MedPath

Efficacy and Safety of Generic Imatinib (Carcemia®) Compared to Glivec® in Real-Life Management of Chronic Phase of Chronic Myeloid Leukemia

Recruiting
Conditions
Chronic Myeloid Leukemia
Interventions
Drug: Carcemia
Registration Number
NCT05282108
Lead Sponsor
Hikma Pharmaceuticals LLC
Brief Summary

The purpose of this study is to evaluate Efficacy and Safety of Generic Imatinib (Carcemia®) Compared to Glivec® in Real-Life Management of Chronic Phase of Chronic Myeloid Leukemia

Detailed Description

This is an observational, prospective, cohort study design, where no visits or intervention(s) additional to the daily practice will be performed. In the study site, two cohorts will be identified among eligible patients, followed up, and assessed for a total of 12 months.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
240
Inclusion Criteria
  1. Age ≥18 years
  2. Newly diagnosed patients with Ph+ CML in CP, with or without the presence of other cytogenetic abnormalities at the time of diagnosis
  3. Treatment naïve patients with confirmed diagnosis within 3 months of study enrolment
  4. Levels of liver aminotransferases and serum bilirubin ≤ 2 times the upper limit of the normal range, and serum creatinine ≤1.5 times the upper limit of the normal range
  5. Written informed consent
Exclusion Criteria
  1. CML in accelerated phase (AP) at enrolment except patients in AP with the presence of other cytogenetic abnormalities at the time of diagnosis 2. CML in BP at enrolment 3. Patients who meet any of the contraindications to the administration of the study drug according to the approved Summary of Product Characteristics.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Carcemia groupCarcemiaThe cohort treated with Carcemia
Glivec GroupGlivecThe cohort treated with Glivec
Primary Outcome Measures
NameTimeMethod
Proportion of patients who achieve and maintain major molecular response (MMR) at 12 months12 months

Proportion of patients who achieve and maintain major molecular response (MMR) at 12 months using RQ-PCR test (Appendix II) using Chi-square test. The MMR is defined as ration of BCR-ABL to ABL (or other housekeeping gene) ≤ 0.1% on the international scale (MMR is equal to a 3-log reduction in the ratio of BCR-ABL1: ABL from a standardized median baseline value).

Secondary Outcome Measures
NameTimeMethod
Complete cytogenetic response (CCyR) at 12 months12 months
the safety & tolerability of imatinib after 12 months12 months

In both cohorts, the safety \& tolerability of imatinib after 12 months of treatment will be assessed by:

* The number, type, severity and frequency of the adverse reactions particularly those described in the SmPC of the reference product.

* Incidence of adverse events (AEs) \& serious adverse events (SAEs).

* AEs leading to permanent treatment discontinuation.

* Clinically relevant changes in laboratory tests (according to laboratory reference ranges).

Progression free survival (PFS) at 12 months12 months
Event free survival (EFS) at 12 months12 months
Survival without blastic phase (BP) at 12 months12 months
Overall survival (OS) at 12 months12 months
Deep Molecular response (DMR) at 12 months12 months
Treatment compliance12 months

Treatment compliance while on imatinib will be evaluated by identifying the frequency of not taking the medications as prescribed and the reason behind that based on the prescription pattern. The decision on non-compliance is based on the treating physician's judgment."

Trial Locations

Locations (4)

Ain Shams University Hospital

🇪🇬

Cairo, Egypt

Tanta Oncology Center

🇪🇬

Tanta, Egypt

National Cancer Institute (NCI)

🇪🇬

Cairo, Egypt

Nasser Institute

🇪🇬

Cairo, Egypt

© Copyright 2025. All Rights Reserved by MedPath