CML in Chronic PhasePhase 4'MACS1252NCT01061177
Nilotinib in Newly Diagnosed Adult Philadelphia Chromosome & /or BCR-ABL Positive Chronic Myeloid Leukaemia in Chronic Phase
A Phase 4 study testing Nilotinib in people with CML in Chronic Phase, run by Novartis Pharmaceuticals at 320 sites in 26 countries.
Trial summary
This study will assess the efficacy and safety of nilotinib in adult patients with newly diagnosed Philadelphia chromosome positive/BCR-ABL positive chronic myeloid leukaemia in chronic phase. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- CML in Chronic Phase
- What is being tested?
- Nilotinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,090 participants
- Where
- 320 sitesin 26 countries
- Study dates
- May 2010to Jul 2014
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 with diagnosis of CP-CML with cytogenetic confirmation of Philadelphia (Ph) chromosome
- Ph negative cases or patients with variant translocations who are BCR-ABL positive in multiplex PCR are also eligible
- WHO performance status 0-2
- Laboratory assessments within normal limits
- Written informed consent prior to any study procedures being performed
Who cannot join
- Known impaired cardiac function
- History of acute or chronic pancreatitis
- Impaired gastrointestinal function or disease that may alter the absorption of study drug
- Concomitant medications with potential QT prolongation, or known to interact with CYP450 isoenzymes (CYP3A4, CYP2C9, and CYP2C8)
- Patients who have undergone major surgery ≤ 2 weeks prior to starting study drug or who have not recovered from side effects of such therapy
- Patients who are pregnant or breast feeding, or females of reproductive potential not employing an effective method of birth control. Female patients must agree to employ an effective barrier method of birth control throughout the study and for up to 3 months following discontinuation of study drug
- Other protocol-defined inclusion/exclusion criteria may apply
Trial locations and contacts
320 sites in 26 countries.
320 sites in 26 countries
Germany80 sites
Novartis Investigative Site
Aachen, 52074
Novartis Investigative Site
Aschaffenburg, 63739
Novartis Investigative Site
Augsburg, 86156
Novartis Investigative Site
Bamberg, 96049
Novartis Investigative Site
Bayreuth, 95445
Novartis Investigative Site
Berlin, 10707
Novartis Investigative Site
Berlin, 10709
Novartis Investigative Site
Berlin, 13353
Novartis Investigative Site
Berlin, 14195
Novartis Investigative Site
Bielefeld, 33604
Novartis Investigative Site
Bonn, 53105
Novartis Investigative Site
Bottrop, 46236
Novartis Investigative Site
Bremen, 28177
Novartis Investigative Site
Cologne, North Rhine-Westphalia, 50937
Novartis Investigative Site
Dresden, 01307
Novartis Investigative Site
Duisburg, 47166
Novartis Investigative Site
Düsseldorf, 40225
Novartis Investigative Site
Eisenach, 99817
Novartis Investigative Site
Eschweiler, Germany, 52249
Novartis Investigative Site
Essen, 45136
Novartis Investigative Site
Essen, 45147
Novartis Investigative Site
Frankfurt, 60590
Novartis Investigative Site
Frankfurt, 60596
Novartis Investigative Site
Frankfurt (Oder), 15236
Novartis Investigative Site
Freiburg im Breisgau, 79106
Novartis Investigative Site
Fulda, 36043
Novartis Investigative Site
Giessen, 35392
Novartis Investigative Site
Goslar, 38642
Novartis Investigative Site
Greifswald, 17475
Novartis Investigative Site
Hagen, 58097
Novartis Investigative Site
Hamburg, 20246
Novartis Investigative Site
Hamm, 59063
Novartis Investigative Site
Hanover, 30170
Novartis Investigative Site
Hanover, 30625
Novartis Investigative Site
Herrsching am Ammersee, 82211
Novartis Investigative Site
Hildesheim, 31134
Novartis Investigative Site
Jena, 07740
Novartis Investigative Site
Karlsruhe, 76133
Novartis Investigative Site
Karlsruhe, 76135
Novartis Investigative Site
Kassel, 34119
Novartis Investigative Site
Kassel, 34125
Novartis Investigative Site
Kiel, Germany, 24116
Novartis Investigative Site
Koblenz, 56068
Novartis Investigative Site
Landshut, 84028
Novartis Investigative Site
Leipzig, 04103
Novartis Investigative Site
Lemgo, 32657
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Lübeck, 23563
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Magdeburg, 39104
Novartis Investigative Site
Mainz, Germany, 55131
Novartis Investigative Site
Mannheim, 68169
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Marburg, 35039
Novartis Investigative Site
Moers, 47441
Novartis Investigative Site
Mönchengladbach, 41063
Novartis Investigative Site
Mülheim, 45468
Novartis Investigative Site
München, 80335
Novartis Investigative Site
München, 81241
Novartis Investigative Site
München, 81675
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München, 81737
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Münster, 48149
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Mutlangen, 73557
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Neunkirchen, 66538
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Nuremberg, 90419
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Nuremberg, 90449
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Offenburg, 77652
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Paderborn, 33102
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Ravensburg, 88214
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Rostock, 18057
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Schorndorf, 73614
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Schwäbisch Hall, 74523
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Sindelfingen, 71065
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Stuttgart, 70376
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Traunstein, 83278
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Triberg, 78098
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Ulm, 89081
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Velbert, 42551
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Viersen, 45468
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Weilheim, 82362
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Wendlingen, 73240
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Würzburg, 97080
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Zella-Mehlis, 98544
