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CompletedNCT02480608CML2004Updated Jun 24, 2015

Treatment of CML Patients With Imatinib and Hydroxyurea (CML2004)

A Phase 1/2 interventional study of Imatinib and Hydroxyurea in Leukemia, Myelogenous, Chronic, BCR-ABL Positive, sponsored by University of Leipzig. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-06-24.

Sponsored by University of Leipzig · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
113
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The study will test the tolerability and efficacy of the combination therapy Imatinib/Hydroxyurea (HU) in patients with chronic myeloid leukemia (CML) in first chronic phase (CP1) newly diagnosted or failing interferon-based therapy.

Read the detailed description

The protocol consists of a part 1, a phase I study that will enrol 20 patients, with the goal to determine the safety of the combination as well as the maximal tolerated dose. If the toxicity of the combination is acceptable, up to 200 more patients may be recruited and randomized to receive either Imatinib/HU or Imatinib alone (part 2).

Patients who meet the inclusion criteria will be started on 400 mg Imatinib daily. In part 1 of the protocol, the dose of HU will be increased by 500 mg at 3-weekly intervals until the maximal tolerated dose has been reached. In part 2 of the study, patients will be randomized to receive either the combination or Imatinib monotherapy.

Hematological and cytogenetic response will be evaluated at 3-months intervals during the first year, and at 6 months' intervals thereafter. Primary endpoints for part 1 are dose-limiting toxicity and maximal tolerated dose. Primary endpoints for part 2 are the rates of major and complete molecular response at 6, 12 and 18 months, respectively.

02

Conditions studied

  • Leukemia, Myelogenous, Chronic, BCR-ABL Positive
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In context

Leukemia, Myeloid

2,444 studies on the registry are indexed under Leukemia, Myeloid; 210 are open to participants now.

This study's enrollment of 113 is above the median of 40 across 1,978 interventional studies indexed under Leukemia, Myeloid.

Browse Leukemia, Myeloid studies →

Lead sponsor

University of Leipzig is the lead sponsor of 147 studies on the registry; 24 are open to participants now.

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

Inclusion criteria

  1. Ph-positive CML in CP1, newly diagnosed or resistant (hematologic or cytogenetic) or intolerant to interferon-based therapy
  2. Age ≥ 18 years
  3. Negative pregnancy test
  4. Low- and intermediate risk patients younger than 45 with an HLA (Human Leukocyte Antigen) -matched sibling donor and medically fit to undergo allografting should be included only after they have been adequately counselled about the potential risk (of disease progression) associated with delaying the allograft
  5. Informed consent

Exclusion criteria

Exclusion Criteria:

  1. Objective signs of disease progression beyond CP1 defined as

    • bone marrow or peripheral blood blasts > 15% and/or
    • blasts + promyelocytes ≥ 30% and/or
    • peripheral blood basophils ≥ 20% and/or
    • platelets \< 100/nl and/or
    • chromosomal abnormalities in addition to the Ph chromosome
  2. Findings suggestive of extramedullary involvement
  3. Any severe and uncontrolled medical condition
  4. Previous treatment with Imatinib (only part 2 of the study)
  5. History of non-compliance
  6. Simultaneous inclusion in other studies

Important note: previous treatment with Imatinib only is not an exclusion criterion for part 1 of the study.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
113 participants (actual)

Study arms

  • Experimental
    combination Imatinib + Hydroxyurea

    Patients who meet the inclusion criteria will be started on 400 mg Imatinib daily. In part 1 of the protocol, the dose of HU will be increased by 500 mg at 3-weekly intervals until the maximal tolerated dose has been reached. In part 2 of the study, patients will be randomized to receive either the combination or Imatinib monotherapy.

    Drug: Imatinib · Drug: Hydroxyurea

  • Active comparator
    monotherapy Imatinib

    Imatinib monotherapy

    Drug: Imatinib

Interventions

  • DrugImatinib
  • DrugHydroxyurea
06

What researchers measure

Primary outcomes

  1. number of participants with complete molecular response as a measure of efficacy

    complete molecular response is achieved if BCR-ABL (breakpoint cluster region-Abelson murine leukemia) transcripts became undetectable

    Time frame: 18 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Lange T, Niederwieser C, Gil A, Krahl R, von Grunhagen U, Al-Ali HK, Jentsch-Ullrich K, Spohn C, Lakner V, Assmann M, Junghanss C, Cross M, Hehlmann R, Deininger M, Pfirrmann M, Niederwieser D. No advantage of Imatinib in combination with hydroxyurea over Imatinib monotherapy: a study of the East German Study Group (OSHO) and the German CML study group. Leuk Lymphoma. 2020 Dec;61(12):2821-2830. doi: 10.1080/10428194.2020.1786556. Epub 2020 Jul 16. PubMed 32672489 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2015, 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
NCT02480608
Lead sponsor
University of Leipzig
Responsible party
Prof. Dr. med. Thoralf Lange (Prof. Dr. med. Thoralf Lange, University of Leipzig) — Principal investigator
First posted
Jun 24, 2015
Start date
Apr 2004
Primary completion
Aug 2011
Completion
May 2013
Last update
Jun 24, 2015

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2015. You cannot join it, but the record below documents what was studied.

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