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Bosutinib Treatment Extension Study Only For Subjects With Chronic Myeloid Leukemia (CML) Who Have Previously Participated In Bosutinib Studies B1871006 Or B1871008

AN OPEN-LABEL BOSUTINIB TREATMENT EXTENSION STUDY FOR SUBJECTS WITH CHRONIC MYELOID LEUKEMIA (CML) WHO HAVE PREVIOUSLY PARTICIPATED IN BOSUTINIB STUDIES B1871006 OR B1871008

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01903733
Enrollment
281
Registered
2013-07-19
Start date
2013-08-28
Completion date
2020-06-05
Last updated
2022-07-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Myeloid Leukemia

Keywords

Subjects, Chronic Myeloid Leukemia, CML, Bosutinib, Extension

Brief summary

The objective of the study is to provide long term access to bosutinib treatment and assess long term safety, tolerability and duration of clinical benefit, without any formal hypothesis testing; therefore, there is no formal primary endpoint.

Interventions

DRUGbosutinib

The starting bosutinib dose is 500 mg once daily, however the dose can vary from 300 mg to 600 mg.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Only subjects previously participating in two specific studies are eligible to enroll into this study. Enrollment is not open to subjects if not previously enrolled in studies B1871006 or B1871008.

Exclusion criteria

* All subjects are excluded unless previously participating in studies B1871006 or B1871008.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)From first dose of drug up to 30 days after last dose (up to approximately 14 years)An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening (immediate risk of death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions), resulted in congenital anomaly/birth defect. Treatment-emergent adverse events were defined as any event increasing in severity from baseline or any new event started during bosutinib therapy or within 30 days of the last dose of study drug.
Number of Participants With Grade 3 or 4 Treatment-Emergent Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)From first dose of drug up to 30 days after last dose (up to approximately 14 years)An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. AEs were assessed according to severity grading based on NCI CTCAE version 3.0. Grade 1 =mild; Grade 2 =moderate; Grade 3 =severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated; Grade 4 =life-threatening or disabling, urgent intervention indicated; Grade 5 =death. Treatment-emergent adverse events were defined as any event increasing in severity from baseline or any new event started during bosutinib therapy or within 30 days of the last dose of study drug.
Number of Participants With Treatment-Emergent Treatment Related Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)From first dose of drug up to 30 days after last dose (up to approximately 14 years)An AE was any untoward medical occurrence in a participant who received study drug. Treatment-emergent adverse events were defined as any event increasing in severity from baseline or any new event started during bosutinib therapy or within 30 days of the last dose of study drug. Related TEAEs were those AEs who were related to the study treatment as judged by the investigator.
Number of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)From first dose of drug up to 30 days after last dose (up to approximately 14 years)Laboratory parameters included Chemistry: high alkaline phosphatase; high alanine aminotransferase; high aspartate aminotransferase; high blood bilirubin; high creatinine. Hematology: absolute neutrophils count decreased; anemia; platelet count decreased; white blood cells (WBC) decreased. Abnormalities in laboratory tests were graded per NCI CTCAE version 4.03 as Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling.
Number of Participants With Adverse Events as Reason for Treatment DiscontinuationFrom first dose of drug up to 30 days after last dose (up to approximately 14 years)An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Number of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationLast 6 months on clinical formulation and first 6 months on commercial formulationThe incidence of diarrhea was collected and analyzed before and after the switch from the clinical formulation of bosutinib to the commercial formulation of bosutinib.
Number of Participants With Breakpoint Cluster Region Abelson Protooncogene (BCR-ABL) Mutations Present at Time of Bosutinib Treatment DiscontinuationPost-baseline on Day 1 (maximum up to 14 years)BCR-ABL is a gene resulting from the 9:22 chromosomal translocation (Philadelphia chromosome). In this outcome measure, the number of participants who had emergent mutation or new BCR-ABL mutations (participants who had a post-baseline mutation which was not present at baseline) were reported.
Overall Survival (OS) Rate at Year 10Year 10OS was defined as the time from randomization (B1871008) and time from first dose (B1871006) to the occurrence of death due to any cause or censoring. Kaplan-Meier analysis was used for determination of OS. Percentage of participants who were alive were estimated in this outcome measure.