France56 sites
Novartis Investigative Site
Aix-en-Provence, 13616
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Amiens Cedex1, 80054
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Angers, France, 49033
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Argenteuil, 95107
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Avignon, 84902
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Bayonne, Bayonne Cedex, 64109
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Besançon, 25030
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Blois, 41016
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Bordeaux, 33076
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Brest, 29200
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Caen, 14000
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Chalon-sur-Saône, 71321
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Chambéry, 73011
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Clermont-Ferrand, 63003
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Compiègne, 60321
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Corbeil-Essonnes, 91100
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Créteil, 94010
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Dijon, 21034
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Dunkirk, France, 59240
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Grenoble, 38043
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La Roche-sur-Yon, 85925
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Le Chesnay, 78157
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Le Coudray, 28630
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Le Mans, 72037
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Lens, 62307
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Lille, 59020
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Limoges, 87042
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Mâcon, 71018
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Marseille, 13273
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Marseille, 13915
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Metz, 57038
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Monte-Carlo, Principauté de Monaco, 98012
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Montfermeil, 93370
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Montpellier, 34295
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Mulhouse, 68070
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Nantes, 44035
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Nice, 06189
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Nîmes, 32900
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Paris, Cedex 10, 75475
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Paris, 75012
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Pau, 64000
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Perpignan, 66046
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Pringy, 74374
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Reims, 51092
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Rennes, 35019
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Roubaix, 59100
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Rouen, 76038
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Saint-Brieuc, 22027
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Saint-Denis, France / La Reunion, 97405
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Saint-Priest-en-Jarez, 42271
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Saint-Quentin, 02321
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Strasbourg, 67085
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Strasbourg, 67091
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Toulouse, 31059
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Tours, 37044
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Troyes, 10003
Italy47 sites
Novartis Investigative Site
Ancona, AN, 60126
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Avellino, AV, 83100
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Bari, BA, 70124
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Bologna, BO, 40138
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Brescia, BS, 25123
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Brindisi, BR, 72100
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Cagliari, CA, 09121
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Cagliari, CA, 09126
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Catanzaro, CZ, 88100
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Cona, FE, 44100
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Cuneo, CN, 12100
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Florence, FI, 50134
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Genova, GE, 16132
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Lecce, LE, 73100
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Livorno, LI, 57124
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Milan, MI, 20122
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Milan, MI, 20162
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Modena, MO, 41100
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Naples, 80131
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Naples, 80132
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Nocera Inferiore, SA, 84014
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Novara, 28100
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Nuoro, NU, 08100
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Orbassano, TO, 10043
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Padova, PD, 35128
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Palermo, PA, 90146
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Pavia, PV, 27100
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Perugia, 06129
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Pesaro, PU, 61100
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Pescara, PE, 65124
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Pisa, PI, 56126
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Potenza, PZ, 85100
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Ravenna, RA, 48100
