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Chronic Myeloid LeukemiaPhase 1NCT02011945

A Phase 1B Study to Investigate the Safety and Preliminary Efficacy for the Combination of Dasatinib Plus Nivolumab in Patients With Chronic Myeloid Leukemia

A Phase 1 study testing Dasatinib and Nivolumab in people with Chronic Myeloid Leukemia, run by Bristol-Myers Squibb at 21 sites in 7 countries.

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 purpose of this study is to find a dose of Nivolumab that can be safely added to Dasatinib in patients with Chronic Myeloid Leukemia. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Myeloid Leukemia
What is being tested?
Dasatinib and Nivolumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
21 sitesin 7 countries
Study dates
7 Feb 2014to 26 Dec 2018
Phase
Phase 1
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

  • Confirmed diagnosis of Chronic Myeloid Leukemia in Chronic Phase or Accelerated Phase :
  • With historically documented Ph+ cells
  • ≥2 prior Tyrosine Kinase Inhibitors (TKI) therapies for CML
  • Currently progressing, resistance to or with a suboptimal response to their most recent therapy
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) Score 0 - 1

Who cannot join

  • Blast phase CML
  • Known Abl-kinase mutation resistant to Dasatinib (e.g. T315I or T315A)

Trial locations and contacts

21 sites in 7 countries.

21 sites in 7 countries

United States5 sites
  • Winship Cancer Institute

    Atlanta, Georgia, 30322

  • Dana Farber Cancer Institute.

    Boston, Massachusetts, 02215

  • Ut Southwestern Medical Center At Dallas

    Dallas, Texas, 75390

  • The University Of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • Froedtert Hospital & Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

Other trials in United States

Germany4 sites
  • Campus Virchow Klinikum Der Charite

    Berlin, 13353

  • Universitaetsklinikum Bonn

    Bonn, 53127

  • Universitaetsklinikum Carl Gustav Carus

    Dresden, 01307

  • Universitaetsklinik Frankfurt

    Frankfurt am Main, 60590

Other trials in Germany

Australia3 sites
  • Local Institution

    Adelaide, South Australia, 5000

  • Local Institution

    Parkville, Victoria, 3050

  • Local Institution

    St Leonards, New South Wales, 2065

Other trials in Australia

Canada3 sites
  • QEII Health Sciences Centre-VG Site

    Halifax, Nova Scotia, B3H 2Y9

  • Hopital Maisonneuve-Rosemont

    Montreal, Quebec, H1T 2M4

  • Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 2M9

Other trials in Canada

Italy3 sites
  • Local Institution

    Naples, 80131

  • Local Institution

    Orbassano, 10043

  • Local Institution

    Roma, 00161

Other trials in Italy

Spain2 sites
  • Local Institution

    Madrid, 28047

  • Local Institution

    Valencia, 46010

Other trials in Spain

France1 site
  • Local Institution

    Bordeaux, 33000

Other trials in France

About this study

Official title: A Phase 1B Dose Escalation Study to Investigate the Safety, Tolerability and Preliminary Efficacy for the Combination Dasatinib (BMS-354825) Plus Nivolumab (BMS-936558) in Patients Chronic Myeloid Leukemia (CML)

The purpose of this study is to find a dose of Nivolumab that can be safely added to Dasatinib in patients with Chronic Myeloid Leukemia.

Being tested
Dasatinib, Nivolumab
Medical subject headings
Leukemia, Myelogenous, Chronic, BCR-ABL Positive

What participants receive

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

Study groups in NCT02011945
Study groupRoleWhat they receive
dasatinib OnlyExperimentaldasatinib 100 mg QD(CP) or 140 mg QD (AP)
Receives: Drug: Dasatinib
Dose Level 1ExperimentalNivolumab 1 mg/kg q 2 weeks + dasatinib 100 mg QD (CP) or 140 mg QD (AP)
Receives: Drug: Dasatinib; Drug: Nivolumab
Dose Level 2ExperimentalNivolumab 3 mg/kg q 2 weeks + dasatinib 100 mg QD (CP) or 140 mg QD (AP)
Receives: Drug: Dasatinib; Drug: Nivolumab

What is being measured

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

  1. Incidence of Dose Limiting Toxicities (DLT)

    DLT will be determined based on the incidence and intensity of drug related adverse events (AEs). The following drug-related AEs (whether related to one or both agents) occurring during the first 6 weeks of combined treatment with both dasatinib plus nivolumab (ie, Weeks 3 to 8, inclusive) would be considered DLTs:

    • Grade 4 hematologic AE lasting > 7 days despite appropriate medical intervention, except as noted below;
    • Grade 3 or Grade 4 nonhematologic AE irrespective of duration;
    • Grade 2 nonhematologic AE lasting > 7 days despite appropriate medical intervention (exception: asymptomatic laboratory values of Grade 2 which do not require medical intervention);
    • Any toxicity managed by discontinuation of nivolumab;
    • Grade ≥ 2 AE not controlled by medical intervention and requiring dasatinib treatment interruption for > 28 consecutive days;
    • Grade ≥ 2 AE not controlled by medical intervention and requiring missing 2 consecutive doses of nivolumab.

