NCT00519090

Brief Summary

In this study, the efficacy and safety of nilotinib 400 mg twice daily, will be compared with imatinib 400 mg twice daily in patients with a suboptimal response to imatinib for their Philadelphia chromosome-positive (Ph+) Chronic Myelogenous Leukemia in the chronic phase (CML-CP).

Trial Health

68
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
6

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Oct 2007

Shorter than P25 for phase_3

Geographic Reach
10 countries

80 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 17, 2007

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 21, 2007

Completed
1 month until next milestone

Study Start

First participant enrolled

October 1, 2007

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2008

Completed
2.6 years until next milestone

Results Posted

Study results publicly available

May 10, 2011

Completed
Last Updated

November 7, 2011

Status Verified

November 1, 2011

Enrollment Period

1 year

First QC Date

August 17, 2007

Results QC Date

November 11, 2010

Last Update Submit

November 4, 2011

Conditions

Keywords

leukemiabone marrowleukemia symptomscmlcomplete blood countlymphocyteblood cancerleukocyteschronic leukemiabone marrow biopsyleukemia researchleukemia cellsbone marrow diseasechronic myeloid leukemiablood cancer symptomswhite blood cell diseaseschronic myelogenous leukemialeukemia treatmentleukemia factsleucemiafacts about leukemiamyelogenous leukemianewly diagnosed CMLsuboptimal responsePhiladelphia chromosome positive (Ph+)chronic myelogenous leukemia in chronic phase (CML-CP)

Outcome Measures

Primary Outcomes (1)

  • Complete Cytogenetic Response Rate(CCyR) in Patients Who Had a Suboptimal Cytogenetic Response on Imatinib

    Due to early termination of the trial, the number of patients was too small and imbalanced and therefore analysis was not performed.

    12 months

Secondary Outcomes (1)

  • Durable Complete Cytogenetic Response Rate

    24 months

Study Arms (2)

Nilotinib (AMN107)

EXPERIMENTAL
Drug: Nilotinib (AMN107)

Imatinib

ACTIVE COMPARATOR
Drug: Imatinib

Interventions

Administered orally as a single agent on a continuous daily schedule given 400 mg bid (twice daily) with food. One cycle comprised of 28 days.

Also known as: STI571, imatinib mesylate, Glivec®, Gleevec®
Imatinib

Administered orally as a single agent on a continuous daily schedule of 400 mg bid (2 x 200 mg twice daily) without food. Once cycle comprised of 28 days.

Nilotinib (AMN107)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of Philadelphia chromosome positive chronic myelogenous leukemia in the chronic phase.
  • Patients with suboptimal cytogenetic response to a dose of 400 mg imatinib (first line therapy) defined as:
  • to \< 12 months of treatment and -have 36 - 95% Ph+ metaphases, or
  • to \<18 months of treatment and have 1 - 35% Ph+ metaphases (Standard cytogenetics, no FISH \[fluorescence in situ hybridization\] analysis was allowed).

You may not qualify if:

  • Patient who have received more than 18 months of imatinib therapy
  • Patients who have achieved partial or complete cytogenetic response and lost that response prior to entering the study.
  • Prior treatment with greater than 400 mg/day imatinib.
  • Uncontrolled or significant cardiovascular disease.
  • Severe or uncontrolled medical conditions (i.e. uncontrolled diabetes, active or uncontrolled infection).
  • Use of therapeutic coumarin derivatives (i.e., warfarin, acenocoumarol, phenprocoumon)
  • Currently taking certain medications that could affect the rhythm of your heart.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (80)