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Reggio Calabria, RC, 89124
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Reggio Emilia, RE, 42123
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Roma, RM, 00144
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Roma, RM, 00161
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Rome, Lazio, 00168
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Ronciglione, VT, 01100
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Rossano, CS, 87067
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San Giovanni Rotondo, FG, 71013
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Sassari, SS, 07100
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Siena, SI, 53100
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Taranto, TA, 74100
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Terni, TR, 05100
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Torino, TO, 10126
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Treviso, TV, 31100
Spain29 sites
Novartis Investigative Site
A Coruña, Galicia, 15006
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Badalona, Catalonia, 08916
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Barakaldo, Vizcaya, 48903
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Barcelona, Barcelona, 08041
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Barcelona, Catalonia, 08003
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Barcelona, Catalonia, 08035
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Barcelona, Catalonia, 08036
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Bilbao, Basque Country, 48013
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Donostia / San Sebastian, Basque Country, 20080
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Elche, Alicante, 03203
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Las Palmas de Gran Canaria, Las Palmas de G.C, 35010
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Madrid, Madrid, 28006
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Madrid, Madrid, 28034
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Madrid, Madrid, 28040
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Madrid, Madrid, 28041
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Madrid, Madrid, 28046
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Majadahonda, Madrid, 28222
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Murcia, Murcia, 30008
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Ourense, Galicia, 32005
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Oviedo, Principality of Asturias, 33006
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Pamplona, Navarre, 31008
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Salamanca, Castille and León, 37007
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San Cristóbal de La Laguna, Santa Cruz de Tenerife, 38320
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Santander, Cantabria, 39008
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Tarragona, Catalonia, 43005
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Terrassa, Catalonia, 08221
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Toledo, Castille-La Mancha, 45071
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Valencia, Valencia, 46010
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Zaragoza, Zaragoza, 50009
Belgium16 sites
Novartis Investigative Site
Aalst, Belgium, 9300
Novartis Investigative Site
Bruges, 8000
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Brussels, 1000
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Brussels, 1070
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Brussels, 1090
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Brussels, BE-B-1200
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Charleroi, 6000
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Edegem, 2650
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Ghent, 9000
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Hasselt, 3500
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Laken, 1020
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Leuven, 3000
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Luxembourg, Luxembourg, 1210
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Roeselare, 8800
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Verviers, 4800
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Yvoir, 5530
Austria8 sites
Novartis Investigative Site
Graz, 8036
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Innsbruck, A-6020
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Linz, 4010
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Rankweil, A-6830
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Salzburg, 5020
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Vienna, A-1130
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Vienna, A-1140
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Wels, Austria, A-4600
Sweden8 sites
Novartis Investigative Site
Gothenburg, SE-413 45
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Huddinge, SE-14186
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Linköping, SE-581 85
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Luleå, SE-971 80
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Lund, SE-221 85
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Stockholm, SE-171 76
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Umeå, SE-901 85
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Uppsala, SE-751 85
Greece7 sites
Novartis Investigative Site
Alexandroupoli, Evros, 68100
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Athens, Greece, 11527
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Athens, GR, 115 27
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Heraklion Crete, Greece, 711 10
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Larissa, GR, 411 10
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Pátrai, Greece, 265 00
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Thessaloniki, GR, 546 42
Netherlands7 sites
Novartis Investigative Site
Amsterdam, 1081 HV
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Delft, 2625 AD
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Enschede, 7513 ER
