A Study to Document the Long-Term Safety and Efficacy of BMS-354825 in Subjects With Imatinib Resistant or Intolerant Chronic Myelogenous Leukemia and Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia Who Are Resistant or Intolerant to Previous Treatment and Have Completed the Previous Phase I/II Protocol (CA180-031/NCT00337454)
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 54
- 主要终点
- Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Deaths, and Discontinuation
研究概览
简要总结
To assess the safety of dasatinib (BMS-354825) in subjects with Imatinib resistant or intolerant chronic myelogenous leukemia (CML) and Philadelphia chromosome positive (Ph+) acute lymphoblastic leukemia (ALL) who are resistant or intolerant to treatment and will continue study drug after completing the previous Phase I/II study (CA180031/NCT00337454)
研究设计
- 研究类型
- Interventional
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects who were eligible and completed the previous Phase I and II study (CA180031/NCT00337454) and for whom the principal investigator has deemed that continuation of study drug is in the best interest of the subject
排除标准
- •Women who are pregnant or breastfeeding
- •Subjects who are eligible and willing to undergo transplantation at pre-study
- •Non-hematologic intolerance to Dasatinib (BMS-354825) in the previous Phase I and II study (CA180031/NCT00337454)
研究组 & 干预措施
dasatinib (CML-CP)
CML - Chronic Phase
干预措施: dasatinib (Drug)
dasatinib (CML-AP/BP)
CML - Accelerated Phase and Blast Phase
干预措施: dasatinib (Drug)
dasatinib (Ph+ ALL)
Ph+ Acute Lymphoblastic Leukemia
干预措施: dasatinib (Drug)
结局指标
主要结局
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Deaths, and Discontinuation
时间窗: baseline; every 4 weeks (if on study < 6 months, including CA180-031(NCT00337454); every 12 weeks (if on study >=6 months and <=2 years); every 24 weeks (if on study >2 years); at discontinuation
AE=any new untoward medical occurrence or worsening of a pre-existing medical condition which does not necessarily have a causal relationship with this treatment. Related AE=relationship of certain, probable, possible, or missing. SAE=any untoward medical occurrence that at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, results in development of drug dependency or drug abuse, is an important medical event.
次要结局
- Participants With CML-Accelerated or Blast Phase (AP/BP): Percentage of Participants With Cytogenetic Response(At baseline, every 12 weeks up to 2 years on study (including study CA180031/NCT00337454), every 24 weeks thereafter)
- Participants With Ph+ Acute Lymphoblastic Leukemia (Ph+ ALL): Percentage of Participants With Cytogenetic Response(At baseline, every 12 weeks up to 2 years on study (including study CA180031/NCT00337454), every 24 weeks thereafter)
- Participants With CML-CP: Time to Complete Cytogenetic Response (CCyR)(At baseline, every 24 weeks thereafter (including study CA180031/NCT00337454),)
- Participants With Chronic Phase CML (CML-CP): Percentage of Participants With Cytogenetic Response(At baseline, every 24 weeks thereafter (including study CA180031/NCT00337454))
- Participants With CML-AP/BP and Ph+ ALL: Time to Complete Cytogenetic Response (CCyR)(At baseline, every 12 weeks up to 2 years on study (including study CA180031/NCT00337454), every 24 weeks thereafter)
- Participants With CML-CP: Duration of Complete Cytogenetic Response (CCyR)(At baseline, every 24 weeks thereafter (including study CA180031/NCT00337454))
- Participants With CML-AP/BP and Ph+ALL: Duration of Complete Cytogenetic Response (CCyR)(At baseline, every 12 weeks up to 2 years on study (including study CA180031/NCT00337454), every 24 weeks thereafter)
- Participants With CML-CP: Time to Major Cytogenetic Response (MCyR)(At baseline, every 24 weeks thereafter (including study CA180031/NCT00337454))
