CClinicalTrials.gg
CompletedNCT00978731Updated Apr 28, 2011Results posted

Chronic Myelogenous Leukemia or Philadelphia Chromosome Positive Acute Lymphoblastic Leukemic Study

A Phase 1 interventional study of Dasatinib in Leukemia, sponsored by Bristol-Myers Squibb. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-04-28.

Sponsored by Bristol-Myers Squibb · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
46
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To determine the long term safety and tolerability of dasatinib exposure in subjects previously treated in CA180-002.

02

Conditions studied

03

In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 637 are open to participants now.

This study's enrollment of 46 is above the median of 38 across 4,248 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Bristol-Myers Squibb is the lead sponsor of 1,538 studies on the registry; 116 are open to participants now.

Of its 429 completed or terminated interventional studies of FDA-regulated products, 223 (52%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

This study enrolled participants with Philadelphia chromosome positive (Ph+)chronic myelogenous leukemia (CML) or Ph+ acute lymphoblastic leukemia (ALL) who had demonstrated hematologic resistance or intolerance to imatinib mesylate (Gleevec) and had experienced clinical benefit (in Investigator's opinion) on protocol CA180002.

Inclusion criteria

Inclusion Criteria:

  • Signed written informed consent
  • Previous treatment with dasatinib on protocol CA180-002 and receiving clinical benefit in the opinion of the investigator
  • Completed a minimum of 3 months on protocol CA180-002
  • Eastern Cooperative Oncology Group (ECOG)performance status 0, 1, or 2 (See Appendix 1)
  • Prior history of Ph+ chronic, accelerated, or blast phase CML or Ph+ ALL

Exclusion criteria

Exclusion Criteria:

  • Women of childbearing potential(WOCBP)who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 12 weeks after the study
  • WOCBP using a prohibited contraceptive method
  • Women who are pregnant or breastfeeding
  • Met the criteria as defined in protocol CA180-002 for discontinuation of therapy which includes:
  • Withdrawal of informed consent (subject's decision to withdraw for any reason)
  • Any clinical adverse event, laboratory abnormality or intercurrent illness which, in the opinion of the investigator, indicates that continued treatment with dasatinib is not in the best interest of the subject
  • Imprisonment or the compulsory detention for treatment of either a psychiatric or physical (e.g., infectious disease) illness

Medical History and Concurrent Diseases

  • A serious uncontrolled medical disorder or active infection which would impair the ability of the patient to receive protocol therapy;
  • Uncontrolled angina within 3 months
  • Diagnosed or suspected congenital long QT syndrome
  • Any history of clinically significant ventricular arrhythmias (such as ventricular tachycardia, ventricular fibrillation, or Torsades de pointes)
  • Prolonged corrected QT(QTc) interval on pre-entry electrocardiogram (> 450 msec)
  • Uncontrolled hypertension
  • Dementia or altered mental status that would prohibit the understanding or rendering of informed consent;
  • History of significant bleeding disorder unrelated to CML, including:

    1. Diagnosed congenital bleeding disorders (e.g., von Willebrand's disease)
    2. Diagnosed acquired bleeding disorder within one year (e.g., acquired anti-factor VIII antibodies)

Physical and Laboratory Test Findings

  • Total bilirubin ≥ 1.5 mg/dl
  • alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≥ 2 times the institutional upper limits of normal
  • Serum creatinine ≥ 1.5 times the institutional upper limits of normal

Prohibited Therapies and/or Medications

  • Patients currently taking drugs that are generally accepted to have a risk of causing Torsades de Pointes including:

    • quinidine, procainamide, disopyramide
    • amiodarone, sotalol, ibutilide, dofetilide
    • erythromycins, clarithromycin
    • chlorpromazine, haloperidol, mesoridazine, thioridazine, pimozide
    • cisapride, bepridil, droperidol, methadone, arsenic, chloroquine, domperidone, halofantrine, levomethadyl, pentamidine, sparfloxacin, lidoflazine.
  • Medications that inhibit platelet function and any non-steroidal anti-inflammatory drug) or anticoagulants are prohibited unless a previous exception on CA180-002 was granted by the medical monitor. Subjects taking anagrelide for thrombocytosis due to CML are eligible for this protocol
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    Dasatinib

    Drug: Dasatinib

Interventions

  • DrugDasatinib

    Tablets, Oral, The dosing ranges from 50mg to a total of 240mg daily with the following 3 schedules: * 5 days on, 2 days off * 6 days on, 1 day off * Continuous daily dosing Once Daily (QD) or Twice Daily (BID) dosing, Subjects will be treated until progression of disease despite escalation/reductions of dose to the level deemed safe by available data, until intolerable/unacceptable toxicity or until subject withdrawal from the study or discontinuation of the study

    Also known as: BMS-354825, Sprycel, Src Kinase

06

What researchers measure

Primary outcomes

  1. Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Adverse Events (AEs) and AEs Leading to Study Drug Discontinuation.

