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Chronic Phase Chronic Myeloid LeukemiaPhase 2DASFREENCT01850004

Open-Label Study Evaluating Dasatinib Therapy Discontinuation in Patients With Chronic Phase Chronic Myeloid Leukemia With Stable Complete Molecular Response

A Phase 2 study testing Dasatinib in people with Chronic Phase Chronic Myeloid Leukemia, run by Bristol-Myers Squibb at 28 sites in 6 countries.

Completed

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

Official record
Search all trials

Trial summary

The study purpose is to test the hypothesis that Chronic Phase Chronic Myeloid Leukemia (CP-CML) patients with stable Complete Molecular Response (CMR) who discontinue Dasatinib treatment are able to maintain a sustained remission in the long-term, with undetectable or minimally detectable BCR-ABL residual disease. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Phase Chronic Myeloid Leukemia
What is being tested?
Dasatinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
28 sitesin 6 countries
Study dates
22 Jan 2014to 8 Oct 2021
Phase
Phase 2
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

  • Signed Written Informed Consent
  • Target Population
  • Men and women diagnosed with CP-CML, on treatment with dasatinib for a minimum of 2 years at the time of enrollment and in dasatinib-induced complete molecular remission ongoing for at least 1 year prior to study entry.
  • Patients are eligible if they have been in stable dasatinib induced CMR for a minimum of nine months, documented by at least three assessments, conducted 2 - 6.5 months apart, at a local lab.
  • Subjects who have received dasatinib beyond first or second line treatment and meet other enrollment criteria are eligible for the study provided prior Tyrosine-kinase inhibitors (TKI) were discontinued due to intolerance or lack efficacy, although only one instance of lack of efficacy to TKI is allowed.
  • Eastern Co-Operative Group (ECOG) Performance Status (PS) of 0-1
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  • Age and Reproductive Status
  • Men and women, ages ≥18
  • Women of childbearing potential (WOCBP) must have a negative serum or urine pregnancy test within 24 hours prior to the restart of study drug
  • Women must not be breastfeeding
  • WOCBP must agree to follow instructions for method(s) of contraception at the restart of treatment with study drug (dasatinib) and for the duration treatment plus 30 days (duration of ovulatory cycle) for a total of 30 days post-treatment completion
  • Men who are sexually active with WOCBP must agree to follow instructions for method(s) of contraception for 90 days after study entry (withdrawal of dasatinib), at restart of study drug (dasatinib) and for the duration of treatment with study drug (dasatinib) plus 90 days (duration of sperm turnover) for a total of 90 days post-treatment completion

Who cannot join

  • Target Disease Exceptions
  • Patients who have not achieved a 1-log reduction in BCR-ABL transcript levels compared with baseline as determined by local standards or > 10% IS [International Standard]) documented at 3.0-6.5 months since the initial start of dasatinib therapy.
  • Patients who have previously undergone hematopoietic stem cell transplantation (SCT) or who are scheduled for SCT
  • Previous diagnosis of CML accelerated phase or blast crisis
  • Medical History and Concurrent Diseases
  • Prior or concurrent malignancy, except the following:
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  • Curatively treated basal cell or squamous cell skin cancer
  • Cervical carcinoma in situ
  • Adequately treated Stage I or II cancer from which the subject is currently in complete remission
  • Any other cancer from which the subject has been disease free for 3 years
  • A serious uncontrolled medical disorder or active infection that would impair the ability of the subject to receive protocol therapy in case re-initiation of dasatinib is needed.
  • Uncontrolled or significant cardiovascular disease
  • Subjects with prior history of pericardial effusion or pleural effusion that required thoracentesis are excluded. Subjects with prior history of pericardial or pleural effusion that was clinically manageable and a maintained CMR for ≥ 1 year on a stable dose of dasatinib are allowed.
  • History of significant bleeding disorder unrelated to CML
  • Allergies and Adverse Drug Reaction
  • Subjects with known hypersensitivity to excipients of Dasatinib tablets
  • Sex and Reproductive Status
  • Patients who are pregnant or breastfeeding or likely to become pregnant
  • Men whose partner is unwilling or unable to avoid pregnancy
  • Other Exclusion Criteria
  • Patients with a history of non-compliance to CML treatment and monitoring requirements
  • Prisoners or subjects who are involuntarily incarcerated
  • Additional Criteria for Patients Eligible to Restart Dasatinib
  • Any patient who has lost MMR and is eligible for re-starting dasatinib therapy must not have developed a condition that precludes dasatinib use.
  • Other protocol defined inclusion/exclusion criteria could apply

Trial locations and contacts

28 sites in 6 countries.

