A Study That Switched Patients From Imatinib to Nilotinib and Then Was Followed by Treatment Cessation

NCT ID: NCT01744665

Last Updated: 2020-03-10

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-12

Study Completion Date

2018-09-29

Brief Summary

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To evaluate molecular relapse free rates 6 months after stopping nilotinib therapy in patients who achieve MR4.5

Detailed Description

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Study protocol included criteria for study termination that was met when \> 2 patients lost CCyR during TFR phase (\> 1% BCR-ABL); This study was terminated early as \> 2 cases of confirmed loss of complete cytogenetic response were reported despite BCR-ABL monitoring during the TFR Phase. All cases achieved MR4.5 after Nilotinib treatment re-initiation and maintained until end of study; trial did not mandate re-initiation within 4 weeks after loss of MMR\_ that was a requirement in other Nilotinib TFR trials Initial sample size was 300 patients with CML-CP; Amendment #2 in June 2015 reduced sample size to 59 due to recruitment challenges; Study endpoint analysis and interpretations of data were challenging due to small sample size for early study closure..

Conditions

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CML

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment Free Remission

Patients entered a monitoring phase for 2 years and received 300 mg nilotinib mg bid. Patients who achieved MR4.5 entered a Consolidation Phase and were treated with nilotinib for 2 years. If MR4.5 was sustained during the Consolidation phase, patients were eligible to stop taking niltoinib during the treatment-free remission (TFR) phase.

Group Type EXPERIMENTAL

nilotinib

Intervention Type DRUG

Nilotinib will be provided as 150 mg capsules. Patients will take nilotinib 300mg twice daily on study and dose modifications to 450mg once daily is permitted per protocol.

Interventions

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nilotinib

Nilotinib will be provided as 150 mg capsules. Patients will take nilotinib 300mg twice daily on study and dose modifications to 450mg once daily is permitted per protocol.

Intervention Type DRUG

Other Intervention Names

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AMN107

Eligibility Criteria

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Inclusion Criteria

* diagnosis of CML
* Treated with at least 1 year of imatinib
* Bcr-Abl level by PCR must be less than or equal to 0.1% and greater than 0.0032% by PCR reported on the International scale confirmed during screening
* Written informed consent obtained prior to any screening procedures performed

Exclusion Criteria

* T315I mutation
* Prior imatinib failure or had accelerated phase or blast crisis CML
* Impaired cardiac function
* Pregnant or lactating women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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University of Alabama Comprehensive Cancer Center University of Alabama (8)

Birmingham, Alabama, United States

Site Status

Banner MD Anderson Cancer Center Banner MD Anderson (2)

Gilbert, Arizona, United States

Site Status

Scottsdale Healthcare/TGen Clinical Research Service SC

Scottsdale, Arizona, United States

Site Status

Highlands Oncology Group

Fayetteville, Arkansas, United States

Site Status

City of Hope National Medical Center Dept of Oncology

Duarte, California, United States

Site Status

Compassionate Care Research Group Inc CCCMG

Fountain Valley, California, United States

Site Status

UC San Diego UC San Diego Cancer Ctr

La Jolla, California, United States

Site Status

Wilshire Oncology Medical Group Corona Cancer Center

Multiple Locations, California, United States

Site Status

Epic-Care

Pleasant Hill, California, United States

Site Status

Sutter Institute for Medical Research Oncology/Hematology

Sacramento, California, United States

Site Status

St Joseph Heritage Healthcare

Santa Rosa, California, United States

Site Status

Rocky Mountain Cancer Centers USOR

Boulder, Colorado, United States

Site Status

Florida Cancer Specialists DeptofFloridaCancerSpecialists

Fort Myers, Florida, United States

Site Status

MD Anderson Cancer Center - Orlando Cancer Center

Orlando, Florida, United States

Site Status

H Lee Moffitt Cancer Center and Research Institute H. Lee Moffitt Cancer Ctr (67)

Tampa, Florida, United States

Site Status

Stroger Cook County Hospital Division of Hematology & Onc

Chicago, Illinois, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

University of Iowa Hospitals and Clinics Holden Comprehensive Cancer Ct

Iowa City, Iowa, United States

Site Status

University of Kansas Hospital and Medical Center Clinical Research Center

Kansas City, Kansas, United States

Site Status

Cancer Center of Kansas

Wichita, Kansas, United States

Site Status

Christus Schumpert Health System

Shreveport, Louisiana, United States

Site Status

Michigan State University / Breslin Cancer Center Breslin Cancer Center (3)

Lansing, Michigan, United States

Site Status

Billings Clinic Billings Clinic (8)

Billings Montana, Montana, United States

Site Status

Hackensack University Medical Center John Theurer Cancer Center

Hackensack, New Jersey, United States

Site Status

Hematology Oncology Associates of Northern New Jersey PA Dept of Hem-Onc of Northern NJ

Morristown, New Jersey, United States

Site Status

Memorial Sloan Kettering Memorial Sloan Kettering (63)

New York, New York, United States

Site Status

Weill Cornell Medical Center Dept. of Oncology

New York, New York, United States

Site Status

Columbia University Medical Center Herbert Irving Pavilion

New York, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

Montefiore Medical Center Montefiore Medicial Center

The Bronx, New York, United States

Site Status

Westchester Medical Center NY Medical College

Valhalla, New York, United States

Site Status

Duke University Medical Center Duke University Med Ctr

Durham, North Carolina, United States

Site Status

Carolina Oncology Specialists, PC

Hickory, North Carolina, United States

Site Status

Wake Forest University Health Sciences Hematology and Oncology

Winston-Salem, North Carolina, United States

Site Status

Ohio State Comprehensive Cancer Center/James Cancer Hospital OSU Medical Center

Columbus, Ohio, United States

Site Status

Northwest Cancer Specialists Compass Oncology -BKM

Portland, Oregon, United States

Site Status

University of South Carolina-Hollings Cancer Center Medical University of SC

Columbia, South Carolina, United States

Site Status

Tennessee Oncology Dept. of Centennial Medical

Nashville, Tennessee, United States

Site Status

Vanderbilt Univeristy Ingram Cancer Center (10)

Nashville, Tennessee, United States

Site Status

Hendrick Cancer Center Hendricks Cancer Center

Abilene, Texas, United States

Site Status

Texas Oncology Texas Oncology - McAllen

Dallas, Texas, United States

Site Status

Texas Oncology Texas Oncology - Plano West

Dallas, Texas, United States

Site Status

Texas Oncology P A Texas Oncology - Midland

Dallas, Texas, United States

Site Status

University of Texas Medical Branch SC

Galveston, Texas, United States

Site Status

Oncology Consultants Oncology Consultants, P.A.

Houston, Texas, United States

Site Status

The Methodist Hospital Cornell University

Houston, Texas, United States

Site Status

South Texas Cancer Center- McAllen

McAllen, Texas, United States

Site Status

Brooke Army Medical Center Brooke Army Medical

San Antonio, Texas, United States

Site Status

Waco Cancer and Research Center

Waco, Texas, United States

Site Status

University of Utah / Huntsman Cancer Institute Huntsman Cancer Center

Salt Lake City, Utah, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Kadlec Clinic Hematology and Oncology SC

Kennewick, Washington, United States

Site Status

West Virginia University/ Mary Babb Randolph Cancer Center Mary Babb Randolph Cancer Ctr

Morgantown, West Virginia, United States

Site Status

Medical College of Wisconsin Med College of WI

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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CAMN107AUS37

Identifier Type: -

Identifier Source: org_study_id

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