Efficacy and Safety of Dasatinib 70 mg as First-Line Treatment for Newly Diagnosed Chronic-Phase Chronic Myeloid Leukemia (CML-CP)
Overview
- Phase
- Phase 4
- Intervention
- Dasatinib
- Conditions
- Dasatinib
- Sponsor
- Shenzhen Second People's Hospital
- Enrollment
- 65
- Locations
- 1
- Primary Endpoint
- Proportion of patients who achieve and maintain MMR at 12 months using RQ-PCR test
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study is to explore the efficacy and safety of dasatinib 70 mg once daily as first line therapy in patients with early chronic phase (CP) chronic myeloid leukemia (CML).
Detailed Description
A multicenter, single-arm, prospective, open-label study to detect the efficacy and safety of 70mg dasatinib by measuring rates of major molecular response (MMR) at 12 months in patients with CML-CP in China. Approximately 65 Patients will be recruited consecutively from the study sites during the enrollment period and will be given dasatinib 70 mg QD. The duration of patient participation will be 12 months.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 years.
- •Diagnosis of Ph+ or BCR-ABL positive CML-CP within 6 months.
- •ECOG performance of 0-
- •Adequate end organ function defined as the following: total bilirubin \<1.5x ULN, SGPT \<2.5x ULN, creatinine \<1.5x ULN.
- •Patients must sign an informed consent form (ICF) indicating they are aware of the investigational nature of this study, in keeping with the policies of the hospital
Exclusion Criteria
- •History of any TKI treatments.
- •History of Pulmonary arterial hypertension and Pleural effusion
- •NYHA cardiac class 3-4 heart disease.
- •Cardiac symptoms - Patients meeting the following criteria are not eligible unless cleared by a cardiologist:
- •Uncontrolled angina within 12 months.
- •Diagnosed or suspected congenital long QT syndrome.
- •Any history of clinically significant ventricular arrhythmias (such as ventricular tachycardia, ventricular fibrillation, or torsades de pointes).
- •Prolonged QTc interval on pre-entry electrocardiogram (\>450 msec).
- •Patients with active uncontrolled psychiatric disorders including: psychosis, major depression, and bipolar disorders.
- •Women of pregnancy potential must practice an effective method of birth control, unless otherwise instructed, during the course of the study in a manner such that risk of failure is minimized.
Arms & Interventions
Dasatinib 70 mg
Intervention: Dasatinib
Outcomes
Primary Outcomes
Proportion of patients who achieve and maintain MMR at 12 months using RQ-PCR test
Time Frame: 12 months
Major molecular response (MMR) is defined as BCR-ABL1 ≤ 0.1%
Secondary Outcomes
- Proportion of patients with MR 4.0 at 12 months.(12 months)
- Incidence of adverse events (AEs) and serious adverse events (SAEs) to dasatinib(18 months)
- Proportion of patients with MR 4.5 at 12 months.(12 months)
- Proportion of patients with Complete cytogenetic response (CCyR) at 12 months(12 months)