Trial Outcomes & Findings for Eltrombopag Olamine in Treating Thrombocytopenia in Patients With Chronic Myeloid Leukemia or Myelofibrosis Receiving Tyrosine Kinase Therapy (NCT NCT01428635)

NCT ID: NCT01428635

Last Updated: 2023-09-26

Results Overview

The primary endpoint is complete (platelet) response (yes/no). A complete (platelet) response will be defined as a sustained (3 months) platelet count of \> 50 x 109/L for patients with CML and \> 100 x 109/L for patients with MF and at least a 20% increase in platelet count from baseline.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

21 participants

Primary outcome timeframe

Up to 9 years

Results posted on

2023-09-26

Participant Flow

Recruitment Period: January 2012 to January 2022

Participant milestones

Participant milestones
Measure
Supportive Care (Eltrombopag Olamine) CML Participants
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Supportive Care (Eltrombopag Olamine) Myelofibrosis Participants
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Overall Study
STARTED
15
6
Overall Study
COMPLETED
15
6
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Eltrombopag Olamine in Treating Thrombocytopenia in Patients With Chronic Myeloid Leukemia or Myelofibrosis Receiving Tyrosine Kinase Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Supportive Care (Eltrombopag Olamine) CML Participants
n=15 Participants
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Supportive Care (Eltrombopag Olamine) Myelofibrosis Participants
n=6 Participants
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Total
n=21 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=5 Participants
0 Participants
n=7 Participants
13 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
Age, Continuous
46 years
n=5 Participants
73 years
n=7 Participants
57 years
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
1 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
6 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
6 participants
n=7 Participants
21 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 9 years

The primary endpoint is complete (platelet) response (yes/no). A complete (platelet) response will be defined as a sustained (3 months) platelet count of \> 50 x 109/L for patients with CML and \> 100 x 109/L for patients with MF and at least a 20% increase in platelet count from baseline.

Outcome measures

Outcome measures
Measure
Supportive Care (Eltrombopag Olamine) CML Participants
n=15 Participants
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Supportive Care (Eltrombopag Olamine) Myelofibrosis Participants
n=6 Participants
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Number of Participants With a Platelet Response
12 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 9 years

Population: Zero participants were analyzed in Myelofibrosis Participants as this outcome measure only analyzes those participants who had a platelet response . Zero participants in the Myelofibrosis group had a platelet response, therefore zero participants in this outcome were analyzed.

(CML) : Complete Hematologic Remission : Normalization for 4 weeks of the bone marrow (\< 5% blasts) and peripheral blood with WBC within normal institutional limits with no blasts, promyelocytes or myelocytes, and basophils \<5%,. Complete cytogenetic response: Ph positive 0%. Partial cytogenetic response: Ph positive 1-35%. Minor cytogenetic response: Ph positive 36-90%. No cytogenetic response: Ph positive 100%. Myelofibrosis : Complete Remission: absence of transfusion or growth factor support: complete resolution of disease-related symptoms/signs including palpable hepatosplenomegaly, hemoglobin \> 11 g/dL, platelet count ≥100 x 10\^9/L, absolute neutrophil count ≥ 1.0 x 10\^9/L. Normal leukocyte differential with disappearance of nucleated red blood cells and immature myeloid cells in peripheral smear, in the absence of splenectomy. Bone marrow histological remission:presence of age-adjusted normocellularity, \< 5% myeloblast , osteomyelofibrosis grade \</= 1.

Outcome measures

Outcome measures
Measure
Supportive Care (Eltrombopag Olamine) CML Participants
n=12 Participants
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Supportive Care (Eltrombopag Olamine) Myelofibrosis Participants
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Number of Participants With a Response to TKI Therapy After Eltrombopag
9 Participants
0 Participants

Adverse Events

Supportive Care (Eltrombopag Olamine) CML Participants

Serious events: 10 serious events
Other events: 13 other events
Deaths: 1 deaths

Supportive Care (Eltrombopag Olamine) Myelofibrosis Participants

Serious events: 4 serious events
Other events: 4 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Supportive Care (Eltrombopag Olamine) CML Participants
n=15 participants at risk
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Supportive Care (Eltrombopag Olamine) Myelofibrosis Participants
n=6 participants at risk
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Skin and subcutaneous tissue disorders
Bullous dermatitis
0.00%
0/15 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Cardiac disorders
Cardiac Arrest
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Cardiac disorders
Chest Pain
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
General disorders
Edema Limbs
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
General disorders
Fatigue
6.7%
1/15 • Number of events 1 • Up to 10 years
16.7%
1/6 • Number of events 2 • Up to 10 years
General disorders
Flu Like Symptoms
0.00%
0/15 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Infections and infestations
Infection
13.3%
2/15 • Number of events 3 • Up to 10 years
33.3%
2/6 • Number of events 3 • Up to 10 years
Infections and infestations
Lung Infection
6.7%
1/15 • Number of events 1 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Cardiac disorders
Myocardial Infarction
0.00%
0/15 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign
13.3%
2/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Gastrointestinal disorders
Pancreatitis
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
6.7%
1/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Blood and lymphatic system disorders
Anemia
0.00%
0/15 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years

