- |||||||||| Review, Journal: JAK Be Nimble: Reviewing the Development of JAK Inhibitors and JAK Inhibitor Combinations for Special Populations of Patients with Myelofibrosis. (Pubmed Central) - Jun 8, 2022
In this review, we highlight several specific areas of unmet need within MF. Subsequently, we review agents that target those areas of unmet need, focusing specifically on the JAK inhibitors, momelotinib, pacritinib, itacitinib, and NS-018 as well as JAK inhibitor combination approaches using CPI-0610, navitoclax, parsaclisib, and luspatercept.
- |||||||||| Jakafi (ruxolitinib) / Incyte, parsaclisib (INCB50465) / Incyte
Trial completion, Combination therapy: INCB 50465-201: A Study of INCB050465 in Combination With Ruxolitinib in Subjects With Myelofibrosis (clinicaltrials.gov) - Jun 6, 2022 P2, N=74, Completed, Subsequently, we review agents that target those areas of unmet need, focusing specifically on the JAK inhibitors, momelotinib, pacritinib, itacitinib, and NS-018 as well as JAK inhibitor combination approaches using CPI-0610, navitoclax, parsaclisib, and luspatercept. Active, not recruiting --> Completed
- |||||||||| parsaclisib (INCB50465) / Incyte
P1 data, Journal: Parsaclisib in Japanese patients with relapsed or refractory B-cell lymphoma (CITADEL-111): a phase 1b study. (Pubmed Central) - May 29, 2022 Objective response rate was 100% in follicular lymphoma (9 of 9 patients, including complete response in 2 patients [22.2%]) and marginal zone lymphoma (2 of 2 patients), and 16.7% in diffuse large B-cell lymphoma (1 of 6 patients). Results observed in Japanese patients with relapsed or refractory follicular or marginal zone lymphoma support further clinical development of parsaclisib in these patient populations.
- |||||||||| parsaclisib (INCB50465) / Incyte, Rituxan (rituximab) / Biogen, Zenyaku Kogyo, Roche
A PHASE 1 STUDY OF PARSACLISIB IN COMBINATION WITH RITUXIMAB, BENDAMUSTINE + RITUXIMAB, OR IBRUTINIB IN PATIENTS WITH PREVIOUSLY TREATED B-CELL LYMPHOMA (CITADEL-112): PRELIMINARY SAFETY RESULTS () - May 13, 2022 - Abstract #EHA2022EHA_1503; P1 Parsaclisib dose interruption or dose reduction due to TEAEs occurred in 75.0% and 18.8% of pts, respectively, in Tmt A; 66.7% and 27.8% of pts, respectively, in Tmt B; and 56.3% and 18.8% of pts, respectively, in Tmt C. Conclusion Parsaclisib 20 mg QD for 8 weeks followed by 20 mg QW can be safely combined with RIT, RIT + BEN, or IBR in pts with R/R B-cell lymphomas. The tolerability profile of the combination regimens was manageable, with no unexpected safety concerns.
- |||||||||| parsaclisib (INCB50465) / Incyte
Enrollment open, Enrollment change, Trial completion date, Trial primary completion date: To Evaluate the Safety, and Pharmacokinetics of Parscaclisib in Participants With Normal Renal Function and Renal Impairment. (clinicaltrials.gov) - May 3, 2022 P1, N=55, Recruiting, Conclusion This phase 3 study will provide valuable insight into the safety and efficacy of parsaclisib as a potential treatment for patients with primary wAIHA. Active, not recruiting --> Recruiting | N=37 --> 55 | Trial completion date: Mar 2022 --> Jun 2022 | Trial primary completion date: Mar 2022 --> Jun 2022
- |||||||||| Review, Journal: Novel treatments for myelofibrosis: beyond JAK inhibitors. (Pubmed Central) - Apr 30, 2022
Specifically, we discuss agents that target epigenetic modification (pelabresib, bomedemstat), apoptosis (navitoclax, navtemdalin), signaling pathways (parsaclisib), bone marrow fibrosis (AVID200, PRM-151), in addition to other targets including telomerase (imetelstat), selective inhibitor of nuclear transport (selinexor), CD123 (tagraxofusp) and erythroid maturation (luspatercept). We end by providing commentary on the ongoing and future therapeutic development in myelofibrosis.
