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
๐บ๐ธLos Angeles, California, United States
Peachtree Hematology-Oncology
๐บ๐ธAtlanta, Georgia, United States
Emory University
๐บ๐ธAtlanta, Georgia, United States
Boston VA Healthcare System
๐บ๐ธBoston, Massachusetts, United States
Baptist Cancer Center
๐บ๐ธMiami, Florida, United States
Indiana Blood and Marrow Transplantation
๐บ๐ธIndianapolis, Indiana, United States
Investigative Clinical Research of Indiana
๐บ๐ธIndianapolis, Indiana, United States
Cotton O'Neil Cancer Center
๐บ๐ธTopeka, Kansas, United States
Hutchinson Clinic
๐บ๐ธHutchinson, Kansas, United States
Arizona Oncology Associates, PC - NAHOA
๐บ๐ธSedona, Arizona, United States
Washington Hospital Center, Washington Cancer Institute
๐บ๐ธWashington, District of Columbia, United States
Little Rock Hematology Oncology Associates
๐บ๐ธLittle Rock, Arkansas, United States
Genesis Cancer Center
๐บ๐ธHot Springs National Park, Arkansas, United States
George Washington University
๐บ๐ธWashington, District of Columbia, United States
Arizona Oncology Associates, PC - HOPE
๐บ๐ธTucson, Arizona, United States
NEA Baptist Clinic
๐บ๐ธJonesboro, Arkansas, United States
Stamford Hospital
๐บ๐ธStamford, Connecticut, United States
Medical Oncology and Blood Disorders, LLP
๐บ๐ธManchester, Connecticut, United States
Rocky Mountain Cancer Centers
๐บ๐ธBoulder, Colorado, United States
Puerto Rico Hematology Oncology Group
๐ต๐ทBayamon, Puerto Rico
Prairie Lakes Healthcare System, Inc
๐บ๐ธWatertown, South Dakota, United States
Arizona Oncology Associates, PC - HAL
๐บ๐ธPhoenix, Arizona, United States
Billings Clinic
๐บ๐ธBillings, Montana, United States
Frederick Memorial Hospital
๐บ๐ธFrederick, Maryland, United States
Maryland Oncology Hematology Pa
๐บ๐ธColumbia, Maryland, United States
West Michigan Cancer Center
๐บ๐ธKalamazoo, Michigan, United States
Cancer & Hematology Centers of Western Michigan
๐บ๐ธGrand Rapids, Michigan, United States
South Coast Health System
๐บ๐ธFall River, Massachusetts, United States
Hackensack University Medical Center
๐บ๐ธHackensack, New Jersey, United States
Consultants In Blood Disorders
๐บ๐ธSaint Matthews, Kentucky, United States
Commonwealth Hematology-Oncology, P.C.
๐บ๐ธQuincy, Massachusetts, United States
Willis-Knighton Cancer System
๐บ๐ธShreveport, Louisiana, United States
UMass Medical Center
๐บ๐ธWorcester, Massachusetts, United States
Waverly Hematology Oncology
๐บ๐ธCary, North Carolina, United States
Michigan State University
๐บ๐ธLansing, Michigan, United States
Hematology-Oncology Associates of Northern NJ, PA
๐บ๐ธMorristown, New Jersey, United States
Portsmouth Regional Hospital
๐บ๐ธPortsmouth, New Hampshire, United States
Oregon Health & Science University
๐บ๐ธPortland, Oregon, United States
Gabrail Cancer Center
๐บ๐ธCanton, Ohio, United States
Advanced Oncology
๐บ๐ธNew York, New York, United States
Lehigh Valley Hospital
๐บ๐ธAllentown, Pennsylvania, United States
North Mississippi Hematology & Oncology
๐บ๐ธTupelo, Mississippi, United States
Southern Oncology Hematology
๐บ๐ธVineland, New Jersey, United States
Broome Oncology
๐บ๐ธJohnson City, New York, United States
St John's Clinic for Cancer and Hematology
๐บ๐ธSpringfield, Missouri, United States
Alamance Regional Cancer Center
๐บ๐ธBurlington, North Carolina, United States
Stony Brook University Hospital
๐บ๐ธStony Brook, New York, United States