Plasma Steady-State Trough Concentrations (Ctrough) of BosutinibOne pre-dose sample was collected at the first scheduled visit (after approval and implementation of protocol amendment 1) following at least 2 weeks of uninterrupted dosing at the same dose levelCtrough refers to plasma concentration of bosutinib observed just before treatment administration.
Kaplan-Meier Estimate of Probability of Maintaining Major Cytogenetic Response (MCyR) at Year 10: B1871006 ParticipantsYear 10Cytogenetic response (CyR) is based on prevalence of Ph+ cells. Duration for MCyR: time from first response to confirmed loss, progression of disease, or on-treatment death due to any cause, or censoring analyzed for responders only. Confirmed loss was defined as 2 consecutive non-responses at least 28 days apart. MCyR was categorized as either complete cytogenetic response (CCyR) or partial cytogenetic response (PCyR). Response was achieved when there was 0% (CCyR) or 1-35% (PCyR) Ph+ cells analyzed from conventional cytogenetics based on the analysis of 20 to 100 metaphases or \<1% (CCyR) or 1-35% (PCyR) Ph+ cells analyzed from fluorescence in-situ hybridization (FISH) based on analysis of at least 200 nuclei. CCyR may be imputed on a specific date if an MMR or better is achieved and denoted on the CRF on that date for B1871040 study visits. The Kaplan-Meier analysis was used to analyze percentage of participants maintaining MCyR at Year 10.
Kaplan-Meier Estimate of Probability of Maintaining Complete Cytogenetic Response (CCyR) at Year 10: B1871006 ParticipantsYear 10Duration for CCyR was defined as time from first response to confirmed loss, progression of disease, or on-treatment death due to any cause, or censoring analyzed for responders only. Confirmed loss was defined as 2 consecutive assessments with \>0 Ph+ metaphases or \>=1% positive cells from FISH at least 28 days apart or progression or death. CCyR was achieved when there was 0% Ph+ cells analysed from conventional cytogenetics with 20 to 100 metaphases or \<1% Ph+ cells analysed from FISH with at least 200 nuclei. CCyR may be imputed on a specific date if MMR or better is achieved and denoted on the CRF on that date for B1871040 study visits. The Kaplan-Meier analysis was used to analyze percentage of participants maintaining CCyR at Year 10.
Kaplan-Meier Estimate of Probability of Maintaining Complete Hematologic Response (CHR) at Year 10: B1871006 ParticipantsYear 10Duration for CHR was defined as time from first response to confirmed loss, progression of disease, or on-treatment death due to any cause, or censoring analyzed for responders only. Confirmed loss was defined as 2 consecutive non-responses at least 14 days apart. Complete hematologic response was considered when participants met all of the following criteria: White blood cells equal to or less than (\<=) institutional upper limit of normal (ULN), no blasts or promyelocytes in blood, \<20% basophils in blood, no extramedullary involvement (including hepatomegaly or splenomegaly), myelocytes and metamyelocytes \<5% in blood, platelets \<450\*10\^9 per liter (/L). The following were applicable only to advanced phase: \<=5% bone marrow blasts, absolute neutrophil count \>=1.0\*10\^9/L, platelets \>=100\*10\^9/L. The Kaplan-Meier analysis was used to analyze percentage of participants maintaining CHR at Year 10.
Cumulative Incidence of Progression/Death Events at Year 10: B1871006 ParticipantsYear 10Progression free survival (PFS):interval from date of first dose of bosutinib in parent study until earlier date of progression or death from any cause. Participants without events censored at last evaluation date. PD:evolution from CP (or return to CP for ADV participants) to AP or BP (on 2 consecutive assessments at least 1 week apart), evolution from AP to BP (on 2 consecutive assessments at least 1 week apart) and one of following conditions occurred after dose escalation or presence of AEs prohibiting dose escalation: for 2nd or later line, loss of MCyR (need at least 30% increase); for all lines of treatment, loss of CHR confirmed by 2 assessments \>=2 weeks apart; for all lines of treatment, increasing WBC defined as doubling of WBC over a period of \>=1 month with second WBC \>20\*10\^9/L confirmed at least 1 week later. Percentage of participants with PFS/death events based on cumulative incidence method adjusting for competing event of treatment discontinuation without event.
Cumulative Incidence of Rate of Transformation to Accelerated Phase (AP) or Blast Phase (BP) at Year 10: B1871006 ParticipantsYear 10Time to transformation was defined as the time from first dose in the parent study to the first date of confirmed transformation to AP or BP. Confirmed transformation was defined as 2 consecutive assessments at least 1 week apart or 1 assessment confirmed by progression of disease or death. For participants without transformation, censorship was at the last evaluation date. Percentage of participants with time to transformation to AP/BP was reported based on cumulative incidence method adjusting for the competing risk of treatment discontinuation without the event.

