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Leukemia, Myeloid, Chronic-PhaseNCT07374120

Treatment Patterns and Key Endpoints Among Patients With Chronic-Phase Chronic Myeloid Leukemia in a Community Oncology Setting

An observational study of Leukemia, Myeloid, Chronic-Phase, run by Novartis Pharmaceuticals at 1 site in United States.

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

This was a retrospective observational study to examine treatment patterns, molecular testing patterns, treatment response, and clinical outcomes among patients initiating first-line (1L) tyrosine kinase inhibitor (TKI) treatment for CML-CP in The United States (US) Oncology Network practices. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Leukemia, Myeloid, Chronic-Phase
How many people
1,480 participants
Where
1 siteUnited States
Study dates
1 Feb 2024to 21 Jan 2025
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: This was a retrospective, noninterventional cohort study.

Who may be able to join

  • Patients whose data were accessible for research purposes during the study observation period.
  • Patients diagnosed with CML-CP at first recorded diagnosis of CML.
  • Patients ≥ 18 years of age at first recorded diagnosis of CML.
  • Patients who initiated qualifying 1L therapy for CML-CP during the study identification period. Qualifying 1L therapy treatments consisted of imatinib, dasatinib, bosutinib, or nilotinib as monotherapy.
  • Patients with ≥1 visit within The US Oncology Network practices following initiation of 1L therapy and through the end of the study observation period.

Who cannot join

  • Patients enrolled in interventional clinical trials during the study observation period.
  • Patients who received any systemic treatment indicated for another primary cancer during the study observation period.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Novartis

    East Hanover, New Jersey, 07936

Other trials in United States

About this study

Official title: Treatment Patterns and Key Endpoints Among Patients With Chronic-Phase Chronic Myeloid Leukemia (CML-CP) in a Community Oncology Setting

This was a retrospective observational study to examine treatment patterns, molecular testing patterns, treatment response, and clinical outcomes among patients initiating first-line (1L) tyrosine kinase inhibitor (TKI) treatment for CML-CP in The United States (US) Oncology Network practices.

Patients who initiated 1L therapy between 01 January 2016 and 31 December 2022 were eligible for inclusion in the study. Study-eligible patients were followed longitudinally post-index until death (if the patient had documentation of death during the study observation period) or last available patient record that occurred on or before the end of the study observation period. The study observation period was from 01 January 2016 to 30 November 2023. The index date was defined as the start date of 1L therapy for CML-CP.

Keywords
CML, Tyrosine kinase inhibitors, Treatment patterns, Real-world
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 NCT07374120
Study groupRoleWhat they receive
CML-CP GroupPatients with a diagnosis of CML-CP who initiated 1L TKI treatment in The US Oncology Network practices between 01 January 2016 and 31 December 2022.

What is being measured

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

  1. Time From Initial CML Diagnosis to Initiation of 1L TKI Treatment

    Measured: Baseline

  2. Number of Patients who Received a Stem Cell Transplant (SCT)

    Measured: Up to approximately 7 years

  3. Number of Patients by Type of 1L and Second-line (2L) TKI Treatment

    Measured: Up to approximately 7 years

  4. Number of Patients by Initial Dose of Each TKI in 1L and 2L Treatment

    Measured: Up to approximately 7 years

  5. Number of Patients by Treatment Sequence From 1L TKI to 2L TKI Treatment

    Measured: Up to approximately 7 years

  6. Number of Patients by Dose Modification of 1L and 2L TKI Treatment

    Dose modifications included dose escalation, reduction, or hold.

    Measured: Up to approximately 7 years

  7. Number of Patients by Reason for Dose Modification of 1L and 2L TKI Treatment

    Dose modifications included dose escalation, reduction, or hold.

    Measured: Up to approximately 7 years

  8. Number of Patients who Discontinued 1L and 2L TKI Treatment

    Measured: Up to approximately 7 years

  9. Number of Patients by Reason for Discontinuing 1L and 2L TKI Treatment

    Measured: Up to approximately 7 years

  10. Number of Patients by Clinical Events of Interest During 1L and 2L TKI Treatment

    Clinical events of interest included:

    • Alopecia
    • Anemia
    • Arthralgia/Myalgia
    • Diarrhea
    • Elevated liver enzyme
    • Elevated serum creatinine
    • Fatigue
    • Febrile neutropenia
    • Infection secondary to neutropenia
    • Interstitial lung disease-like events
    • Leukopenia
    • Nausea
    • Neutropenia
    • Pain
    • Prolongation of QT interval
    • Thrombocytopenia
    • Venous embolism (including pulmonary embolism and/or deep vein thrombosis)
    • Vomiting

    Measured: Up to approximately 7 years

  11. Number of Patients by Best Overall Molecular Response (MR) Achieved During 1L and 2L TKI Treatment

    MR was based on BCR::ABL (International Scale [IS]) qPCR testing results. Molecular response was categorized as:

