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Chronic Myeloid LeukemiaNCT05619978

French Study to Highlight the Unmet Treatment Needs of 3L+ CP-CML and With T315I-mutated CML Patients

An observational study of Chronic Myeloid Leukemia, run by Novartis Pharmaceuticals at 1 site in France.

Completed

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

Official record
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Trial summary

A retrospective multi-center cohort study design was used to address the study objectives, using medical records obtained from three clinical centers in France. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Chronic Myeloid Leukemia
What is being tested?
3L Therapy and T315I
How many people
200 participants
Where
1 siteFrance
Study dates
3 May 2021to 29 Oct 2021
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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study included CML-CP patients (i.e., 3L patients and patients with T315I mutation) who met the eligibility criteria

Who may be able to join

  • Diagnosed with CML-CP
  • Age ≥18 years at the time of CML-CP diagnosis
  • For 3L patients: initiated one of the following 3L therapies in CML-CP after failing on ≥2 TKIs (i.e., bosutinib, dasatinib, imatinib, nilotinib, or ponatinib) or allo-SCT
  • For T315I mutation patients: evidence of T315I mutation and treatment with TKI or allo-SCT

Who cannot join

  • History of other active malignancies within the 3 years prior to the time of CML-CP diagnosis
  • Documentation of anti-cancer therapies for any other malignancies prior to the time of 3L therapy initiation or at the time of treatment initiation after identification of T315I mutation
  • Enrollment in a clinical trial at the time of 3L therapy initiation or at the time of treatment initiation after identification of T315I mutation

Trial locations and contacts

1 site in 1 country.

France1 site
  • Novartis Investigative Site

    Lyon

Other trials in France

About this study

Official title: A Multi-Center Retrospective Chart Review Study Examining the Patient Characteristics, Treatment Patterns, Clinical Outcomes, and Burden of Illness Among Patients With Chronic Myeloid Leukemia in Third-line Treatment or With T315I Mutation in France (CML 3L+ & T315I)

A retrospective multi-center cohort study design was used to address the study objectives, using medical records obtained from three clinical centers in France.

Read the detailed description

The index date for patients in the 3L cohort was defined as the date of initiation of 3L therapy. The index date for the T315I cohort was defined as the date of treatment initiation with TKI or allogeneic stem cell transplantation (allo-SCT) after identification of T315I mutation status. The baseline (i.e., pre-index) period was defined as the 6 months prior to the index date, and the post-index period was defined as the time from the index date to the date of last patient contact or patient death. Patients who were alive at the end of the follow-up period were censored at the date of last contact.

Being tested
3L Therapy, T315I
Keywords
BCR::ABL,, Chronic myeloid leukemia,, Tyrosine kinase inhibitor,, T315I mutation
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.

  • 3L TherapyOther

    Also called third-line treatment

    Treatments received in 3L were dasatinib, nilotinib, imatinib, ponatinib, bosutinib, and allo-SCT

  • T315IOther

    Patients with chronic myeloid leukemia with T315I mutation

Study groups in NCT05619978
Study groupRoleWhat they receive
3L+ CohortPatients who initiated third-line treatment (3L) therapy. Treatments received in 3L were dasatinib, nilotinib, imatinib, ponatinib, bosutinib, and allo-SCT
Receives: Other: 3L Therapy
T315I cohortPatients with chronic myeloid leukemia with T315I mutation
Receives: Other: T315I

What is being measured

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

  1. Number of patients: Year patient initiated third-line treatment

    Following categories included:

    Before 2010 2010-2014 2015-2019 2020-2021

    Measured: throughout the study (study used data from 2000 to 2021)

  2. Duration of third-line treatment

    Duration of third-line treatment was reported

    Measured: throughout the study (study used data from 2000 to 2021)

  3. Number of patients: Type of therapy received in third-line treatment

    • TKI agent
    • Allo-SCT

    Measured: throughout the study (study used data from 2000 to 2021)

  4. Time from 2L discontinuation to third-line treatment initiation

    Time from 2L discontinuation to third-line treatment initiation was reported

    Measured: throughout the study (study used data from 2000 to 2021)

  5. Number of patients still on 3L therapy as of data collection date

    Number of patients still on 3L therapy as of data collection date was reported

    Measured: throughout the study (study used data from 2000 to 2021)

  6. Number of patients discontinued 3L

    Number of patients who discontinued 3L treatment were reported

    Measured: throughout the study (study used data from 2000 to 2021)

  7. Number of patients: Reasons for 3L discontinuation

    • Treatment switch due to AEs or intolerance
    • Treatment switch due to resistance
    • Treatment switch due to signs of ineffectiveness
    • Treatment switch due to other reasons

