ClinicalTrials.gg
RecruitingNCT04878003Updated May 9, 2022

Study of KRT-232 or TL-895 in Janus Associated Kinase Inhibitor Treatment-Naïve Myelofibrosis

A Phase 2 interventional study of KRT-232 and TL-895 in Primary Myelofibrosis (PMF), Post-Polycythemia Vera Myelofibrosis (Post-PV-MF) and Post-Essential Thrombocythemia Myelofibrosis (Post-ET-MF), sponsored by Kartos Therapeutics, Inc.. Recruiting at 29 sites in 9 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-05-09.

Sponsored by Kartos Therapeutics, Inc. (part of Ipsen) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2024, 2 years 6 months ago, but the record still lists the study as recruiting.
  • Started Apr 2021; still recruiting 5 years 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
52
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates either KRT-232 or TL-895 in treatment naïve patients with myelofibrosis (MF)

The study will be conducted in 2 stages. Stage 1 will evaluate safety, tolerability, and efficacy of either KRT-232 (Arm 1) or TL-895 (Arm 2) in treatment naïve patients. Stage 2 will expand enrollment in Arm 1 and/or Arm 2 if expansion criteria is met.

02

Conditions studied

  • Primary Myelofibrosis (PMF)
  • Post-Polycythemia Vera Myelofibrosis (Post-PV-MF)
  • Post-Essential Thrombocythemia Myelofibrosis (Post-ET-MF)

Browse trials for

Keywords

  • navtemadlin
03

In context

Primary Myelofibrosis

625 studies on the registry are indexed under Primary Myelofibrosis; 124 are open to participants now.

This study's planned enrollment of 52 is above the median of 43 across 489 interventional studies indexed under Primary Myelofibrosis.

Browse Primary Myelofibrosis studies →

Lead sponsor

Kartos Therapeutics, Inc. is the lead sponsor of 16 studies on the registry; 7 are open to participants now.

First submitted before Kartos Therapeutics, Inc. became part of Ipsen.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Confirmed diagnosis of PMF, post-PV MF or post-ET MF (WHO)
  • High-risk, or intermediate-1 and 2 risk, defined by Dynamic International Prognostic System (DIPSS)
  • of 0 or 1

Exclusion criteria

Exclusion Criteria:

  • Subjects who are positive for p53 mutation (Arm 1)
  • Prior MDM2 inhibitor therapy or p53-directed therapy (Arm 1)
  • Prior treatment with any JAK inhibitor
  • Prior splenectomy
  • Splenic irradiation within 24 weeks prior to randomization
  • Prior stem-cell transplantation or plans for allogeneic stem-cell transplant
  • History of major organ transplant
  • Grade 2 or higher prolongation
  • Major hemorrhage or intracranial hemorrhage within 24 weeks prior to randomization
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
52 participants (estimated)

Study arms

  • Experimental
    Arm 1

    KRT-232 administered orally as 240 mg once daily on Days 1-7, off treatment on Days 8-28, in 28-day treatment cycles

    Drug: KRT-232

  • Experimental
    Arm 2

    TL-895 administered orally as 150 mg twice daily continuously in 28-day cycles

    Drug: TL-895

Interventions

  • KRT-232, administration by mouth

  • DrugTL-895

    TL-895, administration by mouth

06

What researchers measure

Primary outcomes

  1. Spleen Volume Reduction (SVR)

    The proportion of subjects achieving ≥35% SVR at Week 24 by MRI/CT (central review)

    Time frame: 24 weeks

Secondary outcomes

  1. Improvement in Total Symptom Score (TSS)

    The proportion of subjects who have at least a 50% reduction from Baseline to Week 24 in the total symptom score as measured by the MF-SAF v4.0

    Time frame: 24 weeks

  2. Spleen Response Duration

    Time from initial SVR of ≥35% by MRI/CT (central review) until progression

    Time frame: 48 months

  3. Rate of conversion from RBC transfusion dependent to independent

    The proportion of subjects who convert from transfusion dependent to transfusion independent at Week 24

    Time frame: 24 weeks

  4. Overall Survival (OS)

    Time from first dose to death from any cause

    Time frame: 48 months

  5. Progression free survival (PFS)

    Time from randomization to either first occurrence of disease progression or death due to any cause

