Chronic Phase Chronic Myeloid Leukemia
Conditions
Keywords
CML, Chronic myeloid leukemia, Chronic myeloid leukaemia, PEG-Proline-Interferon-alpha 2b, Interferon, P1101, Imatinib
Brief summary
In this phase I pilot study, it is planned to investigate the feasibility and safety of adding an interferon therapy to an preexisting imatinib treatment in patients with chronic phase chronic myeloid leukaemia. The participating patients have already reached a response during their imatinib therapy (CCyR) but have still a detectable disease (no molecular response MR 4.5 or better).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients ≥ 18 years of age * BCR-ABL positive chronic myeloid leukaemia in chronic phase treated with imatinib as first line therapy * CHR, CCyR after at least 18 months of imatinib treatment * Adequate organ function, defined as the following: * total bilirubin \< 1.5 x ULN, * AST and ALT \< 2.5 x ULN, * creatinine \< 1.5 x ULN, * ANC \> 1.5 x 109/L, * platelets \> 100 x 109/L * Written, voluntarily signed informed consent
Exclusion criteria
* CMR (molecular remission 4.5 or BCR-ABL transcripts undetectable) * Patient has received any other investigational treatment within 28 days before study entry * Treatment with a second generation tyrosine kinase inhibitor (dasatinib, nilotinib) * ECOG performance status ≥ 3 * Patients with a primary of a different histological origin than the study indication (unless relapse-free interval is ≥ 5 years, except cervical carcinoma, basal cell epithelioma or squamous cell carcinoma of the skin) * Evidence of severe or uncontrolled systemic disease (e.g. unstable or uncompensated respiratory, cardiac, hepatic or renal disease etc.) * Acute chronic infections * Known autoimmune disease (e.g. collagen disease, polyarthritis, immune thrombocytopenia, thyroiditis, psoriasis, lupus nephritis or any other autoimmune disorder) * Female patients who are pregnant or breast-feeding * Known diagnosis of HIV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number and seriousness of adverse events to evaluate safety and tolerability | 30 months | The primary objective is to determine the safety and tolerability of the addition of P1101 to the pre-study established dose of imatinib. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy (Number of patients achieving an improvement of remission status) | 30 months | Secondary objective is to determine the rate of achievement of ≥ 1 log reduction from the initial BCR-ABL transcript level at study entry and the achievement of molecular remission 4.5 or undetectable BCR-ABL transcripts. |
Countries
Austria