Chronic Myelocytic Leukemia
Conditions
Brief summary
This study is conducted in patients with newly diagnosed CP CML (Chronic Phase Chronic Myeloid Leukemia) who have achieved EMR (\< 10% IS BCR-ABL) at 3 months after first line treatment with dasatinib. Subjects will be allocated to 80mg QD based on EMR (Early Molecular Response) achievement and early safety profile following a standard of care approach.
Detailed description
Patients will sign the consent forms for screening prior to frontline dasatinib therapy (1st) and the 3 month molecular test date (2nd). The molecular samples will be analyzed in the central lab as part of the screening procedure. Subjects will be treated for a maximum of 60 months after allocation of the last subject on the assigned regimen (dasatinib 80mg QD), unless disease progression, treatment failure or unacceptable toxicity occurs, the subject withdraws consent, or the study is discontinued by the sponsor. Subjects who discontinue study therapy early due to disease progression or intolerance to study medication will continue to be followed yearly for survival for up to 5 years after allocation of the last subject. All subjects will be followed yearly for progression-free survival and overall survival. For patients who continue their assigned treatment, safety assessments will be conducted every 6 months and cytogenetic assessment as investigator assessment. Follow up visits after the last dose of study drug will be required at least every 4 weeks until all study related toxicities resolve to baseline (or CTC Grade ≤ 1), stabilize or are deemed irreversible.
Interventions
Conventional Q-RT-PCR every 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult CML-CP Ph+ (Philadelpia) patients with BCR-ABL1 patients diagnosed within 3 months * Adequate renal function defined as serum creatinine ≤ 3 times the institutional ULN(Upper limit of normal) * Adequate hepatic function defined as: total bilirubin ≤ 2 times the institutional ULN; alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 times the institutional upper limit of normal (ULN). * Adequate cardiac function (see
Exclusion criteria
) * Adequate pulmonary function (see
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of MMR | 12 month | Level of Bcr-Abl transcript (Conventional Q-RT-PCR) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To assess: Number and percentage of participants with treatment-related adverse events as assessed by CTCAE v4.0. | 12 months | Safety |
| MMR and MR4.5 rates by 5 years | 5 years | Level of Bcr-Abl transcript (Conventional Q-RT-PCR) |
Countries
South Korea