    AEs: any new untoward medical occurrences/worsening of pre-existing medical condition, whether or not related to study drug. SAE: any AE that resulted in death; was life threatening; resulted in persistent/significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; or was an overdose. Participants who discontinued the study due to AEs were recorded. These data differ from that in the Participant Flow section. This is because the data were collected on 2 different pages of the Case Report Form and were not reconciled.

    Time frame: From start of study until up to 30 days after end of study participation. Median duration of exposure (on-study time) was 23.4 months.

  2. Number of Participants Who Experienced Drug-related AEs and Drug-related SAEs.

    Drug-related AEs are those events with a relationship to the study therapy of certain; probable; or possible or missing. Drug-related SAEs are those events with any relationship to the study therapy.

    Time frame: From start of study until up to 30 days after end of study participation. Median duration of exposure (on-study time) was 23.4 months.

  3. Number of Participants With Grade 3-4 Hematology Abnormalities

    Abnormalities were graded per the National Cancer Institute(NCI)Common Toxicity Criteria (CTC), v3.0(Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life threatening). Grade 3 and 4 criteria are as follows: Hemoglobin: Grade 3:6.5 - \<8.0g/dL, Grade 4: \<6.5g/dL. Platelets: Grade 3: 25.0 - \<50.0\*10\^9/L, Grade 4: \<25.0\*10. Absolute Neutrophil Count (ANC): Grade 3: 0.5 - \<1.0\*10\^9/L, Grade 4: \<0.5\*10\^9/L.White Blood Cells (WBC) : Grade 3: 1.0 - \<2.0\*10\^9/L, Grade 4: \<1.0\*10\^9/L.

    Time frame: From start of study until up to 30 days after end of study participation. Median duration of exposure (on-study time) was 23.4 months.

  4. Number of Participants With Grade 3-4 Serum Chemistry Abnormalities

    Abnormalities were graded per the NCI (CTC), v3.0 (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life threatening). Grade 3 and 4 criteria are as follows: Alanine aminotransferase (ALT): Grade 3: 5.0-20.0 \* ULN (upper limit of normal), Grade 4: \>20.0 \* ULN; Calcium: Grade 3: 6.0-\<7.0 or \>12.5-13.5 mg/dL, Grade 4: \<0.6-\>13.5 mg/dL; Bilirubin: Grade 3: \>3-10 \* ULN, Grade 4: \>10 \* ULN; Creatinine: Grade 3: \>3.0-6.0 \* ULN, Grade 4: \>6.0 \* ULN; Albumin: Grade 3: \<2g/dL (Grade 4 not defined in NCI CTC); Magnesium: Grade 3: 0.6-\<0.8 or \>2.46-6.6mEq/L, Grade 4: \<0.6 or \>6.6mEq/L.

    Time frame: From start of study until up to 30 days after end of study participation. Median duration of exposure (on-study time) was 23.4 months.

  5. Number of Participants With Dose Interruptions and Dose Reductions

    Dose interruptions and reductions were allowed, in order to optimize individual participant's hematologic, cytogenetic, and molecular response while maintaining and evaluating safety and tolerability of long-term exposure to dasatinib. A dose reduction is defined as the administration of a dose at a lower level compared to previous dose and such that reduced dose, or a lower dose, is given at least 4 consecutive times. In determining the reductions, dose level would be compared to the previous non-null dose. Dose interruption is defined as a complete omission of dosing for 4 consecutive times.

    Time frame: From start of study to final assessment (up to 32.2 months).

Secondary outcomes

  1. Number of Participants With Complete Hematologic Response (CHR)

    CHR should meet all of the following criteria: WBC \<= Institutional ULN; ANC \>= 1000/mm\^3 ; Platelets \< 450 000/mm\^3 , no blasts or promyelocytes in peripheral blood; \< 5% myelocytes plus metamyelocytes in peripheral blood; basophils in peripheral blood \< 20% and no extramedullary involvement (including no hepatomegaly or splenomegaly). CHR can begin only 14 days after the start of treatment.

