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Chronic Myeloid LeukemiaCML1012NCT01752062

Observational Study of Conception/Pregnancy in Adult Patients With CML Treated With Tyrosine Kinase Inhibitors

An observational study of Chronic Myeloid Leukemia and Pregnancy, run by Gruppo Italiano Malattie EMatologiche dell'Adulto at 52 sites in Italy.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The objective of this study is to acquire more information about what we are doing during pregnancy in CML patients, in order to possibly establish in the future a consensus on the management of patients receiving TKIs who wants to father a child or become/are pregnant. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Myeloid Leukemia, Pregnancy
How many people
148 participants
Where
52 sitesItaly
Study dates
2 May 2013to Dec 2022
Phase
Observational
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

Study population: Adult (>18 years old) patients with a diagnosis of chronic myeloid leukemia (CML) who had been pregnant / had conceived while diagnosed with CML and treated with TKIs.

Who may be able to join

  • Age > 18 years;
  • Ph+/BCR-ABL+ CML in any phase of disease;
  • Conception/pregnancy while diagnosed with CML
  • Treatment with TKIs (before or after pregnancy);
  • Signed written informed consent according to ICH/EU/GCP and national local laws.

Who cannot join

  • Patient < 18 years
  • Patients that suffer from any condition or illness that could prevent the patient to participate

Trial locations and contacts

52 sites in 1 country.

Paola Fazi, Dr. contact

p.fazi@gimema.it

Enrico Crea contact

e.crea@gimema.it

52 sites in 1 country

Italy52 sites, 52 recruiting
  • Azienda Ospedaliera - Nuovo Ospedale "Torrette"

    Ancona

    Anna Rita Scortechini, Dr.

    Anna Rita Scortechini, Dr.

    Recruiting
  • S.G. Moscati Hospital

    Avellino

    Fausto Palmieri, Dr.

    Fausto Palmieri, Dr.

    Not yet recruiting
  • UO Ematologia con trapianto-Università degli Studi di Bari Aldo Moro

    Bari

    Giorgina Specchia

    Giorgina Specchia

    Recruiting
  • Divisione di Ematologia - Ospedali Riuniti Bergamo

    Bergamo

    Alessandro Rambaldi, Dr.

    Alessandro Rambaldi, Dr.

    Recruiting
  • Istituto di Ematologia "Lorenzo e A. Seragnoli" - Università degli Studi di Bologna - Policlinico S. Orsola - Malpighi

    Bologna

    Fausto Castagnetti, Dr.

    Fausto Castagnetti, Dr.

    Recruiting
  • Spedali Civili - Azienda Ospedaliera - U.O. Ematologia

    Brescia

    Mariadele Capucci, Dr.

    Mariadele Capucci, Dr.

    Recruiting
  • Divisione di Ematologia Ospedale A. Perrino

    Brindisi

    Angela Melpignano, Dr.

    Mariella Girasoli, Dr.

    Recruiting
  • ASL N.8 - Ospedale "A. Businco" - Struttura Complessa di Ematologia e CTMO

    Cagliari

    Emilio Usala, Dr.

    Emilio Usala, Dr.

    Recruiting
  • Unità di Onco-Ematologia - Azienda Ospedaliera - Garibaldi

    Catania

    Ugo Consoli, Dr.

    Ugo Consoli, Dr.

    Recruiting
  • Università di Catania - Cattedra di Ematologia - Ospedale "Ferrarotto"

    Catania

    Fabio Stagno, Dr.

    Fabio Stagno, Dr.

    Recruiting
  • Sezione di Ematologia e Fisiopatologia delle Emostasi - Azienda Ospedaliera - Arcispedale S. Anna

    Ferrara

    Antonio Cuneo, Dr.

    Antonio Cuneo, Dr.

    Not yet recruiting
  • Policlinico di Careggi, Università Degli Studi Firenze

    Florence

    Alberto Bosi, Dr.

    Alberto Bosi, Dr.

