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临床试验/EUCTR2012-005629-65-GB
EUCTR2012-005629-65-GB进行中(未招募)1 期

Management of Transformed Chronic myeloid leukaemia: Ponatinib and Intensive chemotherapy: a dose finding study - Matchpoint

niversity of Birmingham0 个研究点目标入组 15 人开始时间: 2013年12月30日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
15

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • All of the following:
  • Ph-positive or BCR-ABL positive CML in blastic transformation. Defined as one or more of the following being present:
  • oBlasts =30% in peripheral blood or bone marrow
  • oExtramedullary blast proliferation or large foci or clusters of blasts in the bone marrow biopsy
  • Suitable for intensive chemotherapy (FLAG-IDA)
  • Adequate renal function defined as serum creatinine =1.5 X upper limit of normal (ULN)
  • Adequate liver function defined as:
  • oTotal bilirubin < 1.5 X ULN, unless due to Gilbert’s syndrome
  • oAlanine aminotransferase (ALT) or aspartate aminotransferase (AST) < 2.5 X ULN (< 5 X ULN if liver involvement with leukaemia. Patients with disordered liver function >5 X ULN due to leukaemia may enter with a dose reduction of FLAG-IDA as per local guidelines and will be considered on a per patient basis following discussion with the Chief Investigator and Trial Office.)
  • Normal pancreatic status defined as:
  • oSerum Amylase = 1.5 X ULN
  • Normal QTcF interval on screening ECG evaluation, defined as QTcF of = 450 ms in males or =470 ms in females.
  • Female and male patients who are of childbearing potential must agree to use an effective form of contraception with their sexual partners throughout participation in this study until 4 months after the last dose of ponatinib.
  • Ability to comply with study procedures, in the Investigator’s opinion.
  • Valid Informed Consent
  • Are the trial subjects under 18? yes
  • 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 10
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range 3

排除标准

  • Any of the following will exclude:
  • Received chemotherapy other than hydroxycarbamide, anagrelide, low dose arabinosylcytarabine (LDAC), steroids, or interferon within 4 weeks of registration
  • Changed TKI therapy more than once since confirmation of blast phase CML or had prior treatment with ponatinib at any time.
  • Previous treatment with intensive acute leukaemia-style chemotherapy (FLAG-IDA). (Unless treatment was during an initial blast phase which returned to chronic phase for a prolonged period of time and the patient is now in a second blast phase.)
  • Prior allogeneic or autologous Stem Cell Transplant
  • Significant or active cardiovascular disease, specifically including but not restricted to:
  • oMyocardial infarction, stroke or revascularization within 12 months prior to registration
  • oHistory of clinically significant atrial arrhythmia
  • oAny history of or ventricular arryhthmia
  • oUnstable angina or transient ischemic attack within 6 months prior to registration
  • oCongestive heart failure within 6 months prior to registration
  • oLeft ventricular ejection fraction (LVEF) less than lower limit of normal within 6 months prior to registration
  • oAny history of unprovoked venous thromboembolism including deep venous thrombosis or pulmonary embolism
  • oUncontrolled hypertension (sustained diastolic blood pressure >90 mm Hg; systolic >140 mm Hg).
  • History of acute pancreatitis within 1 year prior to registration
  • History of chronic pancreatitis.
  • Uncontrolled hypertriglyceridaemia (>450 mg/dL)
  • Are pregnant or lactating
  • Are known galactose intolerant
  • Underwent major surgery (with the exception of minor surgical procedures, such as catheter placement or Bone Marrow biopsy) within 14 days prior to registration
  • Suffer from any condition or illness that, in the opinion of the investigator, would compromise patient safety or interfere with the evaluation of the safety of the study treatment

研究者

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