    Time frame: Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.

  2. Median Number of Months of CHR (Kaplan Meier Method)

    CHR: WBC\<=ULN (range: 9.29-12.5\*10\^3 c\\uL); ANC \>=1000/mm\^3;Platelets \<450000/mm\^3,no blasts/promyelocytes in peripheral blood; \<5% myelocytes+metamyelocytes in peripheral blood; basophils in peripheral blood \<20% \& no extramedullary involvement. Duration computed for chronic phase participants, measured in months from first day CHR criteria met, provided they are confirmed 4 weeks later, until progression of disease, treatment discontinuation due to progressive disease or death. Participants who neither discontinue due to progression, nor progress nor die censored on date of last assessment.

    Time frame: Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.

  3. Number of Participants With Major Cytogenetic Response (MCyR)

    Cytogenetic responses are based on the prevalence of Philadelphia chromosome positive (Ph+) metaphases among cells in metaphase on a bone marrow sample. MCyR is defined as number of participants with Complete Cytogenetic Response (CCyR): 0% Ph+ cells in metaphase in bone marrow or Partial Cytogenetic Response (PCyR): \>0% to 35% Ph+ cells in metaphase in bone marrow.

    Time frame: Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.

  4. Median Number of Months of Major Cytogenetic Response (MCyR)

    MCyR: 0% Ph+ cells in metaphase in bone marrow or Partial Cytogenetic Response (PCyR): \>0% to 35% Ph+ cells in metaphase in bone marrow.The duration of MCyR was computed for chronic phase participants whose best response is either CCyR or PCyR. It was measured in months from the time measurement criteria are first met for CCyR or PCyR (whichever status is recorded first) until the date of progression or death. Participants who neither progress nor die are censored on the date of their last cytogenetic assessment.

    Time frame: Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.

  5. Number of Participants With Best Cytogenetic Response

    Cytogenetic responses are based on the prevalence of Ph+ metaphases among cells in metaphase on a bone marrow sample. CCyR: 0% Ph+ cells in metaphase in bone marrow, PCyR: \>0% to 35% Ph+ cells in metaphase in bone marrow, Minor CyR: \>35% to 65% Ph+ cells in metaphase in bone marrow, Minimal CyR: \>65% to 95% Ph+ cells in metaphase in bone marrow and No CyR: \>95% to 100% Ph+ cells in metaphase in bone marrow.

    Time frame: Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.

  6. Median Number of Months of Progression-free Survival (PFS) (Kaplan Meier Method)

    Interval between randomization date \& earliest date of disease progression/death due to any cause, assessed by the Independent Radiology Review Committee (IRRC) using modified World Health Organization (WHO) criteria to define progressive disease (PD): \>=25% increase in sum of products of diameters (SOPD) of lesions compared with smallest SOPD recorded for study period or progression of any non-index lesion/appearance of new lesion. If no progression/death, date of last tumor assessment used. For participants who had no on-study tumor assessments \& were still alive, date of randomization used.

    Time frame: Baseline to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.

  7. Median Number of Months of Overall Survival (OS) (Kaplan Meier Method)

    Overall survival was defined as the median number of months from baseline to death from any cause.

    Time frame: Baseline to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.

07

Results

Posted Apr 19, 2011

Participant flow

Participant flow — Overall Study
MilestoneChronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study Entry
Started221554
Completed0000
Not completed221554
Withdrew: Death4110
Withdrew: Lost to follow-up0001
Withdrew: Adverse event5200
Withdrew: Participant's request1000
Withdrew: Administrative reason3310
Withdrew: Deterioration without progression0100
Withdrew: Disease progression/relapse5422
Withdrew: Study closure3411
Withdrew: No response1000

Outcome measures

PrimaryNumber of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Adverse Events (AEs) and AEs Leading to Study Drug Discontinuation.

AEs: any new untoward medical occurrences/worsening of pre-existing medical condition, whether or not related to study drug. SAE: any AE that resulted in death; was life threatening; resulted in persistent/significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; or was an overdose. Participants who discontinued the study due to AEs were recorded. These data differ from that in the Participant Flow section. This is because the data were collected on 2 different pages of the Case Report Form and were not reconciled.

