A Randomized, Multicenter, Open-label Phase II Study of Dasatinib (BMS-354825) Administered Orally at a Dose of 50mg Twice Daily or 100mg Once Daily in Subjects With Chronic Phase Philadelphia Chromosome Positive Chronic Myeloid Leukemia Who Are Resistant or Intolerant to Imatinib
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 23
- 试验地点
- 1
- 主要终点
- Cytogenetic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at Week 24
研究概览
简要总结
The objective is to evaluate the cytogenetic response to Dasatinib (BMS-354825) administered for 24 weeks in subjects with Imatinib resistant or intolerant chronic phase chronic myeloid leukemia (CML) once daily (QD) or twice daily. (BID)
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 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
- •Philadelphia chromosome positive or bcr-abl gene positive Chronic phase Chronic Myelogenous Leukemia (CML) subjects must have primary or acquired resistance to Imatinib mesylate or have intolerance of imatinib mesylate
- •Performance status (general conditions) specified by the Eastern Cooperative Oncology Group: 0-2
- •Men and women, ages 20 to 75
- •Women of childbearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy throughout the study and for up to 3 months after the study in such a manner that the risk of pregnancy is minimized
排除标准
- •Subjects who are eligible and willing to undergo transplantation at pre-study
- •Women who are pregnant or breastfeeding
- •Uncontrolled or significant cardiovascular disease
- •History of significant bleeding disorder unrelated to CML
- •Adequate hepatic function
- •Adequate renal function
- •Medication that increases bleeding risk
- •Medication that changes heart rhythms
- •Subjects who are compulsory detained for legal reasons or treatment of either a psychiatric or physical (e.g., infectious disease) illness must not be enrolled into this study
研究组 & 干预措施
A
干预措施: dasatinib (Drug)
B
干预措施: dasatinib (Drug)
结局指标
主要结局
Cytogenetic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at Week 24
时间窗: Week 24
Cytogenetic responses (CyR) are based on the percentage of Philadelphia-positive (Ph+) metaphases among at least 20 metaphase cells in each bone marrow (BM) sample. The criteria for cytogenetic responses are as follows. Best CyR is defined as the best response obtained at any time during the study. Major Cytogenetic Response (MCyR) = Complete Cytogenetic Response (CCyR; 0 Ph+ Cells in Metaphase in BM), and Partial Cytogenetic Response (PCyR; 1 - 35 Ph+ Cells in Metaphase in BM).
次要结局
- Adverse Events (AEs), Serious Adverse Events (SAEs), Discontinuations, and Deaths During Treatment(Throughout study period to last observation. Dosing period=6 months; if beneficial, medication may continue in the extension period (ending in January 2009). Last observation=30 days past last dosing day or the discontinuation day.)
- Complete Hematologic Response (CHR) in Imatinib-Intolerant and Imatinib-Resistant Participants at Week 24(Week 24)
- Time to Major Cytogenetic Response (MCyR)(time from first dose of Dasatinib (BMS-354825) until the first day criteria for CCyR or PCyR, whichever occurs first, are first met)
- Pharmacokinetics of Dasatinib (BMS-354825) as Characterized by Population Pharmacokinetics(Six or more peripheral blood samples were collected at any visit after Day 7, pre-dose and 5 - 8 hours after dose administration.)
- Duration of MCyR(from the first day all criteria are met for CCyR or PCyR until the date of progressed disease (PD) or death)
- Time to CHR(time from first dose of Dasatinib (BMS-354825) until the first day CHR criteria are met)
- Duration of CHR(measured from the first day all criteria were first met for CHR (provided subjects achieved a cCHR), until the date PD is first reported or until death)
- Expression of BCR-ABL Gene Mutations of RNA (mRNA)(Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.))
- Progression-Free Survival (PFS)(time from first dose of Dasatinib (BMS-354825) until the first day criteria for CCyR or PCyR, whichever occurs first, are first met)
- Mutational Spectrum of BCR-ABL(Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.))
- Cytogenetic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at End of Study(Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.))
- Hematologic Response in Imatinib-Intolerant and Imatinib-Resistant Participants at End of Study(Baseline and at the end of long term extension period (The enrollment period was followed by an extension period until the launch of dasatinib in Japan, January 2009.))
