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临床试验/jRCT2031260265
jRCT2031260265尚未招募不适用

Study to Evaluate the Safety and Efficacy of Asciminib in Pediatric Patients With Ph+ CML-CP (CABL001I12202)

未提供0 个研究点目标入组 3 人开始时间: 待定
适应症

试验速览

阶段
不适用
状态
尚未招募
入组人数
3

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Single Arm Study

入排标准

年龄范围
1age old over 至 18age old not(—)
性别
All

入选标准

  • •Signed informed consent must be obtained prior to participation in the study.
  • •Male or female participants 1 and < 18 years of age at study enrollment
  • •Diagnosis of CML-CP (Apperley et al 2025) with cytogenetic confirmation of Philadelphia positive (Ph+) chromosome
  • •For participants with CML-CP newly diagnosed within 3 months of screening OR 5 For participants with CML - CP with high risk of developing resistance or intolerance to previous TKI:
  • •Unfavourable response to TKI is defined following the Apperley et al 2025 guidelines as:
  • •At three months after the initiation of therapy: BCR::ABL1 ratio > 10% IS (if confirmed within 1-3 months)
  • •At six months after the initiation of therapy: BCR::ABL1 ratio > 10% IS
  • •At twelve months after initiation of therapy: BCR::ABL1 ratio > 1% IS
  • •At any time loss of previous response
  • •At any time emergent resistant BCR::ABL1 mutations or high-risk ACA from prior TKI treatment as per local test results
  • •Intolerance to TKI is defined as:
  • •Non-hematologic intolerance: participants with grade 3 or 4 toxicity while on therapy (in which case the patient is eligible whether or not there was a dose reduction); or with persistent grade 2 toxicity unresponsive to optimal management including dose adjustments (unless dose reduction is not considered in the best interest of the patient if response is already suboptimal)
  • •Hematologic intolerance: participants with grade 3 or 4 toxicity (absolute neutrophil count [ANC] or platelets) while on therapy that is recurrent after dose reduction to the lowest doses of the TKI
  • •Evidence of typical BCR::ABL1 transcript [e14a2 and/or e13a2] at the time of screening which are amenable to standardized RQ-PCR quantification.
  • •Performance status: Karnofsky >= 50% for participants >= 16 years of age, and Lansky >= 50 for participants < 16 years of age at the time of screening.

排除标准

  • •Known second chronic phase (CP) of CML after previous progression to Accelerated Phase (AP)/Blast Phase (BP).
  • •Previous treatment with a hematopoietic stem-cell transplantation.
  • •Patient planned to undergo allogeneic hematopoietic stem cell transplantation
  • •Known presence of a BCR::ABL1 mutation with known resistance to study treatment in accordance with the most recent public version of international CML clinical guidelines (e.g. NCCN CML treatment guidelines v 1.2026 and Apperley et al 2025) any time prior to study entry

研究者

发起方
未提供

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