    • MR 2: if BCR::ABL (IS) >0.1% - ≤ 1%
    • Major MR (MMR)/MR 3: if BCR::ABL(IS) >0.01% - ≤0.1%
    • MR 4: if BCR::ABL1 (IS) >0.0032% -≤0.01%
    • MR 4.5: if BCR::ABL (IS) ≤0.0032%
    • Not documented

    Measured: Up to approximately 7 years

  12. Number of Patients by Best Overall MR Achieved Within 12 Months of Initiating 1L and 2L TKI Treatment

    MR was based on BCR::ABL (IS) qPCR testing results. Molecular response was categorized as:

    • MR 2: if BCR::ABL (IS) >0.1% - ≤ 1%
    • Major MR (MMR)/MR 3: if BCR::ABL(IS) >0.01% - ≤0.1%
    • MR 4: if BCR::ABL1 (IS) >0.0032% -≤0.01%
    • MR 4.5: if BCR::ABL (IS) ≤0.0032%
    • Not documented

    Measured: From Baseline up to 12 months

  13. Number of Patients by MR Achieved After Initiating 1L and 2L TKI Treatment

    MR was based on BCR::ABL (IS) qPCR testing results. Molecular response was categorized as:

    • MR 2: if BCR::ABL (IS) >0.1% - ≤ 1%
    • Major MR (MMR)/MR 3: if BCR::ABL(IS) >0.01% - ≤0.1%
    • MR 4: if BCR::ABL1 (IS) >0.0032% -≤0.01%
    • MR 4.5: if BCR::ABL (IS) ≤0.0032%
    • Not documented

    Measured: 6, 12, 18, and 24 months

  14. Number of Patients who Achieved a BCR::ABL (IS) Result ≤10% Within 6 Months of Initiating 1L and 2L TKI Treatment

    Measured: From Baseline up to 6 months

  15. Number of Patients who Achieved or Sustained a BCR::ABL (IS) Result <1% Between 6 and 12 Months After Initiating 1L and 2L TKI Treatment

    Measured: From Month 6 to Month 12

  16. Number of Patients who Achieved or Sustained a BCR::ABL (IS) Result ≤0.1% Between 13 and 24 Months After Initiating 1L and 2L TKI Treatment

    Measured: From Month 13 to Month 24

  17. Number of Patients who Achieved or Sustained a BCR::ABL (IS) Result ≤0.1% After 24 Months Following Initiating 1L and 2L TKI Treatment

    Measured: From Month 24 to end of study, up to approximately 6 years

  18. Number of Patients who Achieved Complete Hematologic Response (CHR) During 1L and 2L TKI Treatment

    CHR was observed when white blood cells, hemoglobin, and platelet counts were all within each respective normal lab range.

    Measured: Up to approximately 7 years

  19. Number of Patients who Achieved CHR Within 12 Months of Initiating 1L and 2L TKI Treatment

    CHR was observed when white blood cells, hemoglobin, and platelet counts were all within each respective normal lab range.

    Measured: From Baseline up to 12 months

  20. Number of Patients who Achieved Complete Cytogenetic Response (CCyR) During 1L and 2L TKI Treatment

    Cytogenetic response was based on the Philadelphia chromosome results. CCyR was defined as having no Philadelphia chromosome-positive metaphases.

    Measured: Up to approximately 7 years

  21. Number of Patients who Achieved CCyR Within 12 Months of Initiating 1L and 2L TKI Treatment

    Cytogenetic response was based on the Philadelphia chromosome results. CCyR was defined as having no Philadelphia chromosome-positive metaphases.

    Measured: From Baseline up to 12 months

  22. Duration of Therapy (DOT) for 1L TKI Treatment

    DOT was defined as the interval between the start date of the 1L therapy (index date) and the end date of 1L therapy, including any treatment interruptions or other breaks.

    Measured: Up to approximately 7 years

  23. DOT for 2L TKI Treatment

    DOT was defined as the interval between the start date of the 2L therapy and the end date of 2L therapy, including any treatment interruptions or other breaks.

    Measured: Up to approximately 7 years

  24. Progression-free Survival (PFS) for 1L TKI Treatment

    PFS was defined as physician-documented progression, loss of MR2, BCR::ABL (IS) ≤1%, or an increase in BCR::ABL1 transcript to >1%, or a 1-log increase in BCR::ABL1 transcript levels with loss of MMR.

    Measured: Up to approximately 7 years

  25. PFS for 2L TKI Treatment

    PFS was defined as physician-documented progression, loss of MR2, BCR::ABL (IS) ≤1%, or an increase in BCR::ABL1 transcript to >1%, or a 1-log increase in BCR::ABL1 transcript levels with loss of MMR.

    Measured: Up to approximately 7 years

  26. Overall Survival (OS) for 1L TKI Treatment

    OS was defined as the interval between the start date of 1L therapy (index date) and the date of death (any cause).

    Measured: Up to approximately 7 years

  27. Overall Survival (OS) for 2L TKI Treatment

    OS was defined as the interval between the start date of 2L therapy and the date of death (any cause).

