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Real-World Usage of Asciminib Among Patients With Chronic Myeloid Leukemia in Chronic Phase in the United States Using a Large Claims Database

Completed
Conditions
Chronic Myeloid Leukemia
Registration Number
NCT06148493
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

This was a retrospective descriptive analysis of health care claims data using the IQVIA open source medical and pharmacy claims databases. Patients were grouped into one of two cohorts depending on the index medication.

All patients with at least 1 pharmacy claim for asciminib occurring between 01 January 2021 and 30 April 2022 in (Phase 1) were grouped into the asciminib cohort. A data refresh was conducted (Phase 1 refresh) and all patients with at least 1 pharmacy claim for asciminib occurring between 01 January 2021 and 29 August 2022 were included in the asciminib cohort. Patients were required to have at least 6 months of continuous data availability prior to the start of treatment and were followed from the start of treatment until the end of available follow-up. The end of available follow up in open source data was defined as 1) last claim date in medical or pharmacy data, OR 2) last day of index pharmacy stability, OR 3) end of study period, whichever came first. While no post-index data availability were required in Phase 1, a subgroup analysis was conducted in patients with at least 3 and 6 months of available follow-up after the index date in Phase 1 refresh.

In Phase 2 of the study, patients with no exposure to asciminib and with at least 1 pharmacy claim for imatinib mesylate, dasatinib, nilotinib, bosutinib or ponatinib were indexed to the first new tyrosine kinase inhibitor (TKI) observed between 01 January 2021 and 29 August 2022 and grouped into the other TKI cohort. The index date was the initiation date of the index medication. Patients were required to have linkage to the open-source medical claims database and at least 3 months of available follow-up after the index date.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
425
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Age of patientsBaseline
Geographic region of patientsBaseline
Total duration of available follow-upUp to 6 months
Number of patients with comorbiditiesUp to 6 months
Number of patients with any prior TKI useUp to 6 months
Sex of patientsBaseline
Payer type for prescriptionsBaseline
Pre-index medication useUp to 6 months
Starting dose of index medicationUp to 6 months
Total day supply of index medicationUp to 6 months
Number of patients with chronic myeloid leukemia (CML) diagnosisUp to 6 months
Specialty of prescribing physicianUp to 6 months
Number of patients with T315I mutation proxyUp to 6 months
Number of patients with any prior non-TKI CML treatmentUp to 6 months
Number of patients still on index therapy at the end of Month 3 post-indexUp to 3 months
National Cancer Institute (NCI) comorbidity index for patientsUp to 6 months

The NCI comorbidity index score range is 0, 1 to 2, 2 to 3, and 3+, with higher scores indicating more comorbidity.

Number of prescriptions of index medicationUp to 6 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Novartis

🇺🇸

East Hanover, New Jersey, United States

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