Status:

UNKNOWN

Dasatinib in Patients With Chronic Myeloid Leukemia in Chronic Phase

Lead Sponsor:

PETHEMA Foundation

Collaborating Sponsors:

Dynamic Solutions

Bristol-Myers Squibb

Conditions:

Chronic Myeloid Leukemia

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Trial try to assess the efficacy of dasatinib in terms of major molecular response rate at 6 months in patients with CP-CML who have achieved complete cytogenetic response without major molecular resp...

Detailed Description

This is a single-arm, open-label, phase II trial for patients in complete cytogenetic response that have not achieved major molecular response or have lost a prior major molecular response, after at l...

Eligibility Criteria

Inclusion

  • Adult patients \>or = 18 years
  • Diagnostic of Ph+ Chronic Myeloid Leukemia in first chronic phase
  • Treated with Imatinib 400 mg per day or 600 mg per day for at least 18 months. A wash out period of at least 7 days for imatinib is required prior to dasatinib administration
  • Patients meet criteria of late suboptimal response (complete cytogenetic response with no major molecular response) or have lost major molecular response
  • Ability to understand and voluntarily sign the informed consent for
  • Women of childbearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy and have a negative pregnancy test, a maximum of 72 hours prior to study drug start.
  • Sexually active men must also use effective contraceptive methods during the treatment.
  • Women must not be breastfeeding

Exclusion

  • Patients treated with Imatinib at a dose different of 400/600 mg per day
  • Patients treated with other TKI than imatinib
  • Loss of cytogenetic response at study entry
  • ECOG ≥ 3
  • Inadequate bone marrow reserve: ANC \<1.5 x 109/L and/or Platelet count \< 100 x 109/L
  • Inadequate hepatic function (Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST)\> 2.5 X institutional upper limit of normal (IULN). Total bilirubin \> 1.5 X IULN (unless Gilbert syndrome has been diagnosed)
  • Inadequate renal function (serum Cr \>3 UNL or ClCr \<45 ml/min)
  • Patients receiving concurrent treatment with other experimental drugs or anti-cancer therapy
  • Patients with uncontrolled concurrent disease:
  • Known pleural effusion at baseline Clinically-significant gastrointestinal disease or surgery that would compromise absorption of study drug (eg, uncontrolled nausea or malabsorption syndrome) Clinically-significant known coagulation or platelet function disorder (not related to thrombocytopenia), eg, von Willebrand's disease Other active malignancy requiring concurrent intervention
  • Uncontrolled or significant cardiovascular disease, including any of the following:
  • Myocardial infarction within 6 months of enrolment date Uncontrolled angina or congestive heart failure within 3 months of enrolment date Left ventricular ejection fraction (LVEF) \< 40% Significant cardiac conduction abnormality, including history of clinically-significant ventricular arrhythmia (such as ventricular tachycardia, ventricular fibrillation, or Torsades de Pointes), history of third degree heart block or diagnosed congenital long QT syndrome, and/or prolonged QTc/f interval \> 450 msec on baseline ECG.
  • Patients with active or uncontrolled infections or with serious illnesses or medical conditions that would not permit the patient to be managed according to the protocol.
  • Patients unable or unwilling to give written, informed consent prior to study participation.

Key Trial Info

Start Date :

March 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2016

Estimated Enrollment :

18 Patients enrolled

Trial Details

Trial ID

NCT01802450

Start Date

March 1 2013

End Date

December 1 2016

Last Update

September 17 2015

Active Locations (15)

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Page 1 of 4 (15 locations)

1

Hospital Txagorritxu

Vitoria-Gasteiz, Alava, Spain, 01010

2

Hospital Germans Trias i Pujol

Badalona, Barcelona, Spain

3

Institut Catalá d'Oncologia L'Hospitallet

Barcelona, Barcelona, Spain, 08907

4

Complejo Hospitalario de Toledo - Hospital Virgen de la Salud

Toledo, Castille-La Mancha, Spain, 45004