Clinical Trials

Inclusion Criteria

• Diagnosis of Primary myelofibrosis or Post-polycythemia vera/post-essentialthrombocythemia myelofibrosis
• Requires myelofibrosis therapy, in the opinion of the investigator
• High risk or intermediate-2 risk defined by dynamic international prognostic scoring system (DIPSS) OR intermediate-1 risk defined by DIPSS and associated with symptomatic splenomegaly and/or hepatomegaly
• Transfusion dependent at baseline, defined as ≥ 4 U red blood cell (RBC) transfusion in the 8 weeks prior to first dose of momelotinib
• Acceptable organ function as evidenced by
  • Platelet Count ≥ 50 x 10^9/L
  • Aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) ≤ 3 x upper limit of normal (ULN) or AST or ALT ≤ 5 x ULN if liver is involved by disease process as judged by the investigator
  • Serum creatinine ≤ 2.0 mg/dL or calculated creatinine clearance of ≥ 60 mL/min
  • Direct bilirubin ≤ 2.0 x ULN
• Life expectancy of > 24 weeks
• Males and females of childbearing potential who engage in heterosexual intercourse must agree to use protocol specified method(s) of contraception
• Lactating females must agree to discontinue nursing before momelotinib administration
• Able to understand and willing to sign the informed consent form

Exclusion Criteria

• Prior splenectomy
• Splenic irradiation within 3 months prior to the first dose of MMB
• Prior treatment with MMB
• Known positive status of human immunodeficiency virus (HIV)
• Chronic active or acute viral hepatitis A, B, or C infection (testing required for hepatitis B and C), or hepatitis B or C carrier
• Use of strong cytochrome P450 3A4 (CYP3A4) inducer within 2 weeks prior to the first dose of MMB
• Uncontrolled intercurrent illness per protocol
• Treatment with a Janus kinase (JAK) inhibitor within 21 days of the planned first dose of MMB
• Presence of peripheral neuropathy ≥ Common Terminology Criteria for Adverse Events (CTCAE) Grade 2
• Unwilling or unable to undergo a MRI per requirements in the study protocol
• Unwilling to consent to genomics sampling