    Measured: Week 3 to week 6

  2. Incidence of Adverse Events (AEs)

    Any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation subject administered an investigational (medicinal) product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (such as an abnormal laboratory finding), symptom, or disease temporally associated with the use of investigational product, whether or not considered related to the investigational product.

    Measured: Initiation of study drug to discontinuation of nivolumab stop date + 100 days or discontinuation of dasatinib + 30 days

  3. Incidence of Serious Adverse Events (SAEs)

    Any untoward medical occurrence that at any dose: results in death, is life threatening, requires in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is a important medical event.Requires inpatient hospitalization or causes prolongation of existing hospitalization, results.

    Measured: Initiation of study drug to within 100 days of discontinuation of nivolumab dosing and 30 days of dasatinib dosing

  4. Incidence of Change From Baseline in Clinical Laboratory Tests: Hematology

    The number of participants with a shift in laboratory test results from baseline to Grade 3-4 in hematology

    Measured: Up to 40 Months

  5. Incidence of Abnormalities in Clinical Laboratory Tests: Liver Tests

    The number of participants with an abnormal Liver function test.

    Aspartate aminotransferase (AST) Alanine aminotransferase (ALT) Upper Limit of Normal (ULN)

    Measured: Up to 40 Months

  6. Incidence of Laboratory Abnormalities in Specific Thyroid Tests

    Free T3 (FT3) Free T4 (FT4) Lower Limit of Normal (LLN)

    Measured: Up to 40 Months

Secondary outcomes (18)
  1. Rate of Major Molecular Response (MMR) : Chronic Myelogenous Leukemia - Chronic Phase (CML-CP), No Prior Dasatinib Participants

    Molecular response was assessed using BCR-ABL transcript levels measurement by real-time quantitative polymerase chain reaction (RQ-PCR).

    MMR is defined as ≥ 3-log reduction in BCR-ABL transcripts or a ratio of ≤ 0.1% on the International Scale (IS).

    Measured: upto 36 Months

  2. Rate of Major Molecular Response (MMR) : Chronic Myelogenous Leukemia - Chronic Phase (CML-CP), Prior Dasatinib Participants

    Molecular response was assessed using BCR-ABL transcript levels measurement by real-time quantitative polymerase chain reaction (RQ-PCR).

    MMR is defined as ≥ 3-log reduction in BCR-ABL transcripts or a ratio of ≤ 0.1% on the International Scale (IS).

    Measured: upto 36 Months

  3. Rate of Major Molecular Response (MMR) : Chronic Myelogenous Leukemia - Advanced Phase (CML-AP) Participants

    Molecular response was assessed using BCR-ABL transcript levels measurement by real-time quantitative polymerase chain reaction (RQ-PCR).

    MMR is defined as ≥ 3-log reduction in BCR-ABL transcripts or a ratio of ≤ 0.1% on the International Scale (IS).

    Measured: upto 36 Months

  4. Rate of Molecular Response 4.5 (MR4.5) : Chronic Myelogenous Leukemia - Chronic Phase (CML-CP), No Prior Dasatinib Participants

    Molecular response was assessed using BCR-ABL transcript levels measurement by real-time quantitative polymerase chain reaction (RQ-PCR).

    A molecular response 4.5 (MR4.5) was defined as ≥ 4.5-log reduction in BCR-ABL transcripts or a ratio of ≤ 0.00316% on the International Scale (IS).

    Measured: upto 36 Months

  5. Rate of Molecular Response 4.5 (MR4.5) : Chronic Myelogenous Leukemia - Chronic Phase (CML-CP), Prior Dasatinib Participants

    Molecular response was assessed using BCR-ABL transcript levels measurement by real-time quantitative polymerase chain reaction (RQ-PCR).

    A molecular response 4.5 (MR4.5) was defined as ≥ 4.5-log reduction in BCR-ABL transcripts or a ratio of ≤ 0.00316% on the International Scale (IS).

    Measured: upto 36 Months

  6. Rate of Molecular Response 4.5 (MR4.5) : Chronic Myelogenous Leukemia - Advanced Phase (CML-AP) Participants

    Molecular response was assessed using BCR-ABL transcript levels measurement by real-time quantitative polymerase chain reaction (RQ-PCR).

    A molecular response 4.5 (MR4.5) was defined as ≥ 4.5-log reduction in BCR-ABL transcripts or a ratio of ≤ 0.00316% on the International Scale (IS).

