MPN Cancer Connection

To Evaluate Efficacy and Safety of Parsaclisib and Ruxolitinib in Participants With Myelofibrosis Who Have Suboptimal Response to Ruxolitinib (LIMBER-304)

This is a Phase 3 clinical study investigating the safety and efficacy of a potential treatment for participants with Myelofibrosis (MF) who have suboptimal response while receiving ruxolitinib monotherapy.

Trial ID: NCT04551053

Incyte is committed to expanding the research of investigational treatment options for people with Myelofibrosis (MF). Given that certain populations can respond differently to medical therapies, it is extremely important that this clinical trial include people from all races and ethnicities.

Trial Details

The purpose of this Study is to compare the safety and therapeutic effects of adding parsaclisib (the Study Drug) or placebo to ruxolitinib therapy in patients with MF who continue to have significant enlargement of the spleen and symptoms of MF while on treatment with ruxolitinib only. The first part of the Study is double-blind, which means that you and your Study Doctor will not know if you are receiving Study Drug + ruxolitinib or placebo + ruxolitinib. This Study is also randomized, which means you will be randomly assigned (like flipping a coin) to receive the Study Drug + ruxolitinib or placebo + ruxolitinib. Placebo looks like the Study Drug but contains no medication. After you complete your 24-Week assessments, and if you were assigned to placebo + ruxolitinib, you will have an opportunity to “Crossover” to receive Study Drug + ruxolitinib. You will be in this Study for about 2 years, during which time you cannot participate in other research studies.

Estimated Enrollment

212 Participants



Eligibility Criteria

Participants must:
  • Must be 18 Years and older
  • Diagnosis of PMF, PPV-MF, or PET-MF
  • DIPSS risk category of intermediate-1, intermediate-2, or high
  • Ruxolitinib treatment ≥ 3 months, with a stable dose ≥ 8 weeks (patients can continue ruxolitinib treatment)
  • Suboptimal response to ruxolitinib as defined by palpable spleen ≥5 cm Below Left Costal Margin (BLCM) and Total Symptom Score (TSS) ≥10
  • Platelets ≥50 *109/L
Participants must not:
  • Prior therapy with PI3K inhibitor
  • Prior use of experimental drug therapy for MF, or any other standard drug, except ruxolitinib, within 3 months of starting study and/or lack of recovery from all toxicities from therapy to grade 1 or better
  • Recent history of inadequate bone marrow reserve
  • Inadequate liver or renal function at screening

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What Will Happen in This Study

What is involved?

You will need to visit a study clinic. A study doctor will provide you with an informed consent and explain the trial. You will then be fully evaluated for participation and eligibility. If eligible, you will be enrolled in the study.

Your participation in the study will be approximately 3 years, and include regular, scheduled visits to the clinical study center. During these visits, you will undergo a physical exam and have blood work performed. A scan (MRI or CT) will be performed at protocol defined frequency during your study participation. Once the study has completed, if you are benefitting from treatment, you will have the option to continue the treatment.

Full details about study treatment, clinic visit schedule and exams will be discussed with you prior to any enrollment.

You will need to travel to one of the study clinics taking part in this clinical trial. Sites are located in:

Actively Recruiting

  • Atlanta, Georgia, United States
  • Berkeley, California, United States
  • Hendersonville, North Carolina, United States
  • Los Angeles, California, United States
  • Brick, New Jersy, United States
  • Houston, Texas, United States
  • Kansas City, Missouri, United States
  • San Luis Obispo, California, United States
  • Memphis, TN, United States
  • Redlands, California, United States
  • Bronx, New York, United States
  • New Orleans, Louisiana, United States
  • Columbus, OH, United States

Not yet Recruiting

  • (Awaiting confirmation) Boston , Massachusetts, United States
  • (Awaiting confirmation) Morristown, New Jersey, United States
  • (Awaiting confirmation) San Diego, CA, United States
  • (Awaiting confirmation) Indianapolis, IN, United States
  • (Awaiting confirmation) Dallas, TX, United States
  • (Awaiting confirmation) Pittsburgh, PA, United States
  • (Awaiting confirmation) Fresno, California, United States
  • (Awaiting confirmation) Dallas, Texas, United States
  • (On hold) Westwood, Kansas, United States
  • (Awaiting confirmation) Stamford, Connecticut, United States
  • (Awaiting confirmation) New York, New York, United States

Frequently Asked Questions (FAQs)

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We'll check to see if you are eligible by asking you some questions.

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