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An Open-label, Two-period, Fixed-sequence Study to Evaluate the Effects of Multiple Doses of Nilotinib on the Pharmacokinetics of Midazolam in CML Patients Who Are Resistant and/or Intolerant Against at Least One Prior Therapy With a BCR-ABL Tyrosine Kinase Inhibitor


Phase 1
18 Years
N/A
Open (Enrolling)
Both
Chronic Myeloid Leukemia

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Trial Information

An Open-label, Two-period, Fixed-sequence Study to Evaluate the Effects of Multiple Doses of Nilotinib on the Pharmacokinetics of Midazolam in CML Patients Who Are Resistant and/or Intolerant Against at Least One Prior Therapy With a BCR-ABL Tyrosine Kinase Inhibitor


Inclusion Criteria:



1. Patients with a cytopathologically confirmed diagnosis of Ph+ CML or Philadelphia
chromosome- negative (Ph-) CML patients in accelerated or chronic phase who are
resistant and/or intolerant against at least one prior therapy with a BCR-ABL
tyrosine kinase inhibitor

2. Female or male ≥ 18 years of age

3. Patients who are nilotinib naïve at study entry, e.g. did not receive any nilotinib
treatment prior to study

4. WHO Performance Status of ≤ 2

Exclusion Criteria:

1. Known cytopathologically confirmed CNS infiltration (in absence of suspicion of CNS
involvement, lumbar puncture not required).

2. Impaired cardiac function

3. History of acute pancreatitis within 1 year of study entry or past medical history of
chronic pancreatitis.

4. Patients actively receiving therapy with the prohibited co-medications (CYP3A4
inhibitors or inducers, or CYP2C inducers)

5. Patients who are currently receiving treatment with any medications that have the
potential to prolong the QT interval

6. Treatment with immunotherapy or chemotherapy within 3 days (6 weeks for nitrosurea or
mitomycin-C) prior to Day 1 or who have not recovered from side effects of such
therapy.

7. Treatment with imatinib within 1 week prior to Day 1 or who have not recovered from
side effects of such therapy.

8. Patients who have hypersensitivity to midazolam or related compounds

Other protocol-defined inclusion/exclusion criteria may apply

Type of Study:

Interventional

Study Design:

Intervention Model: Single Group Assignment, Masking: Open Label

Outcome Measure:

evaluate the effects of multiple doses of nilotinib on the pharmacokinetics and metabolism of midazolam in CML patients.

Outcome Time Frame:

2 weeks

Safety Issue:

No

Principal Investigator

Novartis Pharmaceuticals

Investigator Role:

Study Director

Investigator Affiliation:

Novartis Pharmaceuticals

Authority:

United States: Food and Drug Administration

Study ID:

CAMN107A2128

NCT ID:

NCT01223898

Start Date:

June 2010

Completion Date:

September 2014

Related Keywords:

  • Chronic Myeloid Leukemia
  • CML,
  • nilotinib,
  • midazolam
  • Leukemia
  • Leukemia, Myeloid
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive

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