Study Stopped
This study was terminated due to limited enrollment.
Nilotinib vs Imatinib in Adult Patients With Philadelphia (Ph+) Chronic Myelogenous Leukemia in Chronic Phase (CML-CP)
ENEST
A Phase III Randomized, Open- Label Multi-center Study of Nilotinib Versus Imatinib in Adult Patients With Ph+ Chronic Myelogenous Leukemia in Chronic Phase (CML-CP) Who Have a Suboptimal Cytogenetic Response (CyR) on Imatinib
1 other identifier
interventional
6
10 countries
80
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Oct 2007
Shorter than P25 for phase_3
80 active sites
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
CompletedFirst Posted
Study publicly available on registry
August 21, 2007
CompletedStudy Start
First participant enrolled
October 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2008
CompletedResults Posted
Study results publicly available
May 10, 2011
CompletedNovember 7, 2011
November 1, 2011
1 year
August 17, 2007
November 11, 2010
November 4, 2011
Conditions
Keywords
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)
EXPERIMENTALImatinib
ACTIVE COMPARATORInterventions
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.
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.
Eligibility Criteria
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
Southern California Permanente Medical Group
Anaheim, California, 92801, United States
Southern California Permanente Medical Group
Baldwin Park, California, 91706, United States
Southern California Permanente Medical Group
Fontana, California, 92334, United States
Kaiser Permanente Medical Group/Hayward Medical Center
Hayward, California, 94540, United States
Southern California Permanente Medical Group
Los Angeles, California, 90001, United States
Kaiser Permanente Medical Group/Oakland Medical Center
Oakland, California, 94601, United States
Southern California Permanente Medical Group
Panorama City, California, 91402, United States
Southern California Permanente Medical Group
Riverside, California, 92501, United States
Kaiser Permanente Medical Group/Sacramento Medical Center
Sacramento, California, 94203, United States
Southern California Permanente Medical Group
San Diego, California, 92101, United States
Kaiser Permanente Medical Group
San Francisco, California, 94101, United States
Kaiser Permanente Medical Group
San Jose, California, 95101, United States
Kaiser Permanente Medical Group/Santa Clara Medical Office
Santa Clara, California, 95050, United States
Kaiser Permanente Medical Group/South San Francisco Medical Center
South San Francisco, California, 94101, United States
Kaiser Permanente Medical Group/Vallejo Medical Center
Vallejo, California, 94589, United States
Kaiser Permanente Medical Group/Walnut Creek Medical Center
Walnut Creek, California, 94595, United States
Southen California Permanente Medical Group
Woodland Hills, California, 91364, United States
Rocky Mountain Cancer Center
Denver, Colorado, 80201, United States
Northwestern Memorial Hospital
Chicago, Illinois, 60601, United States
The University of Chicago Medical Center
Chicago, Illinois, 60601, United States
Indiana Blood and Marrow Transplantation
Beech Grove, Indiana, 46107, United States
Holden Cancer Center
Iowa City, Iowa, 52240, United States
Johns Hopkins Hospital
Baltimore, Maryland, 21201, United States
University of Michigan
Ann Arbor, Michigan, 48103, United States
Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49501, United States
Methodist Cancer Center
Omaha, Nebraska, 68101, United States
The Cancer Center at Hackensack University Medical Center
Hackensack, New Jersey, 07601, United States
Duke University Hospital
Durham, North Carolina, 27701, United States
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27101, United States
Oregon Health Sciences University
Portland, Oregon, 97201, United States
St. Luke's Hospital and Health Network
Bethlehem, Pennsylvania, 18015, United States
Jones Cancer Center
Germantown, Tennessee, 38138, United States
Vanderbilt University
Nashville, Tennessee, 37201, United States
University of Texas/MD Anderson Cancer Center
Houston, Texas, 77001, United States
Swedish Cancer Institute
Seattle, Washington, 98101, United States
Novartis Investigative Site
Darlinghurst, Australia
Novartis Investigative Site
Herston, Australia
Novartis Investigative Site
Liverpool, Australia
Novartis Investigative Site
Perth, Australia
Novartis Investigative Site
Prahran, Australia
Novartis Investigative Site
South Brisbane, Australia
Novartis Investigative Site
St Leonards, Australia
Novartis Investigative Site
Bruges, Belgium
Novartis Investigative Site
Ghent, Belgium
Novartis Investigative Site
Leuven, Belgium
Novartis Investigative Site
Mannheim, Brazil
Novartis Investigative Site
Porto Alegre, Brazil
Novartis Investigative Site
São Paulo, Brazil
Novartis Investigative Site
Olomouc, Czechia
Novartis Investigative Site
Prague, Czechia
Novartis Investigative Site
Berlin, Germany
Novartis Investigative Site
Düsseldorf, Germany
Novartis Investigative Site
Eisensach, Germany
Novartis Investigative Site
Firenze, Germany
Novartis Investigative Site
Greifswald, Germany
Novartis Investigative Site
Hamburg, Germany
Novartis Investigative Site
Jena, Germany
Novartis Investigative Site
Kiel, Germany
Novartis Investigative Site
Leipzeg, Germany
Novartis Investigative Site
Postsdam, Germany
Novartis Investigative Site
Rostock, Germany
Novartis Investigative Site
Stuttgart, Germany
Novartis Investigative Site
Weiden, Germany
Novartis Investigative Site
Bologna, Italy
Novartis Investigative Site
Milan, Italy
Novartis Investigative Site
Napoli, Italy
Novartis Investigative Site
Orbassano, Italy
Novartis Investigative Site
Reggio Calabra, Italy
Novartis Investigative Site
Roma, Italy
Novartis Investigative Site
Nagoya, Japan
Novartis Investigative Site
Oaska, Japan
Novartis Investigative Site
Tokyo, Japan
Novartis Investigative Site
Hwasun-Gun, South Korea
Novartis Investigative Site
Seoul, South Korea
Novartis Investigative Site
Barcelona, Spain
Novartis Investigative Site
Madrid, Spain
Novartis Investigative Site
Salamanca, Spain
Novartis Investigative Site
Santiago de Compostela, Spain
Novartis Investigative Site
Valencia, Spain
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.
PMID: 24472814DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- Novartis Pharmaceuticals
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
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