    Recruiting
  • Clinica Ematologica - DiMI - Università degli Studi di Genova

    Genova

    Ivana Pierri, Dr.

    Ivana Pierri, Dr.

    Recruiting
  • Azienda Ospedaliera Universitaria - Policlinico G. Martino Dipartimento di Medicina Interna - U.O. Messina

    Messina

    Caterina Musolino, Dr.

    Caterina Musolino, Dr.

    Recruiting
  • Ospedale Niguarda "Ca Granda"

    Milan

    Ester Pungolino, Dr.

    Ester Pungolino, Dr.

    Recruiting
  • UO Centro Trapianti di Midollo - IRCCS Ospedale Maggiore Policlinico

    Milan

    Alessandra Iurlo, Dr.

    Alessandra Iurlo, Dr.

    Recruiting
  • N. Osp. divisione di Ematologia "S.Gerardo dei Tintori"

    Monza

    Carlo Gambacorti Passerini, Dr.

    Carlo Gambacorti Passerini, Dr.

    Recruiting
  • Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli" Napoli

    Naples

    Felicetto Ferrara, Dr.

    Felicetto Ferrara, Dr.

    Recruiting
  • Azienda Ospedaliera Universitaria - Università degli Studi di Napoli "Federico II" - Facoltà di Medicina e Chirurgia

    Naples

    Fabrizio Pane, Dr.

    Fabrizio Pane, Dr.

    Recruiting
  • Ospedale San Gennaro - ASL Napoli 1

    Naples

    Lucia Mastrullo, Dr.

    Lucia Mastrullo, Dr.

    Recruiting
  • S.C.D.U. Ematologia - DIMECS e Dipartimento Oncologico - Università del Piemonte Orientale Amedeo Avogadro

    Novara

    Gianluca Gaidano, Dr.

    Gianluca Gaidano, Dr.

    Recruiting
  • Dip. di Scienze Cliniche e Biologiche - Ospedale S. Luigi Gonzaga-Medicina Interna 2 Prof. Giuseppe Saglio

    Orbassano

    Giovanna Rege, Dr.

    Giovanna Rege, Dr.

    Recruiting
  • Divisione di Ematologia con trapianto di midollo - A.U. Policlinico "Paolo Giaccone"

    Palermo

    Clementina Caracciolo, Dr.

    Clementina Caracciolo, Dr.

    Recruiting
  • Ospedale La Maddalena - Palermo

    Palermo

    Maurizio Musso, Dr.

    Maurizio Musso, Dr.

    Not yet recruiting
  • Ospedali Riuniti "Villa Sofia-Cervello"

    Palermo

    Diamante Turri, Dr.

    Diamante Turri, Dr.

    Recruiting
  • Div. di Ematologia IRCCS Policlinico S. Matteo

    Pavia, 27100

    Ester Orlandi, Dr.

    Ester Orlandi, Dr.

    Recruiting
  • Div. di Ematologia di Muraglia - CTMO Ospedale San Salvatore

    Pesaro

    Giuseppe Visani

    Giuseppe Visani, Dr.

    Not yet recruiting
  • U.O. Ematologia Clinica - Azienda USL di Pescara

    Pescara

    Roberto Di Lorenzo, Dr.

    Roberto Di Lorenzo, Dr.

    Recruiting
  • Unità Operativa Ematologia e Centro Trapianti - Dipartimento di Oncologia ed Ematologia - AUSL Ospedale di Piacenza

    Piacenza

    Elena Trabacchi, Dr.

    Elena TRABACCHI, Dr.

    Recruiting
  • Università di Pisa - Azienda Ospedaliera Pisana - Dipartimento di Oncologia, dei Trapianti e delle nuove Tecnologie in Medicina - Divisione di Ematologia

    Pisa

    Sara Galimberti, Dr.

    Sara Galimberti, Dr.

    Recruiting
  • Ematologia - Ospedale San Carlo

    Potenza

    Michele Pizzuti, Pr.

