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Chronic Myeloid LeukaemiaPhase 4NCT00390897

Glivec® (Imatinib Mesylate, STI571) in Monotherapy Versus Glivec®-Interferon Alpha in the Treatment of Chronic-Phase Chronic Myeloid Leukaemia

A Phase 4 study testing Glivec and Interferon in people with Chronic Myeloid Leukaemia, run by PETHEMA Foundation at 51 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To compare the complete cytogenetic response rate in patients with newly-diagnosed chronic-phase chronic myeloid leukaemia treated with Glivec® alone or in combination with interferon at low doses Read more about this study

Who is it for?
Ages 18 to 72 years
Conditions the study is for
Chronic Myeloid Leukaemia
What is being tested?
Glivec and Interferon
How many people
360 participants
Where
51 sitesSpain
Study dates
Jul 2003to Dec 2007
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 72 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with newly-diagnosed chronic-phase Ph-positive chronic myeloid leukaemia (maximum 3 months as of the diagnosis of the disease, with the date of the cytogenetic study regarded as such).
  • Age between 18 and 72 years (both included).
  • Performance status < 2 on the ECOG scale (see Annex 3).
  • Secure written or oral informed consent in the presence of a witness and consent for biological samples (annexes 5 and 6).

Who cannot join

  • Criteria of acceleration or blastic crisis (see Annex 7).
  • When there is a compatible family donor in patients aged under 40 years or a non-relative donor in patients aged under 30 years (in whom allogenic transplant is still regarded as first-line treatment), the possibility of performing an allogenic transplant as first therapeutic option should be considered. In any case, as this aspect is still a matter of debate, it is left up to each group to take the relevant decision depending on the institution's policy.
  • Administration of other treatments before inclusion in the protocol (a maximum of 3 months of monotherapy with hydroxyurea is permitted).
  • Altered hepatic or renal function (SGOT, SGPT, total bilirubin and creatinine > 1.5 times the upper limit of normality).
  • Uncontrolled diseases, such as thyroidal dysfunction, diabetes mellitus, angina pectoralis, serious heart failure (functional class III/IV of the New York Heart Association classification), neuropsychiatric infection or disease (see annex 15).
  • Positive serology for HIV.
  • Record of cancer in the last 5 years (barring basal cell skin carcinoma and cervical carcinoma in situ).
  • Pregnancy or breastfeeding

Trial locations and contacts

51 sites in 1 country.

51 sites in 1 country

Spain51 sites
  • Hospital Juan Canalejo

    A Coruña, La Coruña

  • Hospital de Alcorcón

    Alcorcón, Madrid

  • Hospital Ntra. Sra. Sonsoles

    Ávila, Avila

  • Hospital Clínic

    Barcelona, Barcelona

  • Hospital del Mar

    Barcelona, Barcelona

  • Hospital Sant pau

    Barcelona, Barcelona

  • Hospital Universitario "Germans Trias i Pujol"