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Groningen, 9713 GZ
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Nijmegen, 6525 GA
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Rotterdam, 3075 EA
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Zwolle, 8025 AB
United Kingdom7 sites
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Cardiff, CF14 4XW
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Dudley, DY1 2HQ
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London, SE5 9RS
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London, W12 0HS
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Nottingham, NG5
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Oxford, OX3 7LJ
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Uxbridge, London, UB8 3NN
Poland6 sites
Novartis Investigative Site
Gdansk, 80-952
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Krakow, 30-510
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Lublin, 20-081
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Warsaw, Poland, 02-106
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Warsaw, 02-776
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Wroclaw, 50-367
Romania6 sites
Novartis Investigative Site
Bucharest, District 2, 022328
Novartis Investigative Site
Bucharest, Romania, 030171
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Bucharest, 050098
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Cluj-Napoca, 3400
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Iași, Jud. Iasi, 700111
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Timișoara, Romania, 300 079
Bulgaria5 sites
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Pleven, Bulgaria, 5800
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Plovdiv, 4002
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Sofia, 1431
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Sofia, 1756
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Varna, 9000
Hungary5 sites
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Budapest, 1097
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Debrecen, 4032
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Kaposvár, 7400
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Pécs, 7624
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Szeged, H-6725
Norway5 sites
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Bergen, NO-5021
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Oslo, NO-0310
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Stavanger, 4068
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Tromsø, NO-9038
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Trondheim, 7006
Czechia4 sites
Novartis Investigative Site
Brno-Bohunice, Czech Republic, 625 00
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Hradec Králové, Czech Republic, 500 05
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Olomouc, CZE, 775 20
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Prague, Czech Republic, 128 20
Switzerland4 sites
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Bern, 3010
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Chur, 7000
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Geneva, 1211
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Zurich, Switzerland, 8091
Denmark3 sites
Novartis Investigative Site
Aarhus C, DK-8000
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Copenhagen, DK-2100
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Odense C, DK-5000
Lithuania3 sites
Novartis Investigative Site
Kaunas, 3007
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Klaipėda, LT-92231
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Vilnius, LT-08661
Portugal3 sites
Novartis Investigative Site
Lisbon, Portugal, 1150-314
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Porto, Portugal, 4200319
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Porto, 4200-072
Slovakia3 sites
Novartis Investigative Site
Bratislava, 851 07
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Košice, Slovak Republic, 04066
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Martin, Slovakia, 03601
Croatia2 sites
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Rijeka, 51000
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Zagreb, 10000
Finland2 sites
Novartis Investigative Site
HUS Helsinki, FIN-00029
Novartis Investigative Site
Oulu, 900114
Slovenia2 sites
Novartis Investigative Site
Celje, 3000
Novartis Investigative Site
Ljubljana, 1000
About this study
Official title: A Phase IIIb, Multicentre, Open-label Study of Nilotinib in Adult Patients With Newly Diagnosed Philadelphia Chromosome and/or BCR-ABL Positive CML in Chronic Phase
This study will assess the efficacy and safety of nilotinib in adult patients with newly diagnosed Philadelphia chromosome positive/BCR-ABL positive chronic myeloid leukaemia in chronic phase. The aim of the study is to confirm the rates of complete molecular remission (CMR) of nilotinib in newly diagnosed CML chronic phase patients in a pan-European population using the EUTOS standardized laboratories.
- Conditions
- CML in Chronic Phase
- Being tested
- Nilotinib
- Keywords
- Leukemia, myeloid, myelogenous, chronic BCR-ABL positive, Nilotinib, Philadelphia chromosome, CML in chronic phase
- Medical subject headings
- Leukemia, Philadelphia Chromosome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NilotinibDrug
Also called AMN107
Nilotinib was supplied by Novartis as 150 mg hard gelatin capsules in bottles. Nilotinib was dosed on a flat scale and not dosed by body weight. This form of supply was continued for all participants entered into the core study.
| Study group | Role | What they receive |
|---|---|---|
| Nilotinib | Experimental | This was a single-arm study; therefore all participants received nilotinib (AMN107) 300 mg bid given as two 150 mg capsules twice daily. Receives: Drug: Nilotinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Molecular Response (MR4^0) at 18 Months
MR4^0 was defined as either (i) detectable disease ≤ 0.01% BCR-ABL ratio (international scale (IS)) with mean ABL transcripts ≥ 10 000 or (ii) undetectable disease in complementary deoxyribonucleic acid (cDNA) with ≥ 10 000 ABL transcripts.
