Myelofibrosis(MF), Myelodysplastic Syndromes (MDS)
Safety and Tolerability Study of INCB057643 in Participants With Myelofibrosis and Other Advanced Myeloid Neoplasms
Clinical Study Purpose
The purpose of this study is to evaluate the safety, tolerability, and preliminary efficacy of INCB057643 as monotherapy or combination with ruxolitinib for participants with myelofibrosis (MF) and other myeloid neoplasms.
Clinical Study Summary









Clinical Study Locations
Key Inclusion and Exclusion Criteria
Inclusion Criteria
- Age 18 years and older at the time of signing the informed consent.
- Part 1 Monotherapy: Participants with confirmed diagnosis of relapsed or refractory MF (primary, or post-PV and post-ET), MDS, MDS/MPN, or ET who have received at least 1 prior line of therapy; are either refractory, relapsed, or intolerant to the last therapy; and there is no available therapy that would provide clinical benefit in the opinion of the investigator.
Exclusion Criteria
- Prior receipt of a BET inhibitor.
- Receipt of anticancer medications or investigational drugs within the protocol-defined interval before the first dose of study treatment. For Part 2 JAKi-naive, prior use of a JAK inhibitor (including ruxolitinib) and no use of experimental drug therapy for MF or any other standard drug (except hydroxyurea) used for MF or another indication within 3 months of starting study drug. For participants with suboptimal response to ruxolitinib, ruxolitinib will continue at the participants' current ongoing doses, no ruxolitinib washout is needed.
Protocol Summary
Number of treatment-emergent adverse events
Timeframe: Up to approximately 9 months
Spleen Volume Response
Timeframe: Week 24
Duration of a Spleen Volume Response from baseline (MF only)
Timeframe: Up to approximately 9 months
Symptom Response Rate (MF or ET)
Timeframe: Week 24
Anemia Response (MF only)
Timeframe: Up to approximately 9 months
Duration of Anemia Response (MF only)
Timeframe: Up to approximately 9 months
Changes in hemoglobin value from baseline (MF only)
Timeframe: Up to approximately 9 months
Red Blood Cell (RBC) Transfusion Burden (MF only)
Timeframe: Up to approximately 9 months
Overall response (ET only)
Timeframe: Up to approximately 9 months
Duration of platelet count reduction or White Blood Cell (WBC) count reduction (ET only)
Timeframe: Up to approximately 9 months
Bone Marrow (BM) Blast Complete Remission (MF, myelodysplastic syndrome (MDS), and MDS/myeloproliferative neoplasm (MPN))
Timeframe: Up to approximately 9 months
BM Blast Partial Remission (MF, MDS, and MDS/MPN)
Timeframe: Up to approximately 9 months
Peripheral Blast Complete Remission (MF, MDS, and MDS/MPN)
Timeframe: Up to approximately 9 months
Peripheral Blast Partial Remission (MF, MDS, and MDS/MPN)
Timeframe: Up to approximately 9 months
Durable Blast Complete or Partial remission (MF, MDS, and MDS/MPN)
Timeframe: Up to approximately 9 months