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A Single-arm Dose-finding Phase Ib Multicenter Study of the Oral Smoothened Antagonist LDE225 in Combination With Nilotinib in Chronic or Accelerated Phase of Chronic Myeloid Leukemia Patients Who Have Failed Prior Therapy With Other BCR-ABL Tyrosine-kinase Inhibitors


Phase 1
18 Years
N/A
Open (Enrolling)
Both
Philadelphia Chromosome Positive Chronic Myelogenous Leukemia

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Trial Information

A Single-arm Dose-finding Phase Ib Multicenter Study of the Oral Smoothened Antagonist LDE225 in Combination With Nilotinib in Chronic or Accelerated Phase of Chronic Myeloid Leukemia Patients Who Have Failed Prior Therapy With Other BCR-ABL Tyrosine-kinase Inhibitors


Inclusion Criteria:



1. Philadelphia chromosome positive (Ph+) CML in chronic phase (CP) or accelerated phase
(AP)with resistance to at least one prior BCR-ABL targeting TKI

2. Documented chronic phase CML

3. Adequate end organ function

4. Female patients of childbearing potential must have a negative serum pregnancy test
and must be using highly effective methods of contraception. Male patients with
female partners of child-bearing potential must use condoms.

Exclusion Criteria:

1. Impaired cardiac function

2. Severe and/or uncontrolled concurrent disease that in the opinion of the investigator
could cause unacceptable safety risks or compromise compliance with the protocol

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

4. Patients actively receiving therapy with strong CYP3A4 inhibitors and/or inducers,
and the treatment cannot be either discontinued or switched to a different medication
prior to entering the study

5. Patients who are currently receiving treatment with any medications that have the
potential to prolong the QT interval and the treatment cannot be either safely
discontinued or switched to a different medication prior to starting study drug.

6. Previously documented BCR-ABL Y253H, E255K/V, T315I or F359C/V mutation

Other protocol-defined inclusion/exclusion criteria may apply.

Type of Study:

Interventional

Study Design:

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

Outcome Measure:

Incidence rate and category of dose limiting toxicities (DLTs) during the first two cycles of therapy

Outcome Description:

Determination of the maximum tolerated dose (MTD) and/or recommended Phase II dose (RP2D) of nilotinib in combination with LDE225

Outcome Time Frame:

56 days (2 treatment cycles at 28 days each)

Safety Issue:

Yes

Principal Investigator

Novartis Pharmaceuticals

Investigator Role:

Study Director

Investigator Affiliation:

Novartis Pharmaceuticals

Authority:

United States: Food and Drug Administration

Study ID:

CAMN107Y2101

NCT ID:

NCT01456676

Start Date:

January 2012

Completion Date:

September 2016

Related Keywords:

  • Philadelphia Chromosome Positive Chronic Myelogenous Leukemia
  • LDE225
  • nilotinib
  • Chronic myeloid leukemia
  • CML
  • Philadelphia positive
  • Ph+
  • resistant
  • Resistant Philadelphia chromosome positive chronic myeloid leukemia (Ph+ CML) in chronic phase (CP)
  • Leukemia
  • Leukemia, Myeloid
  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive
  • Philadelphia Chromosome

Name

Location

Oregon Health & Science University Dept. Hematologic Malignancies Portland, Oregon  97239
MD Anderson Cancer Center/University of Texas UT MD Anderson Houston, Texas  77030-4009