    Michele Pizzuti, Pr.

    Recruiting
  • Ospedale S. M. delle Croci

    Ravenna, I-48100

    Marzia Salvucci, Dr.

    Marzia Salvucci, Dr.

    Recruiting
  • Dipartimento Emato-Oncologia A.O."Bianchi-Melacrino-Morelli"

    Reggio Calabria

    Francesco Nobile, Dr.

    Francesco Nobile, Dr.

    Recruiting
  • Unità Operativa Complessa di Ematologia - Arcispedale S. Maria Nuova

    Reggio Emilia

    Paolo Avanzini, Dr.

    Paolo Avanzini, Dr.

    Recruiting
  • Az. Ospedaliera "Sant' Andrea"-Università la Sapienza Seconda Facoltà di Medicina e Chirurgia

    Roma

    Enrico Montefusco, Dr.

    Enrico Montefusco, Dr.

    Recruiting
  • Padiglione Cesalpino - I piano - Divisione di Ematologia - Ospedale S. Camillo

    Roma

    Leonardo Pacilli, Dr.

    Leonardo Pacilli, Dr.

    Recruiting
  • S.C. di Ematologia e Trapianti - I.F.O. Istituto Nazionale Tumori Regina Elena- I.F.O. Istituto Nazionale Tumori Regina Elena Roma

    Roma

    Atelda Dr. Romano

    Atelda Romano, Dr.

    Recruiting
  • U.O.C. Ematologia - Ospedale S.Eugenio

    Roma

    Elisabetta Abruzzese, Dr.

    Elisabetta Abruzzese, Dr.

    Recruiting
  • Università Cattolica del Sacro Cuore - Policlinico A. Gemelli

    Roma

    Simona Sica

    Simona Sica, Dr.

    Recruiting
  • UOC Pronto Soccorso e Accettazione Ematologica - Dipartimento Biotecnologie Cellulari ed Ematologia - Università degli Studi di Roma "Sapienza"

    Roma

    Giuliana Alimena, Dr.

    Giuliana Alimena, Dr.

    Recruiting
  • Unità Operativa di Oncologia - Presidio Ospedaliero N. Giannetasio - Azienda ASL 3 Rossano (CS)

    Rossano, Cosenza

    Francesco Iuliano, Dr.

    Francesco Iuliano, Dr.

    Not yet recruiting
  • Istituto di Ematologia - IRCCS Ospedale Casa Sollievo della Sofferenza

    San Giovanni Rotondo

    Nicola Cascavilla, Dr.

    Nicola Cascavilla, Dr.

    Recruiting
  • Ematologia - Dipartimento di Medicina Clinica e Sperimentale

    Sassari

    Claudio Fozza

    Claudio Fozza

    Recruiting
  • U.O.C. Ematologia e Trapianti - A.O. Senese - Policlinico " Le Scotte"

    Siena

    Monica Bocchia, Dr.

    Monica Bocchia, Dr.

    Recruiting
  • U.O.C. di Ematolgia - A.O. " SS Annunziata" - P.O. S.G. Moscati

    Taranto

    Alessandro Maggi, Dr.

    Alessandro Maggi, Dr.

    Not yet recruiting
  • Azienda ospedaliera S. Maria di Terni

    Terni

    Anna Maria Liberati, Dr.

    Anna Maria Liberati, Dr.

    Not yet recruiting
  • SCDO Ematologia 2 AOU S. Giovanni Battista

    Torino

    Patrizia Pregno, Dr.

    Patrizia Pregno, Dr.

    Recruiting
  • Sezione di Ematologia - Med.II Div. Presidio Ospedaliero S. Chiara di Trento

    Trento

    Paolo Vivaldi, Dr.

    Paolo Vivaldi, Dr.

    Not yet recruiting
  • Azienda U.L.S.S.9 - U.O. di Ematologia

    Treviso

    Filippo Gherlinzoni, Dr.

