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A Phase I/II Multicenter, Dose-escalation Study of Oral Nilotinib on a Continuous Daily Dosing Schedule in Adult Patients With Imatinib-resistant or Imatinib-intolerant CML, or Relapse/Refractory Ph+ALL


Phase 1/Phase 2
20 Years
N/A
Not Enrolling
Both
Chronic Myelogenous Leukemia, Acute Lymphoblastic Leukemia (Philadelphia Chromosome Positive)

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Trial Information

A Phase I/II Multicenter, Dose-escalation Study of Oral Nilotinib on a Continuous Daily Dosing Schedule in Adult Patients With Imatinib-resistant or Imatinib-intolerant CML, or Relapse/Refractory Ph+ALL


Inclusion Criteria:



- Diagnosed as Ph+ ALL who are either relapsed after or refractory to standard therapy

- Diagnosed as CML in blast crisis or accelerated phase or chronic phase who are
resistant or intolerant to imatinib

- Performance status is normal or ambulatory and capable of all self-care Exclusion
Criteria

- A history of significant or serious uncontrolled cardiovascular disease

- Impairment of gastrointestinal (GI) function or GI disease that may significantly
alter the absorption of nilotinib

- Patients who are pregnant or breast feeding, or adults of reproductive potential not
employing an effective method of birth control

Exclusion Criteria:

- Cytopathologically confirmed CNS infiltration NB: in absence of suspicion of CNS
involvement, lumbar puncture is not required

- Impaired cardiac function, including any one of the following

- LVEF < 45% as determined by echocardiogram

- Complete left bundle branch block

- Use of a cardiac pacemaker

- ST depression of > 1mm in 2 or more leads and/or T-wave inversions in 2 or more
contiguous leads

- Congenital long QT syndrome

- History of or presence of significant ventricular or atrial tachyarrhythmias

- Clinically significant resting bradycardia (< 50 beats per minute)

- QTc > 480 msec on screening ECG (using the QTcF formula)

- Right bundle branch block plus left anterior hemiblock, bifascicular block

- Myocardial infarction within 3 months prior to starting AMN107

- Uncontrolled angina pectoris

- Other clinically significant heart disease (e.g., congestive heart failure,
uncontrolled hypertension, history of labile hypertension, or history of poor
compliance with an antihypertensive regimen)

- Impairment of gastrointestinal (GI) function or GI disease that may significantly
alter the absorption of AMN107 (e.g. ulcerative diseases, uncontrolled nausea,
vomiting, diarrhea, malabsorption syndrome, or small bowel resection)

- Use of therapeutic warfarin

- Acute or chronic liver or renal disease considered unrelated to tumor (e.g.,
hepatitis, cirrhosis, renal insufficiency, etc.)

- Other concurrent severe and/or uncontrolled medical conditions (e.g., uncontrolled
diabetes, active or uncontrolled infection) that could cause unacceptable safety
risks or compromise compliance with the protocol

- Treatment with any hematopoietic colony-stimulating growth factors (e.g., G-CSF) ≤ 1
week prior to starting study drug.

- Patients who are currently receiving treatment with any of the medications listed in
(cf. Post-text suppl. 5) that cannot be either discontinued or switched to a
different medication prior to starting study drug. The medications listed in (cf.
Post-text suppl. 5) have the potential to prolong the Q-T interval.

- Patients who have received chemotherapy ≤ 1 week or who are within 5 half-lives of
their last dose chemotherapy (6 weeks for nitrosurea or mitomycin-C) prior to
starting study drug or who have not recovered from side effects of such therapy.
Hydroxyurea is permitted at the investigator's discretion prior to enrollment.

- Patients who have received Glivec® ≤ 1 week or who have not recovered from side
effects of such therapy.

- Patients who have received immunotherapy ≤ 1 week prior to starting study drug or who
have not recovered from side effects of such therapy.

- Patients who have received any investigational drug (excluding STI571/Glivec) ≤ 4
weeks or investigational cytotoxic agent within 1 week (or who are within 5
half-lives of a previous investigational cytotoxic agent) prior to starting study
drug or who have not recovered from side effects of such therapy.

- Patients who have received wide field radiotherapy ≤ 4 week or limited field
radiation for palliation ≤ 2 week prior to starting study drug or who have not
recovered from side effects of such therapy.

- Patients who have undergone major surgery ≤ 2 weeks prior to starting study drug or
who have not recovered from side effects of such therapy.

- Patients who are pregnant or breast feeding, or adults of reproductive potential not
employing an effective method of birth control. (Women of childbearing potential must
have a negative serum pregnancy test within 48 hrs prior to administration of
AMN107). Post-menopausal women must be amenorrheic for at least 12 months to be
considered of non-childbearing potential. Male and female patients must agree to
employ an effective barrier method of birth control throughout the study and for up
to 3 months following discontinuation of study drug

- Known diagnosis of human immunodeficiency virus (HIV) infection (HIV testing is not
mandatory)

- Patients with a history of another primary malignancy that is currently clinically
significant or currently requires active intervention.

- Patients unwilling or unable to comply with the protocol

Other protocol-defined inclusion and exclusion criteria may apply.

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Safety evaluation assessed by dose limiting toxicity within first cycle of 28 day treatment and AEs within 3 cycles

Outcome Time Frame:

every first 28 days

Safety Issue:

No

Principal Investigator

Novartis Pharmaceuticals

Investigator Role:

Study Director

Investigator Affiliation:

Novartis Pharmaceuticals

Authority:

Japan: Ministry of Health, Labor and Welfare

Study ID:

CAMN107A1101

NCT ID:

NCT00384228

Start Date:

May 2005

Completion Date:

Related Keywords:

  • Chronic Myelogenous Leukemia
  • Acute Lymphoblastic Leukemia (Philadelphia Chromosome Positive)
  • Chronic Myelogenous Leukemia
  • Acute Lymphoblastic Leukemia
  • Leukemia
  • Leukemia, Lymphoid
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma
  • Leukemia, Myeloid
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive
  • Philadelphia Chromosome

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