- |||||||||| Darzalex (daratumumab) / J&J, parsaclisib (INCB50465) / Incyte, Rituxan (rituximab) / Biogen, Zenyaku Kogyo, Roche
Efficacy of thrombopoietin receptor agonists in Evans syndrome: An international multicentre experience () - Apr 25, 2022 - Abstract #BSH2022BSH_145; However, TPO-RAs use was complicated by a high occurrence of thrombotic events that may be also favoured by the underlying conditions. Additionally, TPO-RAs required a concomitant therapy in the majority of patients, suggesting that in ES autoimmune platelet destruction cannot be completely overcome by bone marrow stimulation.
- |||||||||| itacitinib (INCB039110) / Incyte, parsaclisib (INCB50465) / Incyte, epacadostat (INCB024360) / Incyte
Biomarker, Clinical, P1 data, Journal, Combination therapy, Tumor microenvironment: Exploring the safety, effect on the tumor microenvironment, and efficacy of itacitinib in combination with epacadostat or parsaclisib in advanced solid tumors: a phase I study. (Pubmed Central) - Apr 5, 2022 P1 New strategies are needed to optimize the design of clinical trials comparing novel combinations to standard agent monotherapy. Adverse events with JAK1 inhibition combined with either IDO1 or PI3Kδ inhibition were manageable, but the combinations demonstrated limited clinical activity or enhancement of immune activation in the tumor microenvironment.
- |||||||||| itacitinib (INCB039110) / Incyte, parsaclisib (INCB50465) / Incyte
Biomarker, Trial completion, Tumor microenvironment, Metastases: Pembrolizumab Combined With Itacitinib (INCB039110) and/or Pembrolizumab Combined With INCB050465 in Advanced Solid Tumors (clinicaltrials.gov) - Mar 31, 2022 P1, N=159, Completed, Adverse events with JAK1 inhibition combined with either IDO1 or PI3Kδ inhibition were manageable, but the combinations demonstrated limited clinical activity or enhancement of immune activation in the tumor microenvironment. Active, not recruiting --> Completed
- |||||||||| Clinical, P2 data, Journal: Emerging drugs for the treatment of myelofibrosis: phase II & III clinical trials. (Pubmed Central) - Jan 27, 2022
Ruxolitinib and fedratinib are approved JAK2 inhibitors that have produced meaningful benefits in terms of spleen reduction and symptom improvement, but there remain several unmet needs...Specifically, we cover novel JAK inhibitors (momelotinib and pacritinib), and agents that target bromodomain and extra-terminal domain (pelabresib), the antiapoptotic proteins BCL-2/BCL-xL (navitoclax), MDM2 (navtemadlin), phosphatidylinositol 3-kinase (parsaclisib), or telomerase (imetelstat)...Future evaluation of agents must be judged on their potential to modify disease progression, which current JAK2 inhibitors lack. Combination therapy, possibly with an immunotherapeutic agent might serve as key components of future myelofibrosis treatment options.
- |||||||||| parsaclisib (INCB50465) / Incyte
Trial completion date, Trial primary completion date: AIHA: A Study of INCB050465 in Participants With Autoimmune Hemolytic Anemia (clinicaltrials.gov) - Dec 15, 2021 P2, N=25, Active, not recruiting, Trial completion date: Mar 2024 --> Sep 2024 | Trial primary completion date: Sep 2023 --> Mar 2024 Trial completion date: Dec 2023 --> Sep 2023 | Trial primary completion date: Dec 2023 --> Aug 2021
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