Measured: at 18 months
Secondary outcomes (15)
Percentage of Participants Free From Progression to Accelerated Phase/Blast Crisis (AP/BC) at 12 and 24 Months
The following events were considered disease progression to AP/BC: Death due to disease under study; AP, as defined by any of the following: ≥ 15% blasts in the peripheral blood or bone marrow, but < 30% blasts in both the peripheral blood and bone marrow, ≥ 30% blasts plus promyelocytes in peripheral blood or bone marrow, ≥ 20% basophils in the peripheral blood, Thrombocytopenia (< 100 × 109/L) that was unrelated to therapy, Evidence of clonal evolution, as determined by medical review with consensus of the SSMC/DMC.
BC was defined as: ≥ 30% blasts in peripheral blood or bone marrow, Appearance of extramedullary involvement other than hepatosplenomegaly proven by biopsy.
Measured: at 12 and 24 months
Rate of Event Free Survival at 12 and 24 Months
EFS was defined as the time from the date of Day 1 (first treatment) + 1 day to the first occurrence of any of the following: Loss of complete hematologic response (CHR), Loss of CCyR, Death from any cause, Progression to the AP or BC of CML, Not achieving CHR up to 3 months (ie, 91 + 15 days), Not achieving CCyR up to 18 months (ie, 548 + 15 days), whichever is earlier.
Measured: at 12 and 24 months
Percentage of Participants With Major Molecular Response (MMR) at, as Well as by, 12 and 24 Months
MMR was defined as BCR-ABL ratio (IS) ≤ 0.1% in a peripheral blood sample. BCR-ABL1 is an abnormal gene found in chronic myeloid leukemia (CML) and acute lymphoblastic leukemia (ALL). The chromosomal defect in the Philadelphia chromosome is a translocation, in which parts of two chromosomes, 9 and 22, swap places. The result is that a fusion gene is created by juxtapositioning the Abl1 gene on chromosome 9 to a part of the BCR ("breakpoint cluster region") gene on chromosome 22. Depending upon the breakpoints on the BCR gene, there are several forms of fusion proteins.
Measured: 12 months, 24 months
Percentage of Participants With Complete Cytogenetic Response (CCyR) at, as Well as by, 12 and 24 Months
CCyR parameters were defined as 0% Philadelphia positive (Ph+) metaphases. Loss of CCyR was defined as a patient exceeding the CCyR criteria (ie, > 0% Ph+ metaphases) at a subsequent visit after the patient had achieved CCyR.
Measured: 12 and 24 months
Percentage of Participants With Major Cytogenetic Response (MCyR) at, as Well as by, 12 and 24 Months
Major cytogenetic response (MCyR) parameters were defined as 0 to 35% Philadelphia positive (Ph+) metaphases.
Measured: 12 and 24 months
Percentage of Participants Free From Progression to AP/BC With MR4^0 at 12 Months
The following events were considered disease progression to AP/BC: Death due to disease under study; AP, as defined by any of the following: ≥ 15% blasts in the peripheral blood or bone marrow, but < 30% blasts in both the peripheral blood and bone marrow, ≥ 30% blasts plus promyelocytes in peripheral blood or bone marrow, ≥ 20% basophils in the peripheral blood, Thrombocytopenia (< 100 × 109/L) that was unrelated to therapy, Evidence of clonal evolution, as determined by medical review with consensus of the SSMC/DMC.
BC was defined as: ≥ 30% blasts in peripheral blood or bone marrow, Appearance of extramedullary involvement other than hepatosplenomegaly proven by biopsy.
Measured: at 12 months
Percentage of Participants With Event Free Survival in Participants Achieving MR4^0 at 12 Months
EFS was defined as the time from the date of Day 1 (first treatment) + 1 day to the first occurrence of any of the following: Loss of complete hematologic response (CHR), Loss of CCyR, Death from any cause, Progression to the AP or BC of CML, Not achieving CHR up to 3 months (i.e. 91 + 15 days).