28 sites in 6 countries

United States8 sites
  • Local Institution - 0013

    Chicago, Illinois, 60611

  • Local Institution - 0011

    Dallas, Texas, 75246

  • Local Institution - 0006

    Duarte, California, 91010

  • Local Institution - 0024

    Hackensack, New Jersey, 07601

  • Local Institution - 0023

    Houston, Texas, 77030-4000

  • Local Institution - 0029

    Los Angeles, California, 90095

  • Local Institution - 0028

    New York, New York, 10032

  • Local Institution - 0001

    San Franisco, California, 94143

Other trials in United States

Italy6 sites
  • Local Institution - 0025

    Catania, 95123

  • Local Institution - 0017

    Florence, 50134

  • Local Institution - 0027

    Naples, 80131

  • Local Institution - 0015

    Orbassano, 10143

  • Local Institution - 0018

    Roma, 00144

  • Local Institution - 0016

    Rome, 00161

Other trials in Italy

Germany5 sites
  • Local Institution - 0026

    Aachen, D-52074

  • Local Institution - 0020

    Berlin, 13353

  • Local Institution - 0021

    Mannheim, 68167

  • Local Institution - 0019

    Rostock, Mecklenburg-Vorpommern, 18057

  • Local Institution - 0022

    Ulm, 89081

Other trials in Germany

France4 sites
  • Local Institution - 0012

    Paris, 75475

  • Local Institution - 0003

    Pessac, 33604

  • Local Institution - 0030

    Pierre-Bénite, 69495

  • Local Institution - 0002

    Vandœuvre-lès-Nancy, 54511

Other trials in France

Spain4 sites
  • Local Institution - 0009

    Las Palmas de Gran Canaria, 35010

  • Local Institution - 0010

    Madrid, 28034

  • Local Institution - 0008

    Málaga, 29010

  • Local Institution - 0014

    Oviedo, Principality of Asturias, 33011

Other trials in Spain

Canada1 site
  • Local Institution - 0005

    Toronto, Ontario, M5G 2M9

Other trials in Canada

About this study

Official title: Open-Label Single Arm Phase 2 Study Evaluating Dasatinib Therapy Discontinuation In Patients With Chronic Phase Chronic Myeloid Leukemia (CP-CML) With Stable Complete Molecular Response (CMR) DASFREE

The study purpose is to test the hypothesis that Chronic Phase Chronic Myeloid Leukemia (CP-CML) patients with stable Complete Molecular Response (CMR) who discontinue Dasatinib treatment are able to maintain a sustained remission in the long-term, with undetectable or minimally detectable BCR-ABL residual disease.

Read the detailed description

Primary Purpose: Protocol designed to evaluate remission of disease after treatment discontinuation. Treatment re-started if relapse occurs

Being tested
Dasatinib
Medical subject headings
Leukemia, Myeloid, Chronic-Phase

What participants receive

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

Study groups in NCT01850004
Study groupRoleWhat they receive
DasatinibExperimentalDasatinib 50, 80, 100, 140, 180 mg tablets by mouth, once daily, up to 60 months
Receives: Drug: Dasatinib

What is being measured

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

  1. Major Molecular Response (MMR) Rate

    Major Molecular Response (MMR) rate at 12 months is the percentage of participants who maintain MMR (BCR-ABL transcripts < 0.1% on the International Scale [IS]) at 12 months after Dasatinib discontinuation without restarting Dasatinib

    Measured: At 12 months after Dasatinib discontinuation (assessed up to approximately June 4, 2018)

Secondary outcomes (8)
  1. Event-Free Survival (EFS) Rate

    Event-free survival (EFS) rate is defined as the percentage of surviving participants with no loss of Major Molecular Response (MMR) at the specified timepoints after dasatinib discontinuation. MMR is defined as BCR-ABL transcripts < 0.1% IS. Loss of MMR is defined per the European LeukemiaNet (ELN) definition of progression. Progression is defined as Transformation to Accelerated Phase or Blast Crisis (AP/BC):

    Accelerated Phase (AP) Blasts in PB or BM 15-29%; Blast + promyelocytes ≥ 30% with blasts < 30% or ACA in Ph+ cells (clonal progression), or basophils in blood ≥ 20%,or platelets < 100 x 10^9 /L unrelated to therapy

    Blastic Phase or Crisis (BP/BC) Blasts in PB or BM ≥ 30%, or extramedullary blast cell involvement (with exception of spleen and liver)

    The date of progression is defined as the date any of the above criteria is first met. Participants who have not progressed will be censored on the date of last examination.

    Measured: From 12 months after Dasatinib treatment discontinuation to every 12 months thereafter (up to approximately 60 months)

  2. Relapse-Free Survival (RFS) Rate

    RFS is the percentage of participants who did not relapse at the specified timepoints. Participants who did not relapse were censored on the date of their last molecular assessment. Relapse is defined as any of the following events while on study: the loss of Major Molecular Response (MMR), loss of Complete Cytogenetic Response (CCyR), loss of Complete Hematologic Response (CHR) or progression to advanced/blastic phase.

    MMR is defined as BCR-ABL transcripts < 0.1% IS. Cytogenetic response (CyR) is based on the prevalence of Ph+ cells in metaphase from bone marrow (BM) sample based on evaluation of at least 20 metaphases. CCyR is defined as 0% Ph+ cells in metaphase in BM. CHR is obtained when all the following criteria are met in peripheral blood (PB) sampling: white blood cell ≤10,000/mm3; Platelets < 450,000/mm3; PB basophils <5%; No blasts or promyelocytes in PB; <5% myelocytes plus metamyelocytes in PB; No extramedullary involvement (including no hepatomegaly or splenomegaly).

