Intermittent Imatinib Treatment in Chronic Myeloid Leukemia and Philadelphia Chromosome (Ph+CML) Patients Who Achieved a Complete Cytogenetic Response (CCgR) on Standard Imatinib Therapy
INTERIM0407
Phase II Explorative Study of Intermittent Imatinib (IM) Treatment (INTERIM) in Elderly Patients With Ph+ Chronic Myeloid Leukemia (CML) Who Achieved a Stable Complete Cytogenetic Response (CCgR) With Standard IM Therapy
1 other identifier
interventional
78
1 country
1
Brief Summary
Standard therapy with Imatinib (IM) significantly prolongs the survival of Ph+CML patients who obtain a complete cytogenetic response (CCgR). Elderly patients (i.e., at least 65 years) have similar cytogenetic responses and survival, but they usually show a low compliance. The aim of the study is to evaluate the percentage of elderly patients who maintain a CCgR with intermittent imatinib therapy with respect to standard daily administration.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Apr 2008
Longer than 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
Study Start
First participant enrolled
April 1, 2008
CompletedFirst Submitted
Initial submission to the registry
March 9, 2009
CompletedFirst Posted
Study publicly available on registry
March 10, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedDecember 3, 2014
December 1, 2014
2.7 years
March 9, 2009
December 2, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
The proportion of patients who remain in CCgR with INTERIM given for one year.
1 year
Secondary Outcomes (1)
Variation of BCR-ABL transcript level
1 year
Study Arms (1)
Intermittent Imatinib
EXPERIMENTALImatinib will be given with the following schedule: * 1 week on / 1 week off for the 1st month(weeks 1-4) * 2 weeks on / 2 weeks off for the 2nd and the 3rd month (weeks 5-12) * 1 month on / 1 month off from the 4th month thereafter (weeks 13 on)
Interventions
Intermittent Imatinib administration. * 1 week on / 1 week off for the 1st month(weeks 1-4) * 2 weeks on / 2 weeks off for the 2nd and the 3rd month (weeks 5-12) * 1 month on / 1 month off from the 4th month thereafter (weeks 13 on)
Eligibility Criteria
You may qualify if:
- Patients with confirmed diagnosis of Ph+ CML in CP
- Age ≥ 65 years old
- Stable CCgR after at least 2 years of treatment with standard (daily administration) IM therapy documented by 2 consecutive cytogenetic analysis over the last 12 month
- Karnofsky performance status \>50%
- Written informed consent prior to any study procedures being performed.
You may not qualify if:
- Patients with Ph+ CML in accelerated/blastic phase (AP/BP), or in late CP, previously treated (i.e. IFN alpha+/- low dose Ara-C, Hydroxyurea, allogeneic stem cell transplantation, etc etc.)
- Age \< 65 years old
- No stable CCgR after at least 2 years of treatment with standard (daily administration) IM therapy documented by 2 consecutive cytogenetic analysis over the last 12 month
- Karnofsky performance status \<50%
- No written informed consent prior to any study procedures being performed.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Chair of Haematology, Bone Marrow Transplant Unit
Brescia, Brescia, 25123, Italy
Related Publications (1)
Russo D, Martinelli G, Malagola M, Skert C, Soverini S, Iacobucci I, De Vivo A, Testoni N, Castagnetti F, Gugliotta G, Turri D, Bergamaschi M, Pregno P, Pungolino E, Stagno F, Breccia M, Martino B, Intermesoli T, Fava C, Abruzzese E, Tiribelli M, Bigazzi C, Cesana BM, Rosti G, Baccarani M. Effects and outcome of a policy of intermittent imatinib treatment in elderly patients with chronic myeloid leukemia. Blood. 2013 Jun 27;121(26):5138-44. doi: 10.1182/blood-2013-01-480194. Epub 2013 May 15.
PMID: 23678005DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Prof Domenico Russo, MD
Chair of Haematology, Brescia University
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Full Professor of Hematology
Study Record Dates
First Submitted
March 9, 2009
First Posted
March 10, 2009
Study Start
April 1, 2008
Primary Completion
December 1, 2010
Study Completion
December 1, 2014
Last Updated
December 3, 2014
Record last verified: 2014-12