Time frame:
From start of study until up to 30 days after end of study participation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Number · participants
Number of Participants Who Died, Experienced Other Serious Adverse Events (SAEs), Adverse Events (AEs) and AEs Leading to Study Drug Discontinuation.
participantsChronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study Entry
Deaths3211
SAEs10933
AEs221554
Discontinuation due to AEs4310
PrimaryNumber of Participants Who Experienced Drug-related AEs and Drug-related SAEs.

Drug-related AEs are those events with a relationship to the study therapy of certain; probable; or possible or missing. Drug-related SAEs are those events with any relationship to the study therapy.

Time frame:
From start of study until up to 30 days after end of study participation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Number · participants
Number of Participants Who Experienced Drug-related AEs and Drug-related SAEs.
participantsChronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study Entry
Drug-related AEs14933
Drug-related SAEs4411
PrimaryNumber of Participants With Grade 3-4 Hematology Abnormalities

Abnormalities were graded per the National Cancer Institute(NCI)Common Toxicity Criteria (CTC), v3.0(Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life threatening). Grade 3 and 4 criteria are as follows: Hemoglobin: Grade 3:6.5 - \<8.0g/dL, Grade 4: \<6.5g/dL. Platelets: Grade 3: 25.0 - \<50.0\*10\^9/L, Grade 4: \<25.0\*10. Absolute Neutrophil Count (ANC): Grade 3: 0.5 - \<1.0\*10\^9/L, Grade 4: \<0.5\*10\^9/L.White Blood Cells (WBC) : Grade 3: 1.0 - \<2.0\*10\^9/L, Grade 4: \<1.0\*10\^9/L.

Time frame:
From start of study until up to 30 days after end of study participation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Number · participants
Number of Participants With Grade 3-4 Hematology Abnormalities
participantsChronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study Entry
WBC2100
ANC3102
Platelet Count3101
Hemoglobin0111
SecondaryNumber of Participants With Complete Hematologic Response (CHR)

CHR should meet all of the following criteria: WBC \<= Institutional ULN; ANC \>= 1000/mm\^3 ; Platelets \< 450 000/mm\^3 , no blasts or promyelocytes in peripheral blood; \< 5% myelocytes plus metamyelocytes in peripheral blood; basophils in peripheral blood \< 20% and no extramedullary involvement (including no hepatomegaly or splenomegaly). CHR can begin only 14 days after the start of treatment.

Time frame:
Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Number · participants
Number of Participants With Complete Hematologic Response (CHR)
participantsChronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study Entry
Number of Participants With Complete Hematologic Response (CHR)16 (49.8 to 89.3)13 (59.5 to 98.3)——
SecondaryMedian Number of Months of CHR (Kaplan Meier Method)

CHR: WBC\<=ULN (range: 9.29-12.5\*10\^3 c\\uL); ANC \>=1000/mm\^3;Platelets \<450000/mm\^3,no blasts/promyelocytes in peripheral blood; \<5% myelocytes+metamyelocytes in peripheral blood; basophils in peripheral blood \<20% \& no extramedullary involvement. Duration computed for chronic phase participants, measured in months from first day CHR criteria met, provided they are confirmed 4 weeks later, until progression of disease, treatment discontinuation due to progressive disease or death. Participants who neither discontinue due to progression, nor progress nor die censored on date of last assessment.

Time frame:
Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Median · months
Median Number of Months of CHR (Kaplan Meier Method)
monthsParticipants With Chronic Myelogenous Leukemia (CML)
Median Number of Months of CHR (Kaplan Meier Method)52.0 (31.9 to NA)
SecondaryNumber of Participants With Major Cytogenetic Response (MCyR)

Cytogenetic responses are based on the prevalence of Philadelphia chromosome positive (Ph+) metaphases among cells in metaphase on a bone marrow sample. MCyR is defined as number of participants with Complete Cytogenetic Response (CCyR): 0% Ph+ cells in metaphase in bone marrow or Partial Cytogenetic Response (PCyR): \>0% to 35% Ph+ cells in metaphase in bone marrow.