    Barcelona, Barcelona

  • Hospital vall d'Hebrón

    Barcelona, Barcelona

  • Institut Català d'oncología

    Barcelona, Barcelona

  • Hospital San Pedro de Alcántara

    Cáceres

  • Complejo Hospitalario Reina Sofía

    Córdoba, Córdoba

  • Hospital Ruiz de Alda

    Granada, Granada

  • Hospital Juan Ramón Jiménez

    Huelva, Huelva

  • Hospital Médico Quirúrgico Ciudad de Jaén

    Jaén, Jaen

  • Hospital general de Jerez de la Frontera

    Jerez de la Frontera

  • Hospital Arnau de Vilanova

    Lleida, Lleida

  • Clínica La Concepción

    Madrid, Madrid

  • Clínica Puerta de Hierro

    Madrid, Madrid

  • Hospital Clínico San Carlos de Madrid

    Madrid, Madrid

  • Hospital de Fuenlabrada

    Madrid, Madrid

  • Hospital Doce de Octubre

    Madrid, Madrid

  • Hospital Gregorio Marañón

    Madrid, Madrid

  • Hospital Ramón y Cajal

    Madrid, Madrid

  • Hospital Universitario Princcipe de Asturias

    Madrid, Madrid

  • . Hospital Clínico Universitario Virgen de la Victoria

    Málaga, Málaga

  • Hospital Carlos Haya

    Málaga, Málaga

  • Hospital de Mataró

    Mataró, Barcelona

  • Hospital Universitario Morales Meseguer, Murcia

    Murcia, Murcia

  • Hospital comarcal de Valdeorras

    O'Barco de Valdeorras

  • Hospital Central de Asturias

    Oviedo, Principality of Asturias

  • Hospital del Río Carrión

    Palencia, Palencia

  • Hospital Son Dureta

    Palma de Mallorca, Balearic Islands

  • Hospital Son Llatzer

    Palma de Mallorca, Mallorca

  • Clínica Universitaria de Navarra

    Pamplona, Navarre

  • Hospital de Navarra

    Pamplona, Navarre

  • Corporació Sanitària Parc Taulí

    Sabadell, Barcelona

  • Hospital Clínico Universitario de Salamanca

    Salamanca, Salamanca

  • Hospital Universitario de Canarias

    Santa Cruz de Tenerife, Canary Islands

  • Hospital Universitario Marqués de Valdecilla

    Santander, Cantabria

  • Hospital General

    Segovia, Segovia

  • Hospital Universitario Virgen del Rocío

    Seville, Sevilla

  • Hospital Joan XXIII

    Tarragona, Tarragona

  • Hospital Mútua de Terrassa

    Terrassa, Barcelona

  • Hospital Verge de la Cinta

    Tortosa, Tarragona

  • Hospital Clínico Universitario

    Valencia, Valencia

  • Hospital dr. Peset

    Valencia, Valencia

  • Hospital General Universitario

    Valencia, Valencia

  • Hospital Universitario la Fe

    Valencia, Valencia

  • Hospital Meixoeiro

    Vigo, Vigo

  • Hospital Xeral

    Vigo, Vigo

  • Hospital Virgen de la Concha

    Zamora, Zamora

Other trials in Spain

About this study

Official title: Randomised Multicentre Phase IV Study to Compare Glivec® (Imatinib Mesylate, STI571) in Monotherapy Versus Glivec® in Combination With Interferon Alpha at Low Doses in the Treatment of Newly-Diagnosed Chronic-Phase Chronic Myeloid Leukaemia

To compare the complete cytogenetic response rate in patients with newly-diagnosed chronic-phase chronic myeloid leukaemia treated with Glivec® alone or in combination with interferon at low doses

Read the detailed description

Open, prospective, multicentre, phase IV, comparative and randomised study

Being tested
Glivec, Interferon
Keywords
chronic myeloid leukaemia, Glivec, Interferon
Medical subject headings
Leukemia, Myelogenous, Chronic, BCR-ABL Positive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GlivecDrug

  • InterferonDrug

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The fundamental objective of this study is to compare the therapeutic efficacy of Glivec® given in monotherapy (providing for dose scaling according to the response obtained at different periods of time from the beginning) in combination with standard in

  2. The median survival of patients with CML is close to 7 years.

  3. One year and a half after diagnosis, the rate of progression to the acceleration phase and blastic crisis is very low (3.3%) in patients treated with Glivec® as first line.

  4. With the treatments available hitherto, the achievement of a major cytogenetic response and above all cytogenetic response translates into a prolongation of survival.