Other adverse events

Other adverse events
Measure
Supportive Care (Eltrombopag Olamine) CML Participants
n=15 participants at risk
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
Supportive Care (Eltrombopag Olamine) Myelofibrosis Participants
n=6 participants at risk
Patients receive eltrombopag olamine PO QD in the absence of disease progression or unacceptable toxicity. Eltrombopag Olamine: Given PO
General disorders
Abdominal pain
13.3%
2/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Investigations
Alanine aminotransferase increased
53.3%
8/15 • Number of events 9 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Blood and lymphatic system disorders
Anemia
13.3%
2/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Investigations
Aspartate aminotransferase increased
46.7%
7/15 • Number of events 9 • Up to 10 years
0.00%
0/6 • Up to 10 years
Musculoskeletal and connective tissue disorders
Back pain
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Investigations
Blood bilirubin increased
6.7%
1/15 • Number of events 1 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Eye disorders
Blurred vision
6.7%
1/15 • Number of events 1 • Up to 10 years
16.7%
1/6 • Number of events 2 • Up to 10 years
Injury, poisoning and procedural complications
Bruising
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Investigations
Cholesterol high
13.3%
2/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Eye disorders
Conjunctivitis
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Respiratory, thoracic and mediastinal disorders
Cough
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Investigations
Creatinine increased
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Renal and urinary disorders
Cystitis noninfective
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Gastrointestinal disorders
Dehydration
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Psychiatric disorders
Depression
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Gastrointestinal disorders
Diarrhea
20.0%
3/15 • Number of events 5 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Gastrointestinal disorders
Dysphagia
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.7%
1/15 • Number of events 1 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
General disorders
Edema
20.0%
3/15 • Number of events 3 • Up to 10 years
0.00%
0/6 • Up to 10 years
Nervous system disorders
Encephalopathy
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Eye disorders
Eye Disorders
13.3%
2/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Infections and infestations
Eye Infection
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Injury, poisoning and procedural complications
Fall
0.00%
0/15 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
General disorders
Fatigue
40.0%
6/15 • Number of events 6 • Up to 10 years
0.00%
0/6 • Up to 10 years
General disorders
Fever
6.7%
1/15 • Number of events 1 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
General disorders
Flu Like Symptoms
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Gastrointestinal disorders
Gastric Hemorrhage
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Gastrointestinal disorders
Gastritis
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Gastrointestinal disorders
Gastroesophageal reflux disease
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Gastrointestinal disorders
Gastroparesis
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Psychiatric disorders
Hallucinations
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Nervous system disorders
Headache
6.7%
1/15 • Number of events 1 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Ear and labyrinth disorders
Hearing Impaired
6.7%
1/15 • Number of events 1 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Metabolism and nutrition disorders
Hyperglycemia
6.7%
1/15 • Number of events 1 • Up to 10 years
16.7%
1/6 • Number of events 2 • Up to 10 years
Vascular disorders
Hypertension
13.3%
2/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Metabolism and nutrition disorders
Hypocalcemia
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Metabolism and nutrition disorders
Hypomagnesemia
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Psychiatric disorders
Insomnia
20.0%
3/15 • Number of events 3 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Investigations
Thrombosis
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Infections and infestations
Lung Infection
6.7%
1/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Nervous system disorders
Memory Impairment
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Musculoskeletal and connective tissue disorders
Tendonitis
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Gastrointestinal disorders
Nausea
20.0%
3/15 • Number of events 3 • Up to 10 years
0.00%
0/6 • Up to 10 years
Investigations
Neutropenia
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
General disorders
Pain Extremity
13.3%
2/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Gastrointestinal disorders
Periodontal Disease
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Eye disorders
Periorbital edema
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Nervous system disorders
Peripheral Motor Neuropathy
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Nervous system disorders
Peripheral Sensory Neuropathy
0.00%
0/15 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Investigations
Thrombocytopenia
20.0%
3/15 • Number of events 3 • Up to 10 years
0.00%
0/6 • Up to 10 years
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Skin and subcutaneous tissue disorders
Pruritis
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Skin and subcutaneous tissue disorders
Purpura
0.00%
0/15 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years
Skin and subcutaneous tissue disorders
Rash acneiform
13.3%
2/15 • Number of events 2 • Up to 10 years
0.00%
0/6 • Up to 10 years
Respiratory, thoracic and mediastinal disorders
Respiratory failure
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Infections and infestations
Sepsis
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Cardiac disorders
Sinus tachycardia
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Nervous system disorders
Stroke
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Blood and lymphatic system disorders
Thrombotic thrombocytopenic purpura
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Infections and infestations
Upper respiratory infection
6.7%
1/15 • Number of events 1 • Up to 10 years
0.00%
0/6 • Up to 10 years
Infections and infestations
Urinary tract infection
0.00%
0/15 • Up to 10 years
16.7%
1/6 • Number of events 1 • Up to 10 years

Additional Information

Gautam Borthakur MD./Professor

The University of Texas MD Anderson Cancer Center

Phone: 713-563-1586

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place