Time frame:
Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Number · participants
Number of Participants With Major Cytogenetic Response (MCyR)
participantsChronic Myelogenous Leukemia (CML): QD Dosing at Study EntryParticipants With CML: BID Dosing at Study Entry
Number of Participants With Major Cytogenetic Response (MCyR)139
PrimaryNumber of Participants With Grade 3-4 Serum Chemistry Abnormalities

Abnormalities were graded per the NCI (CTC), v3.0 (Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life threatening). Grade 3 and 4 criteria are as follows: Alanine aminotransferase (ALT): Grade 3: 5.0-20.0 \* ULN (upper limit of normal), Grade 4: \>20.0 \* ULN; Calcium: Grade 3: 6.0-\<7.0 or \>12.5-13.5 mg/dL, Grade 4: \<0.6-\>13.5 mg/dL; Bilirubin: Grade 3: \>3-10 \* ULN, Grade 4: \>10 \* ULN; Creatinine: Grade 3: \>3.0-6.0 \* ULN, Grade 4: \>6.0 \* ULN; Albumin: Grade 3: \<2g/dL (Grade 4 not defined in NCI CTC); Magnesium: Grade 3: 0.6-\<0.8 or \>2.46-6.6mEq/L, Grade 4: \<0.6 or \>6.6mEq/L.

Time frame:
From start of study until up to 30 days after end of study participation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Number · participants
Number of Participants With Grade 3-4 Serum Chemistry Abnormalities
participantsChronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study Entry
Low Albumin1000
High ALT1100
High Total Bilirubin0000
Low Calcium0000
Low Magnesium0000
High Serum Creatinine0000
SecondaryMedian Number of Months of Major Cytogenetic Response (MCyR)

MCyR: 0% Ph+ cells in metaphase in bone marrow or Partial Cytogenetic Response (PCyR): \>0% to 35% Ph+ cells in metaphase in bone marrow.The duration of MCyR was computed for chronic phase participants whose best response is either CCyR or PCyR. It was measured in months from the time measurement criteria are first met for CCyR or PCyR (whichever status is recorded first) until the date of progression or death. Participants who neither progress nor die are censored on the date of their last cytogenetic assessment.

Time frame:
Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Median · months
Median Number of Months of Major Cytogenetic Response (MCyR)
monthsParticipants With Chronic Myelogenous Leukemia (CML)
Median Number of Months of Major Cytogenetic Response (MCyR)50.1 (27.1 to 50.1)
PrimaryNumber of Participants With Dose Interruptions and Dose Reductions

Dose interruptions and reductions were allowed, in order to optimize individual participant's hematologic, cytogenetic, and molecular response while maintaining and evaluating safety and tolerability of long-term exposure to dasatinib. A dose reduction is defined as the administration of a dose at a lower level compared to previous dose and such that reduced dose, or a lower dose, is given at least 4 consecutive times. In determining the reductions, dose level would be compared to the previous non-null dose. Dose interruption is defined as a complete omission of dosing for 4 consecutive times.

Time frame:
From start of study to final assessment (up to 32.2 months).
Reported as:
Number · participants
Number of Participants With Dose Interruptions and Dose Reductions
participantsChronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study Entry
Dose interruptions7922
Dose reductions8421
SecondaryNumber of Participants With Best Cytogenetic Response

Cytogenetic responses are based on the prevalence of Ph+ metaphases among cells in metaphase on a bone marrow sample. CCyR: 0% Ph+ cells in metaphase in bone marrow, PCyR: \>0% to 35% Ph+ cells in metaphase in bone marrow, Minor CyR: \>35% to 65% Ph+ cells in metaphase in bone marrow, Minimal CyR: \>65% to 95% Ph+ cells in metaphase in bone marrow and No CyR: \>95% to 100% Ph+ cells in metaphase in bone marrow.

Time frame:
Pre-treatment to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Number · participants
Number of Participants With Best Cytogenetic Response
participantsChronic Myelogenous Leukemia (CML): QD Dosing at Study EntryParticipants With CML: BID Dosing at Study Entry
Complete (0%)107
Partial (1-35%)32
Minor (36-65%)01
Minimal (66-95%)31
No response43
Unable to determine21
SecondaryMedian Number of Months of Progression-free Survival (PFS) (Kaplan Meier Method)

Interval between randomization date \& earliest date of disease progression/death due to any cause, assessed by the Independent Radiology Review Committee (IRRC) using modified World Health Organization (WHO) criteria to define progressive disease (PD): \>=25% increase in sum of products of diameters (SOPD) of lesions compared with smallest SOPD recorded for study period or progression of any non-index lesion/appearance of new lesion. If no progression/death, date of last tumor assessment used. For participants who had no on-study tumor assessments \& were still alive, date of randomization used.

