MK-3543 vs Hydroxyurea in Cytoreductive Therapy Naïve Essential Thrombocythemia

What is the Purpose of this Study?

We are doing this study to find the most effective, safe dose of an experimental drug called bomedemstat or hydroxyurea in people with essential thrombocythemia (ET). We also want to know which of these options works best for most people.

What is the Condition Being Studied?

Naïve Essential Thrombocythemia (ET)

Who Can Participate in the Study?

Adults ages 18+ who:

  • Are diagnosed with ET and appropriate for cytoreductive therapy
  • Have a bone marrow fibrosis score of Grade 0 or Grade 1
  • Have never received any form of cytoreductive treatment
  • Are able to take hydroxyurea

For more information about who can join this study, please contact the study team at 919-668-2556.

Age Group
Adults

What is Involved?

If you decide to participate in this study, you will have a screening visit to see if you are eligible for this study.

If you are eligible to join this study, you will get a random assignment (like a coin flip) to 1 of 2 groups:

  • Group 1: you will take bomedemstat and placebo (inactive substance or "sugar pill") for hydroxyurea
  • Group 2: will take hydroxyurea and placebo for bomedemstat

Bomedemstat and hydroxyurea are capsules. They are both taken daily by mouth. This is a "blind" study, so you will not know what group assignment you get.

After you get your group assignment, you will proceed to the study drug period. This period has 2 phases: Initial Study Drug Phase and Extended Study Drug Phase.

The Initial Study Drug Phase lasts for about 1 year. You will visit our clinic every other week for the first 12 weeks, and then about once per month.

When you finish the Initial Study Drug Phase, you will continue to use the study drug for up to 2 more years. This is called the Extended Study Drug Phase. During this phase, you will continue to get the same drug you got during the Initial Study Drug Phase. You will visit our clinic about once per month during this phase.

During the study you will undergo tests and procedures including:

  • Full physical examination
  • 12-lead ECG
  • Blood for safety assessments and urine or serum for pregnancy
  • Bone marrow aspirate and biopsy
  • Blood for pharmacokinetics and biomarker assessments

Study Details

Full Title
A Phase 3, Randomized, Double-blind, Active-Comparator-Controlled
Clinical Study to Evaluate the Efficacy and Safety of Bomedemstat (MK-3543) versus
Hydroxyurea in Cytoreductive Therapy Naïve Essential Thrombocythemia Participants
Principal Investigator
Associate Professor of Medicine
Protocol Number
IRB: PRO00115732
NCT: NCT06456346
Phase
Phase III
ClinicalTrials.gov
Enrollment Status
OPEN TO ACCRUAL