- Participants With CML-AP/BP and Ph+ALL: Time to Major Cytogenetic Response (MCyR)(At baseline, every 12 weeks up to 2 years on study (including study CA180031/NCT00337454), every 24 weeks thereafter)
- Participants With CML-CP: Duration of Major Cytogenetic Response (MCyR)(At baseline, every 24 weeks thereafter (including study CA180031/NCT00337454))
- Participants With CML-AP/BP and Ph+ ALL: Duration of Major Cytogenetic Response (MCyR)(At baseline, every 12 weeks up to 2 years on study (including study CA180031/NCT00337454), every 24 weeks thereafter)
- Participants With CML-CP: Percentage of Participants With Complete Hematologic Response (CHR)(baseline; every 4 weeks < 6 months on study (including study CA180031/NCT00337454), every 12 weeks >=6 months and <=2 years; every 24 weeks >2 years; at discontinuation)
- Participants With CML-AP/BP: Percentage of Participants With Hematologic Response(baseline; every 4 weeks < 6 months on study (including study CA180031/NCT00337454); every 12 weeks >=6 months and <=2 years; every 24 weeks >2 years; at discontinuation)
- Participants With Ph+ ALL: Percentage of Participants With Hematologic Response(baseline; every 4 weeks < 6 months on study (including study CA180031/NCT00337454); every 12 weeks >=6 months and <=2 years; every 24 weeks >2 years; at discontinuation)
- Time to Complete Hematologic Response (CHR) in Chronic Phase CML, Accelerated or Blast Phase CML, and Ph+ALL(baseline; every 4 weeks < 6 months on study (including study CA180031/NCT00337454); every 12 weeks >=6 months and <=2 years; every 24 weeks >2 years; at discontinuation)
- Duration of Complete Hematologic Response (CHR) in Chronic Phase CML, Accelerated or Blast Phase CML, and Ph+ALL(baseline; every 4 weeks < 6 months on study (including study CA180031/NCT00337454); every 12 weeks >=6 months and <=2 years; every 24 weeks >2 years; at discontinuation)
- Time to Major Hematologic Response (MaHR) in Accelerated or Blast Phase CML, and Ph+ALL(baseline; every 4 weeks < 6 months on study (including study CA180031/NCT00337454); every 12 weeks >=6 months and <=2 years; every 24 weeks >2 years; at discontinuation)
- Duration of Major Hematologic Response (MaHR) in Accelerated or Blast Phase CML, and Ph+ALL(baseline; every 4 weeks < 6 months on study (including study CA180031/NCT00337454); every 12 weeks >=6 months and <=2 years; every 24 weeks >2 years; at discontinuation)
- Time to Overall Hematologic Response (OHR) in Accelerated or Blast Phase CML, and Ph+ALL(baseline; every 4 weeks < 6 months on study (including study CA180031/NCT00337454); every 12 weeks >=6 months and <=2 years; every 24 weeks >2 years; at discontinuation)
- Duration of Overall Hematologic Response (OHR) in Accelerated or Blast Phase CML, and Ph+ALL(baseline; every 4 weeks < 6 months on study (including study CA180031/NCT00337454); every 12 weeks >=6 months and <=2 years; every 24 weeks >2 years; at discontinuation)
- Participants With Detectable Mutations of RNA (mRNA) of BCR-ABL at Baseline and at Best Achievement(At baseline, every 12 weeks up to 2 years on study (including study CA180031/NCT00337454), every 24 weeks thereafter, and at discontinuation)
- Status of Point Mutations of BCR-ABL at Baseline (BL) and End of Study (EOS)(At baseline and discontinuation--the study period was extended until the launch of dasatinib in Japan, January 2009.)
- Collection of Blood Samples for Pharmacokinetic Analysis of Dasatinib Twice Daily (BID) That Will Contribute to Population Pharmacokinetic Modeling(At any visit of later than Day 7, draw sample(s) at pretreatment trough (within 1 hour prior to dosing) or between 3 hours following treatment and prior to the next dose)
