Studying First Line Treatment of Chronic Myeloid Leukemia (CML) in a Real-world Setting
- Conditions
- Chronic Myeloid Leukemia
- Registration Number
- NCT01244750
- Lead Sponsor
- Bristol-Myers Squibb
- Brief Summary
The purpose of this study is to better understand the use of tyrosine kinase inhibitors (TKI) in patients newly diagnosed with CML and their quality of life in a real-world setting.
- Detailed Description
Time Perspective : Most patients are expected to be a mix of retrospective and prospective data collection. Patients can be enrolled after their study index date (retrospective component) and have to be followed until 5 years from study index date are complete (time between enrollment and 5 year follow-up is the prospective component)
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1494
-
Newly-diagnosed chronic phase chronic myeloid leukemia (CP-CML) patients who started their first-line Tyrosine Kinase Inhibitor (TKI) treatment on imatinib, dasatinib or nilotinib in accordance with the timelines below
-
18 years or older at time of of CP-CML diagnosis
a) Imatinib Cohorts
-
Patients who started their first-line Imatinib treatment between January 2, 2008 and September 30, 2010.Patients fitting this criterion are defined as retrospective Imatinib patients
-
Patients who started their first-line Imatinib treatment on or after October 1, 2010
b) Dasatinib Cohort
-
Patients who started their first-line Dasatinib treatment after the drug was approved in this indication
c) Nilotinib Cohort
-
Patients who started their first-line Nilotinib treatment after the drug was approved in this indication
-
Patients are also eligible when they have already switched to a subsequent therapy (TKI or other) at the time of enrollment, as long as their first-line and subsequent CML treatment information is available at site for data entry into the study Electronic Case Report Form (eCRF)
-
Receiving treatment at medical practice (eg. community-based, office-based, hospital-based, academic setting, oncology center)
- Patients who are participating in an interventional trial which may influence the management of their CML disease will be excluded
Discontinuation Criteria:
- Enrolled patients who join an interventional trial which may influence the management of their CML disease will be excluded at the time of entry into the interventional trial
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The rate of best response to therapy (i.e. hematologic, cytogenetic, molecular response) Every 6 months for a follow-up period of 5-years from study index date Results and dates of: all bone marrow aspirates, blood tests, cytogenetics, Polymerase Chain Reaction (PCR), Fluorescent In-Situ Hybridization (FISH), and Physical exam
The rate of discontinuation and treatment changes after initial TKI treatment Every 6 months for a follow-up period of 5-years from study index date Dates of switches in therapy from initial TKI treatment, Reasons for treatment discontinuation (i.e. side effects, mutations, etc.), Subsequent lines of CML treatments (start and stop dates)
The duration of initial TKI treatment 5-years from study index date Initiation of first-line TKI, (whether Dasatinib, Imatinib, Nilotinib)
The rate of Complete Cytogenetic Response 12 months The adherence to treatment Every 6 months for a follow-up period of 5-years from study index date Morisky Medication Adherence Scale - 8 Items is a validated self-reported measure of medication adherence.
- Secondary Outcome Measures
Name Time Method Impact of first-line treatment options on quality of life Every 6 months Questionnaires used for assessment:
Functional Assessment of Cancer Therapy - General (FACT-G), Cancer Therapy Satisfaction Questionnaire (CTSQ), MD Anderson Symptom Inventory - CML (MDASI-CML).Resource utilization associated with CML management Every 6 months To evaluate healthcare resource utilization, descriptive statistics will describe real-world disease monitoring patterns, frequency of testing, and resources used for disease management for each treatment cohort.
