Description:
The purpose of this study is to test the hypothesis that patients with CML who have not
achieved optimal response after 3 months of treatment with imatinib will have a better
response by switching to dasatinib compared to staying on their original imatinib regimen.
Title
- Brief Title: Study of Dasatinib vs Imatinib in Patients With Chronic Myeloid Leukemia (CML) Who Did Not Have Favorable Response to Imatinib
- Official Title: An Open Label, Randomized (2:1) Phase IIb Study of Dasatinib Versus Imatinib in Patients With Chronic Phase Chronic Myeloid Leukemia Who Have Not Achieved an Optimal Response to 3 Months of Therapy With 400 mg Imatinib
Clinical Trial IDs
- ORG STUDY ID:
CA180-399
- SECONDARY ID:
2011-006181-41
- NCT ID:
NCT01593254
Conditions
- Chronic Phase Chronic Myeloid Leukemia
Interventions
Drug | Synonyms | Arms |
---|
Imatinib | Gleevec, Glivec | Arm 1: Imatinib (≥400 mg) |
Dasatinib | Sprycel | Arm 2: Dasatinib (100 mg) |
Purpose
The purpose of this study is to test the hypothesis that patients with CML who have not
achieved optimal response after 3 months of treatment with imatinib will have a better
response by switching to dasatinib compared to staying on their original imatinib regimen.
Trial Arms
Name | Type | Description | Interventions |
---|
Arm 1: Imatinib (≥400 mg) | Active Comparator | Imatinib ≥400 mg tablets by mouth once daily (QD) or twice daily (BID) up to 60 months | |
Arm 2: Dasatinib (100 mg) | Active Comparator | Dasatinib 100 mg tablet by mouth QD up to 60 months | |
Eligibility Criteria
For more information regarding BMS clinical trial participation, please visit
www.BMSStudyConnect.com.
Inclusion Criteria:
- Chronic Phase (CP)-CML Ph+ patients with complete hematologic response (CHR) but
without one log BCR-ABL reduction (BCR-ABL level >10% IS) 3 months of imatinib 400mg
treatment. (Imatinib transient dose adjustments due to Adverse Event (AEs) are allowed
with a maximum of 2 weeks interruption of treatment with imatinib (cumulative) within
the 3 month period before randomization). Imatinib monotherapy must have been started
within 6 months of CP-CML diagnosis (Ph + /BCR-ABL detection)
- Currently tolerating imatinib 400mg QD. Patients with prior imatinib treatment
interruption or dose reductions are required to be on treatment with 400 mg imatinib
for two weeks immediately prior to randomization to ensure tolerance to imatinib
- Eastern Co-Operative Group (ECOG) performance status = 0 - 2
- Adequate renal function defined as serum creatinine ≤3 times the institutional upper
limit of normal (ULN)
- Adequate hepatic function defined as: total bilirubin ≤2.0 times the institutional
ULN; alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5 times
the institutional ULN
Exclusion Criteria:
- Previous diagnosis of accelerated phase or blast crisis
- Subjects with clonal evolution in Ph+ cells observed in ≥2 metaphases at baseline bone
marrow cytogenetic test, unless the same abnormalities were present at diagnosis.
Patients with no evidence of clonal evolution, including those patients whose
cytogenetic testing fails or bone marrow aspiration is a dry tap at 3 months, are
eligible for the study
- Subjects with less than CHR after 3 months of imatinib treatment or lost CHR after
initial achievement
- Documented T315I/A, F317L, or V299L mutations (if already available - not required for
screening)
- A serious uncontrolled medical disorder or active infection that would impair the
ability of the subject to receive protocol therapy
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Percentage of Patients Achieving Major Molecular Response (MMR) After 12 Months of CML Treatment |
Time Frame: | At 12 months after Day 1 initiation of 1st line treatment with imatinib or imatinib at any dose, after less than optimal response to first-line imatinib. |
Safety Issue: | |
Description: | Major Molecular Response, is defined as a 3-log reduction in BCR-ABL transcripts from the standardized baseline, which represents 100% on the international scale, so a 3-log reduction is fixed at 0.1% for MMR; N/A = not applicable. 95% CI is Clopper-Pearson(Exact) two-sided 95% confidence intervals.
P-value is based on Cochran-Mantel-Haenszel (CMH) test stratified by Sokal score(high, intermediate, low, and unknown) and time between 3 month molecular analysis and randomization (<=4 weeks vs >4 weeks). Month 12 is calculated fro |
Secondary Outcome Measures
Measure: | Median Time to Major Molecular Response (MMR) |
Time Frame: | Up to 10 years |
Safety Issue: | |
Description: | Time to MMR is how fast patients achieve optimal response. It is the time between randomization date and first date that MMR criteria are satisfied. |
Measure: | Time to Molecular Response (MR)^4.5 |
Time Frame: | Up to 10 years |
Safety Issue: | |
Description: | Time to MR^4.5 is how fast patients achieve a deeper response. It is the time between randomization date and first date that MR^4.5 criteria are satisfied. |
Measure: | Progression Free Survival (PFS) |
Time Frame: | Up to 10 years |
Safety Issue: | |
Description: | PFS is how long patients are likely to live without progression of their disease. It is the time from randomization date to progression date or death date, whichever occurs first. |
Measure: | Overall Survival (OS) |
Time Frame: | Up to 10 years |
Safety Issue: | |
Description: | OS is how long patients are likely to remain alive. It is the time from randomization date to death date. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Bristol-Myers Squibb |
Last Updated
November 1, 2019