    Time frame: 48 months

07

Study locations

29 of 29 sites recruiting
  • Innovative Clinical Research Institute
    Glendale, California 90603, United States
    Recruiting
  • Innovative Clinical Research Institute
    Whittier, California 90603, United States
    Recruiting
  • Gabrail Cancer Center
    Canton, Ohio 44718, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • Republican Scientific Practical Center of Radiation Medicine and Human Ecology
    Belarus, 246040, Belarus
    Recruiting
  • Minsk Scientific and Practice Center of Surgery, Transplantology and Hematology
    Minsk, 220045, Belarus
    Recruiting
  • UMHAT Georgi Stranski
    Pleven, 5800, Bulgaria
    Recruiting
  • Medical Centre Hipokrat N
    Plovdiv, 4000, Bulgaria
    Recruiting
  • UMHAT Sv. Ivan Rilski EAD
    Sofia, 1431, Bulgaria
    Recruiting
  • Military Medical Academy
    Sofia, 1606, Bulgaria
    Recruiting
  • Specialized Hospital for Active Treatment of Hematologic Diseases
    Sofia, 1756, Bulgaria
    Recruiting
  • JSC EVEX Hospitals
    Kutaisi, 4600, Georgia
    Recruiting
  • LTD M.Zodelava Hematology Centre
    Tbilisi, 112, Georgia
    Recruiting
  • K.Eristavi National Center of Experimental and Clinical Surgery
    Tbilisi, 159, Georgia
    Recruiting
  • Centro de Investigacion Medica Aquascalientes (CIMA)
    Aguascalientes, 20116, Mexico
    Recruiting
  • Unidad de Investigacion CIMA SC
    Chihuahua, 31200, Mexico
    Recruiting
  • Centro de Investigacion Clinica de Oaxaca (CICLO)
    Oaxaca, 68020, Mexico
    Recruiting
  • Sociedad de Metabolismo Y Corazon - SOMECO
    Veracruz, 91900, Mexico
    Recruiting
  • Samodzielny Publiczny Zakład Opieki Zdrowotnej Zespół Szpitali Miejskich
    Katowice, 40-519, Poland
    Recruiting
  • Szpital Wojewodzki w Opolu Sp. z o.o., Oddzial Hematologii i Onkologii Hematologicznej
    Opole, 45-061, Poland
    Recruiting
  • Wojewodzki Szpital Specjalistyczny im. Janusza Korczaka w Slupsku Sp. z o.o.
    Słupsk, 76-200, Poland
    Recruiting
  • Botkin City Clinical Hospital
    Moscow, 125284, Russian Federation
    Recruiting
  • Republican Hospital n.a. V.A. Baranov
    Petrozavodsk, 185019, Russian Federation
    Recruiting
  • Pavlov First Saint Petersburg State Medical University
    Saint Petersburg, 197022, Russian Federation
    Recruiting
  • Almazov National Medical Research Center
    Saint Petersburg, 197341, Russian Federation
    Recruiting
  • Almazov National Medical Research Centre
    Saint Petersburg, 197341, Russian Federation
    Recruiting
  • Samara State Medical University
    Samara, 443099, Russian Federation
    Recruiting
  • Wits Baragwanath Clinical Hematology Department
    Soweto, 1519, South Africa
    Recruiting
  • City Hematology Center of Municipal Non-Profit Enterprise City Clinical Hospital #4 of Dnipro City Council
    Dnipro, 49102, Ukraine
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2021 (actual). Primary completion is estimated for May 2024, 37 months after the start.

Of 30 industry-sponsored phase 2 interventional studies under Primary Myelofibrosis, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 66. This study's planned 37 months is above that.

Counting every sponsor, half of 98 studies reached it within 66 months; a quarter within 32 and three quarters within 111.

How these figures are worked out, and which studies are left out of them.

Registered
May 4, 2021
First posted
May 7, 2021
StartActual
Apr 13, 2021
Primary completionEst.
May 2024
CompletionEst.
Oct 2025
Last update
May 9, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 9, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04878003
Responsible party
Sponsor
First posted
May 7, 2021
Start date
Apr 13, 2021
Primary completion
May 2024 (estimated)
Completion
Oct 2025 (estimated)
Last update
May 9, 2022

Study contacts

John Mei
Contact
jmei@kartosthera.com
650-542-0136
Jordan Blevins
Contact
jblevins@kartosthera.com
650-542-0136

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Navtemadlin · Flixebrutinib

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