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Myeloid Leukemia, ChronicSTIMNCT00478985

Evaluation of the Persistence of the Complete Molecular Remission After Stopping Imatinib Chronic Myeloid Leukemia

A study testing Imatinib ending in people with Myeloid Leukemia, Chronic, run by University Hospital, Bordeaux at 24 sites in France.

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

The first purpose of this study is to evaluate the persistence of the complete molecular remission in patients with Chronic Myeloid Leukemia after stopping imatinib treatment (determine by Reverse Transcription real-time Polymerase Chain Reaction (RT-PCR) negative for bcr-abl transcripts). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Myeloid Leukemia, Chronic
What is being tested?
Imatinib ending
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
24 sitesFrance
Study dates
Jun 2007to Dec 2011
Phase
Interventional
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must have reached their 18th birthday
  • Women of childbearing potential must agree to use effective methods of contraception
  • Patients must be affiliated to a social security regime
  • Patients must have received imatinib therapy for at least 36 months.
  • Patients must be in complete molecular remission during at least two consecutive years with at least five RT-PCR negative measures for bcr-abl transcripts.
  • Patients must be HIV, HCV and HBV negatives
  • Patients who have molecular follow-up realized in accordance with international recommendations
  • All patients must be informed of the investigational nature of this study and must sign and give written informed consent.

Who cannot join

  • Patients who are protected by the law. Patients who are unable to give their consent to participate to the study.
  • Patients who have pathologies or treatments that are able to enhance the potential relapse risk after stopping imatinib. Patients who have pathologies or treatments which able to interfere with immunologic study (excepted IFN α):
  • Corticosteroids or other immuno suppressors Other concomitant malign pathology treated by chemotherapy or radiotherapy Previous or programmed Haematopoietic Stem Cell allogreffe

Trial locations and contacts

24 sites in 1 country.

24 sites in 1 country

France24 sites
  • University Hospital Angers

    Angers, Angers, 49033

  • Institut Bergonié

    Bordeaux, 33076

  • University Hospital Bordeaux, Groupe Hospitalier Pellegrin

    Bordeaux, 33076

  • Hôpital Morvan

    Brest, Brest, 29285

  • Hôpital Henri-Mondor

    Créteil, Créteil, 94000

  • CHU de Grenoble

    Grenoble, 38043

  • Centre hospitalier-service de médecine interne Onco-Hématologique

    La Roche-sur-Yon, 85025

  • Hôpital André Mignot

    Le Chesnay, 78157

  • Hôpital Bicêtre, AP-HP

    Le Kremlin-Bicêtre, 94275

  • Hôpital Claude Huriez

    Lille, Lille, 59037

  • Hôpital Edouard Herriot

    Lyon, 69374

  • Institut Paoli Calmet

    Marseille, 13273

  • CHR de Metz-Thionville

    Metz, 57038

  • University Hospital Hôtel-Dieu

    Nantes, Nantes, 44035

  • Centre Hospitalier de Nevers

    Nevers, 58033

  • University Hospital Nice

    Nice, 06202

  • Hôpital Saint Louis

    Paris, Paris, 75475

  • Hôpital Necker-Enfants Malades

    Paris, 75743

  • Haut Lévêque Hospital

    Pessac, 33604

  • University Hospital Poitiers

    Poitiers, Poitiers, 86021

  • University Hospital Strasbourg, Hôpital Civil

    Strasbourg, 67000

  • University Hospital Toulouse, Purpan

    Toulouse, Toulouse, 31059

  • University Hospital Brabois

    Vandœuvre-lès-Nancy, Vandoeuvre Les Nancy, 54500

  • Centre Hospitalier Bretagne Atlantique

    Vannes, 56 017

Other trials in France

About this study

Official title: Evaluation of the Persistence of the Complete Molecular Remission After Stopping Imatinib Chronic Myeloid Leukemia (STIM)

The first purpose of this study is to evaluate the persistence of the complete molecular remission in patients with Chronic Myeloid Leukemia after stopping imatinib treatment (determine by Reverse Transcription real-time Polymerase Chain Reaction (RT-PCR) negative for bcr-abl transcripts). The second purpose is to determine clinicals and biologicals factors associated with the persistent complete molecular remission.

Read the detailed description

Principal Objective : To evaluate the complete molecular remission persistence after stopping imatinib during six months as measured by RT-PCR negative for bcr-abl transcripts in patients with Chronic Myeloid Leukemia .

