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Asciminib Roll-over Study

Phase 4
Recruiting
Conditions
Chronic Myelogenous Leukemia
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Interventions
Registration Number
NCT04877522
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

This is a long term safety study for patients who have completed a Novartis sponsored asciminib study and are judged by the investigator to benefit from continued treatment

Detailed Description

This is an open-label, multi-center, global roll-over study designed to assess long term safety and provide continued treatment to participants who have previously participated in an asciminib Novartis sponsored study and who, in the opinion of the investigator, would benefit from continued treatment as in their parent study but are unable to access this treatment outside of the clinical study.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
347
Inclusion Criteria
  1. Participant with PH+ CML or PH+ ALL currently receiving treatment with asciminib (single agent or in combination with imatinib, nilotinib or dasatinib), imatinib, nilotinib or bosutinib alone within a Novartis-sponsored study and, in the opinion of the Investigator, would benefit from continued treatment.
  2. Participant has demonstrated compliance on the parent study protocol and is willing and able to comply with scheduled visits, treatment plans and any other study procedures.

Key

Exclusion Criteria
  1. Participant has been discontinued from parent study treatment.

  2. Participant currently has unresolved toxicities reported as possibly related to study treatment in the parent study.

  3. Participant's ongoing treatment is currently approved and reimbursed at country level.

  4. Pregnant or nursing (lactating) women.

  5. Women of child-bearing potential, unless they are using highly effective methods of contraception and willing to continue while taking study treatment.

  6. Sexually active males receiving imatinib, nilotinib, bosutinib or dasatinib unwilling to follow the relevant contraception requirements in the local prescribing information.

  7. Applicable for participants on bosutinib treatment at the end of the CABL001A2301 and on other TKIs for CABL001A2202 study that switch to asciminib treatment:

    • Asymptomatic (grade 2) pancreatitis if not resolved within 28 days
    • QTcF>480msec or inability to determine QTc interval
    • any grade 3 or 4 toxicity not resolved to grade 2 or lower within 28 days before starting asciminib treatment

Other protocol-defined Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Bosutinib single agent groupBosutinibParticipants with CML-CP, from Novartis sponsored asciminib study CABL001A2301, that were receiving bosutinib
Imatinib single agent groupImatinibParticipants with CML-CP, from Novartis sponsored asciminib study CABL001E2201 that were receiving imatinib
Bosutinib-Asciminib switch groupAsciminib single agentParticipants with CML-CP, from Novartis sponsored asciminib study CABL001A2301 that were receiving bosutinib treatment and switched to asciminib when entering this study or during the course of this study
Asciminib single agent groupAsciminib single agentParticipants with CML or ALL, from Novartis sponsored asciminib studies, including but not limited to CABL001A2301, CABL001A2302, CABL001X2101, CABL001A2202, CABL001AUS04 and CABL001AUS08 studies, that were receiving asciminib
Asciminib in combination with nilotinib groupNilotinibParticipants with CML or ALL from Novartis sponsored asciminib studies CABL001E2201or CABL001X2101 that were receiving asciminib combined with nilotinib
Asciminib in combination with imatinib groupImatinibParticipants with CML from Novartis sponsored asciminib studies CABL001E2201 or CABL001X2101 that were receiving asciminib combined with imatinib
Dasatinib-Asciminib switch groupAsciminib single agentParticipants with CML-CP, from Novartis sponsored asciminib study CABL001A2202 that were receiving best available therapy (dasatinib) and switched to asciminib when entering this study or during the course of this study
Nilotinib single agent groupNilotinibParticipants with CML-CP, from Novartis sponsored asciminib study CABL001E2201 and CABL001J12302 that were receiving nilotinib
Asciminib in combination with dasatinib groupDasatinibParticipants with CML from Novartis sponsored study CABL001X2101 that were receiving asciminib with dasatinib
Dasatinib single agent groupDasatinibParticipant with CML-CP , from Novartis sponsored asciminib study CABL001A2202, CABL001J12301, that were receiving Dasatinib.
Primary Outcome Measures
NameTimeMethod
Number of participants with adverse events (AEs) and serious adverse events (SAEs)8 years

All AEs and SAEs will be tabulated and listed for participants in the Safety Set by treatment group. From day of first administration of study treatment to 30 days after the last study treatment.

Secondary Outcome Measures
NameTimeMethod
Percentage of participants with clinical benefit as assessed by Investigator8 years

Investigators' assessment of clinical benefit will collected through the Investigator confirming that the patient is still benefiting from treatment. This will be evaluated and tabulated for participants in the Safety Set by treatment group at each visit.

Trial Locations

Locations (5)

Michigan Med University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Memorial Sloan Kettering

🇺🇸

New York, New York, United States

Oregon Health Sciences University

🇺🇸

Portland, Oregon, United States

Uni Of TX MD Anderson Cancer Cntr

🇺🇸

Houston, Texas, United States

Novartis Investigative Site

🇬🇧

Oxford, United Kingdom

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