Measured: at 12 months
Percentage of Participants With Progression Free Survival (PFS) at 12 and 24 Months
PFS was defined by the study protocol as the time from the date of start of study drug to the date of earliest progression to AP/BC, or the date of death from any cause.
Measured: 12 months, 24 months
Rate of Molecular Response (MR4^0) at, as Well as by, 12 and 24 Months
MR4^0 was defined as either (i) detectable disease ≤ 0.01% BCR-ABL ratio (international scale (IS)) with mean ABL transcripts ≥ 10 000 or (ii) undetectable disease in complementary deoxyribonucleic acid (cDNA) with ≥ 10 000 ABL transcripts.
Measured: 12 and 24 months
Rate of Molecular Response (MR4^5) at, as Well as by, 12 and 24 Months
MR4^5 was defined as either (i) detectable disease ≤ 0.0032% BCR-ABL ratio (IS) with mean ABL transcripts ≥ 32 000 or (ii) undetectable disease in cDNA with ≥ 32 000 ABL transcripts).
Measured: 12 and 24 months
Rate of Complete Hematologic Response (CHR) at, as Well as by, 12 and 24 Months
CHR was defined as all of the following present for ≥ 4 weeks in the peripheral blood: WBC count < 10 x 109/L, Platelet count < 450 x 109/L, No circulating peripheral blood blasts, promyelocytes, myelocytes, or metamyelocytes in the peripheral blood, The presence of < 5% basophils, No evidence of disease-related symptoms and extramedullary disease, including spleen and liver. Loss of CHR was defined as the appearance of any of the following after having achieved a CHR confirmed by a second determination ≥ 4 weeks later (unless associated with progression to AP/BC or death, which was considered to be a confirmed loss of CHR event on its own): WBC count that increased to > 20.0 x 109/L, Platelet count that increased to ≥ 600 x 109/L, Any palpable spleen, defined as size of spleen below costal margin > 5 cm, Appearance of > 5% myelocytes plus metamyelocytes, or any promyelocytes or blasts in the peripheral blood.
Measured: 12 months, 24 months
Percentage of Participants With Overall Survival at 12 and 24 Months
OS was defined as the time between the date of Day 1 (first treatment) and the date of death from any cause. Deaths which occurred after the 24-month time window and which were occasionally reported by some Investigators were excluded from the analysis. This is in agreement with the protocol stating that patients were to be followed for survival and progression to AP/BC up to 24 months after the participants treatment start.
Measured: 12 months, 24 months
Rate of Molecular Response (MR4^0) by 18 Months
MR4^0 was defined as either (i) detectable disease ≤ 0.01% BCR-ABL ratio (international scale (IS)) with mean ABL transcripts ≥ 10 000 or (ii) undetectable disease in complementary deoxyribonucleic acid (cDNA) with ≥ 10 000 ABL transcripts.
BCR = Breakpoint Cluster Region gene/BCR gene product
BCR-ABL is fusion gene formed from the ABL gene from chromosome 9 fusing with the BCR gene on chromosome 22, the gene product is BCR-ABL tyrosine kinase
Measured: by 18 months
Rate of Molecular Response (MR4^5) by 18 Months
MR4^5 was defined as either (i) detectable disease ≤ 0.0032% BCR-ABL ratio (IS) with mean ABL transcripts ≥ 32 000 or (ii) undetectable disease in cDNA with ≥ 32 000 ABL transcripts).
BCR = Breakpoint Cluster Region gene/BCR gene product
BCR-ABL is fusion gene formed from the ABL gene from chromosome 9 fusing with the BCR gene on chromosome 22, the gene product is BCR-ABL tyrosine kinase
Measured: by 18 months
Percentage of Participants With Progression Free Survival in Participants Achieving MR4^0 at 12 Months
PFS was defined by the study protocol as the time from the date of start of study drug to the date of earliest progression to AP/BC, or the date of death from any cause.
