Chronic Myeloid Leukemia
Conditions
Keywords
Chronic myeloid leukaemia, resistant, refractory, Imatinib mesylate
Brief summary
Sixty % of CML patients treated by Imatinib mesylate achieved a major cytogenetic responses (CCR) at 18 months. So, 40% of the patients must receive additional treatment. In vitro, it has been shown that IM and Interféron-alpha have synergic anti-proliferative effect on chromosome Ph+ cell lines. By using Peg-Interféron and IM combination, we hope to increase the cytogenetic response of patients.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic phase Philadelphia positive CML, confirmed by karyotyping (or FISH) analysis, in complete hematologic response with IM. * Lack of major cytogenetic response after at least one year of STI 571 as single therapy. * Male and female \* 18 years old. * Informed consent signed up. * Performance status grade 0 - 2 (ECOG). * SGOT and SGPT \<3N * Serum bilirubin \< 1.5 N * Serum creatinine \< 1.5 N * No HSC graft planned * B-HCG negative for female with potential childbearing
Exclusion criteria
* Absence of complete hematologic response * Extramedullar involvement * Previous extra-hematologic intolerance of Interféron at a dose superior or equal to 25 MUI/week * Depressive syndrome not controlled * Not controlled dysthyroidy * Auto-immune pathology not controlled * Women with childbearing potential who are unwilling or unable to use an adequate method to avoid pregnancy for the entire period of the study * Significant cardiac disease (grade 3 or more) * Known seropositivity for HIV * Active viral hepatitis * Other malignant disease * Other experimental medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Study the maintenance of a complete hematologic response, the cytogenetic and molecular responses, and the overall survival of the patients population | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate the tolerance of a combination of STI571 and alpha-interferon | — |
Countries
France