Secondary Objective :

  • To determine clinicals factors associated with complete molecular remission before and after stopping imatinib in patients with Chronic Myeloid Leukemia.
  • To determine the biologics factors (immunologic and molecular) associated with complete molecular remission before and after stopping imatinib in patients with Chronic Myeloid Leukaemia.
  • To determine the molecular relapse level after more than six month of persistent complete molecular remission without imatinib.
  • To determine the complete molecular remission length.
  • To evaluate medical and economical impact of stopping imatinib treatment.

Study design : multicentric trial

Being tested
Imatinib ending
Keywords
Leukemia, Adult Chronic, Myeloid
Medical subject headings
Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Leukemia, Bronchiolitis Obliterans Syndrome

What participants receive

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

  • Imatinib endingBehavioural

    Interruption of the treatment by Imatinib

Study groups in NCT00478985
Study groupRoleWhat they receive
1ExperimentalImatinib treatment ending
Receives: Behavioral: Imatinib ending

What is being measured

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

  1. Evaluation of complete molecular remission persistence as measured by RT-PCR negative for bcr-abl transcripts

    Measured: Every month during the first year and every two months during the second year

Secondary outcomes (4)
  1. T lymphocytes differenciation and proliferation analyse / cytokines production analyse

    Measured: first visit, M2,M4,M6,M9,M12,M18,M24

  2. T lymphocytes apoptosis analyse

    Measured: first visit

  3. Haemogramme analyse

    Measured: every months during two years

  4. Clinical exam

    Measured: every three months during the first year and every four months during the second year

Timeline

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

  1. First posted25 May 2007 (estimated)
  2. Study startJun 2007
  3. Primary completionDec 2011
  4. Study completionDec 2011

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 N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00478985
Sponsor's protocol ID
CHUBX 2006/06
Acronym
STIM
Status last verified
Jul 2013
First submitted
23 May 2007
Last updated
2 Jul 2013
Results posted
No
Data monitoring committee
Yes

Publications

  • Mahon FX, Dulucq S, Rea D, Nicolini FE, Rigal-Huguet F, Machova Polakova K, Dubruille V, Noel MP, Ianotto JC, Villemagne B, Cayssials E, Park S, Rousselot P, Etienne G. Extended long-term follow-up and the survival of Stop Imatinib study. Blood Neoplasia. 2025 Oct 27;3(1):100177. doi: 10.1016/j.bneo.2025.100177. eCollection 2026 Feb.

    PubMed 41574312
  • Rea D, Henry G, Khaznadar Z, Etienne G, Guilhot F, Nicolini F, Guilhot J, Rousselot P, Huguet F, Legros L, Gardembas M, Dubruille V, Guerci-Bresler A, Charbonnier A, Maloisel F, Ianotto JC, Villemagne B, Mahon FX, Moins-Teisserenc H, Dulphy N, Toubert A. Natural killer-cell counts are associated with molecular relapse-free survival after imatinib discontinuation in chronic myeloid leukemia: the IMMUNOSTIM study. Haematologica. 2017 Aug;102(8):1368-1377. doi: 10.3324/haematol.2017.165001. Epub 2017 May 18.

    PubMed 28522576
  • Mahon FX, Rea D, Guilhot J, Guilhot F, Huguet F, Nicolini F, Legros L, Charbonnier A, Guerci A, Varet B, Etienne G, Reiffers J, Rousselot P; Intergroupe Francais des Leucemies Myeloides Chroniques. Discontinuation of imatinib in patients with chronic myeloid leukaemia who have maintained complete molecular remission for at least 2 years: the prospective, multicentre Stop Imatinib (STIM) trial. Lancet Oncol. 2010 Nov;11(11):1029-35. doi: 10.1016/S1470-2045(10)70233-3. Epub 2010 Oct 19.

    PubMed 20965785

Questions about this trial

What is this clinical trial studying?

A study testing Imatinib ending in people with Myeloid Leukemia, Chronic, run by University Hospital, Bordeaux at 24 sites in France.

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 8 inclusion and 3 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 2 Jul 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in France. 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.

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?

Evaluation of complete molecular remission persistence as measured by RT-PCR negative for bcr-abl transcripts (time frame: Every month during the first year and every two months during the second year). 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 NCT00478985, which also lists 3 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 2 Jul 2013.

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