    Measured: upto 36 Months

  7. Time to Major Molecular Response (MMR) - CML-CP No Prior Dasatinib Participants

    measured from the date of first dosing until measurement criteria are first met for MMR. The participants who do not respond will be censored on the date of their last molecular assessment. It is defined for all treated participants.

    Measured: Up to 36 Months

  8. Time to Major Molecular Response (MMR) - CML-CP Prior Dasatinib Participants

    measured from the date of first dosing until measurement criteria are first met for MMR. The participants who do not respond will be censored on the date of their last molecular assessment. It is defined for all treated participants.

    Measured: Up to 36 Months

  9. Time to Major Molecular Response (MMR) - CML-AP Participants

    measured from the date of first dosing until measurement criteria are first met for MMR. The participants who do not respond will be censored on the date of their last molecular assessment. It is defined for all treated participants.

    Measured: Up to 36 Months

  10. Duration of Major Molecular Response (MMR) - CML-CP No Prior Dasatinib Participants

    will be computed for participants who have achieved MMR. It will be defined as the time from the first assessment in which MMR, is documented until the first assessment at which disease progression (or confirmed loss of MMR) is documented. Participants who neither progress nor die will be censored on the date of their last molecular assessment

    Measured: Up to 36 Months

  11. Duration of Major Molecular Response (MMR) - CML-CP Prior Dasatinib Participants

    will be computed for participants who have achieved MMR. It will be defined as the time from the first assessment in which MMR, is documented until the first assessment at which disease progression (or confirmed loss of MMR) is documented. Participants who neither progress nor die will be censored on the date of their last molecular assessment

    Measured: Up to 36 Months

  12. Duration of Major Molecular Response (MMR) - CML-AP Participants

    will be computed for participants who have achieved MMR. It will be defined as the time from the first assessment in which MMR, is documented until the first assessment at which disease progression (or confirmed loss of MMR) is documented. Participants who neither progress nor die will be censored on the date of their last molecular assessment

    Measured: Up to 36 Months

  13. Time to Molecular Response 4.5(MR4.5) - CML-CP No Prior Dasatinib Participants

    measured from the date of first dosing until measurement criteria are first met for MR4.5. The participants who do not respond will be censored on the date of their last molecular assessment. It is defined for all treated participants.

    Measured: Up to 36 Months

  14. Time to Molecular Response 4.5(MR4.5) - CML-CP Prior Dasatinib Participants

    measured from the date of first dosing until measurement criteria are first met for MR4.5. The participants who do not respond will be censored on the date of their last molecular assessment. It is defined for all treated participants.

    Measured: Up to 36 Months

  15. Time to Molecular Response 4.5(MR4.5) - CML-AP Participants

    measured from the date of first dosing until measurement criteria are first met for MR4.5. The participants who do not respond will be censored on the date of their last molecular assessment. It is defined for all treated participants.

    Measured: Up to 36 Months

  16. Duration of Molecular Response 4.5 (MR4.5) - CML-CP No Prior Dasatinib Participants

    will be computed for participants who have achieved MR4.5. It will be defined as the time from the first assessment in which MR4.5, is documented until the first assessment at which disease progression (or confirmed loss of MR4.5 documented. Participants who neither progress nor die will be censored on the date of their last molecular assessment

    Measured: Up to 36 Months

  17. Duration of Molecular Response 4.5 (MR4.5) - CML-CP Prior Dasatinib Participants

    will be computed for participants who have achieved MR4.5. It will be defined as the time from the first assessment in which MR4.5, is documented until the first assessment at which disease progression (or confirmed loss of MR4.5 documented. Participants who neither progress nor die will be censored on the date of their last molecular assessment

    Measured: Up to 36 Months

  18. Duration of Molecular Response 4.5 (MR4.5) - CML-AP Participants

    will be computed for participants who have achieved MR4.5. It will be defined as the time from the first assessment in which MR4.5, is documented until the first assessment at which disease progression (or confirmed loss of MR4.5 documented. Participants who neither progress nor die will be censored on the date of their last molecular assessment

    Measured: Up to 36 Months

Timeline

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

  1. First posted16 Dec 2013 (estimated)
  2. Study start7 Feb 2014
  3. Primary completion26 Dec 2018
  4. Study completion26 Dec 2018

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02011945
Sponsor's protocol ID
CA180-373
Other IDs
2013-002156-33
Status last verified
Feb 2020
First submitted
21 Nov 2013
Last updated
18 Mar 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Dasatinib and Nivolumab in people with Chronic Myeloid Leukemia, run by Bristol-Myers Squibb at 21 sites in 7 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 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: finished, as of the sponsor's last update on 18 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in United States, Germany, Australia, Canada, Italy and 2 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 17 Jan 2019). 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?

Incidence of Dose Limiting Toxicities (DLT) (time frame: Week 3 to week 6). The study lists 6 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 18 Mar 2020; AzTrials last refreshed its copy on 6 Nov 2026.

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