Non-hematologic side effects from treatment affecting patient quality of life and outcomes Every 6 months Treatment discontinuations and changes
Patient satisfaction with CML treatment Every 6 months Cancer Therapy Satisfaction Questionnaire (CTSQ)
Patterns of disease monitoring as observed in a real-world setting Every 6 months MD Anderson Symptom Inventory - CML (MDASI-CML) Questionnaire - disease-specific module of the MDASI7 which is a brief measure of severity and impact of cancer-related symptoms on daily function
Trial Locations
- Locations (142)
University of Southern California
πΊπΈLos Angeles, California, United States
Peachtree Hematology-Oncology
πΊπΈAtlanta, Georgia, United States
Emory University
πΊπΈAtlanta, Georgia, United States
Boston VA Healthcare System
πΊπΈBoston, Massachusetts, United States
Baptist Cancer Center
πΊπΈMiami, Florida, United States
Indiana Blood and Marrow Transplantation
πΊπΈIndianapolis, Indiana, United States
Investigative Clinical Research of Indiana
πΊπΈIndianapolis, Indiana, United States
Cotton O'Neil Cancer Center
πΊπΈTopeka, Kansas, United States
Hutchinson Clinic
πΊπΈHutchinson, Kansas, United States
Arizona Oncology Associates, PC - NAHOA
πΊπΈSedona, Arizona, United States
Washington Hospital Center, Washington Cancer Institute
πΊπΈWashington, District of Columbia, United States
Little Rock Hematology Oncology Associates
πΊπΈLittle Rock, Arkansas, United States
Genesis Cancer Center
πΊπΈHot Springs National Park, Arkansas, United States
George Washington University
πΊπΈWashington, District of Columbia, United States
Arizona Oncology Associates, PC - HOPE
πΊπΈTucson, Arizona, United States
NEA Baptist Clinic
πΊπΈJonesboro, Arkansas, United States
Stamford Hospital
πΊπΈStamford, Connecticut, United States
Medical Oncology and Blood Disorders, LLP
πΊπΈManchester, Connecticut, United States
Rocky Mountain Cancer Centers
πΊπΈBoulder, Colorado, United States
Puerto Rico Hematology Oncology Group
π΅π·Bayamon, Puerto Rico
Prairie Lakes Healthcare System, Inc
πΊπΈWatertown, South Dakota, United States
Arizona Oncology Associates, PC - HAL
πΊπΈPhoenix, Arizona, United States
Billings Clinic
πΊπΈBillings, Montana, United States
Frederick Memorial Hospital
πΊπΈFrederick, Maryland, United States
Maryland Oncology Hematology Pa
πΊπΈColumbia, Maryland, United States
West Michigan Cancer Center
πΊπΈKalamazoo, Michigan, United States
Cancer & Hematology Centers of Western Michigan
πΊπΈGrand Rapids, Michigan, United States
South Coast Health System
πΊπΈFall River, Massachusetts, United States
Hackensack University Medical Center
πΊπΈHackensack, New Jersey, United States
Consultants In Blood Disorders
πΊπΈSaint Matthews, Kentucky, United States
Commonwealth Hematology-Oncology, P.C.
πΊπΈQuincy, Massachusetts, United States
Willis-Knighton Cancer System
πΊπΈShreveport, Louisiana, United States
UMass Medical Center
πΊπΈWorcester, Massachusetts, United States
Waverly Hematology Oncology
πΊπΈCary, North Carolina, United States
Michigan State University
πΊπΈLansing, Michigan, United States
Hematology-Oncology Associates of Northern NJ, PA
πΊπΈMorristown, New Jersey, United States
Portsmouth Regional Hospital
πΊπΈPortsmouth, New Hampshire, United States
Oregon Health & Science University
πΊπΈPortland, Oregon, United States
Gabrail Cancer Center
πΊπΈCanton, Ohio, United States
Advanced Oncology
πΊπΈNew York, New York, United States
Lehigh Valley Hospital
πΊπΈAllentown, Pennsylvania, United States
North Mississippi Hematology & Oncology
πΊπΈTupelo, Mississippi, United States