    Measured: Up to approximately 7 years

  28. Treatment-free Interval (TFI)

    TFI was defined as the interval between the discontinuation date of 1L therapy and the start date of 2L therapy or date of death.

    Measured: Up to approximately 7 years

Secondary outcomes (17)
  1. Number of Patients With BCR::ABL Testing (per National Comprehensive Cancer Network (NCCN) Guidelines) at Diagnosis

    Measured: Baseline

  2. Number of Patients With BCR::ABL Testing (per NCCN Guidelines) in 3-Month Intervals After Initiation of 1L and 2L TKI Treatment Until BCR::ABL1 ≤1% was Achieved

    Measured: Up to approximately 7 years

  3. After Initiation of 1L and 2L TKI Treatment, Number of Patients With BCR::ABL Testing (per NCCN Guidelines) in 3-Month Intervals Within 2 Years After BCR::ABL1 ≤1% was Achieved

    Measured: 2 years

  4. After Initiation of 1L and 2L TKI Treatment, Number of Patients With BCR::ABL Testing (per NCCN Guidelines) Between 1 and 3 Months Following 2 Years After BCR::ABL1 ≤1% was Achieved

    Measured: Up to approximately 5 years

  5. Number of BCR::ABL Tests (per NCCN Guidelines) After Initiation of 1L and 2L TKI Treatment Until BCR::ABL1 ≤1% was Achieved

    Measured: Up to approximately 7 years

  6. Following Initiation of 1L and 2L TKI Treatment, Number of BCR::ABL Tests (per NCCN Guidelines) Within 2 Years After Achieving BCR::ABL1 ≤1%

    Measured: 2 years

  7. Following Initiation of 1L and 2L TKI Treatment, Number of BCR::ABL Tests (per NCCN Guidelines) Performed After 2 Years of Achieving BCR::ABL1 ≤1%

    Measured: Up to approximately 5 years

  8. Number of Patients With BCR::ABL Testing (per European LeukemiaNet (ELN) Guidelines) at Diagnosis

    Measured: Baseline

  9. Number of Patients With BCR::ABL Testing (per ELN Guidelines) in 3-Month Intervals After Initiation of 1L and 2L TKI Treatment Until BCR::ABL1 ≤0.1% was Achieved

    Measured: Up to approximately 7 years

  10. Number of Patients With BCR::ABL Testing (per ELN Guidelines) Tested in 3-Month Intervals After Initiation of 1L Until BCR::ABL1 ≤0.1% was Achieved and Tested Between 2 to 6 Months Until CCyR was Achieved

    Measured: 5 months

  11. Number of Patients With BCR::ABL Testing (per ELN Guidelines) Tested in 3-Month Intervals After Initiation of 2L Until BCR::ABL1 ≤0.1% was Achieved and Tested Between 2 to 6 Months Until CCyR was Achieved

    Measured: 5 months

  12. Number of Patients With BCR::ABL Testing (per ELN Guidelines) Tested in 3-Month Intervals After Initiation of 1L Until BCR::ABL1 ≤0.1% was Achieved and Tested Every 12 Months Until CCyR was Achieved

    Measured: Up to approximately 7 years

  13. Number of Patients With BCR::ABL Testing (per ELN Guidelines) Tested in 3-Month Intervals After Initiation of 2L Until BCR::ABL1 ≤0.1% was Achieved and Tested Every 12 Months Until CCyR was Achieved

    Measured: Up to approximately 7 years

  14. Number of BCR::ABL Tests (per ELN Guidelines) After Initiation of 1L and 2L TKI Treatment Until BCR::ABL1 ≤0.1% was Achieved

    Measured: Up to approximately 7 years

  15. Number of BCR::ABL Tests (per ELN Guidelines) After Initiation of 1L and 2L TKI Treatment Until CCyR was Achieved

    Measured: Up to approximately 7 years

  16. Number of Molecular Testing by Year Following Initiation of 1L TKI Treatment During Which the T315I Mutation was Identified

    Measured: Up to approximately 7 years

  17. Number of Patients With T3151 Mutation Testing During 1L and 2L TKI Treatment

    Measured: Up to approximately 7 years

Timeline

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

  1. First posted28 Jan 2026
  2. Study start1 Feb 2024
  3. Primary completion21 Jan 2025
  4. Study completion21 Jan 2025

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
1,480 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07374120
Sponsor's protocol ID
CABL001A0US12
Status last verified
Jan 2026
First submitted
20 Jan 2026
Last updated
2 Feb 2026
Results posted
No

Questions about this trial

What is this clinical trial studying?

An observational study of Leukemia, Myeloid, Chronic-Phase, run by Novartis Pharmaceuticals at 1 site in United States.

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 2 Feb 2026. 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 United States. 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?

Time From Initial CML Diagnosis to Initiation of 1L TKI Treatment (time frame: Baseline). The study lists 28 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 2 Feb 2026.

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