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临床试验/NCT00101660
NCT00101660已完成2 期

A Phase II Study to Determine the Activity of BMS-354825 in Subjects With Chronic Phase Philadelphia Chromosome-Positive Chronic Myeloid Leukemia Who Have Disease That is Resistant to High Dose Imatinib Mesylate (Gleevec) or Who Are Intolerant of Imatinib

Bristol-Myers Squibb2 个研究点 分布在 2 个国家目标入组 387 人开始时间: 2005年2月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
387
试验地点
2
主要终点
Number of Imatinib-resistant Participants With Major Cytogenetic Response (MCyR)

研究概览

简要总结

The purpose of this study is assess the effects of the investigational drug dasatinib on participants who are in chronic phase Philadelphia chromosome chronic myeloid leukemia and who are either resistant to or intolerant of imatinib. Other purposes of the study are to identify any side effects the drug may produce and to study the level of dasatanib in the blood and assess the efficacy of dasatanib in the treatment of leukemia.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age of 18 years and older.
  • Chronic myeloid leukemia (CML)
  • Previous treatment with imatinib at a dose of >600 mg/day AND the development of progressive disease while receiving imatinib at that dose, OR
  • CML with resistance to imatinib at a dose less than or equal to 600 mg/day with genetic mutation in the BCR-ABL gene that is associated with a high level of resistance to imatinib, OR
  • Intolerance to imatinib at any dose
  • Adequate organ function
  • Women who are able to bear children must have a negative serum or urine pregnancy test. Adequate methods of contraception must be used throughout the study to avoid pregnancy for the entire interval of at least 1 month before and 3 months after completion of the study medication.

排除标准

  • Woman who are pregnant or breastfeeding
  • Men whose sexual partners are women who are of childbearing potential, and who are unwilling or unable to use an acceptable method to avoid pregnancy of his partner for the entire study period as outlined above
  • Previous diagnosis of accelerated phase or blast crisis CML.
  • Participants who are eligible and willing to undergo transplantation during the screening period
  • Uncontrolled or significant cardiovascular disease
  • Use of imatinib within 7 days.
  • Use of interferon or cytarabine within 14 days
  • Use of a targeted small-molecule anticancer agent within 14 days
  • Use of certain medication that carry a known side effect risk of Torsade de Pointes - Certain medications that irreversibly inhibit platelet function or anticoagulants
  • Prior therapy with dasatinib.

研究组 & 干预措施

Dasatinib, 70 mg twice daily (BID)

Experimental

Dasatanib, 70 mg twice daily (BID), with dose escalation to 90 mg BID was allowed for participants who showed evidence of progression or lack of response. Up to 2 dose reductions were allowed for intolerance.

干预措施: Dasatinib (Drug)

结局指标

主要结局

Number of Imatinib-resistant Participants With Major Cytogenetic Response (MCyR)

时间窗: 2 years

Cytogenetic response was based on the prevalence of Ph+ metaphases among cells with metaphases in a bone marrow sample. MCyR is the combination of Complete Cytogenetic Response (CCyR)-0% Ph+ metaphases plus Partial Cytogenetic Response (PCyR)-1% to 35% Ph+ metaphases.

次要结局

  • Number of Imatinib-intolerant Participants With MCyR(Baseline to 2 years)
  • Percentage of Participants Who Achieved MCyR and Did Not Progress at 12 and 24 Months(12 and 24 Months)
  • Median Time From First Dosing Date to Date of MCyR(Baseline (within 4 weeks of Day 1) and every 12 weeks)
  • Number of Participants With Complete Hematologic Response (CHR)(Baseline (within 72 hours of start of therapy), weekly until Week 12, every 3 months until off-study)
  • Percentage of Participants Who Acheived CHR and Did Not Progress at 12 Months and 24 Months(12 and 24 months)
  • Median Time From First Dosing Until CHR(Baseline (within 72 hours of start of therapy), weekly until Week 12, every 3 months until off-study)
  • Number of Participants With Major Molecular Response (MMR)(Baseline to 2 years)
  • Minimal Clinically Significant Change From Baseline in Functional Assessment of Cancer Therapy-General (FACT-G) Questionnaire Scores(Baseline, Day 29, every 4 weeks for the first 24 weeks, then every 12 weeks for the remainder of treatment, after end of treatment. Treatment continued until disease progression or development of toxicity or until other protocol-defined criteria.)
  • Number of Imitanib-intolerant Participants With Drug-related Adverse Events (AEs), Death Within 30 Days of Last Dose, Death, and AEs Leading to Discontinuation, Serious Adverse Events (SAEs), Grade 3-4 Thrombocytopenia, Grade 4-4 Neutropenia, and Any AE(Continuously, from baseline through 2 years)
  • Number of Imitanib-resistant Participants With Drug-related AEs, Death Within 30 Days of Last Dose, Death, AEs Leading to Discontinuation, SAEs, Grade 3-4 Thrombocytopenia, Grade 3-4 Neutropenia, and Any AE(Continuously, from baseline through 2 years)
  • Blood Sample Collection for Pharmacokinetic (PK) Analysis of Dasatinib(Day 8 of study; pretreatment through sample between 30 minutes and 3 hours following treatment, a sample between 5 hours and 8 hours following treatment and a sample at 12 hours, prior to the next dose.)

研究者

发起方
Bristol-Myers Squibb
申办方类型
Industry
责任方
Sponsor

研究点 (2)

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