    Measured: throughout the study (study used data from 2000 to 2021)

  8. Number of lines of therapy for patients with chronic myeloid leukemia in third-line treatment

    Number of lines of therapy for patients with chronic myeloid leukemia in third-line treatment were reported

    Measured: throughout the study (study used data from 2000 to 2021)

  9. Number of most frequent treatment sequences for patients with chronic myeloid leukemia in third-line treatment

    Number of most frequent treatment sequences for patients with chronic myeloid leukemia in third-line treatment were reported

    Measured: throughout the study (study used data from 2000 to 2021)

  10. Number of last line of therapy for patients with chronic myeloid leukemia in third-line treatment

    Number of last line of therapy for patients with chronic myeloid leukemia in third-line treatment were reported

    Measured: throughout the study (study used data from 2000 to 2021)

  11. Number of patients: Year patient initiated on the line identified as T315I line of interest

    Following categories included:

    Before 2010 2010-2014 2015-2019

    Measured: throughout the study (study used data from 2000 to 2021)

  12. Duration of the line identified as T315I line of interest

    Duration of the line identified as T315I line of interest was reported

    Measured: throughout the study (study used data from 2000 to 2021)

  13. Number of patients: Type of therapy received in the line identified as T315I line of interest

    • TKI agent
    • Allo-SCT

    Measured: throughout the study (study used data from 2000 to 2021)

  14. Number of patients still on line of therapy identified as T315I line of interest as of data collection date

    Number of patients still on line of therapy identified as T315I line of interest as of data collection date were reported

    Measured: throughout the study (study used data from 2000 to 2021)

  15. Number of patients: Reasons for discontinuation on the line identified as T315I line of interest

    • Adverse events or intolerance
    • Resistance
    • Signs of ineffectiveness Suboptimal response Progression to accelerated phase or blast phase
    • Other reasons Acquired mutations

    Measured: throughout the study (study used data from 2000 to 2021)

  16. Number of lines of therapy for patients with chronic myeloid leukemia with T315I mutation

    Number of lines of therapy for patients with chronic myeloid leukemia with T315I mutation were reported

    Measured: throughout the study (study used data from 2000 to 2021)

  17. Number of line identified as T315I line of interest

    Number of line identified as T315I line of interest were reported

    Measured: throughout the study (study used data from 2000 to 2021)

  18. Number of treatment sequence for patients with chronic myeloid leukemia with T315I mutation

    Number of treatment sequence for patients with chronic myeloid leukemia with T315I mutation were reported

    Measured: throughout the study (study used data from 2000 to 2021)

  19. Number of last line of therapy for patients with chronic myeloid leukemia with T315I mutation

    Number of last line of therapy for patients with chronic myeloid leukemia with T315I mutation were reported

    Measured: throughout the study (study used data from 2000 to 2021)

Secondary outcomes (40)
  1. Cytogenetic response (CyR) for 3L patients

    CCyR, defined as an absence of Philadelphia chromosome-positive (Ph+) metaphases in bone marrow cytogenetics

    Measured: 12 and 24 months

  2. Proportion of patients achieving response among patients with chronic myeloid leukemia in third-line treatment in 12 months

    Proportion of patients achieving response among patients with chronic myeloid leukemia in third-line treatment in 12 months were reported

    Measured: 12 months post treatment

  3. Proportion of patients achieving response among patients with chronic myeloid leukemia in third-line treatment in 24 months

    Proportion of patients achieving response among patients with chronic myeloid leukemia in third-line treatment in 24 months were reported.

    Measured: 24 months post treatment

  4. Proportion of patients achieving sustained molecular responses among patients with chronic myeloid leukemia in third-line treatment in 12 months

    Proportion of patients achieving sustained molecular responses among patients with chronic myeloid leukemia in third-line treatment in 12 months were reported.

    Measured: 12 months post treatment

  5. Proportion of patients achieving sustained molecular responses among patients with chronic myeloid leukemia in third-line treatment in 24 months

    Proportion of patients achieving sustained molecular responses among patients with chronic myeloid leukemia in third-line treatment in 24 months were reported.

    Measured: 24 months post treatment

  6. Time to major molecular response (MMR) among patients with chronic myeloid leukemia in third-line treatment

    Time to MMR was defined as the time from third-line (3L) treatment initiation to the time patients achieved MMR (i.e., 0.01% IS < BCR::ABL1 transcript level ≤ 0.1% IS). Patients were censored at the earliest of treatment discontinuation or switch, loss to follow-up, end of data availability, or death.