Countries

Argentina, Australia, Belgium, Brazil, Canada, Chile, China, Colombia, Finland, France, Hong Kong, Hungary, India, Italy, Japan, Latvia, Netherlands, Peru, Poland, Russia, Singapore, South Africa, South Korea, Spain, Thailand, Turkey (Türkiye), Ukraine, United Kingdom, United States

Participant flow

Recruitment details

This study was offered to participants randomized to bosutinib arm in B1871008 (NCT00574873) or dosed with bosutinib in B1871006 (NCT00261846). Participants enrolled in this study were who in any of the parent studies (B1871008 or B1871006) at time of protocol approval 1) receiving bosutinib, benefiting per investigator, 2) discontinued bosutinib, being followed-up,3) completed parent study. Per enrolment criteria, 281 participants were enrolled in this study and 21 participants were from China.

Pre-assignment details

Per protocol data from 2 parent studies were combined with data from this study (B1871040) for all analyses. Reporting arms were based on parent study, disease phase and line of therapy (CP1L,CP2L,CP3L/CP4L,ADV).The B1871040 data from 21 participants enrolled in China were not included in results because the Human Genetics Resources Administration of China did not approve the use of the data in accordance with its regulations. This data has been excluded from all our analyses.

Participants by arm

ArmCount
Bosutinib, CP1L
Participants from B1871008 with Philadelphia chromosome-positive (Ph+) chronic phase 1st line (CP1L) chronic myeloid leukemia (CML).
250
Bosutinib, CP2L
Participants from B1871006 with Ph+ chronic phase 2nd line (CP2L) CML who were resistant or intolerant to imatinib.
284
Bosutinib, CP3L/CP4L
Participants from B1871006 with Ph+ chronic phase 3rd line (CP3L)/4th line (CP4L) CML who were resistant or intolerant to imatinib and resistant or intolerant to dasatinib and/or nilotinib.
119
Bosutinib, ADV
Participants from B1871006 with Ph+ accelerated phase (AP), blast phase (BP) CML or Ph+ acute lymphoblastic leukemia (ALL) and resistant or intolerant to imatinib only or resistant and intolerant to imatinib and at least 1 additional tyrosine kinase inhibitor (TKI) including dasatinib and/or nilotinib.
167
Total820

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyDeath23543098
Overall StudyInvestigator request18000
Overall StudyLost to Follow-up181969
Overall StudyMissing2000
Overall StudyOther1015123
Overall StudyParticipant refused further follow-up3538139

Baseline characteristics

CharacteristicBosutinib, CP1LTotalBosutinib, ADVBosutinib, CP3L/CP4LBosutinib, CP2L
Age, Continuous47.9 Years
STANDARD_DEVIATION 14.4
50.8 Years
STANDARD_DEVIATION 14.8
50.1 Years
STANDARD_DEVIATION 15.4
55.1 Years
STANDARD_DEVIATION 13
51.9 Years
STANDARD_DEVIATION 15.1
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
83 Participants196 Participants37 Participants15 Participants61 Participants
Race (NIH/OMB)
Black or African American
2 Participants43 Participants19 Participants6 Participants16 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants45 Participants9 Participants11 Participants20 Participants
Race (NIH/OMB)
White
160 Participants535 Participants102 Participants87 Participants186 Participants
Sex: Female, Male
Female
101 Participants371 Participants69 Participants66 Participants135 Participants
Sex: Female, Male
Male
149 Participants449 Participants98 Participants53 Participants149 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
23 / 24855 / 28430 / 11998 / 167206 / 818
other
Total, other adverse events
239 / 248283 / 284119 / 119164 / 167805 / 818
serious
Total, serious adverse events
102 / 248124 / 28444 / 11998 / 167368 / 818