Vassar Brothers Medical Center
๐บ๐ธPoughkeepsie, New York, United States
Gaston Hematology Oncology
๐บ๐ธGastonia, North Carolina, United States
Akron General Medical Center
๐บ๐ธAkron, Ohio, United States
Lancaster General Health
๐บ๐ธLancaster, Pennsylvania, United States
Berks Hematology-Oncology
๐บ๐ธWest Reading, Pennsylvania, United States
Veterans Research Foundation of Pittsburgh
๐บ๐ธPittsburgh, Pennsylvania, United States
Medical Oncology Associates of Wyoming Valley, PC
๐บ๐ธKingston, Pennsylvania, United States
The Cancer Center at Memorial Hospital
๐บ๐ธPawtucket, Rhode Island, United States
Texas Oncology-Methodist Charlton Cancer Center
๐บ๐ธDallas, Texas, United States
Michael DeBakey VA Medical Center
๐บ๐ธHouston, Texas, United States
Geisinger Health System
๐บ๐ธWilkes-Barre, Pennsylvania, United States
Hematology Oncology Associates of Fredricksburg
๐บ๐ธFredericksburg, Virginia, United States
St. Luke's Hospital and Health Network
๐บ๐ธBethlehem, Pennsylvania, United States
Texas Oncology
๐บ๐ธWaco, Texas, United States
Texas Oncology-Midland Allison Cancer Center
๐บ๐ธMidland, Texas, United States
Wheeling Hospital
๐บ๐ธWheeling, West Virginia, United States
Texas Oncology-McAllen South Second
๐บ๐ธMcAllen, Texas, United States
City Hospital - West Virginia University Hospital East
๐บ๐ธMartinsburg, West Virginia, United States
Julie & Ben Rogers Cancer Institute
๐บ๐ธBeaumont, Texas, United States
University of Tennessee Medical Center
๐บ๐ธKnoxville, Tennessee, United States
Texas Oncology - Arlington South
๐บ๐ธArlington, Texas, United States
Texas Oncology-Medical City Dallas
๐บ๐ธDallas, Texas, United States
Tennessee Cancer Specialists
๐บ๐ธKnoxville, Tennessee, United States
Avera Research Institute
๐บ๐ธSioux Falls, South Dakota, United States
Hematology and Oncology Associates of RI
๐บ๐ธCranston, Rhode Island, United States
Cancer Care Association Of York
๐บ๐ธYork, Pennsylvania, United States
MD Anderson Cancer Center
๐บ๐ธHouston, Texas, United States
Texas Oncology-Odessa West Texas Cancer Center
๐บ๐ธOdessa, Texas, United States
Texas Oncology-Dallas Presbyterian Hospital
๐บ๐ธDallas, Texas, United States
Cancer Care Centers of South Texas
๐บ๐ธSan Antonio, Texas, United States
North Texas Regional Cancer Center
๐บ๐ธPlano, Texas, United States
Providence Cancer Center at Sacred Heart Medical Center
๐บ๐ธSpokane, Washington, United States
Yakima Valley Memorial Hospital/North Star Lodge
๐บ๐ธYakima, Washington, United States
Danville Hematology & Oncology
๐บ๐ธDanville, Virginia, United States
Charleston Area Medical Center
๐บ๐ธCharleston, West Virginia, United States
Wenatchee Valley Medical Center
๐บ๐ธWenatchee, Washington, United States
Aspirus Regional Cancer Center
๐บ๐ธWausau, Wisconsin, United States
Local Insitution
๐ช๐ธToledo, Spain
Local Institution
๐ช๐ธSantiago De Compostela-A Coruรฑa, Spain
Cancer Care Associates
๐บ๐ธTulsa, Oklahoma, United States
St. Lukes Roosevelt Medical Center
๐บ๐ธNew York, New York, United States
Sturdy Hematology & Oncology Associates
๐บ๐ธAttleboro, Massachusetts, United States
Signal Point Clinical Research Center, LLC
๐บ๐ธMiddletown, Ohio, United States
Medical Center of Newark
๐บ๐ธNewark, Ohio, United States
Hematology/Oncology Salem LLP
๐บ๐ธSalem, Oregon, United States
Bms Clinical Research Center
๐บ๐ธDoes Not Exist, New Jersey, United States
