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Complete title: A Phase 3 Randomized, Open-Label Study of Ponatinib versus Imatinib in Adult Patients with Newly Diagnosed Chronic Myeloid Leukemia in Chronic Phase
| Research Study Number | 2645.00 | ||
| Principal Investigator | Vivian Oehler, MD | ||
| Phase | III |
Research Study Description
Eligibility Criteria (must meet the following to participate in this study)
Genders Eligible for Study: Both
- 1. CP CML within 6 months of diagnosis
--- CP-CML will be defined by (i) <15% blasts in bone marrow; (ii) <30% blasts plus promyelocytes in bone marrow; (iii) <20% basophils in peripheral blood; (iv) =/> 100 × 10^9/L platelets (=/> 100,000/mm^3); (v) No evidence of extramedullary disease except hepatosplenomegaly; AND (vi) No prior diagnosis of AP-CML or BP-CML
- 2. Cytogenetic assessment must demonstrate the BCR-ABL fusion by presence of the t(9;22) Philadelphia chromosome
--- (a)Variant translocations are only allowed provided they are assessable for cytogenetic response utilizing conventional cytogenetic techniques; (b) Conventional chromosome banding must be performed; AND (c) A minimum of 20 metaphases must be assessable at entry
- 3. ECOG Performance Status of 0, 1, or 2
- 4. Adequate hepatic function as defined by the following criteria:
--- (a) Total serum bilirubin =/< 1.5 x upper limit of normal (ULN), unless due to Gilbert's syndrome; (b) Alanine aminotransferase (ALT) =/< 2.5 × ULN; AND (c) Aspartate aminotransferase (AST) =/< 2.5 × ULN
- 5. Adequate renal function as defined as defined by serum creatinine <1.5 x ULN
- 6. Adequate pancreatic function as defined by serum lipase and amylase =/< 1.5 × ULN
Other eligibility criteria may apply.
Exclusions (conditions that would prevent participation in this study)
- 2. Received prior dasatinib therapy
- 3. Received prior nilotinib therapy
- 4. Received, for CML, any other systemic anticancer therapy, experimental therapy, or radiation therapy with the exception of anagrelide or hydroxyurea
- 5. Major surgery within 28 days prior to initiating therapy
- 6. History of bleeding disorder unrelated to CML
- 7. History of acute pancreatitis within 1 year of study or history of chronic pancreatitis
- 8. History of alcohol abuse
- 9. Have uncontrolled hypertriglyceridemia (triglycerides >450 mg/dL)
- 10. Significant uncontrolled or active cardiovascular disease, specifically including, but not restricted to:
--- (a) Myocardial infarction, unstable angina and/or congestive heart failure within 3 months prior to randomization; OR (b) History of clinically significant (as determined by the treating physician) atrial arrhythmia or any ventricular arrhythmia
- 11. Uncontrolled hypertension (diastolic blood pressure >100 mm Hg; systolic >150 mm Hg)
- 12. Taking medications that are known to be associated with Torsades de Pointes
- 13. Ongoing or active infection. The requirement for intravenous (IV) antibiotics is considered active infection
- 14. Known history of human immunodeficiency virus (HIV). Testing is not required in the absence of history
- 15. Pregnant or breastfeeding
- 16. Malabsorption syndrome or other gastrointestinal illness that could affect oral absorption of study drugs
- 17. Diagnosed with or received anticancer therapy for another primary malignancy within 3 years prior to entry (except for non-melanoma skin cancer or cervical cancer in situ)
- 18. Any condition or illness that, in the opinion of the Investigator, would compromise patient safety or interfere with the evaluation of the drug
Other exclusion criteria may apply.
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Keywords
Chronic Myeloid Leukemia (CML); Hematologic Malignancies
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