Southern Oncology Hematology
πΊπΈVineland, New Jersey, United States
Broome Oncology
πΊπΈJohnson City, New York, United States
St John's Clinic for Cancer and Hematology
πΊπΈSpringfield, Missouri, United States
Alamance Regional Cancer Center
πΊπΈBurlington, North Carolina, United States
Stony Brook University Hospital
πΊπΈStony Brook, New York, United States
Vassar Brothers Medical Center
πΊπΈPoughkeepsie, New York, United States
Gaston Hematology Oncology
πΊπΈGastonia, North Carolina, United States
Akron General Medical Center
πΊπΈAkron, Ohio, United States
Lancaster General Health
πΊπΈLancaster, Pennsylvania, United States
Berks Hematology-Oncology
πΊπΈWest Reading, Pennsylvania, United States
Veterans Research Foundation of Pittsburgh
πΊπΈPittsburgh, Pennsylvania, United States
Medical Oncology Associates of Wyoming Valley, PC
πΊπΈKingston, Pennsylvania, United States
The Cancer Center at Memorial Hospital
πΊπΈPawtucket, Rhode Island, United States
Texas Oncology-Methodist Charlton Cancer Center
πΊπΈDallas, Texas, United States
Michael DeBakey VA Medical Center
πΊπΈHouston, Texas, United States
Geisinger Health System
πΊπΈWilkes-Barre, Pennsylvania, United States
Hematology Oncology Associates of Fredricksburg
πΊπΈFredericksburg, Virginia, United States
St. Luke's Hospital and Health Network
πΊπΈBethlehem, Pennsylvania, United States
Texas Oncology
πΊπΈWaco, Texas, United States
Texas Oncology-Midland Allison Cancer Center
πΊπΈMidland, Texas, United States
Wheeling Hospital
πΊπΈWheeling, West Virginia, United States
Texas Oncology-McAllen South Second
πΊπΈMcAllen, Texas, United States
City Hospital - West Virginia University Hospital East
πΊπΈMartinsburg, West Virginia, United States
Julie & Ben Rogers Cancer Institute
πΊπΈBeaumont, Texas, United States
University of Tennessee Medical Center
πΊπΈKnoxville, Tennessee, United States
Texas Oncology - Arlington South
πΊπΈArlington, Texas, United States
Texas Oncology-Medical City Dallas
πΊπΈDallas, Texas, United States
Tennessee Cancer Specialists
πΊπΈKnoxville, Tennessee, United States
Avera Research Institute
πΊπΈSioux Falls, South Dakota, United States
Hematology and Oncology Associates of RI
πΊπΈCranston, Rhode Island, United States
Cancer Care Association Of York
πΊπΈYork, Pennsylvania, United States
MD Anderson Cancer Center
πΊπΈHouston, Texas, United States
Texas Oncology-Odessa West Texas Cancer Center
πΊπΈOdessa, Texas, United States
Texas Oncology-Dallas Presbyterian Hospital
πΊπΈDallas, Texas, United States
Cancer Care Centers of South Texas
πΊπΈSan Antonio, Texas, United States
North Texas Regional Cancer Center
πΊπΈPlano, Texas, United States
Providence Cancer Center at Sacred Heart Medical Center
πΊπΈSpokane, Washington, United States
Yakima Valley Memorial Hospital/North Star Lodge
πΊπΈYakima, Washington, United States
Danville Hematology & Oncology
πΊπΈDanville, Virginia, United States
Charleston Area Medical Center
πΊπΈCharleston, West Virginia, United States
Wenatchee Valley Medical Center
πΊπΈWenatchee, Washington, United States
Aspirus Regional Cancer Center
πΊπΈWausau, Wisconsin, United States
Local Insitution
πͺπΈToledo, Spain
Local Institution
πͺπΈSantiago De Compostela-A CoruΓ±a, Spain
Cancer Care Associates
πΊπΈTulsa, Oklahoma, United States
St. Lukes Roosevelt Medical Center
πΊπΈNew York, New York, United States
Sturdy Hematology & Oncology Associates
πΊπΈAttleboro, Massachusetts, United States
Signal Point Clinical Research Center, LLC
πΊπΈMiddletown, Ohio, United States
Medical Center of Newark