Time frame:
Baseline to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Median · months
Median Number of Months of Progression-free Survival (PFS) (Kaplan Meier Method)
monthsAll Participants
Median Number of Months of Progression-free Survival (PFS) (Kaplan Meier Method)32.0 (29.8 to NA)
SecondaryMedian Number of Months of Overall Survival (OS) (Kaplan Meier Method)

Overall survival was defined as the median number of months from baseline to death from any cause.

Time frame:
Baseline to study discontinuation. Median duration of exposure (on-study time) was 23.4 months.
Reported as:
Median · months
Median Number of Months of Overall Survival (OS) (Kaplan Meier Method)
monthsAll Participants
Median Number of Months of Overall Survival (OS) (Kaplan Meier Method)NA (52.8 to NA)

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Participants With Accelerated Phase CML—3/5 (60%)5/5 (100%)
Participants With Chronic Myelogenous Leukemia(CML);QD Dosing—10/22 (45.5%)21/22 (95.5%)
Participants With CML; BID Dosing—9/15 (60%)15/15 (100%)
Participants With Myeloid Blast Phase CML—3/4 (75%)4/4 (100%)
Most frequent serious events
Showing 10 of 45
Most frequent serious events
EventParticipants With Accelerated Phase CMLParticipants With Chronic Myelogenous Leukemia(CML);QD DosingParticipants With CML; BID DosingParticipants With Myeloid Blast Phase CML
CARDIO-RESPIRATORY ARRESTCardiac disorders0/50/220/151/4
PNEUMONIAInfections and infestations0/53/222/151/4
HERPES ZOSTER DISSEMINATEDInfections and infestations0/50/220/151/4
HERNIAGeneral disorders0/50/220/151/4
BASAL CELL CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)0/50/220/151/4
PERICARDIAL EFFUSIONCardiac disorders1/50/220/150/4
HAEMORRHAGE INTRACRANIALNervous system disorders1/50/220/150/4
PLEURAL EFFUSIONRespiratory, thoracic and mediastinal disorders1/51/222/150/4
BLAST CELL PROLIFERATIONNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/50/220/150/4
TRANSITIONAL CELL CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps)1/50/220/150/4
Most frequent other events
Showing 10 of 115
Most frequent other events
EventParticipants With Accelerated Phase CMLParticipants With Chronic Myelogenous Leukemia(CML);QD DosingParticipants With CML; BID DosingParticipants With Myeloid Blast Phase CML
FATIGUEGeneral disorders1/510/223/152/4
OEDEMA PERIPHERALGeneral disorders1/54/221/152/4
PLEURAL EFFUSIONRespiratory, thoracic and mediastinal disorders2/56/225/151/4
PULMONARY HYPERTENSIONRespiratory, thoracic and mediastinal disorders2/50/220/150/4
PNEUMONIAInfections and infestations0/56/220/150/4
DYSPNOEARespiratory, thoracic and mediastinal disorders1/56/223/150/4
HEADACHENervous system disorders1/51/224/150/4
NAUSEAGastrointestinal disorders1/51/224/150/4
OCULAR HYPERAEMIAEye disorders0/50/220/151/4
CARDIAC DISORDERCardiac disorders0/50/220/151/4

Baseline characteristics

Age Continuous
Age Continuous(years)Chronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study EntryTotal
Median58 (41 to 81)68 (30 to 80)63 (51 to 74)51 (34 to 62)64 (30 to 81)
Age, Customized
Age, Customized(participants)Chronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study EntryTotal
< 65 years1253424
>= 65 years10102022
Sex: Female, Male
Sex: Female, Male(Participants)Chronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study EntryTotal
Female1174123
Male1181323
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Chronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study EntryTotal
Caucasian18113335
Black/African American23106
Asian01001
Other races20114
Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)
Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)(participants)Chronic Myelogenous Leukemia (CML): QD Dosing at Study EntryCML: BID Dosing at Study EntryAccelerated Phase CML: BID Dosing at Study EntryMyeloid Blast Phase CML: BID Dosing at Study EntryTotal
0 = fully active18133438
1 = restricted physically strenuous activity41207
2 = ambulatory but unable to work00000
3 = capable of only limited self care00000
4 = completely disabled00000
5 = dead00000
Not reported01001
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Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00978731
Lead sponsor
Bristol-Myers Squibb
First posted
Sep 17, 2009
Start date
Dec 2005
Primary completion
Sep 2008
Completion
Sep 2008
Results posted
Apr 19, 2011
Last update
Apr 28, 2011

Study contacts

Bristol-Myers Squibb
study director · Bristol-Myers Squibb

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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