ClinicalTrials.gg
RecruitingNCT03459534Updated Sep 3, 2026

A Phase 3 Study for the Efficacy and Safety of Radotinib in CP-CML Patients With Failure or Intolerance to Previous TKIs

A Phase 3 interventional study of Radotinib HCl in Chronic Myeloid Leukemia, Chronic Phase, CML, Chronic Phase and CML, Refractory, sponsored by Il-Yang Pharm. Co., Ltd.. Recruiting at 18 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-03.

Primary conditionLeukemia, Myelogenous, Chronic, BCR-ABL PositiveRegistry: Leukemia, Myeloid, Chronic-PhaseReclassifiedWhy we changed it
Registry
Leukemia, Myeloid, Chronic-Phase — the first condition term the registry derived for this study.
ClinicalTrials.gg
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Why
  1. Leukemia, Myeloid, Chronic-Phase is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Leukemia, Myelogenous, Chronic, BCR-ABL Positive.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Il-Yang Pharm. Co., Ltd. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2018; still recruiting 8 years 4 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
173
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

In a multinational, multicenter, single-arm, open-label and Phase III Radotinib clinical study, chronic phase Ph+ chronic myeloid leukemia patients with failure or intolerance to previous TKIs therapy including Imatinib will be recruited. In this phase 3 study, 173 subjects are expected to be enrolled in a single arm with the administration of Radotinib 400mg twice daily, which includes 10% of dropout rate.

02

Conditions studied

  • Chronic Myeloid Leukemia, Chronic Phase
  • CML, Chronic Phase
  • CML, Refractory
  • CML - Philadelphia Chromosome

Browse trials for

03

In context

Leukemia, Myelogenous, Chronic, BCR-ABL Positive Reclassified

894 studies on the registry are indexed under Leukemia, Myelogenous, Chronic, BCR-ABL Positive; 109 are open to participants now.

This study's planned enrollment of 173 is above the median of 44 across 681 interventional studies indexed under Leukemia, Myelogenous, Chronic, BCR-ABL Positive.

Browse Leukemia, Myelogenous, Chronic, BCR-ABL Positive studies →

Lead sponsor

Il-Yang Pharm. Co., Ltd. is the lead sponsor of 34 studies on the registry; 3 are open to participants now.

Compared within Leukemia, Myelogenous, Chronic, BCR-ABL Positive, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Leukemia, Myeloid, Chronic-Phase. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female patients aged 18 years old
  2. Chronic Phase Ph+ Chronic Myeloid Leukemia patients who failed or intolerance the previous TKIs therapy including Imatinib Imatinib
  3. scale 0, 1 or 2
  4. Chronic phase is defined as all of the following conditions that subjects meet.

    • Blast in peripheral blood and bone marrow \<15%
    • The sum of blast and promyelocyte in peripheral blood and bone marrow \<30%
    • Basophil in peripheral blood \<20%
    • count ≥50 × 10\^9/L (≥ 50,000/mm3) (But, transient prior therapy related thrombocytopenia [\< 50 × 109/L (\< 50,000/mm3)] is acceptable
    • No evidence of involvement of extramedullary leukemia other than enlargements of liver and spleen
  5. Patients who have adequate organ functions as defined below:

    • Total \< 1.5 × (ULN)
    • and SGPT \< 2.5× ULN
    • Creatinine \< 1.5 × ULN
    • Serum amylase and lipase ≤ 1.5 × ULN
    • Alkaline Phosphatase ≤ 2.5 × ULN (only if not related to the tumor)
  6. Women of should have a negative serum or urine pregnancy test within 14 days of the enrollment.
  7. Women of childbearing potential must be using an adequate method of to avoid pregnancy throughout the study and for a period of at least 1 month (4 weeks) after the last dose of product in such a manner that the risk of pregnancy is minimized.

