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A randomized open label study of 400 mg versus 800 mg of Gleevec/glivec (imatinib mesylate) in patients with newly diagnosed, previously untreated chronic myeloid leukemia in chronic phase (CML-CP) using molecular endpoints

Conditions
treatment of pts with newly diagnosed chronic myeloid leukemia in chronic phase (CML-CP)
MedDRA version: 14.1Level: PTClassification code 10009013Term: Chronic myeloid leukaemiaSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2005-000657-29-IT
Lead Sponsor
OVARTIS FARMA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
420
Inclusion Criteria

1. Ability to provide written informed consent prior to participation to the study. 2. Male or female patients ≥ 18 and ≤ 75 years of age 3. Patients with CML-CP within 6 months of diagnosis (date of initial diagnosis is the date of first cytogenetic analysis). Standard conventional cytogenetic analysis must be done on bone marrow and be of satisfactory quality as outlined in Section 3.5.2.2 (Bone marrow analysis and cytogenetics). FISH analysis will not be accepted. 4. Diagnosis of chronic myelogenous leukemia in chronic phase with cytogenetic confirmation of Philadelphia chromosome of (9;22) translocations and presence of Bcr- Abl 5. Documented chronic phase CML as defined by: ? < 15% blasts in peripheral blood and bone marrow ? < 30% blasts plus promyelocytes in peripheral blood and bone marrow ? < 20% basophils in the peripheral blood ? ≥ 100 x 109/L (≥ 100,000 /mm3) platelets ? No evidence of extramedullary leukemic involvement, with the exception of hepatosplenomegaly 6. Adequate end organ function as defined by: ? total bilirubin < 1.5 x ULN ? SGOT and SGPT < 2.5 x ULN ? creatinine < 1.5 x ULN 7. Female patients of childbearing potential must have a negative serum pregnancy test within 7 days before initiation of study drug.
Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1. Patients in late chronic phase (i.e., chronic phase diagnosed greater than 6 months ago), accelerated phase, or blastic phase are excluded 2. Patients who have received other investigational agents 3. Treatment with tyrosine kinase inhibitor(s) prior to study entry is not allowed, except with any dose of Gleevec/Glivec for up to 2 weeks prior to study entry. 4. Patient received any treatment for CML prior to study entry for longer than 2 weeks with the exception of hydroxyurea and/or anagrelide 5. Patients with another primary malignancy except if the other primary malignancy is neither currently clinically significant or requiring active intervention 6. Patients who are: (a) pregnant, (b) breast feeding, (c) of childbearing potential without a negative pregnancy test prior to baseline and (d) male or female of childbearing potential unwilling to use contraceptive precautions throughout the trial (post-menopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential). 7. Patient with a severe or uncontrolled medical condition (i.e., uncontrolled diabetes, chronic renal disease) 8. Patient previously received radiotherapy to ≥ 25% of the bone marrow 9. Patient had major surgery within 4 weeks prior to study entry, or who have not recovered from prior major surgery 10. Patients with an ECOG Performance Status Score ≥ 3 11. Patients with International normalized ratio (INR) or partial thromboplastin time (PTT) > 1.5 x ULN, with the exception of patients on treatment with oral anticoagulants 12. Patients with known positivity for human immunodeficiency virus (HIV); baseline testing for HIV is not required 13. Patients with any significant history of non-compliance to medical regimens or with inability to grant a reliable informed consent 14. Patients with identified sibling donors where allogeneic bone marrow transplant is elected as first line treatment

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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