Description:
This study combines two drugs (ruxolitinib and the tyrosine kinase inhibitor, nilotinib) in
an attempt to eliminate the CML (Chronic Myeloid Leukemia) stem cell population and thus
allow for the deepest and most durable response possible in patients with CML in chronic
phase who have achieved a complete hematologic remission (CHR), complete cytogenetic
remission (CCyR), and major molecular remission (MMR), but not a complete molecular remission
(CMR). The study will look at safety and tolerability of ruxolitinib when combined with
nilotinib in a phase I study and will help establish the MTD (Maximum Tolerated Dose) of
ruxolitinib when combined with nilotinib. Once the optimal dose of ruxolitinib is established
in the phase I setting, a phase II evaluation will seek to establish the efficacy of this
combination.
Title
- Brief Title: A Study of Ruxolitinib in Combination With Nilotinib in Patients With Chronic Phase CML
- Official Title: A Phase I/II Study of Ruxolitinib in Combination With Nilotinib in Patients With Chronic Phase CML Who Have Achieved a Complete Hematologic Remission, Complete Cytogenetic Remission, and Major Molecular Remission, But Not a Complete Molecular Remission on a Tyrosine Kinase Inhibitor Alone.
Clinical Trial IDs
- ORG STUDY ID:
UMCC 2015.103
- SECONDARY ID:
HUM00122063
- NCT ID:
NCT02973711
Conditions
- Leukemia, Chronic Myeloid
Interventions
Drug | Synonyms | Arms |
---|
Nilotinib | | Nilotinib + Ruxolitinib |
Ruxolitinib | | Nilotinib + Ruxolitinib |
Purpose
This study combines two drugs (ruxolitinib and the tyrosine kinase inhibitor, nilotinib) in
an attempt to eliminate the CML (Chronic Myeloid Leukemia) stem cell population and thus
allow for the deepest and most durable response possible in patients with CML in chronic
phase who have achieved a complete hematologic remission (CHR), complete cytogenetic
remission (CCyR), and major molecular remission (MMR), but not a complete molecular remission
(CMR). The study will look at safety and tolerability of ruxolitinib when combined with
nilotinib in a phase I study and will help establish the MTD (Maximum Tolerated Dose) of
ruxolitinib when combined with nilotinib. Once the optimal dose of ruxolitinib is established
in the phase I setting, a phase II evaluation will seek to establish the efficacy of this
combination.
Trial Arms
Name | Type | Description | Interventions |
---|
Nilotinib + Ruxolitinib | Experimental | The first part of the trial will be Phase I and will enroll 25 participants. Participants will receive nilotinib BID and either 10, 15 or 20 mg of ruxolitinib BID. Maximum tolerated dose (MTD) of ruxolitinib will be determined.
The second part of the trial will be a Phase II and will enroll 25 subjects. Participants will receive nilotinib and the MTD of ruxolitinib. | |
Eligibility Criteria
Inclusion Criteria:
- Patients ≥ 18 years of age
- ECOG (Eastern Cooperative Oncology Group) Performance Status 0, 1, or 2
- Must have a diagnosis of Philadelphia chromosome positive (Ph+) chronic myeloid
leukemia (CML) in chronic phase, with no previous evidence of accelerated or
blast-phase disease.
- Must be actively receiving treatment for their CML with a tyrosine kinase inhibitor
(TKI): imatinib, dasatinib, nilotinib or bosutinib, and must be on stable dose for > 1
year.
- Must have an ongoing complete hematologic response (CHR) on a TKI
- Must have an ongoing complete cytogenetic response (CCyR) on a TKI
- Must be in a major molecular remission (MMR) on a TKI for a minimum of 1 year leading
up to enrollment.
- Adequate end organ function
- Adequate electrolytes
- Adequate platelet count
- Adequate neutrophil count
- Written informed consent prior to any screening procedures
Exclusion Criteria:
- Patients in complete molecular remission (CMR) on a TKI.
- Patients who have failed nilotinib or not tolerated nilotinib in the past
- Certain cardiovascular disorders
- Currently receiving treatment with strong CYP3A4 inhibitors which cannot be
discontinued prior to starting study drug
- Actively receiving herbal medicines that are strong CYP3A4 inhibitors and/or inducers
and treatment cannot be discontinued prior to starting study drug
- Currently receiving treatment with any medications that have the potential to prolong
the QT interval that cannot be discontinued prior to starting study drug
- Impaired gastrointestinal (GI) function or GI disease that may significantly alter the
absorption of the drug
- Acute or chronic pancreatic disease within the last year
- Cytopathologically confirmed Central Nervous System (CNS) infiltration
- Another primary malignancy that requires systemic chemotherapy or radiation
- Acute or chronic liver disease or severe renal disease considered unrelated to the
cancer
- History of significant congenital or acquired bleeding disorder unrelated to cancer
- Major surgery within 4 weeks prior to Day 1 of the study or who have not recovered
from prior surgery
- Past treatment with ruxolitinib
- Treatment with other investigational agent within 30 days of Day 1
- Inability to grant consent or history of non-compliance to medical regimens
- Women who are breastfeeding
- Women of child-bearing potential, unless they are using highly effective contraception
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Maximum Tolerated Dose (MTD) of ruxolitinib when combined with nilotinib |
Time Frame: | 2 Years |
Safety Issue: | |
Description: | Maximum Tolerated Dose (MTD) of ruxolitinib when combined with nilotinib |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Withdrawn |
Lead Sponsor: | University of Michigan Rogel Cancer Center |
Last Updated
February 16, 2021