Exclusion criteria

Exclusion Criteria:

  1. Patients who have been diagonised accelerated phase and blast crisis CML in previous therapy if only once.
  2. Patients with CCyR at the time of screening
  3. Any below impaired cardiac function:

    • \<45% or \< lower bound of normal limit of study site (whichever higher), confirmed by echocardiogram at the site
    • Patients who cannot have measured according to
    • Complete left bundle branch block
    • Patients with cardiac pacemakers
    • Patients with congenital long QT syndrome or the family history of known long QT syndrome
    • History of, or presence of symptomatic ventricular or atrial tachyarrhythmias
    • resting bradycardia (\< 50 bpm)
    • The mean QTcF >450msec following three consecutive ECG tests at baseline

      : Screening test will be performed again for QTcF after the adjustment of electrolyte if QTcF >450msec and the electrolyte is not within the normal range.

    • Medical history of clinically confirmed myocardial infarction
    • Medical history of unstable angina (within last 12 months)
    • Other clinically significant cardiac disease
  4. Patients with T315I point mutations
  5. Patients with central nervous system involvement as cytopathologically confirmed
  6. Severe or uncontrolled chronic disease
  7. Significant medical history of congenital or acquired bleeding disorders that are not related to leukemia
  8. Patients who previously received radiotherapy to at least 25% of the bodies with high portion of bone marrow
  9. Patients who received the major surgery within 4 weeks before the initiation of the IP administration or who failed to recover from the surgery that was performed before then.
  10. Patients who participated in other clinical study and are receiving any other IP.
  11. Patients who cannot give consent to the clinical study.
  12. Patients who have concurrently clinically significant primary
  13. Patients currently receiving treatment with a strong inhibitors or strong CYP3A4 inducers or therapeutic Cumarin derivatives and that can neither stop the administration of these drugs before the start of the IP administration nor switch to other drugs.
  14. Patients who are currently receiving treatment with a medication that has the potential to prolong QT intervals and can neither stop the administration of the drugs before the start of the IP administration nor switch to other drugs. If subjects need to start such drug treatments during the study, they should contact the sponsor, IL-YANG PHARM. Co., Ltd.
  15. Gastrointestinal disorder or gastrointestinal disease that may result in a significant change in the absorption of the product
  16. Medical history of acute or chronic pancreatitis within the past one year
  17. Acute or chronic liver, pancreas, or severe kidney disease that are not associated with the disease
  18. Patients known seropositive to (HIV), current acute or chronic (hepatitis B surface-antigen positive), , or cirrhosis. Inactive hepatitis B surface antigen (HBsAg) carriers, treated and stable hepatitis B (HBV DNA \< 500 IU/mL or site specific local lab normal range lower limit assessed by investigator), and cured hepatitis C patients can be enrolled.
  19. Women patients that meet the following conditions should be excluded from the clinical study.

    • Pregnancy
    • Breastfeeding
    • Pregnancy confirmed at screening pregnancy test
    • Women of who is unwilling to use an appropriate method of during the study
  20. Men patients who are unwilling to use and appropriate method of contraception during the study
  21. Patients who have to active ingredient or any of the of this investigational product
Terms in these criteria, in plain language(19)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
173 participants (estimated)

Study arms

  • Experimental
    Radotinib HCl

    Enrolled subjects will continue to administer Radotinib 400mg twice daily (800mg/day) orally every 12 hours at regular dosing hours for 12 months. Dose modification is allowed if the subject cannot comply with the protocol-defined dosing schedule due to hematologic or non-hematologic toxicities and toxicities resolve within 28 days (within 42 days for hematologic toxicities). For radotinib, maximum 2 dose reductions will be allowed by stage to 600mg and to 400mg.

    Drug: Radotinib HCl

Interventions

  • 1. Brand name/manufacturer: Supect Cap./IL-YANG PHARM. Co., Ltd. 2. Active ingredient: radotinib HCl 106.8mg (100mg as radotinib) or HCl 213.6mg (200mg as radotinib) 3. Appearance and formulation: hard capsule with a light blue cap and a body containing pale yellow powder 4. Storage conditions: Store in an airtight light proof container at room temperature.

    Also known as: SUPECT

06

What researchers measure

Primary outcomes

  1. Major Cytogenetic Response (MCyR)

    MCyR is defined as 0\~35% CCyR+PCyR based on ≥20 metaphase myelocytes. Chromosome test results from \<20 metaphase myelocytes will be excluded from the analysis.

