A Phase II Multicenter Study on the Treatment of Adult de Novo Philadelphia Chromosome Positive (Ph+) Acute Lymphoblastic Leukemia (ALL) With the Protein Tyrosine Kinase Inhibitor BMS-354825. EudraCT Number 2005-005107-42.
Inclusion Criteria:
- Patients with Ph+ and/or BCR/ABL+ ALL
- Age ≥18 years old
- De novo ALL (within 14 days from diagnosis)
- No prior treatment with any anti-leukemic drugs with the exception of steroids for no
more than 14 days (including the 7-day pretreatment already scheduled in the
protocol)
- WHO performance status ≤2
- Absence of central nervous system (CNS) leukemia
- Normal serum level of potassium, total calcium corrected for serum albumin magnesium
and phosphorus, or correctable with supplements
- ALT and AST ≤2.5 x ULN or ≤5.0 x ULN if considered due to leukemia
- Alkaline phosphatase ≤2.5 x ULN unless considered to leukemia
- Serum bilirubin ≤2 x ULN
- Serum creatinine ≤3 x ULN
- Serum amylase ≤1.5 x ULN and serum lipase ≤1.5 x ULN
- Normal cardiac function
- Written informed consent prior to any study procedures being performed.
Exclusion Criteria:
- Impaired cardiac function, including any one of the following:
- Impairment of gastrointestinal (GI) function or GI disease that may significantly
alter the absorption of BMS-354825 (e.g., ulcerative diseases, uncontrolled nausea,
vomiting, diarrhoea, malabsorption syndrome, or small bowel resection)
- Use of therapeutic warfarin
- Acute or chronic liver or renal disease considered unrelated to leukemia
- 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,
GM¬CSF) ≤1 week prior to starting study drug
- Patients who are currently receiving treatment with any of the medications listed in
"Appendix F" and the treatment cannot be either discontinued or switched to a
different medication prior to starting study drug. The medications listed in
"Appendix F" have the potential to prolong the QT interval.
- Patients who have received any anti-leukemic agents and treatments including steroids
for more than 14 days including 7 days pretreatment that is part of the protocol
- Patients who have received any investigational drug in the last 2 weeks
- 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
BMS-354825). 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
- Non compliant to oral medication patients.