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Trial · NCT04629508

To Assess the Safety, Tolerability and Efficacy of Itacitinib Immediate Release Tablets in Participants With Primary or Secondary Myelofibrosis Who Have Received Prior Ruxolitinib and/or Fedratinib Monotherapy (LIMBER-213)

NCT04629508, Phase 2, Completed, Incyte Corporation; results first posted 2024-09-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. To Assess the Safety, Tolerability and Efficacy of Itacitinib Immediate Release Tablets in Participants With Primary or Secondary Myelofibrosis Who Have Received Prior Ruxolitinib and/or Fedratinib Monotherapy (LIMBER-213). Trials, record NCT04629508. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04629508

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
To Assess the Safety, Tolerability and Efficacy of Itacitinib Immediate Release Tablets in Participants With Primary or Secondary Myelofibrosis Who Have Received Prior Ruxolitinib and/or Fedratinib Monotherapy (LIMBER-213)
NCT number
NCT04629508
Status
Completed
Phases
Phase 2
Enrollment
4 participants, actual
Lead sponsor
Incyte Corporation
Conditions
Myelofibrosis, Polycythemia Vera, Thrombocythemia
Interventions
itacitinib
First posted
2020-11-16
Last updated
2025-09-02
Other registries' IDs
eudract:2020-003123-42
Results first posted
2024-09-19
Limitations and caveats
The sponsor terminated study enrollment following an assessment regarding the expected duration of recruitment for the Phase 2 portion of the study combined with the availability of other study options for this patient population.

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPart 1: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)up to 724 days
An adverse event was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug-related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. A TEAE was defined as an AE that was reported for the first time or the worsening of a pre-existing event after the first dose of study treatment.
PrimaryPart 1: Number of Participants With Any Grade 3 or Higher TEAEup to 724 days
A TEAE was defined as an AE that was reported for the first time or the worsening of a pre-existing event after the first dose of study treatment. The severity of AEs was assessed using Common Terminology Criteria for Adverse Events (CTCAE) v5.0 Grades 1 through 5. The investigator made an assessment of intensity for each AE and SAE reported during the study and assigned it to 1 of the following categories: Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; treatment not indicated. Grade 2: moderate; minimal, local, or noninvasive treatment indicated; limiting age-appropriate activities of daily living. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4: life-threatening consequences; urgent treatment indicated. Grade 5: fatal.
PrimaryPart 2: Splenic Response Rate (SRR) at Week 24Baseline; Week 24SRR was defined as the percentage of participants who had a reduction in spleen volume (by imaging) of at least 35% when compared with Baseline.
SecondaryPart 2: Number of Participants With Any TEAEup to at least 24 weeks
An adverse event was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not it was considered drug-related. An AE could therefore have been any unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study treatment. A TEAE was defined as an AE that was reported for the first time or the worsening of a pre-existing event after the first dose of study treatment.
SecondaryPart 2: Number of Participants With Any Grade 3 or Higher TEAEup to at least 24 weeks
A TEAE was defined as an AE that was reported for the first time or the worsening of a pre-existing event after the first dose of study treatment. The severity of AEs was assessed using Common Terminology Criteria for Adverse Events (CTCAE) v5.0 Grades 1 through 5. The investigator made an assessment of intensity for each AE and SAE reported during the study and assigned it to 1 of the following categories: Grade 1: mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; treatment not indicated. Grade 2: moderate; minimal, local, or noninvasive treatment indicated; limiting age-appropriate activities of daily living. Grade 3: severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self-care activities of daily living. Grade 4: life-threatening consequences; urgent treatment indicated. Grade 5: fatal.
SecondaryPart 2: Total Symptom Score (TSS) Response Rate at Week 24Baseline; Week 24
TSS response was defined as the percentage of participants who achieved at least 50% reduction in TSS over the 28 days immediately before the end of Week 24 compared with the 7 days immediately before the initiation of itacitinib immediate release (aseline).B
SecondaryPart 2: Mean Change (From Day 1 Versus Week 12 and Week 24) in the 5 Multi-item Functional Scale Scores and the Multi-item Global Health Status Scale Score (EORTC QLQ-C30)Baseline; Weeks 12 and 24The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) was to be used to assess the improvement in quality of life.
SecondaryPart 2: Percentage of Participants Categorized as Improved on the Week 24 Patient Global Impression of Change (PGIC)Baseline; Week 24
The PGIC consists of a single question pertaining to a participant's overall status since the start of the study. The questionnaire gives participants 7 options to describe their overall status including: very much improved, much improved, minimally improved, no change, minimally worse, much worse, and very much worse.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPart 1: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)up to 724 daysSafety Evaluable Population: all participants enrolled in the study who received at least 1 dose of study treatmentParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYPart 1: Number of Participants With Any Grade 3 or Higher TEAEup to 724 daysSafety Evaluable PopulationParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYPart 2: Splenic Response Rate (SRR) at Week 24Baseline; Week 24Analysis was not conducted because Part 2 never opened for enrollment.
SECONDARYPart 2: Number of Participants With Any TEAEup to at least 24 weeksAnalysis was not conducted because Part 2 never opened for enrollment.
SECONDARYPart 2: Number of Participants With Any Grade 3 or Higher TEAEup to at least 24 weeksAnalysis was not conducted because Part 2 never opened for enrollment.
SECONDARYPart 2: Total Symptom Score (TSS) Response Rate at Week 24Baseline; Week 24Analysis was not conducted because Part 2 never opened for enrollment.
SECONDARYPart 2: Mean Change (From Day 1 Versus Week 12 and Week 24) in the 5 Multi-item Functional Scale Scores and the Multi-item Global Health Status Scale Score (EORTC QLQ-C30)Baseline; Weeks 12 and 24Analysis was not conducted because Part 2 never opened for enrollment.
SECONDARYPart 2: Percentage of Participants Categorized as Improved on the Week 24 Patient Global Impression of Change (PGIC)Baseline; Week 24Analysis was not conducted because Part 2 never opened for enrollment.

Results by group2

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Part 1: Number of Participants With Any Treatment-emergent Adverse Event (TEAE)Itacitinib 300 mg4Participants
Part 1: Number of Participants With Any Grade 3 or Higher TEAEItacitinib 300 mg4Participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDItacitinib 300 mg4
Overall StudyCOMPLETEDItacitinib 300 mg0
Overall StudyNOT COMPLETEDItacitinib 300 mg4

Adverse events66

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersItacitinib 300 mg142
otherAnaemiaBlood and lymphatic system disordersTotal142
otherArthralgiaMusculoskeletal and connective tissue disordersItacitinib 300 mg141
otherArthralgiaMusculoskeletal and connective tissue disordersTotal141
otherAstheniaGeneral disordersItacitinib 300 mg141
otherAstheniaGeneral disordersTotal141
otherBlood bilirubin increasedInvestigationsItacitinib 300 mg141
otherBlood bilirubin increasedInvestigationsTotal141
otherBlood creatinine increasedInvestigationsItacitinib 300 mg141
otherBlood creatinine increasedInvestigationsTotal141

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityItacitinib 300 mg24
Total, all-cause mortalityTotal24
Total, other adverse eventsItacitinib 300 mg44
Total, other adverse eventsTotal44
Total, serious adverse eventsItacitinib 300 mg34
Total, serious adverse eventsTotal34

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Itacitinib 300 mg vs Total: deaths from any causeTrial comparisons
Itacitinib 300 mg vs Total: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04629508

GET https://conductscience.org/api/trials/v1/NCT04629508/events?page=2