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Pomalidomide

Phase 3

Primary Myelofibrosis | Small molecule | Other |Bristol-Myers Squibb Company|Last Updated: Jul 17, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment267
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01178281Study of Pomalidomide in Persons With Myeloproliferative-Neoplasm-Associated Myelofibrosis and RBC-Transfusion-DependencePHASE3 COMPLETED 267Sep 8, 2010May 15, 2018Jul 17, 201987 United States, Australia +14
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Study Endpoints
Primary Endpoints
Percentage of Participants Who Achieved RBC-Transfusion Independence
168 days

RBC-transfusion independence was defined as the absence of RBC transfusions for any consecutive 84-day interval.

China Extension: Number of Participants Achieving a Hemoglobin Increase of ≥ 15 g/L Compared to Baseline for ≥ 84 Consecutive Days
From the first dose of study drug until treatment discontinuation; median treatment duration was 24.0 weeks.

A response in the China extension study was defined as an increase in hemoglobin ≥ 15 g/L above baseline value (in the absence of RBC transfusion) for ≥ 84 consecutive days.

Secondary Endpoints
Overall Survival
From first dose of study drug up to end of study; median follow-up time was 19.1 months in the pomalidomide 0.5 mg arm and 17.6 months in the placebo arm.
Duration of RBC-Transfusion Independence
From first dose of study drug up to 28 days after last dose, as of the data cut-off date of 16 Jan 2013; median treatment duration was 23.6 weeks in the pomalidomide arm and 23.9 weeks in the placebo arm.
Time to RBC-Transfusion Independence
168 days
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Pomalidomide 0.5 mgEXPERIMENTALParticipants received pomalidomide 0.5 mg/day by mouth for at least 168 days unless there were unacceptable side effects or disease progression. Participants who were RBC-transfusion independent or experienced clinical benefit (defined as a reduction from Baseline of ≥ 50% in RBC-transfusion frequency during the prior 84-day interval) could continue to receive pomalidomide until loss of RBC-transfusion independence response or clinical benefit, or other criteria for treatment discontinuation applied.
PlaceboPLACEBO_COMPARATORParticipants received placebo taken by mouth once daily for at least 168 days unless there were unacceptable side effects or disease progression. Participants who were RBC-transfusion independent or experienced clinical benefit could continue to receive placebo until loss of RBC- transfusion independence response or clinical benefit, or other criteria for treatment discontinuation applied.
China Extension: Pomalidomide 0.5 mgEXPERIMENTALParticipants received pomalidomide 0.5 mg/day by mouth for at least 168 days unless there were unacceptable side effects, disease progression, or they received a RBC-transfusion. Participants who experienced anemia response could continue treatment until the response was lost or other criteria for treatment discontinuation applied.
Interventions
NameTypeDescription
Pomalidomide 0.5 mgDRUGPomalidomide 0.5 mg capsule taken by mouth once daily. Immunomodulatory agent with demonstrated efficacy in the treatment of subjects with RBC-transfusion-dependence associated with MNP-associated myelofibrosis.
PlaceboDRUGPlacebo Comparator to active drug; Placebo capsule taken by mouth once daily
PomalidomideDRUGPomalidomide 0.5 mg capsule taken by mouth once daily.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites87

Inclusion Criteria: * Age ≥ 18 years * Myeloproliferative-neoplasm (MPN)-associated myelofibrosis * RBC-transfusion-dependence (global study): * Average RBC-transfusion frequency ≥ 2 units/28 days over at least the 84 days immediately prior to randomization. There must be no interval \> 42 days ...

Countries:United StatesAustraliaAustriaBelgiumCanadaChinaFranceGermanyItalyJapanNetherlandsPolandRussiaSpainSwedenUnited Kingdom
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