    Time frame: at month 6

Secondary outcomes

  1. Cytogenetic Response (CCyR)

    CCyR is defined as complete loss of Ph chromosome based on ≥20 metaphase myelocytes. Chromosome test results from \<20 metaphase myelocytes will be excluded from the analysis.

    Time frame: at month 12/24, by month 24

  2. Major molecular response

    MMR is defined as a ≥3-log reduction in BCR-ABL1 transcript level from the standardized reference or BCR-ABL1/ABL % of ≤0.1% according to the international reference when the level of BCR-ABL1 gene was measured by RQ-PCR, a standardized quantitative genetic method.

    Time frame: at month 12/24, by month 24

  3. Overall Survival(OS)

    OS is defined as the duration from the first day of Radotinib administration to the day of death for certain causes.

    Time frame: by month 24

  4. Progression Free Survival (PFS)

    PFS is defined as the duration from the first day of Radotinib administration to the earliest day of disease progression or death for certain causes.

    Time frame: by month 24

Other outcomes

  1. BCR-ABL1 point mutation

    Incidence rate of BCR-ABL1 point mutations that are newly found during the course of radotinib treatment

    Time frame: up to month 24

  2. correlation between the concentration of radotinib in blood and the response (efficacy and safety)

    To measure the concentration of radotinib in blood

    Time frame: up to month 24

  3. Incidence of Radotinib-Adverse Events

    Toxicities will be evaluated in all subjects treated with radotinib.

    Time frame: up to month 24

07

Study locations

16 of 18 sites recruiting
  • Territorial State Budgetary Institution
    Barnaul, 656024, Russia
    Not yet recruiting
  • Federal State Budgetary Institution of Science
    Kirov, 610027, Russia
    Recruiting
  • Federal State Budgetary Institution
    Moscow, 125167, Russia
    Not yet recruiting
  • Hematology Centre based on City Clin. Hosp. n.a. S.P. Botkin
    Moscow, 300186883, Russia
    Recruiting
  • Federal State Budgetary Institution
    Saint Petersburg, 191024, Russia
    Recruiting
  • Federal State Budgetary Institution
    Saint Petersburg, 197341, Russia
    Recruiting
  • Uijeongbu Eulji Medical Center, Eulji University
    Uijeongbu-si, Gyeonggi-do 11749, South Korea
    Recruiting
    • Dong-Wook Kim, MD · Contact
    • Dong-Wook Kim · Principal investigator
  • Ankara University Medical Faculty
    Ankara, Turkey (Türkiye)
    Recruiting
  • Gazi University Medical Faculty
    Ankara, Turkey (Türkiye)
    Recruiting
  • Istanbul University Cerrahpasa - Cerrahpasa Medical Faculty
    Istanbul, Turkey (Türkiye)
    Recruiting
  • Ege University Medical Faculty
    Izmir, Turkey (Türkiye)
    Recruiting
  • Mersin University Medical Faculty
    Mersin, Turkey (Türkiye)
    Recruiting
  • Ondokuz Mayis Univ. Med. Fac.
    Samsun, Turkey (Türkiye)
    Recruiting
  • CI Cherkasy Regional Oncological Dispensary of CRC
    Cherkassy, Ukraine
    Recruiting
  • CTPI Chernihiv Regional Oncological Dispensary
    Chernihiv, Ukraine
    Recruiting
  • CI Dnipropetrovsk CMCH #4 OF Dnipropetrovsk RC
    Dnipro, Ukraine
    Recruiting
  • Institute of CR of SI NSC of Radiation Medicine of NAMSU H&T Unit
    Kyiv, Ukraine
    Recruiting
  • SI Institute of Blood Pathology and Transfusion Medicine of AMSU
    Lviv, Ukraine
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03459534
Responsible party
Sponsor
First posted
Mar 9, 2018
Start date
Jun 25, 2018
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
Sep 3, 2026

Study contacts

Na Yun Kim
Contact
nykim@ilyang.co.kr
+82.70.7165.7316
Kang Hi An
Contact
khan@ilyang.co.kr
+82.70.7165.7322
Dong Wook Kim
principal investigator · the Catholic University of Korea's St. Mary's Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Radotinib

Start the discussion