Outcome results

Primary

Cumulative Incidence of Progression/Death Events at Year 10: B1871006 Participants

Progression free survival (PFS):interval from date of first dose of bosutinib in parent study until earlier date of progression or death from any cause. Participants without events censored at last evaluation date. PD:evolution from CP (or return to CP for ADV participants) to AP or BP (on 2 consecutive assessments at least 1 week apart), evolution from AP to BP (on 2 consecutive assessments at least 1 week apart) and one of following conditions occurred after dose escalation or presence of AEs prohibiting dose escalation: for 2nd or later line, loss of MCyR (need at least 30% increase); for all lines of treatment, loss of CHR confirmed by 2 assessments \>=2 weeks apart; for all lines of treatment, increasing WBC defined as doubling of WBC over a period of \>=1 month with second WBC \>20\*10\^9/L confirmed at least 1 week later. Percentage of participants with PFS/death events based on cumulative incidence method adjusting for competing event of treatment discontinuation without event.

Time frame: Year 10

Population: The full analysis set from B1871006 included all dosed participants from the study B1871006. Data for this outcome measure was planned to be collected and analyzed for participants from B1871006 only and not for reporting arm Bosutinib CP1L (participants from B1871008).

ArmMeasureValue (NUMBER)
Bosutinib, CP1LCumulative Incidence of Progression/Death Events at Year 10: B1871006 Participants23.9 percentage of participants
Bosutinib, CP2LCumulative Incidence of Progression/Death Events at Year 10: B1871006 Participants26.9 percentage of participants
Bosutinib, CP3L/CP4LCumulative Incidence of Progression/Death Events at Year 10: B1871006 Participants55.7 percentage of participants
Primary

Cumulative Incidence of Rate of Transformation to Accelerated Phase (AP) or Blast Phase (BP) at Year 10: B1871006 Participants

Time to transformation was defined as the time from first dose in the parent study to the first date of confirmed transformation to AP or BP. Confirmed transformation was defined as 2 consecutive assessments at least 1 week apart or 1 assessment confirmed by progression of disease or death. For participants without transformation, censorship was at the last evaluation date. Percentage of participants with time to transformation to AP/BP was reported based on cumulative incidence method adjusting for the competing risk of treatment discontinuation without the event.

Time frame: Year 10

Population: The full analysis set from B1871006 included all dosed participants from the study B1871006. Data for this outcome measure was planned to be collected and analyzed for participants from B1871006 only and not for reporting arm Bosutinib, CP1L (participants from B1871008). For Bosutinib ADV reporting arm, data was analyzed for participants with AP who had BP transformation only.

ArmMeasureValue (NUMBER)
Bosutinib, CP1LCumulative Incidence of Rate of Transformation to Accelerated Phase (AP) or Blast Phase (BP) at Year 10: B1871006 Participants5.3 percentage of participants
Bosutinib, CP2LCumulative Incidence of Rate of Transformation to Accelerated Phase (AP) or Blast Phase (BP) at Year 10: B1871006 Participants4.2 percentage of participants
Bosutinib, CP3L/CP4LCumulative Incidence of Rate of Transformation to Accelerated Phase (AP) or Blast Phase (BP) at Year 10: B1871006 Participants3.8 percentage of participants
Primary

Kaplan-Meier Estimate of Probability of Maintaining Complete Cytogenetic Response (CCyR) at Year 10: B1871006 Participants

Duration for CCyR was defined as time from first response to confirmed loss, progression of disease, or on-treatment death due to any cause, or censoring analyzed for responders only. Confirmed loss was defined as 2 consecutive assessments with \>0 Ph+ metaphases or \>=1% positive cells from FISH at least 28 days apart or progression or death. CCyR was achieved when there was 0% Ph+ cells analysed from conventional cytogenetics with 20 to 100 metaphases or \<1% Ph+ cells analysed from FISH with at least 200 nuclei. CCyR may be imputed on a specific date if MMR or better is achieved and denoted on the CRF on that date for B1871040 study visits. The Kaplan-Meier analysis was used to analyze percentage of participants maintaining CCyR at Year 10.

