Efficacy and Safety Study of Dasatinib in Patients With Chronic Myeloid Leukemia
NCT ID: NCT00895297
Last Updated: 2011-12-07
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.
TERMINATED
PHASE2
50 participants
INTERVENTIONAL
2010-02-28
2011-11-30
Brief Summary
Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.
A relapse is when an illness that has seemed to be getting better, or to have been cured, comes back or gets worse again.
A total of 50 patients ≥18 years of age will be registered on the trial.
Detailed Description
Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.
1. To assess the efficacy of Dasatinib therapy in chronic and accelerated phase BCR-ABL (+) (Ph + and Ph -) CML patients that undergo molecular, cytogenetic or haematological relapse following SCT.
Secondary Objective(s):
1. To assess the impact of Dasatinib therapy on patient survival after relapse post-SCT and the incidence of any subsequent need for 'rescue' DLI.
2. To assess the safety of Dasatinib in this clinical context using this specific dose regimen
Chronic myeloid leukaemia (CML) is a form of cancer that starts in cells within the bone marrow called haematopoietic stem cells. Stem cells are immature cells which can divide many times and eventually produce all the lymphocytes and myeloid cells present in the blood. They are produced in the bone marrow - the spongy tissue found in large bones, including the pelvis, sternum, limb bones and the ribs.
Leukaemia is a cancer of the white blood cells. In CML, too many myeloid cells (one of the main types of white blood cells which defend the body against infectious diseases) are produced. The myeloid cells are released into the blood when they are immature and unable to work properly. These immature white blood cells are known as blasts.
The immature cells fill up the bone marrow and prevent it from making blood cells properly. As the leukaemia cells do not mature, they can't do the work of normal white blood cells, which leads to an increased risk of infection. Because the bone marrow is overcrowded with immature white cells it also can't make enough healthy red cells and platelets.
CML usually develops very slowly, which is why it is called 'chronic' myeloid leukaemia.
The aim of this study is to assess the efficacy (indicates the capacity for beneficial change or therapeutic effect) of a leukaemia treatment called dasatinib (sprycel) in patients with relapsed Chronic Myeloid Leukaemia (CML) following a Stem Cell Transplant (SCT) and who are not benefiting from other treatment, such as imatinib therapy.
A relapse is when an illness that has seemed to be getting better, or to have been cured, comes back or gets worse again.
Dasatinib works by blocking (inhibiting) signals within cancer cells that cause the cell to grow and divide.
The growth of cells in our bodies is controlled by signals that switch on and off within the cells. When the signals for growth are switched on the cells are triggered to grow and multiply. People with CML have an abnormal signaling protein inside their leukaemia cells. This abnormal protein sends out grow-and-divide signals to the cells at all times and never switches off.
Dasatinib finds the faulty protein and locks onto it. This prevents the protein from stimulating the cells to grow. Dasatinib is known as a signal transduction inhibitor, because it blocks the 'grow' signal. The chemical it blocks is called tyrosine kinase, so dasatinib is also known as a tyrosine kinase inhibitor.
Conditions
See the medical conditions and disease areas that this research is targeting or investigating.
Keywords
Explore important study keywords that can help with search, categorization, and topic discovery.
Study Design
Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.
NON_RANDOMIZED
SINGLE_GROUP
TREATMENT
NONE
Interventions
Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.
Dasatinib (Sprycel)
100mg of Dasatinib will be administered as tablets, by mouth, once a day (or twice in some cases depending on the stage of the disease) consistently either in the morning or evening for 12 months. Dose of Dasatinib will be modified according to the patients response.
Eligibility Criteria
Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.
Inclusion Criteria
2. Diagnosed with BCR-ABL (+) Chronic Myeloid Leukemia (they can be Philadelphia chromosome positive or negative)
3. Prior therapy including imatinib
4. Patients transplanted from an HLA-identical sibling or an HLA-matched unrelated donor.
5. Patients transplanted in first chronic phase or accelerated phase.
6. Patients with untreated relapse of BCR-ABL (+) CML (they can be Philadelphia chromosome positive or negative) after allogeneic transplantation and entered within 6 weeks of the first detection of relapse.
7. Molecular, cytogenetic or haematological relapse in chronic or accelerated phase.
8. Written informed consent.
9. Absence of serious concomitant illness
Exclusion Criteria
2. Patients transplanted after blastic transformation of CML.
3. Patients receiving any therapy for relapse other than withdrawal of immunosuppression (DLI is not permitted).
4. Patients treated with other investigational agents during the previous 30 days
5. Patients previously treated with Dasatinib.
6. Absence of written informed consent.
7. Presence of serious concomitant disease.
8. History of a significant bleeding disorder unrelated to CML.
9. Pregnancy or lactation status positive.
10. SGOT and SGPT more than 2.5 x the upper limit of the normal range as determined by the laboratory where the analysis is performed.
11. Total serum bilirubin level more than 2 x the upper limit of the normal range of the laboratory where the analysis is performed.
12. Serum creatinine concentration more than 1.5 x the upper limit of the normal range of the laboratory where the analysis is performed.
13. Concomitant Medications, any of the following should be considered for exclusion:
* Category I drugs that are generally accepted to have a risk of causing Torsades de Points including: (Patients must discontinue drug 7 days prior to starting Dasatinib):
* quinidine, procainamide, disopyramide.
* amiodarone, sotalol, ibutilide, dofetilide.
* erythromycin, clarithromycin.
* chlorpromazine, haloperidol, mesoridazine, thioridazine, pimozide, ziprasidone.
* cisapride, bepridil, droperidol, methadone, arsenic, chloroquine, domperidone, halofantrine, levomethadyl, pentamidine, sparfloxacin, lidoflazine.
* The concomitant use of H2 blockers or proton pump inhibitors with Dasatinib is not recommended. The use of antacids should be considered in place of H2 blockers or proton pump inhibitors in patients receiving Dasatinib therapy. If antacid therapy is needed, the antacid dose should be administered at least 2 hours prior to or 2 hours after the dose of Dasatinib.
18 Years
ALL
No
Sponsors
Meet the organizations funding or collaborating on the study and learn about their roles.
Bristol-Myers Squibb
INDUSTRY
European Society for Blood and Marrow Transplantation
NETWORK
Responsible Party
Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.
EBMT
Principal Investigators
Learn about the lead researchers overseeing the trial and their institutional affiliations.
Eduardo L Olavarria, Dr
Role: PRINCIPAL_INVESTIGATOR
Hospital De Navarra Irunlarrea, Spain
Locations
Explore where the study is taking place and check the recruitment status at each participating site.
E Herriot Hospital
Lyon, , France
University Hospital
Hamburg, , Germany
Uniklinik Leipzig
Leipzig, , Germany
Stiftung Deutsche Klinik für Diagnostik
Wiesbaden, , Germany
University Hospital
Basel, , Switzerland
Hopitaux Universitaires de Geneve
Geneva, , Switzerland
Hammersmith Hospital
London, , United Kingdom
Countries
Review the countries where the study has at least one active or historical site.
Related Links
Access external resources that provide additional context or updates about the study.
Sponsor website
Other Identifiers
Review additional registry numbers or institutional identifiers associated with this trial.
CLWP-001-2008
Identifier Type: OTHER
Identifier Source: secondary_id
2008-001361-29
Identifier Type: -
Identifier Source: org_study_id