  5. Therefore, taking into account that the rate of complete cytogenetic responses to Glivec® in newly-diagnosed CML is 76% after 18 months of treatment (see table I), the fundamental objective of the study will be to compare the rate of complete cytogenetic

Secondary outcomes (7)
  1. The time until complete cytogenetic responses are obtained

  2. Rate of major cytogenetic responses

  3. Rate of molecular responses

  4. Time to the loss of cytogenetic, haematological or molecular response

  5. Time to the progression of the disease to the phases of acceleration and blastic crisis (analysed according to intention to treat)

  6. Survival (analysed according to intention to treat)

  7. Haematological and non haematological tolerance and safety

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Oct 2006 (estimated)
  2. Study startJul 2003
  3. Primary completionOct 2006
  4. Study completionDec 2007

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
360 participants
IDs, dates and publications
ClinicalTrials.gov ID
NCT00390897
Sponsor's protocol ID
LMC/PETHEMA
Other IDs
03-0289
Status last verified
Nov 2008
First submitted
20 Oct 2006
Last updated
27 Nov 2008
Results posted
No

Publications

  • RUDKIN CT, HUNGERFORD DA, NOWELL PC. DNA CONTENTS OF CHROMOSOME PH1 AND CHROMOSOME 21 IN HUMAN CHRONIC GRANULOCYTIC LEUKEMIA. Science. 1964 Jun 5;144(3623):1229-31. doi: 10.1126/science.144.3623.1229.

    PubMed 14150328
  • Rowley JD. Letter: A new consistent chromosomal abnormality in chronic myelogenous leukaemia identified by quinacrine fluorescence and Giemsa staining. Nature. 1973 Jun 1;243(5405):290-3. doi: 10.1038/243290a0. No abstract available.

    PubMed 4126434
  • Heisterkamp N, Jenster G, ten Hoeve J, Zovich D, Pattengale PK, Groffen J. Acute leukaemia in bcr/abl transgenic mice. Nature. 1990 Mar 15;344(6263):251-3. doi: 10.1038/344251a0.

    PubMed 2179728
  • Daley GQ, Van Etten RA, Baltimore D. Induction of chronic myelogenous leukemia in mice by the P210bcr/abl gene of the Philadelphia chromosome. Science. 1990 Feb 16;247(4944):824-30. doi: 10.1126/science.2406902.

    PubMed 2406902
  • Goldman JM, Szydlo R, Horowitz MM, Gale RP, Ash RC, Atkinson K, Dicke KA, Gluckman E, Herzig RH, Marmont A, et al. Choice of pretransplant treatment and timing of transplants for chronic myelogenous leukemia in chronic phase. Blood. 1993 Oct 1;82(7):2235-8.

    PubMed 8400272
  • Italian Cooperative Study Group on Chronic Myeloid Leukemia; Tura S, Baccarani M, Zuffa E, Russo D, Fanin R, Zaccaria A, Fiacchini M. Interferon alfa-2a as compared with conventional chemotherapy for the treatment of chronic myeloid leukemia. N Engl J Med. 1994 Mar 24;330(12):820-5. doi: 10.1056/NEJM199403243301204.

    PubMed 8114834
  • Druker BJ, Talpaz M, Resta DJ, Peng B, Buchdunger E, Ford JM, Lydon NB, Kantarjian H, Capdeville R, Ohno-Jones S, Sawyers CL. Efficacy and safety of a specific inhibitor of the BCR-ABL tyrosine kinase in chronic myeloid leukemia. N Engl J Med. 2001 Apr 5;344(14):1031-7. doi: 10.1056/NEJM200104053441401.

    PubMed 11287972
  • Savage DG, Antman KH. Imatinib mesylate--a new oral targeted therapy. N Engl J Med. 2002 Feb 28;346(9):683-93. doi: 10.1056/NEJMra013339. No abstract available.