πΊπΈNewark, Ohio, United States
Hematology/Oncology Salem LLP
πΊπΈSalem, Oregon, United States
Bms Clinical Research Center
πΊπΈDoes Not Exist, New Jersey, United States
Peninsula Cancer Institute
πΊπΈNewport News, Virginia, United States
Blue Ridge Cancer Care
πΊπΈRoanoke, Virginia, United States
Duke University Medical Center
πΊπΈDurham, North Carolina, United States
University Of Florida
πΊπΈJacksonville, Florida, United States
Northwest Alabama Cancer Center
πΊπΈMuscle Shoals, Alabama, United States
Southwest Cancer Care Medical Group
πΊπΈEscondido, California, United States
Wilshire Oncology Medical Group, Inc
πΊπΈGlendora, California, United States
St. Joseph's Hospital
πΊπΈOrange, California, United States
Stockton Hematology Oncology
πΊπΈStockton, California, United States
Tahoe Forest Health System Cancer Center
πΊπΈTruckee, California, United States
PMK Medical Group, Inc. DBA Ventura
πΊπΈOxnard, California, United States
Hematology And Medical Oncology Of Southern Palm Beach County
πΊπΈBoynton Beach, Florida, United States
Baptist Cancer Institute
πΊπΈJacksonville, Florida, United States
Central Florida Health Alliance
πΊπΈLeesburg, Florida, United States
Watson Clinic
πΊπΈLakeland, Florida, United States
Florida Cancer Specialists
πΊπΈNew Port Richey, Florida, United States
Lake County Oncology and Hematology
πΊπΈTavares, Florida, United States
Space Coast Cancer Center
πΊπΈTitusville, Florida, United States
Georgia Cancer Specialist
πΊπΈSandy Springs, Georgia, United States
Mid-Illinois Hem/Onc Asoc
πΊπΈNormal, Illinois, United States
Delnor Community Hospital
πΊπΈGeneva, Illinois, United States
Lewis Hall Singeltary Oncology Center
πΊπΈThomasville, Georgia, United States
Mahafzah Medical Center
πΊπΈEvergreen Park, Illinois, United States
North Chicago VA Medical Center
πΊπΈNorth Chicago, Illinois, United States
Southern Illinois School of Medicine
πΊπΈSpringfield, Illinois, United States
Central DuPage Hospital
πΊπΈWinfield, Illinois, United States
Saint John's Cancer Center
πΊπΈAnderson, Indiana, United States
Horizon Oncology Research, Inc
πΊπΈLafayette, Indiana, United States
Cancer Care Center, Inc. PC
πΊπΈNew Albany, Indiana, United States
N. Iowa Mercy Cancer Center
πΊπΈMason City, Iowa, United States
Cancer Center of Kansas
πΊπΈWichita, Kansas, United States
Broward Oncology Associates
πΊπΈFort Lauderdale, Florida, United States
Northwest Georgia Oncology Centers, PC
πΊπΈMarietta, Georgia, United States
Pacific Cancer Medical Center, Inc
πΊπΈAnaheim, California, United States
Palm Springs Research Institute
πΊπΈHialeah, Florida, United States
Carle Cancer Center
πΊπΈUrbana, Illinois, United States
East Carolina University
πΊπΈGreenville, North Carolina, United States
Cancer Centers of Florida
πΊπΈOrlando, Florida, United States
OnCare
πΊπΈHonolulu, Hawaii, United States
Straub Clinical & Hospital
πΊπΈHonolulu, Hawaii, United States
Kaiser Permanente Honolulu
πΊπΈHonolulu, Hawaii, United States
Central Baptist Hospital
πΊπΈLexington, Kentucky, United States
University of Louisville Hospital - Brown Cancer Center
πΊπΈLouisville, Kentucky, United States
Ochsner Clinic Foundation
πΊπΈNew Orleans, Louisiana, United States
Omaha VAMC
πΊπΈOmaha, Nebraska, United States
Montefiore Medical Center / AECOM
πΊπΈBronx, New York, United States
Charleston Cancer Center
πΊπΈCharleston, South Carolina, United States
Texas Oncology-Austin North
πΊπΈAustin, Texas, United States
Swedish Cancer Institute-Eastside Hematology/Oncology
πΊπΈBellevue, Washington, United States