Arizona Cancer Center

Tucson, Arizona, 85701, United States

Location

Southern California Permanente Medical Group

Anaheim, California, 92801, United States

Location

Southern California Permanente Medical Group

Baldwin Park, California, 91706, United States

Location

Southern California Permanente Medical Group

Fontana, California, 92334, United States

Location

Kaiser Permanente Medical Group/Hayward Medical Center

Hayward, California, 94540, United States

Location

Southern California Permanente Medical Group

Los Angeles, California, 90001, United States

Location

Kaiser Permanente Medical Group/Oakland Medical Center

Oakland, California, 94601, United States

Location

Southern California Permanente Medical Group

Panorama City, California, 91402, United States

Location

Southern California Permanente Medical Group

Riverside, California, 92501, United States

Location

Kaiser Permanente Medical Group/Sacramento Medical Center

Sacramento, California, 94203, United States

Location

Southern California Permanente Medical Group

San Diego, California, 92101, United States

Location

Kaiser Permanente Medical Group

San Francisco, California, 94101, United States

Location

Kaiser Permanente Medical Group

San Jose, California, 95101, United States

Location

Kaiser Permanente Medical Group/Santa Clara Medical Office

Santa Clara, California, 95050, United States

Location

Kaiser Permanente Medical Group/South San Francisco Medical Center

South San Francisco, California, 94101, United States

Location

Kaiser Permanente Medical Group/Vallejo Medical Center

Vallejo, California, 94589, United States

Location

Kaiser Permanente Medical Group/Walnut Creek Medical Center

Walnut Creek, California, 94595, United States

Location

Southen California Permanente Medical Group

Woodland Hills, California, 91364, United States

Location

Rocky Mountain Cancer Center

Denver, Colorado, 80201, United States

Location

Northwestern Memorial Hospital

Chicago, Illinois, 60601, United States

Location

The University of Chicago Medical Center

Chicago, Illinois, 60601, United States

Location

Indiana Blood and Marrow Transplantation

Beech Grove, Indiana, 46107, United States

Location

Holden Cancer Center

Iowa City, Iowa, 52240, United States

Location

Johns Hopkins Hospital

Baltimore, Maryland, 21201, United States

Location

University of Michigan

Ann Arbor, Michigan, 48103, United States

Location

Hematology Centers of Western Michigan

Grand Rapids, Michigan, 49501, United States

Location

Methodist Cancer Center

Omaha, Nebraska, 68101, United States

Location

The Cancer Center at Hackensack University Medical Center

Hackensack, New Jersey, 07601, United States

Location

Duke University Hospital

Durham, North Carolina, 27701, United States

Location

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27101, United States

Location

Oregon Health Sciences University

Portland, Oregon, 97201, United States

Location

St. Luke's Hospital and Health Network

Bethlehem, Pennsylvania, 18015, United States

Location

Jones Cancer Center

Germantown, Tennessee, 38138, United States

Location

Vanderbilt University

Nashville, Tennessee, 37201, United States

Location

University of Texas/MD Anderson Cancer Center

Houston, Texas, 77001, United States

Location

Swedish Cancer Institute

Seattle, Washington, 98101, United States

Location

Novartis Investigative Site

Darlinghurst, Australia

Location

Novartis Investigative Site

Herston, Australia

Location

Novartis Investigative Site

Liverpool, Australia

Location

Novartis Investigative Site

Perth, Australia

Location

Novartis Investigative Site

Prahran, Australia

Location

Novartis Investigative Site

South Brisbane, Australia

Location

Novartis Investigative Site

St Leonards, Australia

Location

Novartis Investigative Site

Bruges, Belgium

Location

Novartis Investigative Site

Ghent, Belgium

Location

Novartis Investigative Site

Leuven, Belgium

Location

Novartis Investigative Site

Mannheim, Brazil

Location

Novartis Investigative Site

Porto Alegre, Brazil

Location

Novartis Investigative Site

São Paulo, Brazil

Location

Novartis Investigative Site

Olomouc, Czechia

Location

Novartis Investigative Site

Prague, Czechia

Location

Novartis Investigative Site

Berlin, Germany

Location

Novartis Investigative Site

Düsseldorf, Germany

Location

Novartis Investigative Site

Eisensach, Germany

Location

Novartis Investigative Site

Firenze, Germany

Location

Novartis Investigative Site

Greifswald, Germany

Location

Novartis Investigative Site

Hamburg, Germany

Location

Novartis Investigative Site

Jena, Germany

Location

Novartis Investigative Site

Kiel, Germany

Location

Novartis Investigative Site

Leipzeg, Germany

Location

Novartis Investigative Site

Postsdam, Germany

Location

Novartis Investigative Site

Rostock, Germany

Location

Novartis Investigative Site

Stuttgart, Germany

Location

Novartis Investigative Site

Weiden, Germany

Location

Novartis Investigative Site

Bologna, Italy

Location

Novartis Investigative Site

Milan, Italy

Location

Novartis Investigative Site

Napoli, Italy

Location

Novartis Investigative Site

Orbassano, Italy

Location

Novartis Investigative Site

Reggio Calabra, Italy

Location

Novartis Investigative Site

Roma, Italy

Location

Novartis Investigative Site

Nagoya, Japan

Location

Novartis Investigative Site

Oaska, Japan

Location

Novartis Investigative Site

Tokyo, Japan

Location

Novartis Investigative Site

Hwasun-Gun, South Korea

Location

Novartis Investigative Site

Seoul, South Korea

Location

Novartis Investigative Site

Barcelona, Spain

Location

Novartis Investigative Site

Madrid, Spain

Location

Novartis Investigative Site

Salamanca, Spain

Location

Novartis Investigative Site

Santiago de Compostela, Spain

Location

Novartis Investigative Site

Valencia, Spain

Location

Related Publications (1)

  • Agrawal M, Hanfstein B, Erben P, Wolf D, Ernst T, Fabarius A, Saussele S, Purkayastha D, Woodman RC, Hofmann WK, Hehlmann R, Hochhaus A, Muller MC. MDR1 expression predicts outcome of Ph+ chronic phase CML patients on second-line nilotinib therapy after imatinib failure. Leukemia. 2014 Jul;28(7):1478-85. doi: 10.1038/leu.2014.6. Epub 2014 Jan 10.

MeSH Terms

Conditions

Leukemia, MyeloidLeukemiaLeukemia, Myelogenous, Chronic, BCR-ABL PositiveHematologic NeoplasmsBone Marrow Diseases

Interventions

Imatinib Mesylatenilotinib

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic DiseasesMyeloproliferative DisordersChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsNeoplasms by Site

Intervention Hierarchy (Ancestors)

BenzamidesAmidesOrganic ChemicalsBenzoatesAcids, CarbocyclicCarboxylic AcidsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPiperazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPyrimidines

Results Point of Contact

Title
Study Director
Organization
Novartis Pharmaceuticals

Study Officials

  • Novartis Pharmaceuticals

    Novartis Pharmaceuticals

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 17, 2007

First Posted

August 21, 2007

Study Start

October 1, 2007

Primary Completion

October 1, 2008

Study Completion

October 1, 2008

Last Updated

November 7, 2011

Results First Posted

May 10, 2011

Record last verified: 2011-11

Locations