    PubMed 11870247
  • Kantarjian H, Sawyers C, Hochhaus A, Guilhot F, Schiffer C, Gambacorti-Passerini C, Niederwieser D, Resta D, Capdeville R, Zoellner U, Talpaz M, Druker B, Goldman J, O'Brien SG, Russell N, Fischer T, Ottmann O, Cony-Makhoul P, Facon T, Stone R, Miller C, Tallman M, Brown R, Schuster M, Loughran T, Gratwohl A, Mandelli F, Saglio G, Lazzarino M, Russo D, Baccarani M, Morra E; International STI571 CML Study Group. Hematologic and cytogenetic responses to imatinib mesylate in chronic myelogenous leukemia. N Engl J Med. 2002 Feb 28;346(9):645-52. doi: 10.1056/NEJMoa011573.

    PubMed 11870241
  • O'Brien SG, Guilhot F, Larson RA, Gathmann I, Baccarani M, Cervantes F, Cornelissen JJ, Fischer T, Hochhaus A, Hughes T, Lechner K, Nielsen JL, Rousselot P, Reiffers J, Saglio G, Shepherd J, Simonsson B, Gratwohl A, Goldman JM, Kantarjian H, Taylor K, Verhoef G, Bolton AE, Capdeville R, Druker BJ; IRIS Investigators. Imatinib compared with interferon and low-dose cytarabine for newly diagnosed chronic-phase chronic myeloid leukemia. N Engl J Med. 2003 Mar 13;348(11):994-1004. doi: 10.1056/NEJMoa022457.

    PubMed 12637609
  • Kantarjian HM, Talpaz M, O'Brien S, Giles F, Garcia-Manero G, Faderl S, Thomas D, Shan J, Rios MB, Cortes J. Dose escalation of imatinib mesylate can overcome resistance to standard-dose therapy in patients with chronic myelogenous leukemia. Blood. 2003 Jan 15;101(2):473-5. doi: 10.1182/blood-2002-05-1451. Epub 2002 Sep 12.

    PubMed 12393385
  • Rea D, Legros L, Raffoux E, Thomas X, Turlure P, Maury S, Dupriez B, Pigneux A, Choufi B, Reman O, Stephane D, Royer B, Vigier M, Ojeda-Uribe M, Recher C, Dombret H, Huguet F, Rousselot P; Intergroupe Francais des Leucemies Myeloides Chronique; Group for Research in Adult Acute Lymphoblastic Leukemia. High-dose imatinib mesylate combined with vincristine and dexamethasone (DIV regimen) as induction therapy in patients with resistant Philadelphia-positive acute lymphoblastic leukemia and lymphoid blast crisis of chronic myeloid leukemia. Leukemia. 2006 Mar;20(3):400-3. doi: 10.1038/sj.leu.2404115.

    PubMed 16437142
  • Deng M, Daley GQ. Expression of interferon consensus sequence binding protein induces potent immunity against BCR/ABL-induced leukemia. Blood. 2001 Jun 1;97(11):3491-7. doi: 10.1182/blood.v97.11.3491.

    PubMed 11369642
  • Bhatia R, Wayner EA, McGlave PB, Verfaillie CM. Interferon-alpha restores normal adhesion of chronic myelogenous leukemia hematopoietic progenitors to bone marrow stroma by correcting impaired beta 1 integrin receptor function. J Clin Invest. 1994 Jul;94(1):384-91. doi: 10.1172/JCI117333.

    PubMed 7518835
  • Thiesing JT, Ohno-Jones S, Kolibaba KS, Druker BJ. Efficacy of STI571, an abl tyrosine kinase inhibitor, in conjunction with other antileukemic agents against bcr-abl-positive cells. Blood. 2000 Nov 1;96(9):3195-9.

    PubMed 11050003

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Glivec and Interferon in people with Chronic Myeloid Leukaemia, run by PETHEMA Foundation at 51 sites in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Nov 2008. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The fundamental objective of this study is to compare the therapeutic efficacy of Glivec® given in monotherapy (providing for dose scaling according to the response obtained at different periods of time from the beginning) in combination with standard in. The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00390897, which also lists 21 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Nov 2008.

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