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Feb 2010 (estimated)
- Study startMay 2010
- Primary completionJul 2014
- Study completionJul 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for CML in Chronic PhaseStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,090 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01061177
- Sponsor's protocol ID
- CAMN107EIC01
- Other IDs
- 2009-017775-19, 2009
- Acronym
- 'MACS1252
- Status last verified
- Dec 2016
- First submitted
- 1 Feb 2010
- Last updated
- 24 Feb 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Gullaksen SE, Skavland J, Gavasso S, Tosevski V, Warzocha K, Dumrese C, Ferrant A, Gedde-Dahl T, Hellmann A, Janssen J, Labar B, Lang A, Majeed W, Mihaylov G, Stentoft J, Stenke L, Thaler J, Thielen N, Verhoef G, Voglova J, Ossenkoppele G, Hochhaus A, Hjorth-Hansen H, Mustjoki S, Sopper S, Giles F, Porkka K, Wolf D, Gjertsen BT. Single cell immune profiling by mass cytometry of newly diagnosed chronic phase chronic myeloid leukemia treated with nilotinib. Haematologica. 2017 Aug;102(8):1361-1367. doi: 10.3324/haematol.2017.167080. Epub 2017 May 18.
PubMed 28522574Thielen N, Richter J, Baldauf M, Barbany G, Fioretos T, Giles F, Gjertsen BT, Hochhaus A, Schuurhuis GJ, Sopper S, Stenke L, Thunberg S, Wolf D, Ossenkoppele G, Porkka K, Janssen J, Mustjoki S. Leukemic Stem Cell Quantification in Newly Diagnosed Patients With Chronic Myeloid Leukemia Predicts Response to Nilotinib Therapy. Clin Cancer Res. 2016 Aug 15;22(16):4030-8. doi: 10.1158/1078-0432.CCR-15-2791. Epub 2016 Mar 22.
PubMed 27006491
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase IIIb, Multicentre, Open-label Study of Nilotinib in Adult Patients With Newly Diagnosed Philadelphia Chromosome and/or BCR-ABL Positive CML in Chronic Phase
- ClinicalTrials.gov ID
- NCT01061177
- Acronym / sponsor ID
- 'MACS1252 / CAMN107EIC01
- Conditions
- CML in Chronic Phase
- Keywords
- Leukemia, myeloid, myelogenous, chronic BCR-ABL positive, Nilotinib, Philadelphia chromosome, CML in chronic phase
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,090 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- May 2010
- Primary completion
- Jul 2014 (actual)
- Study completion
- Jul 2014 (actual)
- First posted
- 2 Feb 2010 (estimated)
- Results
- Posted 24 Feb 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess the efficacy and safety of nilotinib in adult patients with newly diagnosed Philadelphia chromosome positive/BCR-ABL positive chronic myeloid leukaemia in chronic phase. The aim of the study is to confirm the rates of complete molecular remission (CMR) of nilotinib in newly diagnosed CML chronic phase patients in a pan-European population using the EUTOS standardized laboratories.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Nilotinib | Experimental | Drug: NilotinibThis was a single-arm study; therefore all participants received nilotinib (AMN107) 300 mg bid given as two 150 mg capsules twice daily. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patients with diagnosis of CP-CML with cytogenetic confirmation of Philadelphia (Ph) chromosome
- Ph negative cases or patients with variant translocations who are BCR-ABL positive in multiplex PCR are also eligible
- WHO performance status 0-2
- Laboratory assessments within normal limits
- Written informed consent prior to any study procedures being performed
Key exclusion criteria (7 listed)
- Known impaired cardiac function
- History of acute or chronic pancreatitis
- Impaired gastrointestinal function or disease that may alter the absorption of study drug
- Concomitant medications with potential QT prolongation, or known to interact with CYP450 isoenzymes (CYP3A4, CYP2C9, and CYP2C8)
- Patients who have undergone major surgery ≤ 2 weeks prior to starting study drug or who have not recovered from side effects of such therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NilotinibAlso: AMN107Nilotinib was supplied by Novartis as 150 mg hard gelatin capsules in bottles. Nilotinib was dosed on a flat scale and not dosed by body weight. This form of supply was continued for all participants entered into the core study. | Drug | Nilotinib |
Primary outcome
Percentage of Participants With Molecular Response (MR4^0) at 18 Months
Time frame: at 18 months
MR4^0 was defined as either (i) detectable disease ≤ 0.01% BCR-ABL ratio (international scale (IS)) with mean ABL transcripts ≥ 10 000 or (ii) undetectable disease in complementary deoxyribonucleic acid (cDNA) with ≥ 10 000 ABL transcripts.
