Chronic Myeloid Leukemia
Conditions
Keywords
Chronic Myeloid Leukemia, Chronic Phase CML
Brief summary
This study is being conducted in a population of patients with chronic phase Chronic Myeloid Leukemia (CML) to learn more about how patients follow prescribed regimens for taking oral cancer drugs.
Detailed description
This is a randomized, controlled pilot study to introduce eMedonline telemonitoring technology to CML patients taking Gleevec or Tasigna. eMedonline will be used to automatically collect time-dose specific medication data for individual patients, including dosing times, missed doses, adverse events and e-diary data. All data will be available to research staff for remote review via Web interface. Adverse events and non-adherence will prompt interventions including supportive care counseling.
Interventions
patients will be followed for 3 months but will not use eMedonline
patients will be given access to eMedonline use for 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients 18 years of age or older. * Pathologically documented diagnosis of Chronic Phase CML (Ph+) in whom treating physician has determined that treatment with imatinib or nilotinib is appropriate * Patients currently receiving Gleevec (imatinib) 300-600 mg daily or Tasigna (nilotinib) 300-400 mg twice daily * ECOG Performance status 0, 1, or 2 * Adequate end organ function, defined as: * Total bilirubin \< 1.5 xULN * SGOT and SGPT \<2.5 x ULN * Creatinine \< 1.5 x ULN * ANC \> 1.5 * Platelets \> 100,000 * Female patients of child bearing potential must have a negative urine or serum pregnancy test at screening. * Patient is able to read and speak English * Patient is willing and able to use a cell phone * Written, voluntary informed consent
Exclusion criteria
* Patient with any significant history of non-compliance to medical regimens or with inability to grant reliable informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| eMedonline will be used to measure non-compliance in taking oral drug regimens. | at 6 months, non-compliance will be measured in each arm of study | Patients are stratified to one of two groups: Group 1 is patients on Gleevec or Tasigna who have been on drug less than 6 months; Group 2 is patients on Gleevec or Tasigna who have been on drug for equal to or more than 6 months. Group 1 is then divided into 2 groups: one using eMedonline for 3 months and the other not using eMedonline for 3 months. A crossover survey and pill counts will be done at the 3 month timepoint and then the groups will switch their access status to eMedonline. |
Countries
United States