    Filippo Gherlinzoni, Dr.

    Recruiting
  • Policlinico Universitario - Clinica Ematologia

    Udine, 33100

    Mario Tiribelli, Dr

    Mario Tiribelli, Dr.

    Recruiting
  • Università degli Studi di Verona - A. O. - Istituti Ospitalieri di Verona- Div. di Ematologia - Policlinico G.B. Rossi

    Verona

    Massimiliano Bonifacio, Dr.

    Massimiliano Bonifacio, Dr.

    Not yet recruiting
  • ULSS N.6 Osp. S. Bortolo

    Vicenza

    Anna D'Emilio, Dr.

    Anna D'Emilio, Dr.

    Recruiting

Other trials in Italy

About this study

Official title: Observational Study of Conception/Pregnancy in Adult Patients With Chronic Myeloid Leukemia (CML) Treated With Tyrosine Kinase Inhibitors

The objective of this study is to acquire more information about what we are doing during pregnancy in CML patients, in order to possibly establish in the future a consensus on the management of patients receiving TKIs who wants to father a child or become/are pregnant.

Read the detailed description

The management of patients with chronic myeloid leukemia (CML) during pregnancy is a matter of continued debate. The introduction of the TKIs in clinical practice has dramatically changed the prognosis of CML. Patients diagnosed in chronic phase can reasonably expect many years of excellent disease control and good quality of life. Thus, the need to address issues related to fertility and pregnancy have arisen. Physicians are frequently being asked for advice regarding the need for, and or the appropriateness of, stopping treatment in order to conceive. The management of fertility begins at diagnosis. This means that immediate and future treatments should be considered at the very beginning. Therefore, the maintenance of fertility should be taken into account since diagnosis. Imatinib is not genotoxic but might lead to a decrease in sperm counts. Nevertheless, Imatinib is teratogenic in rats when given during organogenesis at doses higher than 100 mg/kg, approximately equivalent to 800 mg/day in men. Until now, approximately 60 pregnancies were reported in partners of men on Imatinib. No suggestions of any problems in conception, pregnancy, delivery or any increase in congenital abnormalities were reported. Regarding women, 204 patients were exposed to Imatinib, and 180 were reported in literature (76, 77). Of 180 women exposed to imatinib during pregnancy, outcome data are available for 125 (69%). Of those with known outcomes, 50% delivered normal infants and 28% underwent elective terminations, 3 following the identification of abnormalities. There were a total of 12 infants in whom abnormalities were identified, 3 of which had strikingly similar complex malformations that are clearly a cause for concern. It appears that although most pregnancies exposed to imatinib are likely to have a successful outcome, there remains a risk that exposure may result in serious fetal malformations. Although numbers are small there has been a disturbing cluster of rare congenital malformations such that imatinib cannot be safely recommended, particularly during the period of organogenesis. Last but not least, it has recently been reported a poor outcome after reintroduction of Imatinib in patients who interrupt therapy for pregnancy without having achieved an optimal response (78), introducing another variable in the management of women pregnant while receiving Imatinib. Only few data are available about the use of second generation TKIs, Nilotinib and Dasatinib, during pregnancy. Dasatinib is not mutagenic in rats (in vitro and in vivo tests), but is clastogenic in CHO cells. It does not seem to have such effect on fertility of male and female rats. However, it gives skeletal alterations in rats and rabbits and has embryolethality in rats if administered during pregnancies. Eleven pregnancies were reported while in dasatinib: 5 patients delivered normal infants, while 3 elective termination and 2 spontaneous abortion were reported. On the other hand, 9 male patient conceived during dasatinib: 8 normal infants were delivered, and 1 case was ongoing at the time of the report. Nilotinib is not mutagenic in rats. It does not have any effect on fertility in male and female rats. When administered during pregnancy, there is no evidence of teratogenicity but it is embryo and foetotoxic in the rat and in the rabbit. Only sporadic cases of patients who had been pregnant/had conceived during Nilotinib have been reported, and no speculation should be made from these data. In summary, there are virtually no data regarding II generation TKIs, that must be discontinued by women wishing to become pregnant. Several questions still remains unanswered regarding the management of patients receiving TKIs who want to conceive, or who have been exposed to TKI during pregnancy/conception.

