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Ponatinib in Newly Diagnosed Chronic Myeloid Leukemia (CML) (EPIC)

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

Look up trial at NIH

Research Study Description

The purpose of this study is to compare the efficacy of ponatinib and imatinib in patients with newly diagnosed chronic myeloid leukemia (CML) in the chronic phase.

Eligibility Criteria (must meet the following to participate in this study)

Ages Eligible for Study: 18 Years and older

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)

- 1. Received prior imatinib therapy

- 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.



Research Study Number       2645.00
    
Contact       Seattle Cancer Care Alliance Intake Office
    
Telephone       800-804-8824 / 206-288-1024
    
   

Keywords
Chronic Myeloid Leukemia (CML); Hematologic Malignancies

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Please remember:

  • Talk to your health care providers first before making decisions about your health care.
  • Whether you are eligible for a research study depends on many things. There are specific requirements to be in research studies. These requirements are different for each study.

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