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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Non-Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Single Group Assignment; Masking: Open Label; Primary Purpose: Treatment |
| Conditions: |
Chronic Myeloid Leukemia Philadelphia-Positive Myeloid Leukemia |
| Intervention: |
Drug: dasatinib |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| Description | |
|---|---|
| Imatinib-Intolerant | Imatinib intolerance was defined as: a) Grade 3 or greater non-hematologic toxicity that is imatinib-related b) Grade 4 hematologic toxicity that is imatinib-related lasting more than 7 days. |
| Imatinib-Resistant | Imatinib resistance, acquired or primary. Acquired resistance: subjects who achieved major cytogenetic response (MCyR) or complete hematologic response (CHR) on imatinib at any dose prior to progression, defined by 1 of the following: a) loss of MCyR, b) loss of CHR, c) increasing white blood cell (WBC) count. Primary resistance: subjects who never achieved MCyR or CHR at any dose, and met 1 of the following: a) continuously increasing WBC count on at least 2 consecutive evaluations at least 2 weeks apart with the final assessment showing a doubling of WBC from the nadir to ≥20,000/mm3 or an absolute increase in WBC by more than 50,000/mm3 above lowest count after starting imatinib, b) no CHR after 3 months, c) no cytogenetic response (CyR) after 6 months d) no MCyR after 12 months. Resistance was also defined as chronic myeloid leukemia (CML) with resistance to imatinib ≤600mg/d with genetic mutation in BCR-ABL gene (L248V, G250E, Q252H/R, Y253H/F, E255K/V, T315I/D, F317L, H369P/R). |
| Imatinib-Intolerant | Imatinib-Resistant | |
|---|---|---|
| STARTED | 99 | 288 |
| COMPLETED | 99 | 288 |
| NOT COMPLETED | 0 | 0 |
Baseline Characteristics
| Description | |
|---|---|
| Imatinib-Intolerant | Imatinib intolerance was defined as: a) Grade 3 or greater non-hematologic toxicity that is imatinib-related b) Grade 4 hematologic toxicity that is imatinib-related lasting more than 7 days. |
| Imatinib-Resistant | Imatinib resistance, acquired or primary. Acquired resistance: subjects who achieved major cytogenetic response (MCyR) or complete hematologic response (CHR) on imatinib at any dose prior to progression, defined by 1 of the following: a) loss of MCyR, b) loss of CHR, c) increasing white blood cell (WBC) count. Primary resistance: subjects who never achieved MCyR or CHR at any dose, and met 1 of the following: a) continuously increasing WBC count on at least 2 consecutive evaluations at least 2 weeks apart with the final assessment showing a doubling of WBC from the nadir to ≥20,000/mm3 or an absolute increase in WBC by more than 50,000/mm3 above lowest count after starting imatinib, b) no CHR after 3 months, c) no cytogenetic response (CyR) after 6 months d) no MCyR after 12 months. Resistance was also defined as chronic myeloid leukemia (CML) with resistance to imatinib ≤600mg/d with genetic mutation in BCR-ABL gene (L248V, G250E, Q252H/R, Y253H/F, E255K/V, T315I/D, F317L, H369P/R). |
| Imatinib-Intolerant | Imatinib-Resistant | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
99 | 288 | 387 |
|
Age, Customized
[units: participants] |
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| Between 21 and 45 years | 25 | 78 | 103 |
| Between 46 and 65 years | 55 | 131 | 186 |
| Between 66 and 75 years | 17 | 65 | 82 |
| > 75 years | 2 | 14 | 16 |
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Age
[units: years] Mean ± Standard Deviation |
54.6 ± 12.5 | 55.7 ± 13.5 | 55.4 ± 13.3 |
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Gender
[units: participants] |
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| Female | 57 | 139 | 196 |
| Male | 42 | 149 | 191 |
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Race/Ethnicity, Customized
[units: participants] |
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| White | 93 | 252 | 345 |
| Black/African American | 2 | 13 | 15 |
| Asian | 3 | 10 | 13 |
| Other | 1 | 12 | 13 |
| Not Reported | 0 | 1 | 1 |
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Performance Status - Eastern Cooperative Oncology Group Scale (ECOG)
[1] [units: participants] |
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| Score = 0 (Fully active) | 71 | 205 | 276 |
