Evaluation of the Persistence of the Complete Molecular Remission After Stopping Imatinib Chronic Myeloid Leukemia

NCT ID: NCT00478985

Last Updated: 2013-07-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2011-12-31

Brief Summary

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The first purpose of this study is to evaluate the persistence of the complete molecular remission in patients with Chronic Myeloid Leukemia after stopping imatinib treatment (determine by Reverse Transcription real-time Polymerase Chain Reaction (RT-PCR) negative for bcr-abl transcripts). The second purpose is to determine clinicals and biologicals factors associated with the persistent complete molecular remission.

Detailed Description

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Principal Objective : To evaluate the complete molecular remission persistence after stopping imatinib during six months as measured by RT-PCR negative for bcr-abl transcripts in patients with Chronic Myeloid Leukemia .

Secondary Objective :

* To determine clinicals factors associated with complete molecular remission before and after stopping imatinib in patients with Chronic Myeloid Leukemia.
* To determine the biologics factors (immunologic and molecular) associated with complete molecular remission before and after stopping imatinib in patients with Chronic Myeloid Leukaemia.
* To determine the molecular relapse level after more than six month of persistent complete molecular remission without imatinib.
* To determine the complete molecular remission length.
* To evaluate medical and economical impact of stopping imatinib treatment.

Study design : multicentric trial

Conditions

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Myeloid Leukemia, Chronic

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Imatinib treatment ending

Group Type EXPERIMENTAL

Imatinib ending

Intervention Type BEHAVIORAL

Interruption of the treatment by Imatinib

Interventions

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Imatinib ending

Interruption of the treatment by Imatinib

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients must have reached their 18th birthday
* Women of childbearing potential must agree to use effective methods of contraception
* Patients must be affiliated to a social security regime
* Patients must have received imatinib therapy for at least 36 months.
* Patients must be in complete molecular remission during at least two consecutive years with at least five RT-PCR negative measures for bcr-abl transcripts.
* Patients must be HIV, HCV and HBV negatives
* Patients who have molecular follow-up realized in accordance with international recommendations
* All patients must be informed of the investigational nature of this study and must sign and give written informed consent.

Exclusion Criteria

* Patients who are protected by the law. Patients who are unable to give their consent to participate to the study.
* Patients who have pathologies or treatments that are able to enhance the potential relapse risk after stopping imatinib. Patients who have pathologies or treatments which able to interfere with immunologic study (excepted IFN α):

Corticosteroids or other immuno suppressors Other concomitant malign pathology treated by chemotherapy or radiotherapy Previous or programmed Haematopoietic Stem Cell allogreffe
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Bordeaux

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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François-Xavier MAHON, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Bordeaux, France

Locations

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University Hospital Angers

Angers, Angers, France

Site Status

Hôpital Morvan

Brest, Brest, France

Site Status

Hôpital Henri-Mondor

Créteil, Créteil, France

Site Status

Hôpital Claude Huriez

Lille, Lille, France

Site Status

University Hospital Hôtel-Dieu

Nantes, Nantes, France

Site Status

Hôpital Saint Louis

Paris, Paris, France

Site Status

University Hospital Poitiers

Poitiers, Poitiers, France

Site Status

University Hospital Toulouse, Purpan

Toulouse, Toulouse, France

Site Status

University Hospital Brabois

Vandœuvre-lès-Nancy, Vandoeuvre Les Nancy, France

Site Status

Institut Bergonié

Bordeaux, , France

Site Status

University Hospital Bordeaux, Groupe Hospitalier Pellegrin

Bordeaux, , France

Site Status

CHU de Grenoble

Grenoble, , France

Site Status

Centre hospitalier-service de médecine interne Onco-Hématologique

La Roche-sur-Yon, , France

Site Status

Hôpital André Mignot

Le Chesnay, , France

Site Status

Hôpital Bicêtre, AP-HP

Le Kremlin-Bicêtre, , France

Site Status

Hôpital Edouard Herriot

Lyon, , France

Site Status

Institut Paoli Calmet

Marseille, , France

Site Status

CHR de Metz-Thionville

Metz, , France

Site Status

Centre Hospitalier de Nevers

Nevers, , France

Site Status

University Hospital Nice

Nice, , France

Site Status

Hôpital Necker-Enfants Malades

Paris, , France

Site Status

Haut Lévêque Hospital

Pessac, , France

Site Status

University Hospital Strasbourg, Hôpital Civil

Strasbourg, , France

Site Status

Centre Hospitalier Bretagne Atlantique

Vannes, , France

Site Status

Countries

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France

References

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Rea D, Henry G, Khaznadar Z, Etienne G, Guilhot F, Nicolini F, Guilhot J, Rousselot P, Huguet F, Legros L, Gardembas M, Dubruille V, Guerci-Bresler A, Charbonnier A, Maloisel F, Ianotto JC, Villemagne B, Mahon FX, Moins-Teisserenc H, Dulphy N, Toubert A. Natural killer-cell counts are associated with molecular relapse-free survival after imatinib discontinuation in chronic myeloid leukemia: the IMMUNOSTIM study. Haematologica. 2017 Aug;102(8):1368-1377. doi: 10.3324/haematol.2017.165001. Epub 2017 May 18.

Reference Type DERIVED
PMID: 28522576 (View on PubMed)

Mahon FX, Rea D, Guilhot J, Guilhot F, Huguet F, Nicolini F, Legros L, Charbonnier A, Guerci A, Varet B, Etienne G, Reiffers J, Rousselot P; Intergroupe Francais des Leucemies Myeloides Chroniques. Discontinuation of imatinib in patients with chronic myeloid leukaemia who have maintained complete molecular remission for at least 2 years: the prospective, multicentre Stop Imatinib (STIM) trial. Lancet Oncol. 2010 Nov;11(11):1029-35. doi: 10.1016/S1470-2045(10)70233-3. Epub 2010 Oct 19.

Reference Type DERIVED
PMID: 20965785 (View on PubMed)

Other Identifiers

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CHUBX 2006/06

Identifier Type: -

Identifier Source: org_study_id

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