Imatinib Mesylate in Treating Patients With Chronic Myelogenous Leukemia
A Phase II Study of Gleevec in Ph+ Chronic Phase Chronic Myelogenous Leukemia
4 other identifiers
interventional
64
1 country
1
Brief Summary
This phase II trial is studying imatinib mesylate to see how well it works in treating patients with chronic myelogenous leukemia. Imatinib mesylate may stop the growth of cancer cells by blocking the enzymes necessary for cancer cell growth
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 14, 2002
CompletedStudy Start
First participant enrolled
September 1, 2002
CompletedFirst Posted
Study publicly available on registry
January 27, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2007
CompletedJanuary 17, 2013
January 1, 2013
5.1 years
February 14, 2002
January 16, 2013
Conditions
Outcome Measures
Primary Outcomes (3)
Response rate
Up to 5 years
Disease-free survival
Up to 5 years
Toxicities graded according to the National Cancer Institute Common Toxicity Criteria (NCI CTC) v2.0
Up to 5 years
Secondary Outcomes (2)
Time to achieve hematological cytogenetic and molecular response
Up to 12 months
Event free survival
Up to 5 years
Study Arms (1)
Treatment (imatinib mesylate)
EXPERIMENTALPatients receive oral imatinib mesylate once daily on days 1-28. Courses repeat every 28 days for 1 year in the absence of disease progression or unacceptable toxicity. Patients who fail to achieve a complete hematologic response after 3 courses or a partial or complete cytogenic response after 6 courses are removed from the study.
Interventions
Given orally
Correlative studies
Eligibility Criteria
You may qualify if:
- Diagnosis of Philadelphia chromosome positive (Ph+) chronic phase chronic myelogenous leukemia (CML)
- Stratum I (closed to accrual as of 12/05/03):
- CML in first chronic phase with resistance to interferon alfa (IFN-A) therapy defined as one of the following:
- WBC count at least 20,000/mm\^3 after at least 3 months of treatment with an IFN-A-containing regimen
- Rising WBC count (at least 100% increase to a level of at least 20,000/mm\^3) by two samples at least two weeks apart while receiving treatment with an IFN-A-containing regimen
- At least 66% Ph+ cells in bone marrow after 1 year of IFN-A therapy
- At least 30% increase in Ph+ cells in bone marrow after IFN-A-induced cytogenetic response while continuing to receive IFN-A therapy
- Intolerance to interferon therapy defined as more than two grade 2 toxic effects or any grade 3 toxic effect related to interferon therapy, except grade 3 fever, that is persistent beyond the first 28-day course of therapy and unresponsive to standard supportive care interventions
- Stratum II (closed to accrual as of 7/29/05): CML recurring after stem cell transplantation or in second or subsequent chronic phase
- No molecular relapse (only evidence is detection of bcr-abl rearrangement with normal bone marrow and blood morphology and normal standard cytogenetic analysis)
- Stratum III (closed to accrual as of 7/29/05): Newly diagnosed CML in first chronic phase with no prior treatment except hydroxyurea
- Stratum IV: Newly diagnosed CML in first chronic phase with no prior treatment except hydroxyurea
- No accelerated or blast phase defined as one or more of the following:
- WBC doubling time less than 5 days
- Chloroma
- +47 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Children's Oncology Group
Arcadia, California, 91006-3776, United States
Related Publications (1)
Champagne MA, Fu CH, Chang M, Chen H, Gerbing RB, Alonzo TA, Cooley LD, Heerema NA, Oehler V, Wood C, French ME, Arceci RJ, Smith FO, Bernstein ML. Higher dose imatinib for children with de novo chronic phase chronic myelogenous leukemia: a report from the Children's Oncology Group. Pediatr Blood Cancer. 2011 Jul 15;57(1):56-62. doi: 10.1002/pbc.23031. Epub 2011 Apr 4.
PMID: 21465636DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Martin Champagne
Children's Oncology Group
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 14, 2002
First Posted
January 27, 2003
Study Start
September 1, 2002
Primary Completion
October 1, 2007
Last Updated
January 17, 2013
Record last verified: 2013-01