Low-dose Nilotinib and Imatinib Combination in Chronic Myeloid Leukemia Patients, With Failure, Suboptimal Response or Treatment Intolerance

NCT ID: NCT01819389

Last Updated: 2014-01-07

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

PHASE3

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2013-08-31

Brief Summary

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The purpose of this study is to determine if low-dose imatinib and nilotinib combination, will improve treatment results in CML patients with failure, suboptimal response or intolerance to imatinib therapy.

The hypothesis is that with low-dose imatinib and nilotinib combination, major molecular response will be achieved in patients not previously obtained with imatinib monotherapy.

Detailed Description

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Conditions

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Leukemia, Myeloid, Chronic, BCR-ABL Positive

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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Imatinib and nilotinib combination

All patients will receive treatment as follows: imatinib 100 mg tablets, 200 mg daily for 6 months; and nilotinib 150 mg capsule, 300 mg daily for 6 months.

Group Type EXPERIMENTAL

Imatinib and Nilotinib

Intervention Type DRUG

Interventions

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Imatinib and Nilotinib

Intervention Type DRUG

Other Intervention Names

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Gleevec Tasigna

Eligibility Criteria

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Inclusion Criteria

* CML patients with failure or suboptimal response to imatinib therapy according to criteria established by the European Leukemia Net (ELN)
* Patients with grade II or higher adverse events.
* CML patients not suitable for stem cell transplantation.

Exclusion Criteria

* Patients in blast crisis.
* Pregnant women
* Patients without a contraception method.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Hospital Universitario Dr. Jose E. Gonzalez

OTHER

Sponsor Role lead

Responsible Party

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David Gomez Almaguer

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Servicio de Hematologia, Hospital Universitario "José E. Gonzalez"

Monterrey, Nuevo León, Mexico

Site Status

Countries

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Mexico

References

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Schoffski P, Reichardt P, Blay JY, Dumez H, Morgan JA, Ray-Coquard I, Hollaender N, Jappe A, Demetri GD. A phase I-II study of everolimus (RAD001) in combination with imatinib in patients with imatinib-resistant gastrointestinal stromal tumors. Ann Oncol. 2010 Oct;21(10):1990-1998. doi: 10.1093/annonc/mdq076. Epub 2010 May 27.

Reference Type BACKGROUND
PMID: 20507881 (View on PubMed)

Gomez-Almaguer D, Tarin-Arzaga L, Cantu-Rodriguez O, Ceballos-Lopez A. More about imatinib and nilotinib combination therapy in chronic myeloid leukemia. Acta Haematol. 2013;129(1):18-9. doi: 10.1159/000342455. Epub 2012 Sep 12. No abstract available.

Reference Type BACKGROUND
PMID: 22986736 (View on PubMed)

Zhu GR, Ji O, Ji JM, Zhang YC, Wu Y, Yu H, Jiang PJ, Shen Q. Combining nilotinib and imatinib improves the outcome of imatinib-resistant blast phase CML. Acta Haematol. 2012;127(3):152-5. doi: 10.1159/000333107. Epub 2012 Jan 27.

Reference Type BACKGROUND
PMID: 22286512 (View on PubMed)

Gomez-Almaguer D, Saldana-Vazquez R, Tarin-Arzaga L, Herrera-Rojas MA, Vazquez-Mellado de Larracoechea A, Cantu-Rodriguez OG, Gutierrez-Aguirre CH, Jaime-Perez JC. Combination of low-dose imatinib plus nilotinib for the treatment of chronic-phase chronic myeloid leukaemia after imatinib failure. Hematology. 2016 Aug;21(7):411-4. doi: 10.1080/10245332.2015.1119369. Epub 2016 Feb 16.

Reference Type DERIVED
PMID: 26871197 (View on PubMed)

Other Identifiers

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HE12-019

Identifier Type: -

Identifier Source: org_study_id

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