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A clinical trial of dasatinib vs. nilotinib in children with CP- and AP-CM

Phase 2
Recruiting
Conditions
Chronic myeloid leukemia
Registration Number
JPRN-jRCTs041190038
Lead Sponsor
Keino Dai
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
65
Inclusion Criteria

1) prior enrollment to JPLSG-CHM-14 study
2) BCR-ABL1 positive CML
3) chronic or accelerated phase at diagnosis and no history of disease progression
4) patients who have no history of TKI treatment other than imatinib or who are imatinib-resistant and/or intolerant
5) < 18 years of age at enrollment
6) ECOG PS 0-2 (CML-related PS 3 is allowed)
7) written informed consent obtained from patient and/or guardian

Exclusion Criteria

1) previously documented highly resistant mutations to dasatinib and/or nilotinib
2) QTcF >=0.45 second
3) pregnant or lactating female including who plans to be pregnant during clinical trial
4) positive allergic history to excipients of dasatinib or nilotinib
5) prior allogeneic hematopoietic stem cell transplantation for CML
6) uncontrolled or sever comorbidities
7) patients who are ineligible decided by pediatricians

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
continuity of dasatinib and nilotinib
Secondary Outcome Measures
NameTimeMethod
1) the BCR-ABL1/ABL1 levels after 3 months treatment of dasatinib or nilotinib<br>2) the rate of BCR-ABL1/ABL1 decline after 3 months treatment of dasatinib or nilotinib<br>3) safety<br>4) cumulative achievement of hematologic response<br>5) cumulative achievement of cytogenetic response<br>6) cumulative achievement of molecular response<br>7) proportion of cases classified as optimal response, warning or failure<br>8) event-free survival rate<br>9) progression-free survival rate<br>10) overall survival rate<br>11) quality of life<br>12) long-term adverse effect
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