Time frame: Year 10

Population: The evaluable analysis set for cytogenetic population were those dosed participants from B1871006 with a valid baseline efficacy assessment from B1871006 with \>=20 metaphases or at least 1 Ph+ metaphase from the baseline bone marrow cytogenetic assessment and who achieved CCyR (responders). N=evaluable participants. Data for this outcome measure was planned to be collected and analyzed for participants from B1871006 only and not for reporting arm Bosutinib CP1L (participants from B1871008).

ArmMeasureValue (NUMBER)
Bosutinib, CP1LKaplan-Meier Estimate of Probability of Maintaining Complete Cytogenetic Response (CCyR) at Year 10: B1871006 Participants63.4 percentage of participants
Bosutinib, CP2LKaplan-Meier Estimate of Probability of Maintaining Complete Cytogenetic Response (CCyR) at Year 10: B1871006 Participants40.8 percentage of participants
Bosutinib, CP3L/CP4LKaplan-Meier Estimate of Probability of Maintaining Complete Cytogenetic Response (CCyR) at Year 10: B1871006 Participants29.6 percentage of participants
Primary

Kaplan-Meier Estimate of Probability of Maintaining Complete Hematologic Response (CHR) at Year 10: B1871006 Participants

Duration for CHR was defined as time from first response to confirmed loss, progression of disease, or on-treatment death due to any cause, or censoring analyzed for responders only. Confirmed loss was defined as 2 consecutive non-responses at least 14 days apart. Complete hematologic response was considered when participants met all of the following criteria: White blood cells equal to or less than (\<=) institutional upper limit of normal (ULN), no blasts or promyelocytes in blood, \<20% basophils in blood, no extramedullary involvement (including hepatomegaly or splenomegaly), myelocytes and metamyelocytes \<5% in blood, platelets \<450\*10\^9 per liter (/L). The following were applicable only to advanced phase: \<=5% bone marrow blasts, absolute neutrophil count \>=1.0\*10\^9/L, platelets \>=100\*10\^9/L. The Kaplan-Meier analysis was used to analyze percentage of participants maintaining CHR at Year 10.

Time frame: Year 10

Population: The evaluable analysis set for hematologic population were those dosed participants from B1871006 with a valid baseline efficacy assessment from B1871006 and a valid baseline hematologic assessment and who achieved CHR (responders). N=evaluable participants. Data for this outcome measure was planned to be collected and analyzed for participants from B1871006 only and not for reporting arm Bosutinib CP1L (participants from B1871008).

ArmMeasureValue (NUMBER)
Bosutinib, CP1LKaplan-Meier Estimate of Probability of Maintaining Complete Hematologic Response (CHR) at Year 10: B1871006 Participants44.1 percentage of participants
Bosutinib, CP2LKaplan-Meier Estimate of Probability of Maintaining Complete Hematologic Response (CHR) at Year 10: B1871006 Participants45.1 percentage of participants
Bosutinib, CP3L/CP4LKaplan-Meier Estimate of Probability of Maintaining Complete Hematologic Response (CHR) at Year 10: B1871006 ParticipantsNA percentage of participants
Primary

Kaplan-Meier Estimate of Probability of Maintaining Major Cytogenetic Response (MCyR) at Year 10: B1871006 Participants

Cytogenetic response (CyR) is based on prevalence of Ph+ cells. Duration for MCyR: time from first response to confirmed loss, progression of disease, or on-treatment death due to any cause, or censoring analyzed for responders only. Confirmed loss was defined as 2 consecutive non-responses at least 28 days apart. MCyR was categorized as either complete cytogenetic response (CCyR) or partial cytogenetic response (PCyR). Response was achieved when there was 0% (CCyR) or 1-35% (PCyR) Ph+ cells analyzed from conventional cytogenetics based on the analysis of 20 to 100 metaphases or \<1% (CCyR) or 1-35% (PCyR) Ph+ cells analyzed from fluorescence in-situ hybridization (FISH) based on analysis of at least 200 nuclei. CCyR may be imputed on a specific date if an MMR or better is achieved and denoted on the CRF on that date for B1871040 study visits. The Kaplan-Meier analysis was used to analyze percentage of participants maintaining MCyR at Year 10.

