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Protein-Tyrosine Kinase Inhibitor (STI571) for Treatment of Patients With Ph+ Chronic Myeloid Leukemia Who Are Resistant to or Intolerant of *-Interferon. A Phase II Study


Phase 2
18 Years
N/A
Not Enrolling
Both
Chronic Myeloid Leukemia

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Trial Information

Protein-Tyrosine Kinase Inhibitor (STI571) for Treatment of Patients With Ph+ Chronic Myeloid Leukemia Who Are Resistant to or Intolerant of *-Interferon. A Phase II Study


This Phase II trial will evaluate at least 100 patients for the rate of complete or major
cytogenetic response of STI571 as demonstrated by a decrease in the percentage of Ph
chromosome positive cells in the bone marrow in patients with CML who are refractory to or
intolerant of interferon-alpha. Statistical considerations are based on the refractory
patient population only. Intolerant patients are included as long as recruitment of the
refractory patients is ongoing, up to a maximum of 100 intolerant patients, whichever comes
first.


Inclusion Criteria:



1. Male or female patients * 18 years of age.

2. Patients with Ph chromosome positive CML in the chronic-phase of the disease.

3. Patients must have documented resistance to an interferon-alpha containing therapy,
defined as any of the following:

1. Hematologic Resistance - Failure to achieve a complete hematologic response,
lasting for at least 1 month despite of 6 or more months of an interferon-alpha
containing regimen.

2. Cytogenetic Resistance - Bone marrow cytogenetics showing *65% Ph chromosome
positivity after at least one year of interferon-alpha based therapy

3. Cytogenetic Refractoriness - An increase in the Ph+ chromosome bone marrow cells
by at least 30 percentage points (eg., from 20% to 50%, or from 30% to 60%)
confirmed by two samples at least 1 month apart, or an increase to * 65%

4. Hematologic Refractoriness - A rising WBC count (*100% increase and to a level
*20 x 109/L confirmed by two samples taken at least two weeks apart) while
receiving an interferon-alpha containing regimen.

4. Patients who have demonstrated intolerance to interferon-alpha therapy defined as: a
documented * Grade 3 non-hematologic toxicity (grade 2 in case of neurologic or
neuropsichiatric toxicity), persisting for more than 2 weeks, in a patient receiving
an interferon-alpha containing regimen. Patients who are intolerant to
interferon-alpha must be more than 3 months from time of diagnosis.

5. Written voluntary informed consent.

Exclusion Criteria:

1. Patients of childbearing potential without a negative pregnancy test prior to the
initiation of study drug. Barrier contraceptive precautions are to be used
throughout the trial in both sexes.

2. Serum bilirubin and creatinine concentrations more than twice the upper limit of the
normal range.

3. SGOT and SGPT more than twice the upper limit of the normal range.

4. Percentage of blasts, or basophils in the peripheral blood or bone marrow > 15%.

5. Percentage of blasts plus promyelocytes in the peripheral blood or bone marrow ( 30%.

6. Patients with a platelet count < 100 x 109/L

7. Patients with an ECOG Performance Status Score * 3.

8. Patients receiving busulfan within 6 weeks of Visit 1.

9. Patients receiving treatment with interferon-alpha within 14 days of Visit 1.

10. Patients receiving treatment with cytosine arabinoside within 14 days of Visit 1.

11. Patients receiving treatment with hydroxyurea within 7 days of Visit 1.

12. Patients who have received other investigational agents within 28 days of Visit 1.

13. Patients with Grade 3/4 cardiac problems as defined by the New York Heart Association
Criteria.

14. Patients with a history of non-compliance to medical regimens or who are considered
potentially unreliable.

15. Patients who are likely to be submitted to any transplantation procedure during the
study period (12 months)

Type of Study:

Interventional

Study Design:

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

Outcome Measure:

To determine the rate of complete and major cytogenetic response of STI571 as demonstrated by a decrease in the percentage of Ph chromosome positive cells in the bone marrow, in patients with CML who are refractory to interferon-alpha.

Principal Investigator

Michele Baccarani, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Istituto di Ematologia "L e A Seragnoli"-Policlinico S.Orsola-Malpighi di Bologna

Authority:

Italy: Ethics Committee

Study ID:

CML 002

NCT ID:

NCT00511303

Start Date:

August 2000

Completion Date:

Related Keywords:

  • Chronic Myeloid Leukemia
  • Philadelphia chromosome
  • protein-tyrosine kinases
  • Leukemia
  • Leukemia, Myeloid
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive

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