    Measured: 12, 24, 36, 48, 60, 72 and 84 months post treatment

  7. Time to deep molecular response (MR4.0) among patients with chronic myeloid leukemia in third-line treatment

    Time to MR4.0 was defined as the time from third-line (3L) treatment initiation to the time patients achieved MR4.0 (i.e., 0.0032% IS < BCR::ABL1 transcript level ≤ 0.01% IS). Patients were censored at the earliest of treatment discontinuation or switch, loss to follow-up, end of data availability, or death.

    Measured: 12, 24, 36, 48, 60, 72 and 84 months post treatment

  8. Time to sustained deep molecular response (MR4.0) among patients with chronic myeloid leukemia in third-line treatment

    Time to sustained MR4.0 was defined as the time from third-line (3L) treatment initiation to the time patients achieved sustained MR4.0 or better (i.e., BCR::ABL1 ≤ 0.01%) in all consecutive assessments performed for at least 12 months (i.e., 365.25 days). Patients were censored at the earliest of treatment discontinuation or switch, loss to follow-up, end of data availability, or death.

    Measured: 12, 24, 36, 48, 60, 72 and 84 months post treatment

  9. Time to deep molecular response (MR4.5) among patients with chronic myeloid leukemia in third-line treatment

    Time to MR4.5 was defined as the time from third-line (3L) treatment initiation to the time patients achieved MR4.5 (i.e., 0.001% IS ≤ BCR::ABL1 transcript level ≤ 0.0032% IS). Patients were censored at the earliest of treatment discontinuation or switch, loss to follow-up, end of data availability, or death.

    Measured: 12, 24, 36, 48, 60, 72 and 84 months post treatment

  10. Time to sustained deep molecular response (MR4.5) among patients with chronic myeloid leukemia in third-line treatment

    Time to sustained MR4.5 was defined as the time from third-line (3L) treatment initiation to the time patients achieved sustained MR4.5 or better (i.e., BCR::ABL1 ≤ 0.0032%) in all consecutive assessments performed for at least 2 years (i.e., 730.5 days). Patients were censored at the earliest of treatment discontinuation or switch, loss to follow-up, end of data availability, or death.

    Measured: 12, 24, 36, 48, 60, 72 and 84 months post treatment

  11. Time to Progression-free survival (PFS) for 3L patients

    Time to PFS was defined as the time from third-line treatment initiation to earliest occurrence of documented disease progression to accelerated phase or blast crisis, or the date of death from any cause. Patients were censored at the earliest of treatment discontinuation or switch, loss to follow-up, or end of data availability.

    Measured: 12, 24, 36, 48, 60, 72 and 84 months post treatment

  12. Time to Overall Survival (OS) for 3L patients

    Time to OS was defined as the time from third-line treatment initiation to death from any cause. Patients were censored at the earliest of treatment discontinuation or switch, date of last follow-up, or end of data availability.

    Measured: 12, 24, 36, 48, 60, 72 and 84 months post treatment

  13. Time to treatment discontinuation (TTD) for 3L patients

    TTD was defined as the time from third-line treatment initiation to treatment discontinuation or switch. Patients were censored at the earliest of loss to follow-up, or end of data availability, or death

    Measured: 12, 24, 36, 48, 60, 72 and 84 months post treatment

  14. Proportion of patients with Adverse Events (AEs) in third-line treatment

    Proportion of patients with Adverse Events (AEs) were reported to evaluate the safety profile of third-line treatments for chronic myeloid leukemia

    Measured: throughout the study (study used data from 2000 to 2021)

  15. Age of patients with chronic myeloid leukemia in third-line treatment

    Age information was reported.

    Measured: Index date defined as the date of initiation of 3L therapy (data from 2000 to 2021)

  16. Number of patients: Year of chronic myeloid leukemia in chronic phase (CML-CP) diagnosis of patients with chronic myeloid leukemia in third-line treatment

    Year of CML-CP diagnosis of patients with chronic myeloid leukemia in third-line treatment was reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  17. Sex of patients with chronic myeloid leukemia in third-line treatment

    Sex information was reported.

    Measured: Index date defined as the date of initiation of 3L therapy (data from 2000 to 2021)

  18. Number of patients: Medical center of patients with chronic myeloid leukemia in third-line treatment

    The following centers were included:

    Centre Léon Bérard, Lyon Hématologie Institut Bergonié, Bordeaux Institut Universitaire du Cancer Toulouse, Toulouse

    Measured: Index date defined as the date of initiation of 3L therapy (data from 2000 to 2021)

  19. Length of follow-up (month) characteristics of patients with chronic myeloid leukemia in third-line treatment

    Length of follow-up was defined as time from index date to the date of last known contact with patient or patient death.

    Measured: throughout the study (study used data from 2000 to 2021)

  20. Number of patients: Smoking status at index date of patients with chronic myeloid leukemia in third-line treatment

    Smoking status at index date of patients with chronic myeloid leukemia in third-line treatment was reported.