Time frame: Year 10

Population: The evaluable analysis set for cytogenetic population were those dosed participants from B1871006 with valid baseline efficacy assessment from B1871006 with \>=20 metaphases or at least 1 Ph+ metaphase from baseline bone marrow cytogenetic assessment and who achieved MCyR (responders). N=evaluable participants. Data for this outcome measure was planned to be collected and analyzed for participants from B1871006 only and not for reporting arm Bosutinib CP1L (participants from B1871008).

ArmMeasureValue (NUMBER)
Bosutinib, CP1LKaplan-Meier Estimate of Probability of Maintaining Major Cytogenetic Response (MCyR) at Year 10: B1871006 Participants65.3 percentage of participants
Bosutinib, CP2LKaplan-Meier Estimate of Probability of Maintaining Major Cytogenetic Response (MCyR) at Year 10: B1871006 Participants55.3 percentage of participants
Bosutinib, CP3L/CP4LKaplan-Meier Estimate of Probability of Maintaining Major Cytogenetic Response (MCyR) at Year 10: B1871006 Participants30.6 percentage of participants
Primary

Number of Participants With Adverse Events as Reason for Treatment Discontinuation

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.

Time frame: From first dose of drug up to 30 days after last dose (up to approximately 14 years)

Population: Safety analysis set included all dosed participants for both B1871006 and B1871008.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Bosutinib, CP1LNumber of Participants With Adverse Events as Reason for Treatment Discontinuation84 Participants
Bosutinib, CP2LNumber of Participants With Adverse Events as Reason for Treatment Discontinuation79 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Adverse Events as Reason for Treatment Discontinuation37 Participants
Bosutinib, ADVNumber of Participants With Adverse Events as Reason for Treatment Discontinuation32 Participants
Bosutinib, TotalNumber of Participants With Adverse Events as Reason for Treatment Discontinuation232 Participants
Primary

Number of Participants With Breakpoint Cluster Region Abelson Protooncogene (BCR-ABL) Mutations Present at Time of Bosutinib Treatment Discontinuation

BCR-ABL is a gene resulting from the 9:22 chromosomal translocation (Philadelphia chromosome). In this outcome measure, the number of participants who had emergent mutation or new BCR-ABL mutations (participants who had a post-baseline mutation which was not present at baseline) were reported.

Time frame: Post-baseline on Day 1 (maximum up to 14 years)

Population: The full analysis set included all participants randomized to the bosutinib arm from B1871008 and all dosed participants from B1871006.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Bosutinib, CP1LNumber of Participants With Breakpoint Cluster Region Abelson Protooncogene (BCR-ABL) Mutations Present at Time of Bosutinib Treatment Discontinuation7 Participants
Bosutinib, CP2LNumber of Participants With Breakpoint Cluster Region Abelson Protooncogene (BCR-ABL) Mutations Present at Time of Bosutinib Treatment Discontinuation28 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Breakpoint Cluster Region Abelson Protooncogene (BCR-ABL) Mutations Present at Time of Bosutinib Treatment Discontinuation13 Participants
Bosutinib, ADVNumber of Participants With Breakpoint Cluster Region Abelson Protooncogene (BCR-ABL) Mutations Present at Time of Bosutinib Treatment Discontinuation14 Participants
Primary

Number of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial Formulation

The incidence of diarrhea was collected and analyzed before and after the switch from the clinical formulation of bosutinib to the commercial formulation of bosutinib.