    Measured: From 12 months after Dasatinib treatment discontinuation to every 6 months thereafter (up to approximately 60 months)

  3. Progression Free Survival (PFS) Rate

    Progression free survival (PFS) is defined as the percentage of participants who experienced death (due to any cause) or accelerated phase, or blast crisis. Participants who neither progress nor die will be censored on the date of their last molecular assessment. Progression is defined as Transformation to Accelerated Phase or Blast Crisis (AP/BC) Accelerated Phase (AP) Blasts in PB or BM 15-29%; Blast + promyelocytes >= 30% with blasts < 30% or ACA in Ph+ cells (clonal progression), or basophils in blood >= 20%,or platelets < 100 x 109 /L unrelated to therapy Blastic Phase or Crisis (BP/BC) Blasts in PB or BM >= 30%, or extramedullary blast cell involvement (with the exception of spleen and liver)

    Measured: From 12 months after Dasatinib treatment discontinuation to every 6 months thereafter (up to approximately 60 months)

  4. Number of Participants Who Experience Intermittent Loss of Complete Molecular Response (CMR) (MR4.5) But no Loss of Major Molecular Response (MMR)

    The number of participants who did not lose major molecular response (MMR) 60 months after discontinuing study treatment who were in MR4.5 at the time of discontinuation and lost MR4.5. Molecular response will be assessed using BCR-ABL transcript levels measurement by real-time quantitative polymerase chain reaction (Q-PCR). MMR is defined as BCR-ABL transcripts < 0.1% Internal Standard (IS). CMR (MR4.5) defined as ≤ 0.0032% (IS) or ≥ 4.5 log reduction of BCR-ABL transcript levels molecular response.

    Measured: 60 months after last dose

  5. Number of Participants Who Did Not Experience Loss of Complete Molecular Response (CMR) (MR4.5) and Major Molecular Response (MMR)

    Assessment of BCR-ABL kinetics in patients who are in CMR (MR4.5) or less when transcript levels are still measurable. CMR (MR4.5) defined as ≤ 0.0032% (IS) or ≥ 4.5 log reduction of BCR-ABL transcript levels molecular response.

    Measured: From 12 months after Dasatinib treatment discontinuation to 5 years after the first visit of the last enrolled participant (up to approximately 82 months)

  6. Time to Transformation to Accelerated Phase/Blast Crisis (AP/BC)

    Time to Transformation to AP/BC is defined as the rate at which participants experienced transformation to accelerated phase/blast crisis (AP/BC) since discontinuation. Participants who did not develop to AP, late phase, or BC phase were censored on their last molecular measurement date.

    Measured: From 12 months after Dasatinib treatment discontinuation to 5 years after the first visit of the last enrolled participant (up to approximately 82 months)

  7. Overall Survival (OS)

    Overall survival (OS) is defined as the time from dasatinib treatment discontinuation to the date of death (due to any cause) or last known alive date. Participants who do not die will be censored on their last known alive date.

    Measured: From 12 months after Dasatinib treatment discontinuation to the date of death or last known alive date (up to approximately 82 months)

  8. Progression Free Survival

    Progression-free survival (PFS) is defined as the time from treatment discontinuation to the date of progression or death (due to any cause), whichever occurs first. Participants who neither progress nor die will be censored on the date of their last molecular assessment.

    Measured: From treatment discontinuation to the date of progression or death due to any cause, whichever occurs first (up to 82 months)

Timeline

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

  1. First posted9 May 2013 (estimated)
  2. Study start22 Jan 2014
  3. Primary completion20 Sep 2017
  4. Study completion8 Oct 2021

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 2
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
84 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01850004
Sponsor's protocol ID
CA180-406
Other IDs
2012-001421-27
Acronym
DASFREE
Status last verified
Oct 2022
First submitted
8 May 2013
Last updated
3 Nov 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Shah NP, Garcia-Gutierrez V, Jimenez-Velasco A, Larson SM, Saussele S, Rea D, Mahon FX, Levy MY, Gomez-Casares MT, Mauro MJ, Sy O, Martin-Regueira P, Lipton JH. Treatment-free remission after dasatinib in patients with chronic myeloid leukaemia in chronic phase with deep molecular response: Final 5-year analysis of DASFREE. Br J Haematol. 2023 Sep;202(5):942-952. doi: 10.1111/bjh.18883. Epub 2023 May 29.

    PubMed 37246588

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Dasatinib in people with Chronic Phase Chronic Myeloid Leukemia, run by Bristol-Myers Squibb at 28 sites in 6 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 12 inclusion and 25 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 3 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States, Italy, Germany, France, Spain and 1 more country. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 2 Nov 2018). 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?

Major Molecular Response (MMR) Rate (time frame: At 12 months after Dasatinib discontinuation (assessed up to approximately June 4, 2018)). 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 NCT01850004, which also lists 1 linked publication.

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 3 Nov 2022.

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