Peninsula Cancer Institute
๐บ๐ธNewport News, Virginia, United States
Blue Ridge Cancer Care
๐บ๐ธRoanoke, Virginia, United States
Duke University Medical Center
๐บ๐ธDurham, North Carolina, United States
University Of Florida
๐บ๐ธJacksonville, Florida, United States
Northwest Alabama Cancer Center
๐บ๐ธMuscle Shoals, Alabama, United States
Southwest Cancer Care Medical Group
๐บ๐ธEscondido, California, United States
Wilshire Oncology Medical Group, Inc
๐บ๐ธGlendora, California, United States
St. Joseph's Hospital
๐บ๐ธOrange, California, United States
Stockton Hematology Oncology
๐บ๐ธStockton, California, United States
Tahoe Forest Health System Cancer Center
๐บ๐ธTruckee, California, United States
PMK Medical Group, Inc. DBA Ventura
๐บ๐ธOxnard, California, United States
Hematology And Medical Oncology Of Southern Palm Beach County
๐บ๐ธBoynton Beach, Florida, United States
Baptist Cancer Institute
๐บ๐ธJacksonville, Florida, United States
Central Florida Health Alliance
๐บ๐ธLeesburg, Florida, United States
Watson Clinic
๐บ๐ธLakeland, Florida, United States
Florida Cancer Specialists
๐บ๐ธNew Port Richey, Florida, United States
Lake County Oncology and Hematology
๐บ๐ธTavares, Florida, United States
Space Coast Cancer Center
๐บ๐ธTitusville, Florida, United States
Georgia Cancer Specialist
๐บ๐ธSandy Springs, Georgia, United States
Mid-Illinois Hem/Onc Asoc
๐บ๐ธNormal, Illinois, United States
Delnor Community Hospital
๐บ๐ธGeneva, Illinois, United States
Lewis Hall Singeltary Oncology Center
๐บ๐ธThomasville, Georgia, United States
Mahafzah Medical Center
๐บ๐ธEvergreen Park, Illinois, United States
North Chicago VA Medical Center
๐บ๐ธNorth Chicago, Illinois, United States
Southern Illinois School of Medicine
๐บ๐ธSpringfield, Illinois, United States
Central DuPage Hospital
๐บ๐ธWinfield, Illinois, United States
Saint John's Cancer Center
๐บ๐ธAnderson, Indiana, United States
Horizon Oncology Research, Inc
๐บ๐ธLafayette, Indiana, United States
Cancer Care Center, Inc. PC
๐บ๐ธNew Albany, Indiana, United States
N. Iowa Mercy Cancer Center
๐บ๐ธMason City, Iowa, United States
Cancer Center of Kansas
๐บ๐ธWichita, Kansas, United States
Broward Oncology Associates
๐บ๐ธFort Lauderdale, Florida, United States
Northwest Georgia Oncology Centers, PC
๐บ๐ธMarietta, Georgia, United States
Pacific Cancer Medical Center, Inc
๐บ๐ธAnaheim, California, United States
Palm Springs Research Institute
๐บ๐ธHialeah, Florida, United States
Carle Cancer Center
๐บ๐ธUrbana, Illinois, United States
East Carolina University
๐บ๐ธGreenville, North Carolina, United States
Cancer Centers of Florida
๐บ๐ธOrlando, Florida, United States
OnCare
๐บ๐ธHonolulu, Hawaii, United States
Straub Clinical & Hospital
๐บ๐ธHonolulu, Hawaii, United States
Kaiser Permanente Honolulu
๐บ๐ธHonolulu, Hawaii, United States
Central Baptist Hospital
๐บ๐ธLexington, Kentucky, United States
University of Louisville Hospital - Brown Cancer Center
๐บ๐ธLouisville, Kentucky, United States
Ochsner Clinic Foundation
๐บ๐ธNew Orleans, Louisiana, United States
Omaha VAMC
๐บ๐ธOmaha, Nebraska, United States
Montefiore Medical Center / AECOM
๐บ๐ธBronx, New York, United States
Charleston Cancer Center
๐บ๐ธCharleston, South Carolina, United States
Texas Oncology-Austin North
๐บ๐ธAustin, Texas, United States
Swedish Cancer Institute-Eastside Hematology/Oncology
๐บ๐ธBellevue, Washington, United States