    Measured: Index date defined as the date of initiation of 3L therapy (data from 2000 to 2021)

  21. Time from CML-CP diagnosis to index date (month) of patients with chronic myeloid leukemia in third-line treatment

    Time from CML-CP diagnosis to index date (month) of patients with chronic myeloid leukemia in third-line treatment was reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  22. Number of patients with Hasford score at CML-CP diagnosis (month) of patients with chronic myeloid leukemia in third-line treatment

    Low risk (≤780) Intermediate risk (>780 to ≤1480) High risk (>1480) Not assessed Unknown / not sure

    Measured: throughout the study (study used data from 2000 to 2021)

  23. Number of patients with Sokal score at CML-CP diagnosis (month) of patients with chronic myeloid leukemia in third-line treatment

    Low risk (<0.8) Intermediate risk (≥0.8 to ≤1.2) High risk (>1.2) Not assessed Unknown / not sure

    Measured: throughout the study (data source from 2000 to 2021)

  24. Number of patients with ELTS risk score at CML-CP diagnosis (month) of patients with chronic myeloid leukemia in third-line treatment

    ELTS: EUTOS long-term survival Low risk (≤1.5680) Intermediate risk (>1.5680 to ≤2.2185) High risk (>2.2185) Not assessed Unknown / not sure

    Measured: throughout the study (data source from 2000 to 2021)

  25. Number of patients with BCR::ABL1 rearrangement at CML-CP diagnosis of patients with chronic myeloid leukemia in third-line treatment

    Major Minor Other

    Measured: throughout the study (data source from 2000 to 2021)

  26. Number of patients with Additional chromosomal abnormalities at CML-CP diagnosis of patients with chronic myeloid leukemia in third-line treatment

    Yes No

    Measured: throughout the study (study used data from 2000 to 2021)

  27. Number of comorbid conditions prior to the index date in patients with chronic myeloid leukemia in third-line treatment

    Number of comorbid conditions prior to the index date in patients with chronic myeloid leukemia in third-line treatment were reported.

    Measured: Baseline (6 months prior to index date, defined as the date of initiation of 3L therapy)

  28. Number of patients with comorbid conditions prior to the index date in patients with chronic myeloid leukemia in third-line treatment

    Cardiovascular disease Pulmonary disease/pulmonary arterial hypertension Gastrointestinal issues Renal disease Diabetes Liver disease Other No comorbidities Unknown / not sure

    Measured: Baseline (6 months prior to index date, defined as the date of initiation of 3L therapy)

  29. Number of patients with any ischemic condition prior to the index date in patients with chronic myeloid leukemia in third-line treatment

    Cardiovascular disease Cerebrovascular disease Peripheral arterial

    Measured: Baseline (6 months prior to index date, defined as the date of initiation of 3L therapy)

  30. Number of patients with Cardiovascular risk factors prior to the index date in patients with chronic myeloid leukemia in third-line treatment

    Hypertension Hyperlipidemia/dyslipidemia Diabetes Obesity

    Measured: Baseline (6 months prior to index date, defined as the date of initiation of 3L therapy)

  31. Laboratory and clinical results: Random blood glucose (mg/dl)

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  32. Laboratory and clinical results: Fasting blood glucose (mg/dl)

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  33. Laboratory and clinical results: LDL cholesterol (mg/dl)

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  34. Laboratory and clinical results: Total cholesterol (mg/dl)

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  35. Laboratory and clinical results: Blood pressure

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  36. Laboratory and clinical results: Spleen size below costal margin

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  37. Laboratory and clinical results: Blood cell count

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  38. Laboratory and clinical results: Bone marrow differential cell count

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  39. Number of patients with BCR::ABL1 mutation status by line of therapy for patients with chronic myeloid leukemia in third-line treatment

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

  40. Proportion of patients achieving response among patients with chronic myeloid leukemia with T315I mutation

    Laboratory and clinical results were reported.

    Measured: throughout the study (study used data from 2000 to 2021)

Timeline

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

  1. First posted17 Nov 2022
  2. Study start3 May 2021
  3. Primary completion29 Oct 2021
  4. Study completion29 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
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05619978
Sponsor's protocol ID
CABL001A0FR01
Status last verified
Nov 2022
First submitted
27 Oct 2022
Last updated
17 Nov 2022
Results posted
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Chronic Myeloid Leukemia, run by Novartis Pharmaceuticals at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 17 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 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of patients: Year patient initiated third-line treatment (time frame: throughout the study (study used data from 2000 to 2021)). The study lists 19 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 17 Nov 2022.

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