Time frame: Last 6 months on clinical formulation and first 6 months on commercial formulation

Population: Safety analysis set included all dosed participants for both B1871006 and B1871008. Here, 'Overall number of participants analyzed'= participants evaluable for this outcome measure who received commercial formulation.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bosutinib, CP1LNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationClinical formulation (last 6 months)25 Participants
Bosutinib, CP1LNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationCommercial formulation (first 6 months)34 Participants
Bosutinib, CP2LNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationClinical formulation (last 6 months)22 Participants
Bosutinib, CP2LNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationCommercial formulation (first 6 months)27 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationClinical formulation (last 6 months)3 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationCommercial formulation (first 6 months)4 Participants
Bosutinib, ADVNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationCommercial formulation (first 6 months)5 Participants
Bosutinib, ADVNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationClinical formulation (last 6 months)5 Participants
Bosutinib, TotalNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationClinical formulation (last 6 months)55 Participants
Bosutinib, TotalNumber of Participants With Diarrhea After Switch From Bosutinib Clinical Formulation to Bosutinib Commercial FormulationCommercial formulation (first 6 months)70 Participants
Primary

Number of Participants With Grade 3 or 4 Treatment-Emergent Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. AEs were assessed according to severity grading based on NCI CTCAE version 3.0. Grade 1 =mild; Grade 2 =moderate; Grade 3 =severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated; Grade 4 =life-threatening or disabling, urgent intervention indicated; Grade 5 =death. Treatment-emergent adverse events were defined as any event increasing in severity from baseline or any new event started during bosutinib therapy or within 30 days of the last dose of study drug.

Time frame: From first dose of drug up to 30 days after last dose (up to approximately 14 years)

Population: Safety analysis set included all dosed participants for both B1871006 and B1871008.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Bosutinib, CP1LNumber of Participants With Grade 3 or 4 Treatment-Emergent Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)191 Participants
Bosutinib, CP2LNumber of Participants With Grade 3 or 4 Treatment-Emergent Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)223 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Grade 3 or 4 Treatment-Emergent Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)84 Participants
Bosutinib, ADVNumber of Participants With Grade 3 or 4 Treatment-Emergent Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)144 Participants
Bosutinib, TotalNumber of Participants With Grade 3 or 4 Treatment-Emergent Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)642 Participants
Primary

Number of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)

Laboratory parameters included Chemistry: high alkaline phosphatase; high alanine aminotransferase; high aspartate aminotransferase; high blood bilirubin; high creatinine. Hematology: absolute neutrophils count decreased; anemia; platelet count decreased; white blood cells (WBC) decreased. Abnormalities in laboratory tests were graded per NCI CTCAE version 4.03 as Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling.

Time frame: From first dose of drug up to 30 days after last dose (up to approximately 14 years)

Population: Safety analysis set included all dosed participants for both B1871006 and B1871008.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bosutinib, CP1LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 384 Participants
Bosutinib, CP1LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 286 Participants
Bosutinib, CP1LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 145 Participants
Bosutinib, CP1LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 433 Participants
Bosutinib, CP2LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 280 Participants
Bosutinib, CP2LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 442 Participants
Bosutinib, CP2LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 3102 Participants
Bosutinib, CP2LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 159 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 423 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 239 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 327 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 128 Participants
Bosutinib, ADVNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 224 Participants
Bosutinib, ADVNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 118 Participants
Bosutinib, ADVNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 341 Participants
Bosutinib, ADVNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 482 Participants
Bosutinib, TotalNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 1150 Participants
Bosutinib, TotalNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 3254 Participants
Bosutinib, TotalNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 4180 Participants
Bosutinib, TotalNumber of Participants With Laboratory Test Abnormalities Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 4.03)Grade 2229 Participants
Primary

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that: resulted in death, was life threatening (immediate risk of death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions), resulted in congenital anomaly/birth defect. Treatment-emergent adverse events were defined as any event increasing in severity from baseline or any new event started during bosutinib therapy or within 30 days of the last dose of study drug.

