bronx, New York, United States

Levine Cancer Institute

Charlotte, North Carolina, United States

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Sarah Cannon Cancer Institute

Nashville, Tennessee, United States

MD Anderson Cancer Center

Houston, Texas, United States

Princess Margaret Cancer Centre University Health Network

Toronto, Ontario, Canada

Jewish General Hospital

Montreal, Quebec, Canada

Hopital Saint Louis

Paris, France

CH LYON SUD - Hematology

Pierre-Bénite, France

Universitaetsklinikum der RWTH Aachen

Aachen, Germany

Charite Campus Benjamin Franklin

Berlin, Germany

Med. Universitatsklinik Essen

Essen, Germany

Medizinische Hochschule Hannover

Hanover, Germany

Universitaetsklinikum Heidelberg

Heidelberg, Germany

Universitaetsklinikum Regensburg

Regensburg, Germany

Carmel Medical Center

Haifa, Israel

Hadassah University Hospita Ein Kerem

Jerusalem, Israel

Sheba Medical Center

Ramat Gan, Israel

Tel Aviv Sourasky Medical Center

Tel Aviv, Israel

Policlinico Sant'Orsola Malpighi

Bologna, Italy

Policlinico di Milano

Milan, Italy

Hosp. Univ. Germans Trias I Pujol

Badalona, Spain

Hosp. Clinico Univ. de Valencia

Valencia, Spain

University College London Hospitals Nhs Foundation Trust

London, United Kingdom

Guy's and St Thomas' Hospital

London, United Kingdom

Churchill Hospital

Oxford, United Kingdom

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NCT06150157


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