Keywords
Chronic Myeloid Leukemia, CML, Pregnancy
Medical subject headings
Leukemia, Myelogenous, Chronic, BCR-ABL Positive

What is being measured

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

  1. Number of normal birth, elective termination and spontaneous abortion

    Pregnancy outcome: it will be calculated in terms of normal birth, elective termination, spontaneous abortion

    Measured: At 3 years from study entry

  2. Number of patients with major molecular remission loss

    Cumulative Incidence of MMR loss: it will be calculated from the date of achievement of MMR using the cumulative incidence method, where death will be considered as competing risk. Patients still alive, in first MMR, will be censored at the moment of last follow-up.

    Measured: At 3 years from study entry

  3. Number of patients with disease progression

    Cumulative Incidence of Disease Progression: it will be calculated from the date of diagnosis using the cumulative incidence method, where death without signs of disease progression will be considered as competing risk. Patients still alive, without a date of progression, will be censored at the moment of last follow-up.

    Measured: At 3 years from study entry.

  4. Number of patients with CCgR loss

    Cumulative Incidence of CCgRloss: it will be calculated from the date of achievement of CCgR using the cumulative incidence method, where death in CCgR will be considered as competing risk. Patients still alive, in first CCgR, will be censored at the moment of last follow-up.

    Measured: At 3 years from study entry

Secondary outcomes (7)
  1. Number of male and female patients conceiving during treatment

    Proportion of male and female patients conceiving during the treatment with TKI

    Measured: At 3 years from study entry

  2. Number of spontaneous abortion

    Proportion of spontaneous abortion

    Measured: At 3 years from study entry

  3. Number of of foetal abnormalities

    Proportion of foetal abnormalities: it will be calculated with respect to the study population and with respect to normal population.

    Measured: At 3 years from study entry

  4. Number of patients surviving

    Overall Survival (OS): it will be calculated from the date of CML diagnosis until date of death (whatever the cause). Patients still alive will be censored at the moment of last follow-up.

    Measured: At 3 years from study entry

  5. Number of patients alive with no disease progression

    Progression Free Survival (PFS): it will be calculated from the date of CML diagnosis until the date of first progression to A-B phase or until death (whatever the cause), whichever occurs first. Patients still alive, without a date of progression, will be censored at the moment of last follow-up.

    Measured: At 3 years from study entry

  6. Number of patients with molecular response.

    Duration of CCgR/ Molecular response (MR): it will be calculated from the date of achievement of CCgR, MR until first date of CCgR loss or until death (whatever the cause), whichever occurs first. Patients still alive, in first CCgR/MR, will be censored at the moment of last follow-up.

    Measured: At 3 years from study entry

  7. Number of patients with major molecular remission

    Evaluation of Major Molecular Remission (MMR)

    Measured: At 3 years from study entry

Timeline

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

  1. First posted18 Dec 2012 (estimated)
  2. Study start2 May 2013
  3. Primary completionDec 2022 (estimated)
  4. Study completionDec 2022 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
148 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01752062
Sponsor's protocol ID
CML1012
Acronym
CML1012
Status last verified
Jan 2022
First submitted
14 Dec 2012
Last updated
5 Jan 2022
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Chronic Myeloid Leukemia and Pregnancy, run by Gruppo Italiano Malattie EMatologiche dell'Adulto at 52 sites in Italy.

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 2 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: status not confirmed, as of the sponsor's last update on 5 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 52 sites in Italy. 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?

Results are not available in the source record.

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

Contact Paola Fazi, Dr. (p.fazi@gimema.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of normal birth, elective termination and spontaneous abortion (time frame: At 3 years from study entry). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Jan 2022.

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