Time frame: From first dose of drug up to 30 days after last dose (up to approximately 14 years)

Population: Safety analysis set included all dosed participants for both B1871006 and B1871008.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bosutinib, CP1LNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-Emergent AEs241 Participants
Bosutinib, CP1LNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-emergent SAEs102 Participants
Bosutinib, CP2LNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-Emergent AEs283 Participants
Bosutinib, CP2LNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-emergent SAEs124 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-emergent SAEs44 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-Emergent AEs119 Participants
Bosutinib, ADVNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-Emergent AEs165 Participants
Bosutinib, ADVNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-emergent SAEs98 Participants
Bosutinib, TotalNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-emergent SAEs368 Participants
Bosutinib, TotalNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)Treatment-Emergent AEs808 Participants
Primary

Number of Participants With Treatment-Emergent Treatment Related Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)

An AE was any untoward medical occurrence in a participant who received study drug. Treatment-emergent adverse events were defined as any event increasing in severity from baseline or any new event started during bosutinib therapy or within 30 days of the last dose of study drug. Related TEAEs were those AEs who were related to the study treatment as judged by the investigator.

Time frame: From first dose of drug up to 30 days after last dose (up to approximately 14 years)

Population: Safety analysis set included all dosed participants for both B1871006 and B1871008.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Bosutinib, CP1LNumber of Participants With Treatment-Emergent Treatment Related Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)235 Participants
Bosutinib, CP2LNumber of Participants With Treatment-Emergent Treatment Related Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)282 Participants
Bosutinib, CP3L/CP4LNumber of Participants With Treatment-Emergent Treatment Related Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)119 Participants
Bosutinib, ADVNumber of Participants With Treatment-Emergent Treatment Related Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)161 Participants
Bosutinib, TotalNumber of Participants With Treatment-Emergent Treatment Related Adverse Events (AEs) Based on National Cancer Institute Common Terminology Criteria for AEs (NCI CTCAE) (Version 3.0)797 Participants
Primary

Overall Survival (OS) Rate at Year 10

OS was defined as the time from randomization (B1871008) and time from first dose (B1871006) to the occurrence of death due to any cause or censoring. Kaplan-Meier analysis was used for determination of OS. Percentage of participants who were alive were estimated in this outcome measure.

Time frame: Year 10

Population: The full analysis set included all participants randomized to the bosutinib arm from B1871008 and all dosed participants from B1871006.

ArmMeasureValue (NUMBER)
Bosutinib, CP1LOverall Survival (OS) Rate at Year 1088.2 percentage of participants
Bosutinib, CP2LOverall Survival (OS) Rate at Year 1071.5 percentage of participants
Bosutinib, CP3L/CP4LOverall Survival (OS) Rate at Year 1060.4 percentage of participants
Bosutinib, ADVOverall Survival (OS) Rate at Year 1034.2 percentage of participants
Primary

Plasma Steady-State Trough Concentrations (Ctrough) of Bosutinib

Ctrough refers to plasma concentration of bosutinib observed just before treatment administration.

Time frame: One pre-dose sample was collected at the first scheduled visit (after approval and implementation of protocol amendment 1) following at least 2 weeks of uninterrupted dosing at the same dose level

Population: The pharmacokinetic (PK) analysis set included participants who received at least 1 dose of bosutinib and had 1 reported bosutinib concentration.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Bosutinib, CP1LPlasma Steady-State Trough Concentrations (Ctrough) of Bosutinib62.2 nanogram per milliliterGeometric Coefficient of Variation 31.3
Bosutinib, CP2LPlasma Steady-State Trough Concentrations (Ctrough) of Bosutinib62.0 nanogram per milliliterGeometric Coefficient of Variation 65.9
Bosutinib, CP3L/CP4LPlasma Steady-State Trough Concentrations (Ctrough) of Bosutinib82.2 nanogram per milliliterGeometric Coefficient of Variation 53.2
Bosutinib, ADVPlasma Steady-State Trough Concentrations (Ctrough) of Bosutinib93.3 nanogram per milliliterGeometric Coefficient of Variation 45.2
Bosutinib, TotalPlasma Steady-State Trough Concentrations (Ctrough) of Bosutinib99.4 nanogram per milliliterGeometric Coefficient of Variation 78.2

Source: ClinicalTrials.gov · Data processed: Mar 12, 2026