| Score=1 (physically strenuous activity restricted) | 28 | 77 | 105 |
| Score=2 capable of all selfcare, unable to work | 0 | 3 | 3 |
| Score=3 limited selfcare, bed/chair confined >50% | 0 | 0 | 0 |
| Score=4 Completely disabled, bed/chair confined | 0 | 0 | 0 |
| Score=5 Dead | 0 | 0 | 0 |
| Not Reported | 0 | 3 | 3 |
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Functional Assessment of Cancer Therapy-General (FACT-G)
[2] [units: units on a scale] Mean ± Standard Deviation |
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| Total FACT-G | 81.1 ± 14.4 | 82.4 ± 13.1 | 82.1 ± 13.4 |
| Physical Well Being (PWB) | 22.0 ± 5.1 | 21.6 ± 5.2 | 21.7 ± 5.2 |
| Social/Family Well-Being (SWB) | 23.0 ± 4.4 | 23.0 ± 4.5 | 23.0 ± 4.4 |
| Emotional Well-Being (EWB) | 17.3 ± 4.0 | 18.4 ± 3.7 | 18.1 ± 3.8 |
| Functional Well-Being (FWB) | 18.7 ± 5.5 | 19.6 ± 5.6 | 19.4 ± 5.6 |
| [1] | ECOG scale is a 6-item scale to assess disease progression, daily functioning, and appropriate treatment and prognosis. Scale 1-5, with 0=fully active, able to carry on all pre-disease performance without restriction, and 5=death |
|---|---|
| [2] | FACT-G=27 questions in 4 domains: physical, social/family, emotional, functional well-being (PWB, SWB, EWB, FWB). Total score=0 to 108; higher score=better health-related quality of life. 13 participants in Imatinib-Intolerant group had baseline measurements; 161 participants in Imatinib-Resistant group had baseline measurements for all 4 domains/79 had baseline measurements for Total scores. Imatinib intolerant participants assessed at baseline: n=78 for Total, EWB, FWB; n=80 for PWB, SWB. Imatinib resistant participants assessed at baseline: n=234, Total; n=238, PWB, FWB; n=237, SWB, EWB. |
Outcome Measures
| 1. Primary: | Number of Imatinib-Resistant Participants With Major Cytogenetic Response (MCyR) [ Time Frame: 2 years ] |
| 2. Secondary: | Number of Imatinib Intolerant Participants With Major Cytogenetic Response (MCyR) [ Time Frame: 2 years ] |
| 3. Secondary: | Percentage of Participants Who Achieved MCyR and Did Not Progress at 12 Months and 24 Months [ Time Frame: 12 Months, 24 Months ] |
| 4. Secondary: | Time From First Dosing Date to Date of MCyR [ Time Frame: Baseline (within 4 weeks of Day 1), every 12 weeks ] |
| 5. Secondary: | Number of Participants With Complete Hematologic Response (CHR) [ Time Frame: Baseline (within 72 hours of start of therapy), weekly until Week 12, every 3 months until off-study ] |
| 6. Secondary: | Percentage of Participants Who Acheived CHR and Did Not Progress at 12 Months and 24 Months [ Time Frame: 12 Months, 24 Months ] |
| 7. Secondary: | Time in Months From First Dosing Until Date of CHR [ Time Frame: Baseline (within 72 hours of start of therapy), weekly until Week 12, every 3 months until off-study ] |
| 8. Secondary: | Major Molecular Response (MMR) [ Time Frame: 2 years ] |
| 9. Secondary: | Functional Assessment of Cancer Therapy-General (FACT-G) Questionnaire Minimal Clinically Significant Change From Baseline [ Time Frame: Baseline, Day 29, every 4 weeks for the first 24 weeks, then every 12 weeks for the remainder of treatment, after end of treatment. Treatment continued until disease progression or development of toxicity or until other protocol-defined criteria. ] |
| 10. Secondary: | Adverse Events (AEs), Serious Adverse Events (SAEs), Deaths, and Discontinuations Due to AEs [ Time Frame: Continuously, from baseline through 2 years ] |
| 11. Secondary: | Blood Sample Collection for Pharmacokinetic (PK) Analysis of Dasatinib [ Time Frame: Day 8 of study; pretreatment through sample between 30 minutes and 3 hours following treatment, a sample between 5 hours and 8 hours following treatment and a sample at 12 hours, prior to the next dose. ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
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| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
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| No text entered. |
| Responsible Party: | Study Director, Bristol-Myers Squibb |
| ClinicalTrials.gov Identifier: | NCT00101660 History of Changes |
| Obsolete Identifiers: | NCT00112801 |
| Other Study ID Numbers: | CA180-013 |
| Study First Received: | January 12, 2005 |
| Results First Received: | December 22, 2009 |
| Last Updated: | August 3, 2010 |
| Health Authority: | United States: Food and Drug Administration |