15 secondary outcomes
Percentage of Participants Free From Progression to Accelerated Phase/Blast Crisis (AP/BC) at 12 and 24 Months
Time frame: at 12 and 24 months
Rate of Event Free Survival at 12 and 24 Months
Time frame: at 12 and 24 months
Percentage of Participants With Major Molecular Response (MMR) at, as Well as by, 12 and 24 Months
Time frame: 12 months, 24 months
Percentage of Participants With Complete Cytogenetic Response (CCyR) at, as Well as by, 12 and 24 Months
Time frame: 12 and 24 months
Percentage of Participants With Major Cytogenetic Response (MCyR) at, as Well as by, 12 and 24 Months
Time frame: 12 and 24 months
Percentage of Participants Free From Progression to AP/BC With MR4^0 at 12 Months
Time frame: at 12 months
Percentage of Participants With Event Free Survival in Participants Achieving MR4^0 at 12 Months
Time frame: at 12 months
Percentage of Participants With Progression Free Survival (PFS) at 12 and 24 Months
Time frame: 12 months, 24 months
Rate of Molecular Response (MR4^0) at, as Well as by, 12 and 24 Months
Time frame: 12 and 24 months
Rate of Molecular Response (MR4^5) at, as Well as by, 12 and 24 Months
Time frame: 12 and 24 months
Rate of Complete Hematologic Response (CHR) at, as Well as by, 12 and 24 Months
Time frame: 12 months, 24 months
Percentage of Participants With Overall Survival at 12 and 24 Months
Time frame: 12 months, 24 months
Rate of Molecular Response (MR4^0) by 18 Months
Time frame: by 18 months
Rate of Molecular Response (MR4^5) by 18 Months
Time frame: by 18 months
Percentage of Participants With Progression Free Survival in Participants Achieving MR4^0 at 12 Months
Time frame: 12 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 28522574Gullaksen SE, Skavland J, Gavasso S, Tosevski V, Warzocha K, Dumrese C, Ferrant A, Gedde-Dahl T, Hellmann A, Janssen J, Labar B, Lang A, Majeed W, Mihaylov G, Stentoft J, Stenke L, Thaler J, Thielen N, Verhoef G, Voglova J, Ossenkoppele G, Hochhaus A, Hjorth-Hansen H, Mustjoki S, Sopper S, Giles F, Porkka K, Wolf D, Gjertsen BT. Single cell immune profiling by mass cytometry of newly diagnosed chronic phase chronic myeloid leukemia treated with nilotinib. Haematologica. 2017 Aug;102(8):1361-1367. doi: 10.3324/haematol.2017.167080. Epub 2017 May 18.
- Derived from this study: PubMed 27006491Thielen N, Richter J, Baldauf M, Barbany G, Fioretos T, Giles F, Gjertsen BT, Hochhaus A, Schuurhuis GJ, Sopper S, Stenke L, Thunberg S, Wolf D, Ossenkoppele G, Porkka K, Janssen J, Mustjoki S. Leukemic Stem Cell Quantification in Newly Diagnosed Patients With Chronic Myeloid Leukemia Predicts Response to Nilotinib Therapy. Clin Cancer Res. 2016 Aug 15;22(16):4030-8. doi: 10.1158/1078-0432.CCR-15-2791. Epub 2016 Mar 22.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
320 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Nilotinib in people with CML in Chronic Phase, run by Novartis Pharmaceuticals at 320 sites in 26 countries.
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 5 inclusion and 7 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 24 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 320 sites in Germany, France, Italy, Spain, Belgium and 21 more countries. 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?
Yes. Results are posted in the registry (first posted 24 Feb 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Percentage of Participants With Molecular Response (MR4^0) at 18 Months (time frame: at 18 months). 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 NCT01061177, which also lists 2 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 24 Feb 2017.